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The Cancer Institute of New Jersey, Departments of Medicine and Pharmacology, University of Medicine and Dentistry of New Jersey/Robert Wood Johnson Medical School, New Brunswick, New Jersey (S.A., J.-M.Y., W.N.H.); and Kinki University, Nara City, Japan (R.U., T.O., T.K.)
Received December 29, 2004; accepted June 15, 2004
| Abstract |
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Multidrug resistance (MDR) mediated by P-gp is a deterrent to effective cancer treatment. Overexpression of P-gp is a major cause of cross-resistance of cancer cells to cytotoxic drugs with diverse mechanisms of action (Pastan and Gottesman, 1987
; Murren and Hait, 1992
). P-gp is a 150- to 180-kDa phosphoglycoprotein that functions as an energy-dependent drug efflux pump with broad substrate specificity (Endicott and Ling, 1989
; Ford and Hait, 1990
; Gottesman and Pastan, 1993
). Cells expressing P-gp exhibit decreased intracellular drug accumulation because of increased drug efflux (Sirotnak et al., 1986
; Hammond et al., 1989
; Stein et al., 1994
). As a result, tumor cells evade the cytotoxic effects of drugs by virtue of nonproductive drug-target interaction. In humans, P-gp is the product of ABCB1 gene product and is expressed in a cell- and tissue-specific manner; high levels are detectable in the kidney, liver, and intestine (Thiebaut et al., 1987
). In rodents, two genes, mdr1a and mdr1b, have been reported to play a similar role in drug resistance. Studies in mdr1a and mdr1b knock-out mice as well as the P-gp tissue distribution studies suggested several physiological roles for P-gp including protection against toxic xenobiotics by excretion into bile, urine, or the intestinal lumen; maintenance of the blood brain barrier; and transport of steroid hormones and cholesterol (Gottesman and Pastan, 1993
; Borst and Schinkel, 1996
; Luker et al., 1999
).
P-gp interacts with structurally unrelated compounds and cytotoxic drugs, including anthracyclines, vinca alkaloids, epipodophyllotoxins, taxanes, phenothiazines, colchicines, and mitomycin (Endicott and Ling, 1989
). Several studies have identified certain structural features important for interaction with P-gp. These include presence of a planar hydrophobic ring and a positively charged amino group (Zamora et al., 1988
). Our laboratory previously studied a series of substituted phenothiazines and found that hydrophobicity of the ring, length of methylene bridges connecting the phenothiazinesnucleus to the amino group, and the charge on terminal amino group are directly related to their activity (Ford et al., 1989
).
Bacterial histidine kinases are important enzymes that participate in two component signaling cascade (Alex and Simon, 1994
). These signal transduction systems maintain bacterial cell homeostasis and the expression of virulence factors in response to external and internal environmental stimuli (Haldimann et al., 1997
; Novak et al., 1999
). Histidine kinase inhibitors have potent antibacterial (Yamamoto et al., 2000
) and anticancer (Arora et al., 2003
) activity. Bacteria and several other prokaryotes express proteins homologous to P-gp. For example, pfMDR1 is present in Plasmodium falciparum, ehPgp is present in Entamoeba histolytica, LmrA is present in Lactococcus lactis, and HlyB s present in E. coli (van Veen and Konings, 1997
). The role of P-gp in development of MDR phenotype to various anticancer agents in animal models and clinical trials has been well recognized. Therefore, we investigated the effect of P-gp on the activity of a series of histidine kinase inhibitors.
| Materials and Methods |
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Cell Lines. MCF-7, MCF-7-ADR, and MCF-7-BC-19 cell lines were kindly supplied by Dr. Kenneth Cowan of the Eppley Institute for Research in Cancer (Omaha, NE). A2780 and A2780-DX were provided by Dr. Youcef Rustum (Roswell Park Cancer Institute, Buffalo, NY). C6 was obtained from American Type Culture Collection (Manassas, VA). P388/VMDRC.04, a MDR1-transfected mouse leukemic cell line, was characterized by our laboratory (Yang et al., 1994
). All the cell lines except P388/S and P388/VMDRC.04 were grown in Dulbecco's modified Eagle's medium supplemented with 10% fetal bovine serum, 100 units/ml penicillin, and 100 mg/ml streptomycin. All cells were cultured at 37°C in a humidified atmosphere containing 5% CO2/95% air.
Cellular Drug Accumulation. Drug accumulation was determined by seeding cells (5.0 x 104 - 1.0 x 105 cells/ml/well) onto 24-well plates. After 48 h, cells were washed with serum-free media and incubated with 50 nM [3H]paclitaxel or 1 µM [3H]methotrexate and various concentrations of NH125 or 25 µM of NH 12 compounds for 3 h. The reactions were stopped by adding ice-cold PBS, and the cells were lysed immediately with 1% SDS. The radioactivity in the samples was determined by scintillation counting.
The accumulation of doxorubicin was analyzed by fluorescence microscopy. Cells were incubated with 12.5 µM of doxorubicin in the absence or presence of 25 µM NH125 for 1 h. At the end of the incubation, cells were washed three times with PBS and observed under a fluorescence microscope (Nikon ECLIPSE TE200 microscope; Nikon Inc., Melville, NY). Fluorescence intensity was quantified using Image-J software.
In Vitro Sensitivity to Drugs. The in vitro sensitivity of the cells to drugs was measured using an MTT cell viability assay. In brief, 5 x 104 cells were plated in 96-well plates and exposed to various concentrations of drug for 48 to 72 h. The formazan product formed after a 4-h incubation with MTT was dissolved in 100% dimethyl sulfoxide and read at 550 nM using a Dynatech Microplate Reader MR5000.
In Vivo Sensitivity to NH 125. Cells from log-phase cultures of P388/S or P388/VMDRC.04 were washed in PBS by centrifugation at 1000g for 10 min, then resuspended in sterile saline at a concentration of 1 x 107 cells/ml. One million cells in 0.1 ml of PBS were inoculated into groups of five 20- to 22-g female CD2F1 mice (Charles River Laboratories, Wilmington, MA) via the peritoneal cavities on day 0. Vehicle or NH125 (1 mg/kg) were given i.p. on days 1, 4, 6, 8, and 11. Animals were given food and water ad libitum and were checked daily for weight, signs of tumor growth, or illness. All animal studies were approved by the Institutional Animal Care and Use Committee of the University of Medicine and Dentistry of New Jersey.
Preparation of Cell Homogenates and Western Blot Analysis. Cell monolayers were washed twice in PBS, pH 7.4, scraped into 15-ml conical tubes, and centrifuged at 1000g at 4°C for 5 min. Cell extracts were prepared by lysing cell pellets in ice-cold radioimmunoprecipitation assay buffer. The lysates were centrifuged at 15,000g for 30 min. at 4°C. The protein concentration of the supernatants was determined according to the method of Bradford (1976
) using a Bio-Rad protein assay kit (Bio-Rad Laboratories, Richmond, CA). Fifty micrograms of protein was resolved by 7% SDS-polyacrylamide gel electrophoresis and transferred to nitrocellulose membranes. Membranes were blocked with 5% nonfat dry milk in PBS/Tween 20 (0.05%), followed by incubation with anti-P-gp or anti-MRP antibody (1: 500 dilution in 5% milk/PBS/Tween 20). The detection was performed using horseradish peroxidase-labeled secondary antibodies and enhanced chemiluminescence detection reagent.
Silencing of MDR1 Expression by RNA Interference. Supression of MDR1 gene expression by siRNA was performed as previously reported by our laboratory (Wu et al., 2003
). siRNA duplexes were synthesized by Dharmacon Research, Inc. (Lafayette, CO) using 2'-ACE protection chemistry. Cells were transfected with siRNA using oligofectamine and Opti-MEM I reduced serum medium (Invitrogen Invitrogen, Inc., Carlsbad, CA), according to the manufacturer's protocol.
| Results |
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Effect of NH125 on Drug Accumulation. We next measured the effect of NH125 on the accumulation of P-gp and nonP-gp substrates using either liquid scintillation counting or fluorescence microscopy. Parental and MDR cell lines were incubated with [3H]paclitaxel and various concentration of NH125 for 3 h. As shown in Fig. 3, NH125 significantly increased the accumulation of [3H]-paclitaxel in a dose-dependent manner in P-gpoverexpressing cell lines (MCF-7/ADR, A2780-DX) but had no effect on drug accumulation in parental cells. To isolate the effect of this drug on P-gp from other resistance mechanisms, we repeated these experiments using a cell line transfected with MDR1 cDNA (MCF-7/BC19). As shown in Fig. 3a, NH125 increased the accumulation of [3H]paclitaxel in MCF-7/BC19 by 4-fold.
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We next determined the effect of NH125 on the accumulation of doxorubicin by fluorescence microscopy. Cells were incubated with 12.5 µM doxorubicin in the presence and absence of 25 µM NH125 for 1 h and visualized under a fluorescence microscope. As shown in Fig. 4, NH125 increased the accumulation of doxorubicin in the MDR cells but had no effect on the parental cell lines.
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To further analyze the selectivity of NH125 as a P-gp substrate, we determined the effect of increasing concentrations of NH125 on the accumulation of a nonP-gp substrate, [3H]methotrexate. Figure 5 demonstrates that NH125 had no effect on the accumulation of methotrexate in any of the P-gpoverexpressing cell lines tested.
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Structure-Activity Relationship of Histidine Kinase Inhibitors to Inhibition of P-gp Function. To analyze the structure-activity relationship of histidine kinase inhibitors to inhibition of P-gp, we studied the effect of several derivatives of 2-methylimidazolium iodide (NH1 compounds) on drug accumulation. The 28 compounds belong to three structural series that differ in the substitutions on the N-3 imidazolium nitrogen: NH11, unsubstituted; NH12, benzyl group; and NH13, butyl group. The compounds within a series differ in the length of the alkyl chain attached to the N-1 of the imidazolium ring (Fig. 1). Cells were incubated with 50 nM [3H]paclitaxel and 25 µM of the test compound for 3 h, and radioactivity was measured by scintillation counting. As shown in Fig. 6, the N-3 benzyl derivative of 2-methyl imidazolium iodide (NH125) significantly increased the accumulation of paclitaxel. In contrast, the unsubstituted derivative (NH115) and N-3 butyl substituted derivative (NH135), with same alkyl chain on the N1-nitrogen of the imidazolium ring, did not have the similar effect on paclitaxel accumulation as NH125 (Fig. 6, b and d). Among the compounds within the NH12 (benzyl substituted ring) series that differed in length of the alkyl chain at the N-1 nitrogen of the imidazolium ring, there was no relationship between length of the alkyl chain and P-gp inhibition.
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Effect of MDR Modulators on NH125 Sensitivity. Cells were incubated with NH125 in the presence or absence of P-gp modulators for 48 h, and cell viability was determined by MTT assay. As shown in Table 1, both verapamil and trans-flupenthixol increased the sensitivity of MDR cell lines to NH125 by 2- to 4-fold.
Generation and Characterization of NH125-Resistant Cell Line. C6 glioblastoma cells were selected for resistance to NH125 by step-wise selection with NH125 and analyzed for P-gp expression and paclitaxel accumulation. As shown in Fig. 7a, the C6-NH cell line was 10-fold resistant to NH125 as measured by MTT. Furthermore, Western blot analysis revealed a 20-fold induction of P-gp in C6-NH cells compared with parental C6 cells. (Fig. 7b, top). In contrast, MRP1 was not induced as a result of this selection (data not shown). The accumulation of [3H]paclitaxel was decreased in C6-NH compared with C6 cell line (Fig. 7c); verapamil increased the accumulation of paclitaxel in the C6-NH cell line (Fig. 7c).
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In Vivo Efficacy of NH125. To analyze the implication of these findings on the efficacy of these drugs, we studied their effect on paired cell lines developed to analyze P-gp in vivo. One million P388/S or P388/VMDRC.04 cells were inoculated into groups of five 20- to 22-g female CD2F1 mice via the peritoneal cavities on day 0. Vehicle or NH125 (1 mg/kg) were given i.p. on days 1, 4, 6, 8, and 11. NH125 increased the survival of mice bearing sensitive P388 tumor cells by 129% (mean survival, 13.2 ± 0.9 days) compared with vehicle-treated controls (mean survival, 10.2 ± 1.0 days) (Fig. 8a). In contrast, NH125 had no effect on the survival (mean survival, 15.0 ± 1.5 days) of mice bearing P388/VMDRC.04 tumor cells versus vehicle-treated controls (mean survival, 16.4 ± 0.5 days) (Fig. 8b).
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Effect of MDR1-Targeted siRNA on NH125 Sensitivity. To provide more direct evidence that cellular resistance to NH125 is mediated by P-gp, we tested the effect of inhibition of P-gp expression by siRNA on sensitivity of MDR cells to the compound using the method described previously by our laboratory (Wu et al., 2003
). Figure 9 shows that when P-gp expression was suppressed by siRNA in MCF-7-Adr cells (Fig. 9a), the sensitivity to NH125 was increased 3- to 4-fold (Fig. 9b). Similar results were obtained with another MDR cell line, A2780DX (data not shown).
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| Discussion |
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Structure-activity relationships revealed the importance of the benzyl ring at the N-3 position of the 2-methyl imidazolium iodide as an important determinant for interaction with P-gp. Whereas NH115 and NH135 compounds that lack the benzyl substitution did not increase paclitaxel accumulation in MDR cells, all compounds in the NH12 series, which contain the benzyl group on the imidazolium ring, increased the accumulation of paclitaxel (Fig. 6).
To more directly address the question of whether NH125 is a substrate for P-gp, we used RNA interference to suppress the expression of P-gp in MDR cells and then determined its effect on sensitivity to NH125. siRNA-directed suppression of P-gp increased the sensitivity of MDR cells to NH125 (Fig. 9), thereby strengthening our conclusion that P-gp mediates resistance to NH125.
These studies have implications for development of benzylimidazole compounds as anticancer and antimicrobial drugs. De novo and acquired expression of P-gp in various tumor tissues (e.g., renal, colorectal, and breast cancer tissues) may limit clinical utility. Because many of these or similar compounds are being used or being developed as potential antibacterial drugs, the implication of these studies needs to be considered because of the presence of P-gp like drug transporters in bacteria (Putman et al., 2000
). Moreover, many normal tissues (e.g., blood-brain barrier, intestine) express P-gp and could limit absorption of these compounds, thus limiting their efficacy. Studies are in progress to determine whether structural derivatives can be developed that maintain activity against the kinases but elude P-gp and kill MDR cells.
| Footnotes |
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ABBREVIATIONS: eEF-2K, eukaryotic elongation factor-2 kinase; eEF-2, eukaryotic elongation factor 2; MDR, multidrug resistance; P-gp, P-glycoprotein; PBS, phosphate-buffered saline; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide.
Address correspondence to: Dr. William N. Hait, The Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ 08901. E-mail: haitwn{at}umdnj.edu
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