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Simple and Fast Rolling Circle Amplification-Based Detection of Topoisomerase 1 Activity in Crude Biological Samples
Published on: December 2, 2022
Expression and integrity of DNA topoisomerase II isoforms does not explain generic drug resistance in malignant
B R McLaren1, D Whitaker, B W Robinson
1Western Australian Institute for Medical Research, University Department of Medicine, University of Western Australia, Perth, Australia.
Purpose:
Malignant mesothelioma is a tumour that is highly resistant to a number of different chemotherapy agents, yet the mechanisms by which resistance occurs are poorly understood. The pattern of resistance is consistent with disruption of topoisomerase function or expression. Coupled with this, we have previously noted a common serological reaction to the beta isoform of topoisomerase II, suggesting that it may be aberrantly expressed in patients with mesothelioma.
Methods:
We assessed the expression of topoisomerase II isoforms in sections of primary tumour. We tested a panel of five mesothelioma cell lines for sensitivity to the known topoisomerase-targeting drugs, doxorubicin and etoposide. We sequenced expressed segments of the topoisomerase genes from these cell lines that have previously been associated with drug resistance. We then investigated other potential resistance mechanisms.
Results:
We found that the beta isoform of topoisomerase II was more frequently expressed in primary tumours. Only one of the five cell lines was highly resistant to etoposide and this cell line was found to have a point mutation in the gene for topoisomerase IIalpha. Protein levels of topoisomerase IIalpha and beta did not correlate with sensitivity to either doxorubicin nor to etoposide. Semiquantitative analysis suggested that there was marked variation in the levels of mRNA expression of MRP, gamma-GCS and MDR1. None of these findings could be associated with resistance to chemotherapy.
Conclusion:
We conclude that mutations in topoisomerase IIalpha can be associated with extreme resistance of mesothelioma to etoposide. The generic drug resistance of this tumour requires further investigation.
Insights
Malignant mesothelioma exhibits resistance to chemotherapy, potentially due to topoisomerase II alterations. Mutations in topoisomerase IIalpha were linked to extreme resistance to etoposide in mesothelioma cell lines.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Malignant mesothelioma is notoriously resistant to chemotherapy.
- Mechanisms underlying this drug resistance are not well understood.
- Topoisomerase II function/expression disruption is a potential cause of resistance.
Purpose of the Study:
- To investigate the role of topoisomerase II isoforms in malignant mesothelioma drug resistance.
- To assess topoisomerase II expression and mutations in mesothelioma.
- To evaluate mesothelioma cell line sensitivity to topoisomerase-targeting drugs.
Main Methods:
- Assessed topoisomerase II isoform expression in primary tumors.
- Tested mesothelioma cell lines for sensitivity to doxorubicin and etoposide.
- Sequenced topoisomerase genes and investigated other resistance mechanisms.
Main Results:
- Topoisomerase II beta was more frequently expressed in primary tumors.
- A point mutation in topoisomerase IIalpha was found in one etoposide-resistant cell line.
- No correlation found between protein levels and drug sensitivity; mRNA variations did not explain resistance.
Conclusions:
- Mutations in topoisomerase IIalpha can confer extreme etoposide resistance in mesothelioma.
- Further research is needed to understand the general drug resistance of mesothelioma.
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