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.

Abstract

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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