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Dexamethasone reverses glucocorticoid receptor RNA depression in multi-drug resistant (MDR) myeloma cell lines

L Danel-Moore1, M Brönnegard, J A Gustafsson

  • 1Department of Human Biological Chemistry and Genetics, University Texas Medical Branch, Galveston 77550.

Medical Oncology and Tumor Pharmacotherapy
|January 1, 1992
PubMed

Insights

Doxorubicin resistance in myeloma cells correlates with lower glucocorticoid receptor RNA (GR RNA). Dexamethasone treatment reversed this resistance in some cell lines, suggesting steroids may help maintain tumor sensitivity to chemotherapy.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Pharmacology

Background:

  • Multi-drug resistance (MDR) is a significant challenge in cancer chemotherapy.
  • Glucocorticoids are used in treating multiple myeloma, but resistance can develop.
  • The role of glucocorticoid receptors (GR) in MDR is not fully understood.

Purpose of the Study:

  • To investigate the relationship between doxorubicin resistance and glucocorticoid sensitivity in myeloma cell lines.
  • To examine the levels of glucocorticoid receptors (GR) and GR RNA in drug-resistant cells.
  • To assess the effect of dexamethasone on GR RNA levels in resistant cell lines.

Main Methods:

  • Measurement of glucocorticoid receptors and GR RNA in doxorubicin-resistant (R10, R40, R60) and wild-type RPMI 8226 myeloma cell lines.
  • Treatment of cell lines with dexamethasone (10(-6) M) for 48 hours.
  • Comparison of GR RNA levels between treated and untreated cells, and between resistant and wild-type lines.

Main Results:

  • Doxorubicin-resistant cell lines (R10, R40, R60) showed lower GR RNA levels compared to wild-type cells.
  • The R10 cell line, despite low GR RNA, remained sensitive to dexamethasone.
  • Dexamethasone treatment increased GR RNA levels in the highly resistant R40 and R60 cell lines, overcoming doxorubicin-induced downregulation.

Conclusions:

  • Reduced GR RNA is associated with doxorubicin resistance in myeloma cells.
  • Dexamethasone can potentially reverse or overcome doxorubicin resistance by modulating GR RNA levels.
  • Steroids may be a valuable therapeutic strategy for maintaining tumor cell sensitivity to chemotherapy.

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