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Enzyme studies of methotrexate-resistant human leukemic cell (K562) subclones

S Koizumi1, C J Allegra

  • 1Department of Pediatrics, Kanazawa University School of Medicine, Japan.

Leukemia Research
|June 1, 1992
PubMed

Insights

Methotrexate resistance in K562 cells involves multiple factors, including impaired drug metabolism and transport. Altered dihydrofolate reductase binding and reduced thymidylate synthase also contribute to antifolate resistance.

Area of Science:

  • Pharmacology
  • Cancer Biology
  • Biochemistry

Background:

  • Methotrexate (MTX) is a key antifolate chemotherapy agent.
  • Drug resistance mechanisms are crucial for understanding treatment efficacy.
  • Previous studies indicated impaired MTX-polyglutamate formation and altered membrane transport in resistant K562 cells.

Purpose of the Study:

  • To investigate the multifactorial mechanisms of methotrexate resistance in K562 cell subclones.
  • To analyze the role of dihydrofolate reductase (DHFR) activity and binding affinity.
  • To assess the contribution of thymidylate synthase (TS) activity to drug resistance.

Main Methods:

  • Establishment of five MTX-resistant K562 cell subclones.
  • Sensitivity testing with trimetrexate (TMQ), a DHFR inhibitor.
  • Enzyme activity assays for DHFR and TS.
  • Scatchard analysis to determine MTX binding sites and affinity for DHFR.

Main Results:

  • Resistant cells showed modest decreased sensitivity to TMQ.
  • DHFR activity remained similar to parent cells, but MTX binding sites increased up to 7-fold.
  • MTX binding affinity (KD) for DHFR was altered in resistant subclones.
  • TS activity was reduced by 50-89% in resistant subclones.

Conclusions:

  • MTX resistance in K562 cells is multifactorial, primarily due to polyglutamation and transport defects.
  • Altered DHFR binding affinity and diminished TS levels contribute to residual resistance, particularly to TMQ.
  • These mechanisms are important for understanding MTX resistance in cancer therapy.

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