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Mechanisms of sensitivity and natural resistance to antifolates in a methylcholanthrene-induced rat sarcoma

W W Li1, J T Lin, B I Schweitzer

  • 1Laboratory of Molecular Pharmacology, Memorial Sloan-Kettering Cancer Center, New York, New York 10021.

Molecular Pharmacology
|November 1, 1991
PubMed

Insights

This study found that a specific rat sarcoma cell line exhibits resistance to methotrexate and 10-ethyl-10-deazaaminopterin due to poor drug uptake. This resistance is overcome by trimetrexate, which achieves higher intracellular levels, highlighting the importance of drug transport in antifolate efficacy.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • Antifolates are crucial in cancer chemotherapy, targeting dihydrofolate reductase (DHFR).
  • Drug resistance mechanisms, including altered drug transport, can limit antifolate efficacy.
  • Understanding resistance in specific cancer models is vital for optimizing treatment strategies.

Purpose of the Study:

  • To investigate the mechanisms of antifolate resistance in a methylcholanthrene-induced rat sarcoma cell line.
  • To compare the sensitivity and cellular uptake of methotrexate, 10-ethyl-10-deazaaminopterin, and trimetrexate in this cell line.

Main Methods:

  • Evaluation of antifolate resistance through in vitro and in vivo propagation of rat sarcoma cells.
  • Assay of dihydrofolate reductase (DHFR) activity in cell extracts.
  • Drug transport studies to determine intracellular drug levels and uptake kinetics.
  • Assessment of polyglutamylation status for methotrexate.

Main Results:

  • The rat sarcoma cell line showed relative resistance to methotrexate and 10-ethyl-10-deazaaminopterin but sensitivity to trimetrexate.
  • Dihydrofolate reductase (DHFR) activity was low, and enzyme inhibition by the antifolates was similar across all three drugs.
  • Poor cellular uptake was observed for methotrexate and 10-ethyl-10-deazaaminopterin, while trimetrexate achieved high intracellular concentrations.
  • Methotrexate uptake was not limited by polyglutamylation.

Conclusions:

  • The primary mechanism for natural resistance to methotrexate and 10-ethyl-10-deazaaminopterin in this rat sarcoma model is decreased drug transport.
  • Trimetrexate circumvents this resistance mechanism due to its efficient cellular uptake.
  • These findings underscore the critical role of drug transport in determining antifolate efficacy and resistance in cancer cells.

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