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Published on: August 2, 2024
Enhanced complement resistance in drug-selected P-glycoprotein expressing multi-drug-resistant ovarian carcinoma
1Department of Internal Medicine III, Cardiology, University of Freiburg, Freiburg, Germany.
Abstract:
Multi-drug resistance (MDR) is a major obstacle in cancer chemotherapy. There are contrasting data on a possible correlation between the level of expression of the drug transporter P-glycoprotein (P-gp) and susceptibility to complement-dependent cytotoxicity (CDC). We therefore investigated the sensitivity of human ovarian carcinoma cells and their P-gp expressing MDR variants to complement. Chemoselected P-gp expressing MDR cells showed increased resistance to CDC associated with overexpression of membrane-bound complement regulatory proteins (mCRP) and increased release of the soluble inhibitors C1 inhibitor and factor I. MDR1 gene transfection alone did not alter the susceptibility of P-gp expressing A2780-MDR and SKOV3-MDR cells to CDC. However, subsequent vincristine treatment conferred an even higher resistance to complement to these cells, again associated with increased expression of mCRP. Blocking the function of P-gp with verapamil, cyclosporine A or the anti-P-gp-antibody MRK16 had no impact on their complement resistance, whereas blocking of mCRP enhanced their susceptibility to complement. These results suggest that enhanced resistance of chemoselected MDR ovarian carcinoma cells to CDC is not conferred by P-gp, but is due at least partly to overexpression of mCRP, probably induced by treatment with the chemotherapeutic agents.
Insights
Multi-drug resistance (MDR) in ovarian cancer cells increases resistance to complement-dependent cytotoxicity (CDC). This resistance is linked to membrane-bound complement regulatory proteins (mCRP), not P-glycoprotein (P-gp).
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Multi-drug resistance (MDR) is a significant challenge in cancer chemotherapy.
- The relationship between P-glycoprotein (P-gp) expression and complement-dependent cytotoxicity (CDC) susceptibility is unclear.
- Ovarian carcinoma cells and their MDR variants were studied for complement sensitivity.
Purpose of the Study:
- To investigate the role of P-glycoprotein (P-gp) and membrane-bound complement regulatory proteins (mCRP) in chemoresistant ovarian cancer cell sensitivity to complement-dependent cytotoxicity (CDC).
Main Methods:
- Compared CDC susceptibility in chemo-selected MDR ovarian carcinoma cells versus their sensitive counterparts.
- Analyzed expression of P-gp, membrane-bound complement regulatory proteins (mCRP), and soluble complement inhibitors.
- Investigated the impact of MDR1 gene transfection and chemotherapeutic treatment on CDC resistance.
- Utilized blocking agents for P-gp and mCRP functions.
Main Results:
- Chemoselected MDR cells exhibited increased resistance to CDC, correlated with higher mCRP and soluble inhibitor levels.
- MDR1 gene transfection alone did not affect CDC susceptibility.
- Subsequent chemotherapy in transfected cells increased complement resistance, associated with elevated mCRP.
- Blocking P-gp had no effect on complement resistance, while blocking mCRP enhanced CDC susceptibility.
Conclusions:
- P-glycoprotein (P-gp) does not confer enhanced resistance to complement-dependent cytotoxicity (CDC) in chemoresistant ovarian cancer cells.
- Overexpression of membrane-bound complement regulatory proteins (mCRP) plays a significant role in the observed CDC resistance.
- Chemotherapeutic agents likely induce mCRP overexpression, contributing to complement resistance in MDR ovarian cancer.
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