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Troglitazone reverses the multiple drug resistance phenotype in cancer cells
Gerald F Davies1, Bernhard H J Juurlink, Troy A A Harkness
1Department of Anatomy and Cell Biology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK, Canada.
Abstract:
A major problem in treating cancer is the development of drug resistance. We previously demonstrated doxorubicin (DOX) resistance in K562 human leukemia cells that was associated with upregulation of glyoxalase 1 (GLO-1) and histone H3 expression. The thiazolidinedione troglitazone (TRG) downregulated GLO-1 expression and further upregulated histone H3 expression and post-translational modifications in these cells, leading to a regained sensitivity to DOX. Given the pleiotropic effects of epigenetic changes in cancer development, we hypothesized that TRG may downregulate the multiple drug resistance (MDR) phenotype in a variety of cancer cells. To test this, MCF7 human breast cancer cells and K562 cells were cultured in the presence of low-dose DOX to establish DOX-resistant cell lines (K562/DOX and MCF7/DOX). The MDR phenotype was confirmed by Western blot analysis of the 170 kDa P-glycoprotein (Pgp) drug efflux pump multiple drug resistance protein 1 (MDR-1), and the breast cancer resistance protein (BCRP). TRG markedly decreased expression of both MDR-1 and BCRP in these cells, resulting in sensitivity to DOX. Silencing of MDR-1 expression also sensitized MCF7/DOX cells to DOX. Use of the specific and irreversible peroxisome proliferator-activated receptor gamma (PPARgamma) inhibitor GW9662 in the nanomolar range not only demonstrated that the action of TRG on MCF/DOX was PPARgamma-independent, but indicated that PPARgamma may play a role in the MDR phenotype, which is antagonized by TRG. We conclude that TRG is potentially a useful adjunct therapy in chemoresistant cancers.
Insights
Troglitazone (TRG) re-sensitizes drug-resistant cancer cells, including breast and leukemia, to doxorubicin (DOX) by reducing key drug resistance proteins. This suggests TRG as a potential adjunct therapy for chemoresistant cancers.
Area of Science:
- Oncology
- Pharmacology
- Epigenetics
Background:
- Cancer drug resistance, particularly to doxorubicin (DOX), is a major clinical challenge.
- Previous studies linked DOX resistance in K562 leukemia cells to increased glyoxalase 1 (GLO-1) and histone H3.
- Troglitazone (TRG) previously reversed DOX resistance by modulating GLO-1 and histone H3.
Purpose of the Study:
- To investigate if TRG can overcome the multidrug resistance (MDR) phenotype in various cancer cell lines.
- To determine the role of TRG in downregulating key drug efflux pumps associated with MDR.
Main Methods:
- Established DOX-resistant cell lines (K562/DOX and MCF7/DOX) from human leukemia and breast cancer cells.
- Utilized Western blot to analyze expression of P-glycoprotein (MDR-1) and breast cancer resistance protein (BCRP).
- Assessed the effect of TRG and peroxisome proliferator-activated receptor gamma (PPARγ) inhibitor GW9662 on drug sensitivity and protein expression.
Main Results:
- TRG significantly decreased the expression of MDR-1 and BCRP in resistant K562/DOX and MCF7/DOX cells.
- TRG treatment restored sensitivity to DOX in these resistant cancer cell lines.
- Silencing MDR-1 also sensitized MCF7/DOX cells to DOX, confirming MDR-1's role.
- TRG's effects were independent of PPARγ, though PPARγ appears involved in MDR and antagonized by TRG.
Conclusions:
- TRG effectively downregulates MDR-1 and BCRP, restoring sensitivity to doxorubicin in resistant cancer cells.
- The mechanism of TRG's action on MDR is independent of PPARγ.
- TRG shows promise as an adjunctive therapy to overcome chemoresistance in various cancers.
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