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Updated: Jun 4, 2026

Ex Vivo Treatment Response of Primary Tumors and/or Associated Metastases for Preclinical and Clinical Development of Therapeutics
Published on: October 2, 2014
Down-regulation of ICBP90 contributes to doxorubicin resistance
Jingxuan Wang1, Ying Song, Shanqi Xu
1Department of Medical Oncology, The Third Hospital of Harbin Medical University, Harbin, China.
Abstract:
Acquired resistance to doxorubicin has become a serious obstacle in breast cancer treatment. The underlying mechanism responsible for this has not been completely elucidated. In this study, a doxorubicin-resistant MCF-7/Dox cell was developed to mimic the occurrence of acquired doxorubicin resistance. We next contrasted the expression profiles of ICBP90 and Topo IIα and tumor cell growth of different breast cancer cell lines to doxorubicin. Decreased expression levels of ICBP90 and Topo IIα were found in doxorubicin-resistant cells. To examine its function in chemoresistance, RNA interference (RNAi) and forskolin stimulation experiments further demonstrated that ICBP90 and Topo IIα were involved in the proliferation of cells that had acquired doxorubicin resistance. In MCF-7/Dox and ICBP90-siRNA cells, the cell growth wasn't inhibited by doxorubicin and preferentially arrested in G1 phase. However, after forskolin increased the Topo IIα expression, these breast cancer cells were again found to be inhibited by doxorubicin. Further, immunohistochemical assay breast cancer patients accepted EFC regimen showed ICBP90 was significantly associated with tumor cell proliferation, locally advanced disease and Topo IIα expression. In conclusion, down-regulation of ICBP90 induced the descended expression of Topo IIα protein which is the target enzyme of doxorubicin.
Insights
Acquired resistance to doxorubicin in breast cancer is linked to decreased ICBP90 and Topo IIα. Restoring Topo IIα levels can re-sensitize resistant cells to doxorubicin treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Acquired resistance to doxorubicin presents a significant challenge in breast cancer therapy.
- The precise mechanisms underlying doxorubicin resistance remain incompletely understood.
Purpose of the Study:
- To investigate the roles of ICBP90 and Topo IIα in acquired doxorubicin resistance in breast cancer.
- To elucidate the molecular mechanisms connecting ICBP90, Topo IIα, and doxorubicin chemoresistance.
Main Methods:
- Development of a doxorubicin-resistant MCF-7/Dox cell line.
- Comparative analysis of ICBP90 and Topo IIα expression profiles and cell growth.
- RNA interference (RNAi) and forskolin stimulation experiments.
- Immunohistochemical analysis of patient samples.
Main Results:
- Doxorubicin-resistant cells exhibited decreased expression of ICBP90 and Topo IIα.
- Down-regulation of ICBP90 and Topo IIα was associated with impaired doxorubicin-induced cell growth inhibition and G1 phase arrest.
- Forskolin-induced increase in Topo IIα expression restored doxorubicin sensitivity.
- In patient samples, ICBP90 expression correlated with tumor proliferation, advanced disease, and Topo IIα levels.
Conclusions:
- Down-regulation of ICBP90 leads to decreased expression of Topo IIα, a key enzyme targeted by doxorubicin.
- ICBP90 and Topo IIα play crucial roles in the development of acquired doxorubicin resistance in breast cancer.
- Targeting ICBP90 or restoring Topo IIα expression may represent potential therapeutic strategies to overcome doxorubicin resistance.
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