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Microparticle-associated nucleic acids mediate trait dominance in cancer
Ritu Jaiswal1, Joyce Gong, Shwetha Sambasivam
1Sydney Medical School and Bosch Institute, University of Sydney,Sydney, Australia.
Abstract:
Drug resistance is a major cause of cancer treatment failure, with multidrug resistance (MDR) being the most serious, whereby cancer cells display cross-resistance to structurally and functionally unrelated drugs. MDR is caused by overexpression of the efflux transporters P-glycoprotein (P-gp) and multidrug resistance-associated protein 1 (MRP1). These transporters act to maintain sublethal intracellular drug concentrations within the cancer cell, making the population treatment unresponsive. Recently, we discovered a novel nongenetic basis to MDR whereby microparticles (MPs) transfer P-gp intercellularly from MDR donor cells to drug-sensitive recipient cells. MPs isolated from MDR leukemia and breast cancer cells were cocultured with their drug-sensitive counterparts. P-gp transfer was assessed by direct immunolabeling, and acquired transcripts and regulatory microRNAs by quantitative real-time PCR. We show that MDR MPs incorporate nucleic acids; MPs change recipient cells' transcriptional environment to reflect donor MDR phenotype, and distinct pathways exist among cancers of different origin that may be dependent on donor cells' ABCB1 overexpression. We demonstrate that this pathway exists for both hematological and nonhematological malignancies. By conferring MDR and "retemplating" the transcriptional landscape of recipient cells, MPs provide a novel pathway, having implications in the dissemination and acquisition of deleterious traits in clinical oncology.
Insights
Microparticles (MPs) transfer drug resistance proteins like P-glycoprotein (P-gp) between cancer cells, enabling drug resistance. This intercellular transfer provides a novel mechanism for cancer treatment failure.
Area of Science:
- Oncology
- Cell Biology
- Molecular Biology
Background:
- Multidrug resistance (MDR) is a significant challenge in cancer therapy, leading to treatment failure.
- MDR arises from the overexpression of efflux transporters such as P-glycoprotein (P-gp) and multidrug resistance-associated protein 1 (MRP1).
- These transporters reduce intracellular drug accumulation, rendering cancer cells unresponsive to treatment.
Purpose of the Study:
- To investigate a novel, non-genetic mechanism of multidrug resistance acquisition in cancer cells.
- To determine the role of microparticles (MPs) in the intercellular transfer of drug resistance factors.
- To explore the implications of MP-mediated drug resistance in clinical oncology.
Main Methods:
- Isolation of microparticles (MPs) from multidrug-resistant (MDR) leukemia and breast cancer cells.
- Co-culture of MDR-derived MPs with drug-sensitive cancer cells.
- Assessment of P-glycoprotein (P-gp) transfer via direct immunolabeling.
- Analysis of acquired transcripts and regulatory microRNAs using quantitative real-time PCR.
Main Results:
- MDR-derived MPs were shown to incorporate nucleic acids.
- MPs successfully transferred P-gp to drug-sensitive recipient cells, conferring MDR.
- Recipient cells exhibited altered transcriptional profiles, reflecting the donor MDR phenotype.
- This MP-mediated MDR transfer pathway was observed in both hematological and nonhematological malignancies.
Conclusions:
- Microparticles provide a novel pathway for the intercellular transfer of P-glycoprotein, contributing to multidrug resistance.
- MPs can reprogram the transcriptional landscape of recipient cells, facilitating the spread of drug resistance.
- This mechanism has significant implications for understanding cancer treatment failure and the dissemination of acquired traits in clinical oncology.
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