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Updated: May 7, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Non-Darwinian dynamics in therapy-induced cancer drug resistance
Angela Oliveira Pisco1,2, Amy Brock3, Joseph Zhou1,4
1Institute for Systems Biology, Seattle WA 98109, USA.
Abstract:
The development of drug resistance, the prime cause of failure in cancer therapy, is commonly explained by the selection of resistant mutant cancer cells. However, dynamic non-genetic heterogeneity of clonal cell populations continuously produces metastable phenotypic variants (persisters), some of which represent stem-like states that confer resistance. Even without genetic mutations, Darwinian selection can expand these resistant variants, which would explain the invariably rapid emergence of stem-like resistant cells. Here, by using quantitative measurements and modelling, we show that appearance of multidrug resistance in HL60 leukemic cells following treatment with vincristine is not explained by Darwinian selection but by Lamarckian induction. Single-cell longitudinal monitoring confirms the induction of multidrug resistance in individual cells. Associated transcriptome changes indicate a lasting stress response consistent with a drug-induced switch between high-dimensional cancer attractors. Resistance induction correlates with Wnt pathway upregulation and is suppressed by β-catenin knockdown, revealing a new opportunity for early therapeutic intervention against the development of drug resistance.
Insights
Drug resistance in leukemia isn't solely due to genetic mutations. Instead, Lamarckian induction, a non-genetic process, drives multidrug resistance, offering new therapeutic targets.
Area of Science:
- Cancer Biology
- Cellular Heterogeneity
- Drug Resistance Mechanisms
Background:
- Drug resistance is a major cause of cancer therapy failure, often attributed to genetic mutations.
- Non-genetic cellular heterogeneity generates transient resistant states (persisters) that can be selected without mutations.
- Understanding resistance mechanisms is crucial for improving cancer treatment efficacy.
Purpose of the Study:
- To investigate the mechanism of multidrug resistance development in HL60 leukemic cells after vincristine treatment.
- To differentiate between Darwinian selection and Lamarckian induction as drivers of resistance.
- To identify potential therapeutic targets for preventing drug resistance.
Main Methods:
- Quantitative measurements and mathematical modeling of HL60 leukemic cell populations.
- Single-cell longitudinal monitoring to track resistance development in individual cells.
- Transcriptome analysis to identify associated molecular changes and pathways.
Main Results:
- Multidrug resistance in HL60 cells treated with vincristine is induced, not selected by Darwinian evolution.
- Single-cell studies confirmed the induction of resistance in individual cells.
- Transcriptome changes indicated a lasting stress response and Wnt pathway upregulation, which was suppressed by beta-catenin knockdown.
Conclusions:
- The emergence of multidrug resistance in this model is driven by Lamarckian induction, a non-genetic mechanism.
- Wnt pathway activation is implicated in resistance induction, presenting a potential therapeutic target.
- Targeting the Wnt pathway may offer a strategy for early intervention against drug resistance development.
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