Triapine-mediated ABCB1 induction via PKC induces widespread therapy unresponsiveness but is not underlying acquired triapine resistance
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Updated: Apr 16, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
W Miklos1, K Pelivan2, C R Kowol2
1Department of Medicine I, Institute of Cancer Research and Comprehensive Cancer Center of the Medical University, Medical University of Vienna, Borschkegasse 8a, A-1090 Vienna, Austria.
Abstract:
Although triapine is promising for treatment of advanced leukemia, it failed against solid tumors due to widely unknown reasons. To address this issue, a new triapine-resistant cell line (SW480/tria) was generated by drug selection and investigated in this study. Notably, SW480/tria cells displayed broad cross-resistance against several known ABCB1 substrates due to high ABCB1 levels (induced by promoter hypomethylation). However, ABCB1 inhibition did not re-sensitize SW480/tria cells to triapine and subsequent analysis revealed that triapine is only a weak ABCB1 substrate without significant interaction with the ABCB1 transport function. Interestingly, in chemo-naive, parental SW480 cells short-time (24 h) treatment with triapine stimulated ABCB1 expression. These effects were based on activation of protein kinase C (PKC), a known response to cellular stress. In accordance, SW480/tria cells were characterized by elevated levels of PKC. Together, this led to the conclusion that increased ABCB1 expression is not the major mechanism of triapine resistance in SW480/tria cells. In contrast, increased ABCB1 expression was found to be a consequence of triapine stress-induced PKC activation. These data are especially of importance when considering the choice of chemotherapeutics for combination with triapine.
Insights
Triapine shows promise for leukemia but not solid tumors. New research reveals triapine resistance in cancer cells is not due to ABCB1 transporter levels but stress-induced protein kinase C activation.
Area of Science:
- Pharmacology
- Cancer Biology
- Molecular Biology
Background:
- Triapine is a promising drug for advanced leukemia.
- Its efficacy against solid tumors remains limited due to unknown resistance mechanisms.
- Understanding triapine resistance is crucial for optimizing cancer therapy.
Purpose of the Study:
- To investigate the mechanisms of triapine resistance in solid tumor cells.
- To generate and characterize a novel triapine-resistant cell line (SW480/tria).
- To determine the role of ABCB1 transporter and protein kinase C (PKC) in triapine resistance.
Main Methods:
- Generation of a triapine-resistant cell line (SW480/tria) through drug selection.
- Assessment of ABCB1 expression and substrate cross-resistance.
- Evaluation of ABCB1 inhibition effects on triapine sensitivity.
- Analysis of protein kinase C (PKC) activation and its role in ABCB1 expression.
Main Results:
- SW480/tria cells exhibited cross-resistance to ABCB1 substrates due to elevated ABCB1 levels.
- ABCB1 inhibition did not restore triapine sensitivity, indicating triapine is a weak ABCB1 substrate.
- Triapine treatment induced ABCB1 expression via protein kinase C (PKC) activation in parental cells.
- Elevated PKC levels were observed in resistant SW480/tria cells.
Conclusions:
- Increased ABCB1 expression is not the primary mechanism of triapine resistance.
- Stress-induced PKC activation by triapine leads to increased ABCB1 expression.
- These findings are critical for selecting chemotherapeutics for combination therapy with triapine.
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