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Altered gene expression in human leukemia K562 cells selected for resistance to etoposide

M K Ritke1, J C Yalowich

  • 1Department of Pharmacology, University of Pittsburgh School of Medicine, PA 15261.

Biochemical Pharmacology
|December 3, 1993
PubMed

Insights

Etoposide resistance in leukemia cells involves decreased topoisomerase II (DNA topoisomerase II) levels and altered DNA topoisomerase II activity. This resistance is linked to changes in growth-related gene expression, impacting cell growth and differentiation.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Genetics

Background:

  • Etoposide (VP-16) is a chemotherapy drug that targets DNA topoisomerase II.
  • Drug resistance in cancer cells is a significant clinical challenge.
  • DNA topoisomerase II plays a critical role in DNA replication and gene expression.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying etoposide resistance in K562 human leukemia cells.
  • To determine the impact of etoposide resistance on DNA topoisomerase II levels, activity, and gene expression.

Main Methods:

  • Selection of etoposide-resistant K562 cell lines (K/VP.5 and K/VP.5-1).
  • Analysis of DNA topoisomerase II alpha protein and mRNA levels using immunoblotting and Northern analysis.
  • Assessment of DNA topoisomerase II/DNA adducts.
  • Comparison of growth response gene expression (c-myc, c-jun, c-fos) via Northern analysis and nuclear run-off assays.

Main Results:

  • Etoposide-resistant cell lines exhibited reduced DNA topoisomerase II alpha protein and mRNA levels.
  • mRNA stability, not transcription rate, contributed to decreased DNA topoisomerase II alpha mRNA.
  • Resistant cells showed reduced drug-induced covalent DNA topoisomerase II/DNA adducts, indicating altered enzyme activity.
  • Elevated basal levels of c-jun and c-fos were observed in resistant cells, independent of transcription rate changes.

Conclusions:

  • Acquired etoposide resistance in K562 cells is associated with decreased DNA topoisomerase II levels and altered enzyme activity.
  • Changes in DNA topoisomerase II are accompanied by altered expression of key growth-related genes (c-jun, c-fos).
  • These molecular alterations likely contribute to the observed resistance and affect cellular growth and differentiation pathways.

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