Cloning and expression of mutant glucocorticoid receptors from glucocorticoid-sensitive and -resistant human leukemic

J H Powers1, A G Hillmann, D C Tang

  • 1Department of Pharmacology, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20814-4799.

Cancer Research
|September 1, 1993
PubMed

Insights

Glucocorticoid resistance in leukemia cells stems from specific gene mutations affecting the glucocorticoid receptor (GR). These mutations, GR753F and GR421Y, explain receptorless and activation-labile phenotypes, revealing a mix of normal and mutant receptors in sensitive cells.

Area of Science:

  • Molecular Biology
  • Genetics
  • Cell Biology

Background:

  • Glucocorticoid resistance in human leukemic cells is a significant clinical challenge.
  • Understanding the molecular basis of glucocorticoid receptor (GR) mutations is crucial for developing targeted therapies.

Purpose of the Study:

  • To elucidate the molecular mechanisms underlying the receptorless (r-) and activation-labile (act1) phenotypes in glucocorticoid-resistant CEM-C7 cell mutants.
  • To identify specific mutations in the glucocorticoid receptor gene responsible for these resistance phenotypes.

Main Methods:

  • Isolation and analysis of complementary DNA (cDNA) libraries from glucocorticoid-resistant and sensitive cell lines.
  • DNA sequencing to identify point mutations in the glucocorticoid receptor (GR) gene.
  • Assessment of trans-activating and ligand-binding activities of mutant GR proteins.

Main Results:

  • A single adenosine to thymidine transversion in codon 753 (GR753F) resulted in a receptorless (r-) phenotype with reduced trans-activating activity.
  • A guanosine to adenosine transition in codon 421 (GR421Y) led to an activation-labile (act1) phenotype with no trans-activating activity but normal ligand binding.
  • Glucocorticoid-sensitive cells expressed both normal GR and GR753F, indicating a heterogeneous receptor population.

Conclusions:

  • The GR753F mutation explains the receptorless phenotype, while the GR421Y mutation explains the activation-labile phenotype in resistant cells.
  • Sequence-specific DNA binding in act1 cells is mediated by GR753F, and ligand binding by GR421Y.
  • CEM-C7 derived cells exhibit a mixed population of normal and mutant glucocorticoid receptors, contributing to varied resistance profiles.

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