Reduced folate carrier gene (RFC1) expression and anti-folate resistance in transfected and non-selected cell lines

J A Moscow1, T Connolly, T G Myers

  • 1Medicine Branch, Division of Clinical Sciences, National Cancer Institute, Bethesda, MD 20892, USA. moscowj@pbmac.nci.nih.gov

Insights

Reduced folate carrier (RFC) activity significantly impacts methotrexate (MTX) resistance. Restoring RFC1 expression in cancer cells altered sensitivity to MTX and trimetrexate (TMTX), highlighting RFC1

Area of Science:

  • Pharmacology
  • Molecular Biology
  • Cancer Research

Background:

  • Methotrexate (MTX) resistance in cancer cells can stem from reduced activity of the reduced folate carrier (RFC).
  • Quantifying RFC's role in MTX resistance is challenging due to multifactorial resistance mechanisms and natural variations in RFC activity.
  • Understanding RFC's contribution to drug sensitivity is crucial for optimizing cancer chemotherapy.

Purpose of the Study:

  • To investigate the functional significance of the reduced folate carrier 1 (RFC1) in mediating cellular sensitivity and resistance to methotrexate (MTX) and trimetrexate (TMTX).
  • To correlate RFC1 expression levels with MTX and TMTX cytotoxicity in a panel of cancer cell lines.
  • To elucidate the role of RFC1 as both a transgene and a naturally occurring gene in MTX resistance.

Main Methods:

  • Transfection of MTX-resistant ZR-75-1 cells with the human RFC1 gene to restore RFC activity.
  • Quantitative RT-PCR assay to measure RFC1 RNA levels in 40 NCI Anticancer Drug Screen cell lines.
  • Assessing growth inhibition (GI50) and cytotoxicity of MTX and TMTX in transfected cells and the NCI panel.
  • Analyzing correlations between RFC1 expression and drug potency.

Main Results:

  • Restoration of RFC1 in transport-deficient cells significantly increased sensitivity to MTX (250-fold) and resistance to TMTX (300-fold).
  • RFC1 RNA levels varied 15-fold across NCI panel cell lines, with most expressing detectable levels.
  • RFC1 expression positively correlated with MTX cytotoxicity and negatively with TMTX cytotoxicity.

Conclusions:

  • RFC1 plays a critical role in determining cellular response to MTX and TMTX.
  • Natural variations in RFC1 expression contribute to differential MTX and TMTX sensitivity in cancer cell lines.
  • The findings underscore the importance of RFC1 in MTX resistance, both when introduced as a transgene and when endogenously expressed.

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