Abrogation of mitochondrial cytochrome c release and caspase-3 activation in acquired multidrug resistance
1Department of Otolaryngology, The Jikei University School of Medicine, Tokyo 105, Japan.
Abstract:
Acquired multidrug resistance to anti-cancer agents has been associated with overexpression of the P-glycoprotein and other members of the ATP-binding cassette superfamily. The present studies demonstrate that SCC-25 cells selected for resistance to the alkylating agent cisplatin (CDDP) overexpress the anti-apoptotic Bcl-xL protein. In contrast to parental cells, the SCC-25/CDDP-resistant variant failed to exhibit activation of caspase-3, cleavage of protein kinase C delta, and other characteristics of apoptosis in response to CDDP. Similar results were obtained when SCC-25/CDDP cells were exposed to the structurally and functionally unrelated antimetabolite 1-beta-D-arabinofuranosyl-cytosine (ara-C). Other cells selected for resistance to doxorubicin or vincristine also exhibited overexpression of Bcl-xL and failed to respond to CDDP and ara-C with activation of caspase-3. The results further demonstrate that multidrug-resistant cells exhibit a block in the release of mitochondrial cytochrome c into the cytosol and that this effect is dependent on overexpression of Bcl-xL. The demonstration that lysates from the resistant cells respond to the addition of cytochrome c with activation of caspase-3 confirms that the block in apoptosis is because of inhibition of mitochondrial cytochrome c release. These findings demonstrate that cells respond to diverse classes of anti-cancer drugs with overexpression of Bcl-xL and that this response represents another mechanism of acquired multidrug resistance.
Insights
Acquired multidrug resistance in cancer cells is linked to Bcl-xL protein overexpression. This blocks apoptosis by inhibiting mitochondrial cytochrome c release, a new resistance mechanism against various anti-cancer drugs.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Acquired multidrug resistance (MDR) in cancer is a significant clinical challenge.
- Overexpression of P-glycoprotein and ATP-binding cassette superfamily members are known MDR mechanisms.
- The role of anti-apoptotic proteins in MDR requires further elucidation.
Purpose of the Study:
- To investigate the role of Bcl-xL in acquired multidrug resistance.
- To determine the impact of Bcl-xL overexpression on apoptosis induction by anti-cancer drugs.
- To identify the specific mechanism by which Bcl-xL confers resistance.
Main Methods:
- Selection of SCC-25 cells for resistance to cisplatin (CDDP).
- Analysis of apoptosis markers (caspase-3, protein kinase C delta) in resistant vs. parental cells.
- Assessment of mitochondrial cytochrome c release in response to CDDP and ara-C.
- Evaluation of apoptosis induction upon addition of cytochrome c to resistant cell lysates.
Main Results:
- CDDP-resistant SCC-25 cells overexpressed Bcl-xL and resisted apoptosis.
- Resistant cells failed to activate caspase-3 or cleave protein kinase C delta upon CDDP or ara-C treatment.
- Multidrug-resistant cells (selected with doxorubicin, vincristine) also overexpressed Bcl-xL and showed resistance.
- A block in mitochondrial cytochrome c release into the cytosol was observed in Bcl-xL overexpressing cells.
- Addition of cytochrome c to resistant cell lysates restored caspase-3 activation, confirming the release block.
Conclusions:
- Overexpression of Bcl-xL is a common response to diverse anti-cancer drugs, contributing to acquired multidrug resistance.
- Bcl-xL confers resistance by inhibiting the release of mitochondrial cytochrome c, thereby blocking apoptosis.
- Targeting Bcl-xL or the mitochondrial pathway may overcome this novel MDR mechanism.
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