Abrogation of mitochondrial cytochrome c release and caspase-3 activation in acquired multidrug resistance

H Kojima1, K Endo, H Moriyama

  • 1Department of Otolaryngology, The Jikei University School of Medicine, Tokyo 105, Japan.

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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