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(CANCER RESEARCH 50. 1397-1402, March 1, 1990] Antioxidant and Xenobiotic-metabolizing resistant MCF-7 Breast Cancer Cells' Enzyme Gene Expression in Doxorubicin- Steven A. Akinan, Gerald Forrest, Fong-Fong Chu, R. Steven Esworthy, and James H. Doroshow2 Department of Medical Oncology and Therapeutics Research and Division of Biology, City of Hope National Medical Center, Duarte, California 91010 2.5.1.18) (7) and UDP-glucuronyl transferase (EC 2.4.1.17) (6, 8), are increased in activity and particular group I enzymes, We investigated the expression of the genes for several antioxidant such as aryl hydrocarbon hydroxylase (EC 1.14.14.1), are de and xenobiotic-detoxifying enzymes in the multidrug-resistant variant of creased in activity in these cells (6, 9). the human breast cancer cell line MCF-7, MCF-7/Dox. MCF-7/Dox is Changes in antioxidant enzyme levels in MCF-7/Dox cells, greater than 500-fold resistant to doxorubicin by donogenic assay. En including an increase in glutathione peroxidase (EC 1.11.1.9; zyme activity determinations in the cytoplasmic compartment of MCFGSH:H2O2 oxidoreductase) (10, 11) and Superoxide dismutase 7/Dox revealed a 25-fold increase in glutathione peroxidase level com (4) (EC 1.15.1.1; Superoxide Superoxide oxidoreductase), have pared to the parent line (mean ±SD, 10 ±2.8 versus 0.4 ±0.24 nmol/ min/mg; P < 0.005). The activity of the other major hydrogen peroxidealso been described. Sinha et al. (10) inferred that increased detoxifying enzyme, catatase, was diminished in MCF-7/Dox (2.0 ±0.4 glutathione peroxidase activity was an important determinant versus 4.8 ±1.4 «imol/min/rag;P < 0.025 compared to MCF-7). Superof resistance to doxorubicin in MCF-7/Dox cells because the oxide disunitasi- activity did not differ between the two cell lines. The capacity for doxorubicin-stimulated hydroxyl radical produc specific activity of the xenobiotic-detoxifying enzyme DT-diaphorase was tion was diminished in this cell line, probably as a consequence 4-fold lower in MCF-7/Dox compared to MCF-7 (DT-diaphorase, 117 ± of a glutathione peroxidase-mediated decrease in the level of 45 rcrsH.v509 ±123 nmol/min/mg; P < 0.005). Daunorubicinol-producing intracellular H2O2 after doxorubicin treatment. Kramer et al. carbonyl reducÃ-aseactivity was equal in the two lines. Northern blot (12) have strengthened this inference by demonstrating that analysis demonstrated a 0.9-kilobase band of glutathione peroxidase depletion of the intracellular reduced glutathione pool by bumRNA in MCF-7/Dox; no glutathione peroxidase mRNA was detected thionine sulfoximine partially restores doxorubicin sensitivity in MCF-7. A 2.4-kilobase catalase and 0.7- and 1.4-kilobase Superoxide in MCF-7/Dox and that combining glutathione depletion with dismutase mRNAs were detectable in MCF-7/Dox and MCF-7. When gp-170 blockade by verapamil completely overcomes doxorub normalized to 28S RNA, no difference in the mRNA levels of catalase and Superoxide dismutase in MCF-7/Dox and MCF-7 could be deter icin resistance. Because increased glutathione peroxidase activ mined. DT-diaphorase mRNAs of 1.4 and 2.7 kilobases were found in ity is an important feature of doxorubicin resistance in this cell both MCF-7/Dox and MCF-7 cells. A 1.2-kilobase mRNA homologous line and because it has not been determined whether the ob to the putative carbonyl reducÃ-asecDNA was also easily detectable in served increase in glutathione peroxidase activity is associated both MCF-7 and MCF-7/Dox. The amount of mRNA for both xenobioticwith enhanced gene expression, we studied the expression of detoxifying enzymes was decreased 2- to 4-fold in the doxorubicinresistant cells. Southern blot analysis of l'xtÃ--and Afs/7l-reslricled gen- the gene coding for selenium-dependent glutathione peroxidase, omic DNA revealed no evidence for amplification or rearrangement of as well as the other antioxidant enzymes Superoxide dismutase and catalase in MCF-7/Dox cells. Our data demonstrate that the glutathione peroxidase gene. These results indicate that, in addition to the previously described overexpression of anionic glutathione 5the mRNA for the selenium-dependent glutathione peroxidase transferase in MCF-7/Dox cells, an augmented glutathione peroxidase is overexpressed in this doxorubicin-resistant cell line, through mRNA level is the major alteration in antioxidant and xenobiotic-detox a mechanism which does not involve gene amplification. ifying enzyme expression that could contribute to doxorubicin insensitivThe role of xenobiotic-metabolizing enzymes in mediating ity in these multidrug-resistant breast cancer cells. doxorubicin toxicity is controversial and not well established. Doxorubicin is converted to its metabolite doxorubicinol by reduction of the C9 carbonyl group by aldo-keto reductases, INTRODUCTION particularly the pH 6 optimum reducÃ-asetermed carbonyl reThe clinically useful antineoplastic agent doxorubicin is a ductase (13-16). It has been proposed that decreased enzyme multifunctional molecule, with several possible mechanisms of activity could diminish doxorubicin sensitivity (17). Carbonyl cytotoxicity (1-5). Therefore, it is not unreasonable to expect reducÃ-ase activily can be delecled in leukemic blasts from that tumor cell resistance to doxorubicin may be complex, patients (18-21), and in some studies, both in leukemic patients involving multiple and perhaps coincident mechanisms. The and cell lines, enzyme activity has been correlated with sensitiv doxorubicin-resistant variant of the human breast cancer cell ity to daunorubicin (18, 19). However, recently. Goren et al. line MCF-7, designated MCF-7/Dox, is an excellent example (22) developed myeloblast-Chinese hamster ovary cell hybrids of this point. Although this cell line expresses an increased with marked variations in carbonyl reducÃ-aseactivily, wilhoul amount of the multidrug resistance-associated membrane pro observing variations in daunorubicin sensitivity. Given the con tein gp-170 (6, 7), it also contains significant alterations in flicting data on the role of carbonyl reducÃ-ase in mediating certain enzymatic activities which may contribute significantly doxorubicin resistance, assessment of the level of expression of to doxorubicin resistance. Several group II xenobiotic-metabothis gene by MCF-7/Dox was of greal interest to us. lizing enzymes, including anionic glutathione 5-transferase (EC DT-diaphorase (EC 1.6.99.2; NAD(P)H:quinone oxidoreduclase) is anolher xenobiolic-melabolizing enzyme which can Received 8/21/89; revised 11/17/89; accepted 11/29/89. provide prolection against quinone drug-stimulaled free radical The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in produclion (23). Daunorubicin has recenlly been observed lo accordance with 18 U.S.C. Section 1734 solely to indicate this fact. induce DT-diaphorase activity in neonatal rat myocytes (24). ' This study was supported by Grants CA 31788 and CA 33572 from the National Cancer Institute. However, Wallin (25) has reported that doxorubicin is not a J To whom requests for reprints should be addressed, at Department of Medical substrate for purified hepatic DT-diaphorase. Furthermore, Oncology and Therapeutics Research, City of Hope National Medical Center. Goren et al. (22) did not observe any significanl varialion in 1500 E. Duarte Road, Duarte, CA 91010. 1397 ABSTRACT Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1990 American Association for Cancer Research. ANTIOXIDANT ENZYME GENE EXPRESSION the sensitivity to doxorubicin of cell hybrids with enhanced DTdiaphorase activity. Thus, the importance of DT-diaphorase as a mediator of doxorubicin toxicity remains to be determined. For this reason, we also examined the expression of DTdiaphorase in conjunction with daunorubicin reducÃ-aseand the antioxidant enzymes in both MCF-7 and MCF-7/Dox human breast carcinoma cells. MATERIALS AND METHODS Cell Culture MCF-7 and MCF-7/Dox cells were obtained as a generous gift from Dr. Kenneth Cowan, National Cancer Institute (Bethesda, MD). Both the parent line and the multidrug-resistant subline were maintained in monolayer culture as previously described (26). MCF-7/Dox cells were routinely grown in the presence of 10 //M doxorubicin; however, all experiments using the MCF-7/Dox line were performed with cells that had been passed for I week in the absence of doxorubicin. Cytotoxicity to doxorubicin in MCF-7 and MCF-7/Dox cells was assessed by clonogenic assay as previously described (26). Probes All of the probes used in this report were cloned in our laboratory, except for chicken fi-actin, which was purchased from the American Type Culture Collection. The Superoxide dismutase and catalase (EC 1.11.1.6; H2O2:H2O2 oxidoreductase) cDNAs were isolated from a human liver cDNA library obtained from Clontech (Clontech Labora tories, Inc., Palo Alto, CA). The glutathione peroxidase cDNA was isolated from a human hepatocellular carcinoma (Hep G-2) cDNA library. DT-diaphorase cDNA was isolated from a rat liver cDNA library. Human carbonyl reducÃ-asecDNA was isolated from a breast cancer cDNA library. Positive clones were identified by hybridization with "P-end-labeled synthetic oligonucleotides oblained either from previously published sequences, in the case of Cu-Zn Superoxide dis mutase, catalase, and glutathione peroxidase, or from amino acid data, in the cases of DT-diaphorase and carbonyl reducÃ-ase.All of these cDNA probes were subcloned as EcoR\ fragments into the vector Bluescript (Stralegene Cloning Systems, La Jolla, CA) and partially sequenced by the dideoxy technique (27), using a Sequenase kit (United States Biochemicals, Cleveland, OH). Sequences obtained corre sponded to those previously published, confirming their identities (2832). The cDNA obtained for carbonyl reducÃ-asecoded for a sequence which corresponded to the sequence oblained from peptide fragments of purified human liver carbonyl reducÃ-ase,confirming its identity.' All probes were isolated for labeling as EcoRl fragments from the Bluescript vector and included the 3' untranslated region plus a variable portion of the coding region. Superoxide dismulase was 0.6 kilobases; calalase, 2.1 kilobases; glulathione peroxidase, 0.6 and 0.3 kilobases; DT-diaphorase, 1.2 kilobases; and carbonyl reducÃ-ase,0.9 kilobases. Nucleic Acid Isolation and Restriction Digest High molecular weight genomic DNA was isolated by automated extraction on a ABI model 340 A nucleic acid extractor, by the method suggested by the manufacturer (Applied Biosystems, Foster City, CA). Restriction digests were performed on aliquots of 30 to 50 ^g of DNA in 1200-^1 solutions, containing 10 units of enzyme/Mg of DNA, for 25 h at 37'C. Total cellular RNA was isolated by the guanidinium isothiocyanate/ cesium chloride centrifugation method of Maniatis et al. (33), with minor modifications. Gel Electrophoresis and Nucleic Acid Transfer Denaturing RNA Gels. Denaturing glyoxal/formaldehyde gels were prepared and run according to the method of Maniatis et al. (33). Twenty /¿gof total RNA were loaded per lane. After electrophoresis, 3 Forrest et al.. Induction of a human carbonyl reducÃ-asegene located on chromosome 21. submitted for publication. IN DOXORUBICIN RESISTANCE gels were soaked for 5 min in distilled water, followed by l h in two changes of 10 x SSC.4 The RNA was then transferred to Genetrans nylon filter paper (Plasco, Inc. Woburn, MA), by capillary transfer with 10 x SSC buffer. Upon completion of the transfer, filters were baked under vacuum for 2 h at 80°C. DNA Gels. Five- to 10-j/g aliquots of enzyme-restricted genomic DNA were electrophoresed on 1.0-1.2% agarose gels in 40 niM TrisHCI, pH 7.4, 20 mM sodium acetate, 1 m.\t EDTA buffer at 50 V, at room temperature for 2 h, stained with 0.5 Mg/ml ethidium bromide, and photographed. DNA was depurinated vvilh 0.25 M HC1 for 10 min and then transferred to Genetrans nylon filter paper by capillary transfer in 0.4 M sodium hydroxide. After transfer, filters were rinsed in 2 x SSC and baked under vacuum at 80°Cfor 2 h. Hybridizations. RNA blots were prehybridized in 5 x Denhardt's solution, 2 x SSPE, 1% SDS, 0.5 mg/ml denatured herring sperm DNA, 20 Mg/ml yeast RNA, 50% formamide, at 42°Cfor 4 h. Blots were then hybridized for 15 h at 42°Cin the above solution containing 10% dextran sulfate plus 1-2 x IO6cpm/ml [12P]-dCTP-labeled probe. Probes were labeled with the Amersham random priming kit (Amersham. Inc., Clearbrook, IL). Specific activities of labeled probes were routinely 0.8-1.0 x IO9 cpm/Mg. DNA blots were hybridized in the same fashion, except that the salt concentration was increased to 3 x SSPE. After hybridization, filters were washed in 2 x SSC, 0.1 % SDS, at room temperature for 15 min; 0.5 x SSC, 0.1% SDS, at room temper ature for 15 min; 0.1 x SSC, 0.1% SDS, at room temperature for 15 min; followed by 0.1 x SSC, 0.5% SDS, at 50°Cfor 1 h. Autoradiograms of the filters were made on Kodak XAR-5 film (Kodak, Roch ester, NY) with two Dupont Cronex Lightning-Plus intensifying screens (DuPont, Wilmington, DE), at —¿70°C. Signal intensities of the autoradiograms were quantified by densitometry on a Bio-Rad computerized video densitometer (Bio-Rad, Richmond, CA). Although it is common practice to use the level of fi-actin mRNA to normalize specific gene expression, this was not possible in these experiments because the 2.0kilobase (f-actin mRNA was increased by 1.8-fold in MCF-7/Dox as compared to MCF-7 (Fig. 2, lanes 7 and 8). Hence, signal intensities were normalized to the intensity of the 28S ribosomal RNA band, to account for variability in gel loading and transfer efficiency. Enzyme Assays Cytosol Preparation. Cell pellets containing 1-5 x IO7 cells were resuspended in 0.25 M sucrose, 5 mM jV-2-hydroxyethylpiperazine-Ar/2-ethanesulfonic acid, pH 7.4, 1 m,M EDTA, and sonicated for 2 min on ice (Branson Sonifier Cell Disruptor 200; Branson Sonic Power, Danbury, CT). Sonicates were centrifuged at 16,500 x g for 10 min at 4°C;the supernatants were then centrifuged at 105.000 x # at 4°Cfor 16 min and the cytosolic supernatants were assayed immediately for enzymatic activities. Assays. Catalase and glutathione peroxidase were assayed by the method of Beutler (34, 35), Superoxide dismutase by the method of McCord and Fridovich (36), DT-diaphorase by the method of Ernster (37), and carbonyl reducÃ-aseby the method of Ahmed et al. (15), with the following modification. Rather than quantifying daunorubicinol production by thin layer chromatography, we utilized the high perform ance liquid chromatography method described by Cusack et al. (38). Proteins were assayed by the method of Lowry et al. (39). RESULTS Drug Sensitivity. The IC50 for MCF-7 cells using a 1-h exposure to doxorubicin was 1.0 fiM; the IC50 for MCF-7/Dox was approximately 500 /ÃŒM (Fig. 1). Therefore, the MCF-7/ Dox cells used in this study were at least 500-fold resistant to doxorubicin. Antioxidant Enzyme Gene Expression. A 0.9-kilobase band 4 The abbreviations used are: SSC, standard saline citrate buffer, 20 x SSC is 3 M sodium chloride/0.3 M sodium citrate; SSPE, standard saline phosphate EDTA buffer, 20 X SSPE is 3 M NaCI, 0.23 M NaH2PO4. 20 mM EDTA; SDS, sodium dodecyl sulfate. cDNA. complemenatry DNA. 1398 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1990 American Association for Cancer Research. ANTIOXIDANT ENZYME GENE EXPRESSION IN DOXORUBICIN RESISTANCE 12 90 \ 34 56 78 _\ \ 70 _\ O E h §50 . tt LU g \ I 40 30 \ 20 I 10 i 0.751.52.25 l l I U 5.0 0 100200300400500 [DOXORUBICIN], Fig. 1. Clonogenic survival of MCF-7 (left) and MCF-7/Dox (right) cells after a 1-h exposure to doxorubicin at the concentrations shown, as described in "Materials and Methods." After drug exposure, cells were allowed to grow for 8 days; colonies of >40 cells were scored. Each data point represents the mean of triplicate determinations of the colony counts of drug-exposed cells divided by the colony counts of the control (no drug exposure) cells x 100. SD were routinely less than 10% of the mean value. Fig. 2. Autoradiogram of a Northern blot of MCF-7 RNA (eren-numhered lanes) and MCF-7/Dox RNA (odd-numbered lanes). The blot was probed, stripped, and reprobed in succession with glutathione peroxidase (lanes I and 2), catatase (lanes 3 and 4). Cu-Zn Superoxide dismutase (lanes 5 and 6), and tf-actin (lanes 7 and 8) cDNA probes. The blot shown is representative of three replicate blots. Twenty ^g/lane of total RNA were electrophoresed, blotted, probed, and autoradiographed as described in "Materials and Methods." Autoradiographic signal intensities were estimated by video densitometry. The upper band observed in lanes I and 2 is 28S ribosomal RNA: the lower hand in lane /only is glutathione peroxidase mRNA. The 28S ribosomal RNA band is visible due to cross-hybrid ization with the glutathione peroxidase cDNA probed under the hybridization and washing conditions used in these studies. Southern blot suggests that glutathione peroxidase is part of a gene family. MCF-7 cells also express both 0.7- and 0.9kilobase Cu-Zn Superoxide dismutase mRNA species, similar to other human cells (28). When normalized to the 28S RNA band, no difference in steady state Cu-Zn Superoxide dismutase mRNA level was observed between the parent MCF-7 line and MCF-7/Dox (Fig. 2, lanes 5 and 6). This correlated well with enzyme specific activities, where little difference was observed between the parent and doxorubicin-resistant cells (Table 1). A 2.4-kilobase band of catalase mRNA was observed in both lines (Fig. 2, lanes 3 and 4). As with Superoxide dismutase, there was no significant difference in steady state catalase mRNA levels between the parent line and MCF-7/Dox. Catalase enzyme activity, however, was diminished approximately 2-fold in MCF-7/Dox compared to MCF-7 cells (Table 1; P < 0.025). DT-Diaphorase and Carbonyl ReducÃ-ase Gene Expression. The cDNA sequence for human DT-diaphorase has recently been published (31). The 3' region contains alternative poly- corresponding to glutathione peroxidase mRNA was detected in MCF-7/Dox cells (Fig. 2. lane 1). No corresponding band was visualized, even after prolonged autoradiography, in the parent line (Fig. 2, lane 2). Slot blot analysis suggested that the enhancement of glutathione peroxidase mRNA expression in MCF-7/Dox was greater than 40-fold (data not shown). Glutathione-dependent H2O2 peroxidase activity was detectable at a very low level in the parent cells but was increased by more than 25-fold in MCF-7/Dox (Table 1); f-butyl hydroperoxidase activity was increased 50-fold in MCF-7/Dox. The glutathione peroxidase gene from MCF-7 cells was examined by Southern analysis. Digestion of high molecular weight DNA with Pstl produced a single major band hybridizing with the glutathione peroxidase probe at 15.2 kilobases and several minor bands adenylation signals: three mRNA species of 1.2, 1.7, and 2.7 (Fig. 3, lanes 1 and 2). Pstl digest bands were identical in kilobases may be produced. The 1.2- and 2.7-kilobase species mobility and intensity in the parent MCF-7 and MCF-7/Dox were detected in MCF-7 cells; both bands were diminished approximately 3-fold in MCF-7 Dox, as compared to the sen lanes, demonstrating that there was no major gene amplifica sitive cells (Fig. 4). Correspondingly, DT-diaphorase specific tion to account for the increased glutathione peroxidase mRNA in MCF-7/Dox. This was confirmed by digestion with Mspl, activity was also reduced 4.2-fold in MCF-7/Dox (Table 1; P which revealed a 1.1-kilobase band, a 0.35-kilobase band, and < 0.005). multiple bands of <0.25 kilobases in both the parent line and Daunorubicin reducÃ-asehas been considered to play an im MCF-7/Dox (Fig. 3, lanes 3 and 4). The sequence for the portant part in anthracycline metabolism, because of its role in human glutathione peroxidase gene has been elucidated (40). It reducing the C-9 side chain carbonyl to an alcohol. Daunorub contains at least 16 Mspl recognition sites, cutting the gene icin reducÃ-aseactivily measured at pH 6.0 was present in equal, into a 0.35-kilobase band and multiple bands of <0.15 kilo- albeil low, amounls in Ihe 12,000 x gsupernatants from MCFbases. The consistent presence of a 1.1-kilobase band in our 7 and MCF-7/Dox (Table 1). This was somewhal surprising. 1399 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1990 American Association for Cancer Research. ANTIOXIDANT ENZYME GENE EXPRESSION IN DOXORIIBICIN RESISTANCE Table 1 Antioxidant and xenobiotic-metaholi:ing en:yme activities Assays of enzyme activities were performed on 105,000 x g cell supcrnatants as described in "Materials and Methods." The values shown represent the mean ± SD of 2-9 determinations. Statistical validity of the null hypothesis (no difference between mean enzyme activities of MCF-7 and MCF-7/Dox) was evaluated by the r statistic. peroxidase (nmol NADPH/min/mg)r-Butyl lineMCF-7 Cell dismutasc Gig/mg)0.42 u.niulH2O2/min/mg)4.8 hydroperoxide0.4 H2O2 ±0.04 ±1.40 ±0.24 0.46 ±0.04"Catalase 2.0 ±0.40*Glutathione 10.4±2.8f MCF-7/DoxSuperoxide * Not significantly different than control (P > 0.15). * Significantly different than control (P < 0.025). ' Significantly different than control (P < 0.005). 12 reducÃ-ase (nmol (nmol NADPH/min/mg)509daunorubicinol/ min/mg)0.8 0.2 ±0.15 ±117 ±0.1 10.2±0.7fDT-diaphorase 117 ±4'Daunorubicin 0.9 ±0.1° 34 -1.4 1.1 0.9 0.6 0.3 0.2 Fig. 3. Autoradiograms of Southern blots of />s/I-restricted (lanes I and 2) and A/i/>l-restricted (lanes 3 and 4) genomic DNA isolated from MCF-7 (oddnumbered lanes) and MCF-7/Dox (even-numberedlanes). Blots were probed with a full-length glutathione pcroxidase cDNA probe as described in "Materials and Methods." Fig. 4. Autoradiograms of Northern blot of MCF-7 (lane I) and MCF-7/Dox (lane 2) RNA probed with a 1.2-kilobase DT-diaphorase cDNA probe, as de scribed in "Materials and Methods." Bands were observed at 1.2 and 2.7 kilobases. toxicity of doxorubicin in human (MCF-7) and murine tumor cells by addition of exogenous Superoxide dismutase, catalase, and the synthetic low molecular weight glutathione peroxidase congener PZ 51 has been reported by our laboratory (26, 41). We have also found that selective augmentation of intracellular glutathione peroxidase activity using mechanical methods to introduce the purified enzyme into MCF-7 cells provided sig nificant protection from doxorubicin toxicity (42). Sinha et al. (10) have observed diminished hydroxyl radical production by DISCUSSION doxorubicin in a multidrug-resistant MCF-7 breast cancer cell line related to the one used for our current experiments; they Recent evidence suggests that antioxidant enzymes may exert attributed this finding to augmented glutathione peroxidase a protective effect against the cytotoxic activity of anticancer quiñones in certain tumor cell lines. Protection against the activity, with a consequent presumed decrease in the level of 1400 since a 1.2-kilobase mRNA homologous to a cDNA whose sequence is identical to that assigned by Wermuth et al. (32) to human carbonyl reducÃ-asewas abundant in both MCF-7 and MCF-7/Dox (Fig. 5). Similar to DT-diaphorase, expression of this mRNA species was diminished 2.5-fold in MCF-7/Dox, as compared to MCF-7. Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1990 American Association for Cancer Research. ANTIOXIDANT ENZYME GENE EXPRESSION 1 2 Fig. 5. Autoradiograms of Northern blot of MCF-7 (lane I) and MCF-7/Dox (lane 2) RNA probed with a 0.9-kilobase carbonyl reducÃ-asecDNA probes, as described in "Materials and Methods." doxorubicin-related Fenton chemistry. Recently, Mimnaugh et al. (11) reported that doxorubicin-resistant MCF-7 cells are also resistant to oxyradical stress induced by xanthine/xanthine oxidase or hyperoxia. They found a 12-fold increase in glutathione peroxidase activity associated with a 2-fold increase in Superoxide dismutase activity in their MCF-7 cells that were resistant to doxorubicin, which were descended from the origi nal MCF-7/Dox line described by Batist and colleagues (8). Our doxorubicin-resistant MCF-7 variant also exhibited a >25fold increase in glutathione peroxidase activity, slightly dimin ished catatase activity, and a decreased non-protein reduced thiol pool (data not shown), similar to that reported by Mim naugh et al.; however, in contrast to the findings of Mimnaugh et al., but similar to those of Sinha et al. (10), there was no upregulation of Superoxide dismutase activity. Possibly, the in creased Superoxide dismutase activity observed by Mimnaugh and associates represents a further evolution in antioxidant enzyme gene expression not yet undergone by our cells. Our data strongly suggest that the increased glutathione peroxidase activity of MCF-7/Dox cells is due to overrepresentation of selenium-dependent glutathione peroxidase mRNA. We did not detect glutathione peroxidase gene amplification, however, suggesting that the augmented mRNA level was due to either enhanced transcription, altered processing, or en hanced stability of the mRNA. Our current data do not permit us to distinguish among these possibilities. Studies in murine IN DOXORUBICIN RESISTANCE erythrocyte-nonerythrocyte hybrid cells suggest that glutathi one peroxidase mRNA expression could be regulated by trans acting elements, which regulate the appearance of DNase I hypersensitive sites (43). It is also possible that multidrugresistant MCF-7 cells contain an alteration in transregulation. Altered glutathione peroxidase gene expression does not ap pear, however, to be a general phenomenon associated with the multidrug-resistant phenotype. Several multidrug-resistant cell lines do not exhibit increased glutathione peroxidase activity (44). Not only is antioxidant enzyme gene expression altered in MCF-7/Dox, expression of DT-diaphorase is altered as well. Our data are consistent with those of Ivy et al. (9), i.e., DTdiaphorase activity is diminished approximately 3-fold in MCF7/Dox. Furthermore, our results suggest that basal (uninduced) transcription of the DT-diaphorase gene is down-regulated in MCF-7/Dox. It is difficult to relate repressed DT-diaphorase gene expression directly to doxorubicin resistance; however, it is possible that DT-diaphorase down-regulation may be part of the response of a group of genes which are coordinately regu lated by xenobiotic insult. For example, DT-diaphorase expres sion is inducible by activation of the Ah receptor; Ivy et al. (9, 45) have observed that Ah receptor activity is repressed in MCF-7/Dox. Daunorubicin reducÃ-ase converts the C9 carbonyl of both daunorubicin and doxorubicin to their corresponding alcohols (13-16). It has been proposed that diminished daunorubicin reducÃ-aseactivily may be the cause of the relative insensilivily of some human leukemic cells lo these anlhracyclines (17, 18). However, daunorubicin reducÃ-aseaclivities at pH 6.0 in MCF7 and MCF-7/Dox were comparable, suggesling lhat altered cellular metabolism is not an importanl componenl of doxo rubicin insensitivity in MCF-7/Dox. The finding of low level daunorubicin reducÃ-ase activity in MCF-7 and MCF-7/Dox was somewhat surprising, since mRNA homologous lo carbonyl reducÃ-asecDNA was quite abundant in both lines. It has been proposed that carbonyl reducÃ-ase, a quinone reducÃ-ase, and daunorubicin reducÃ-ase, an aldo-keto reducÃ-ase, are ideniical enzymes (46). Our dala suggest thai ihe assignment of dauno rubicin reducÃ-aseactivily lo carbonyl reducÃ-asemusi be consid ered tentative. It is interesting that carbonyl reducÃ-aseexpres sion is repressed in MCF-7/Dox, similar to DT-diaphorase. Carbonyl reducÃ-asehas been assigned a quinone detoxification role, similar to DT-diaphorase (46), and receñÃdala suggesl coordinate regulation of carbonyl reducÃ-aseand DT-diaphorase gene expression.5 In summary, MCF-7/Dox conlains alterations in the mRNA levels of a variety of enzymes which may affect Ihe abilily of doxorubicin lo damage cells. These include ihe imporlant per oxide-disposal enzyme glutathione peroxidase, as well as xenobiotic-melabolizing enzymes including DT-diaphorase and carbonyl reducÃ-ase.These data suggest thai doxorubicin resislance is complex and multifactorial and may originate, al leasl in pari, at the RNA level. ACKNOWLEDGMENTS We would like to acknowledge the excellent technical assistance of Florinda Matsumoto and Judith Stetzler. We also thank Sunny Aure for her excellent secretarial assistance. REFERENCES 1. Dimarco. A., and Arcamene, F. DNA-complexing antibodies: daunomycin. Adriamycin and their derivatives. Arzneimittel-Forsch., 25: 368-375. 1975. 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Carbonyl reducÃ-ase provides the enzymalic basis of quinone deloxification in man. Biochem. Pharmacol., 35: 1272-1282, 1986. 1402 Downloaded from cancerres.aacrjournals.org on August 3, 2017. © 1990 American Association for Cancer Research. Antioxidant and Xenobiotic-metabolizing Enzyme Gene Expression in Doxorubicin-resistant MCF-7 Breast Cancer Cells Steven A. Akman, Gerald Forrest, Fong-Fong Chu, et al. Cancer Res 1990;50:1397-1402. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/50/5/1397 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. 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