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278s Biochemical Society Transactions ( 1 99 1 ) 19 Expression of drug resistance in Chinese hamster ovary (CHO) cells following X-ray pre-treatment in YitLQ. SIOBHAN MCCLEAN, RICHARD D. H. WHELAN, LOUISE K. HOSKING AND BRIDGET T. HILL Laboratory of Cellular Chemotherapy, Imperial Cancer Research Fund, P.O. Box 123, Lincoln's Inn Fields, London, WC2A 3PX. U.K. Drug resistance is a major cause of failure of cancer treatment. Clinically, it has been observed in patients, both after treatment with antitumour agents and after radiotherapy. Multidrug resistance (MDR) is characterised experimentally by the expression of cross-resistance to a variety of structurally different drugs following pulsed or continuous exposure to only one of them. The classic MDR tumour lines overexpress a cell surface membrane 170kD glycoprotein, P-glycoprotein (Pgp), and show cross-resistance to Vinca alkaloids, to epipodophyllotoxins and to anthracyclines. Studies in this laboratory have shown that exposure of mammalian tumour cells in vitro to multiple lethal doses of radiation results in the expression of a drug resistance phenotype (1). A series of Xray -pre-treated lines has also been established from the Chinese hamster ovary (CHO) line AuxBl by exposing cells intermittently to 10 fractions of 9 Gray (a radiation dose which reduced cell survival to 10% ). These lines have been designated DXR-101 and DXR-1011 (2). The DXR-10 cells proved resistant to vincristine (VCR), to etoposide and colchicine (COL), but not to Adriamycin (ADR). These lines also overexpressed Pgp, consistent with the MDR phenotype. However, there was no increase in Pgp message or any detectable gene amplification. To investigate this resistance further the cytotoxic effects of a series of five agents of varied structure and mode of action were studied on these DXR-10 lines. The drugs include Rhizoxin - a macrocyclic lactone antimitotic agent which has proved effective against VCR and ADR-resistant P388 leukaemia cells (3); Ricin, the castor bean toxin, to which the classic CHO line CHRCS, also derived from AuxBl cells, has previously been found to be only 10-fold resistant (4); Actinomycin D, a chromopeptide antibiotic, was tested to investigate potential sensitivity similar to ADR; Navelbine, a new Nor-Vinca alkaloid and taxol. a microtubule stabilising agent, with potentially interesting preliminary clinical activity (5,6). I_: .. Figure 1. Effects of VCR a n d r v i v a l of Xw nre-tre- RlClN V INC RlSTlN E 100 '1: : 10 20 30 40 50 ng per ml 60 70 00 0 5 1 8 0.06 13 15 2.5 10 0.05 6 [3.0] 12.51 [1.3] [1.0] [0.46] 15 2 13 0.05 9 [3.01 [2.0] [1.6] [I.O] 10.691 IC50: Drug concentration which reduces cell survival to SO % of control values. RI: Resistance index, derived from full dose response curves ratio of ICso values. ~~ We have previously reported that in the AuxB 1 cells the level of drug resistance, which was detectable after only five 9 Gy X-ray fractions, increased in cells exposed to 10 fractions, but was not further enhanced in cells exposed to 20 fractions (2). To determine whether the resistance in the DXR-10 lines is a consequence of repeated exposure we derived and studied a subline which had been pre-treated with a single X-ray dose of 30 Gy. Suspensions of AuxBl cells were exposed to a single dose of 30 Gy with continuous stimng to minimize cell protection effects and to ensure linear X-ray dosage. After exposure cell suspensions were pooled and plated directly onto plastic. Clones were plucked, propagated and designated line DXR-30. Colony forming assays were prepared in 0.2% agarose following 24 hour drug exposures. Cells had a colony forming efficiency of 50 %. Western blotting was carried out as described previously from purified membrane preparations (2) using C219, the anti-Pgp mouse monoclonal antibody, and a [125I]-labelled anti-mouse IgG. The DXR-101 and DXR-1011cells showed similar patterns of response to each of the drugs studied, consistent with their originally reported comparable responses to VCR, COL and ADR, (2). Both lines proved marginally resistant to Navelbine, tax01 and Actinomycin D (table 1). Neither line showed any resistance to Rhizoxin and both lines proved hypersensitive to ricin (Fig.]). The DXR-30 clones proved both VCR resistant (2.8 - fold, Fig. 1) and overexpressed Pgp, as determined by Western blotting. This indicates that these alterations are not the result of a repeated "stress - type" challenge to the cells, but a direct result of the radiation pre-treatment. DXR-30 clones also show hypersensitivity to ricin (Fig. 1). In summary. these X-ray pre-treated cells express resistance to a wide range of drugs of varied structure, confirming that they are multi-drug resistant. However, their ricin hypersensitivity, in contrast to the 10 - fold resistance to ricin shown by the classic CHRCS MDR cell line, adds weight to our proposal that different mechanisms may be involved in refractory tumour cells pre-treated with drugs or with X-rays. 1. Bellamy, AS. & Hill B.T. (1984) J Natl. Cancer Inst., 72, 411 - 417 10 '0 Navelbine Tax01 ActinomycinD Rhizoxin RiCin 10 20 ng per ml 30 40 2. Hill, B.T. et al (1990) J Natl. Cancer Inst., 82, 607612 3. Tsuruo T. et al. (1986) Cancer Res. 46, 381-384 4. Miyamoto, Y. et al. (1990) Cancer Res. SO, 1572- 1575 5 . Fumoleau P. et al. (1990) Roc. Am. Assoc. Cancer Res. 31, 1232 6. Einzig, A.I. et al. (1990) Proc. Am. Assoc. Cancer Res. 31, 1114