Abstract
Purpose
One of the major problems of cancer chemotherapy is the development of multidrug resistance (MDR) phenotype. Among the numerous mechanisms of MDR, a prominent one is the increased expression of membrane transporter proteins, the action of which leads to decreased intracellular drug concentration and cytotoxicity of drugs. Among them, P-gp and MRP1, encoded by MDR1 and MRP1 genes, respectively, have been associated with MDR phenotype. Chemical modulators can be used to reverse MDR. These chemicals can either modulate MDR due to their substrate analogy (such as calcium channel blocker verapamil) or interact with phospholipid membranes (such as antihistaminic drug promethazine). This study focuses on the effect of verapamil and promethazine on the expression levels of MDR1 and MRP1 genes and the drug transport activity in doxorubicin-resistant MCF-7 breast carcinoma cell line.
Methods
Doxorubicin-resistant MCF-7 (MCF-7/Dox) cells were incubated with either verapamil or promethazine, and total RNA was isolated. Real-time PCR (qPCR) was carried out by using specific primers for MDR1, MRP1, and ß-actin genes. Intracellular doxorubicin accumulation was also examined by confocal laser scanning microscopy in treated cells.
Results
Results demonstrated a significant decrease in both MDR1 and MRP1 expression levels after promethazine applications. It has also been shown that treatment of the cells with verapamil results in significant decrease in MDR1 mRNA levels. Confocal laser scanning microscopy images demonstrated that the intracellular accumulation of doxorubicin was increased after verapamil treatment in MCF-7/Dox cells.
Conclusions
The present study gives an idea about the efficiency of verapamil and promethazine on MDR reversal both in gene expression and in transport activity levels.
Similar content being viewed by others
References
Ambudkar S, Kimchi-Sarfaty C, Sauna Z, Gottesman M (2003) P-glycoprotein: from genomics to mechanism. Oncogene 22:7468–7485
Anuchapreeda S, Leechanachai P, Smith MM, Ambudkar SV, Limtrakul PN (2002) Modulation of P-glycoprotein expression and function by curcumin in multidrug-resistant human KB cells. Biochem Pharmacol 64:573–582
Callaghan R, Stafford A, Epand RM (1993) Increased accumulation of drugs in a multidrug resistant cell line by alteration of membrane biophysical properties. Biochim Biophys Acta 1175:277–282
Dalton WS (1997) Mechanisms of drug resistance in hematologic malignancies. Semin Hematol 34:3–8
Drori S, Eytan GD, Assaraf YG (1995) Potentiation of anticancer drug cytotoxicity by multidrug resistance chemosensitizers involves alterations in membrane fluidity leading to increased membrane permeability. Eur J Biochem 228:1020–1029
Eskiocak U, İşeri ÖD, Kars MD, Biçer A, Gündüz U (2008) Effect of doxorubicin on telomerase activity and apoptotic gene expression in doxorubicin resistant and sensitive MCF-7 cells. Chemotherapy 54:209–216
Gottesman MM, Fojo T, Bates SE (2002) Multidrug resistance in cancer: role of ATP-dependent transporters. Nat Rev Cancer 2(1):48–58
Hilgeroth A, Molnár A, Molnár J, Voigt B (2006) Correlation of calculated molecular orbital energies of some phenothiazine compounds with MDR reversal properties. Eur J Med Chem 41:548–551
İşeri ÖD, Kars MD, Eroğlu S, Gündüz U (2009) Cross-resistance development and combined applications of anticancer agents in drug resistant MCF-7 cell lines. Int J Hem Oncol 1(19):1–8
Kars MD, Işeri OD, Gündüz U, Ural AU, Arpaci F, Molnar J (2006) Development of rational in vitro models for drug resistance in breast cancer and modulation of MDR by selected compounds. Anticancer Res 26:4559–4568
Kars MD, Iseri OD, Gunduz U, Molnar J (2008) Reversal of MDR by synthetic and natural compounds in drug resistant MCF-7 cell lines. Chemotherapy 54:194–200
Kars MD, Iseri ÖD, Ural AU, Avcu F, Beyzadeoglu M, Dirican B, Gündüz U (2009) Development of radioresistance in drug resistant human MCF-7 breast cancer cells. J Radiol Pract. doi:10.1017/S1460396909990070
Kruh GD, Belinsky MG (2003) The MRP family of drug efflux pumps. Oncogene 22:7537–7552
Litman T, Druley TE, Stein WD, Bates SE (2001) From MDR to MXR: new understanding of multidrugresistance systems, their properties and clinical significance. CMLS Cell Mol Life Sci 58:931–959
Livak KJ, Schmittgen TD (2001) Analysis of relative gene expression data using real-time quantitative PCR and 2−∆∆CT method. Methods 25:402–408
Michalak K, Wesołowska O, Motohashi N, Hendrich AB (2007) The role of the membrane actions of phenothiazines and flavonoids as functional modulators. Top Heterocycl Chem 8:223–302
Molnar J, Gyémánt N, Tanaka M, Hohmann J, Bergmann-Leitner E, Molnár P, Deli J, Didiziapetris R, Ferreira M-JU (2006) Inhibition of multidrug resistance of cancer cells by natural diterpens, triterpenes and carotenoids. Curr Pharm Design 12:287–311
Molnar J, Szabo D, Mandi Y, Mucsi I, Fischer J, Varga A, Konig S, Motohashi N (1998) Multidrug resistance reversal in mouse lymphoma cells by heterocyclic compounds. Anticancer Res 18:3033–3038
Motohashi N, Kurihara T, Wakabayashi H, Yaji M, Mucsi I, Molnar J, Maruyama S, Sakagami H, Nakashima H, Tani S, Shirataki Y, Kawase M (2001) Biological activity of a fruit vegetable, “Anastasia green”, a species of sweet pepper. In Vivo 5:437–442
Muller C, Goubin F, Ferrandis E, Cornil-Scharwtz I, Bailly JD, Bordier C, Bénard J, Sikic BI, Laurent G (1995) Evidence for transcriptional control of human MDR1 gene expression by verapamil in multidrug-resistant leukemic cells. Mol Pharmacol 47(1):51–56
Mutoh K, Tsukahara S, Mitsuhashi J, Katayama K, Sugimoto Y (2006) Estrogen-mediated post transcriptional down-regulation of P-glycoprotein in MDR1-transduced human breast cancer cells. Cancer Sci 97:1198–1204
Nobili S, Landini I, Giglioni B, Mini E (2006) Pharmacological strategies for overcoming multidrug resistance. Curr Drug Targets 7(7):861–879
Pajeva I, Wiese M (1998) Molecular modeling of phenothiazines and related drugs as multidrug resistance modifiers: a comparative molecular field analysis study. J Med Chem 41:1815–1826
Perez E (2009) Impact, mechanisms, and novel chemotherapy strategies for overcoming resistance to anthracyclines and taxanes in metastatic breast cancer. Breast Can Res Treat 114:195–201
Schuldes H, Dolderer J, Knobloch L, Bade S, Bickeboeller R, Woodcock BG, Jonas D, Zimmer G (1998) Relationship between plasma membrane fluidity and R-verapamil action in CHO cells. Int J Clin Pharmacol Ther 36:71–73
Trock B, Leonessa F, Clarke R (1997) Multidrug resistance in breast cancer: a meta-analysis of MDR1/gp170 expression and its possible functional significance. J Nat Can Inst 89:917–931
Young AM, Allen CE, Audus KL (2003) Efflux transporters of the human placenta. Adv Drug Deliver Rev 55:125–132
Yu ST, Chen TM, Tseng SY, Chen YH (2007) Tryptanthrin inhibits MDR1 and reverses doxorubicin resistance in breast cancer cells. Biochem Biophys Res Commun 358:79–84
Zhou YG, Li KY, Li HD (2008) Effect of the novel antipsychotic drug perospirone on P-glycoprotein function and expression in Caco-2 cells. Eur J Clin Pharmacol 64(7):697–703
Acknowledgments
Dr. Can Özen (Middle East Technical University Central Laboratory) is greatly acknowledged for his contributions in laser scanning microscopy and image analysis.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dönmez, Y., Akhmetova, L., İşeri, Ö.D. et al. Effect of MDR modulators verapamil and promethazine on gene expression levels of MDR1 and MRP1 in doxorubicin-resistant MCF-7 cells. Cancer Chemother Pharmacol 67, 823–828 (2011). https://doi.org/10.1007/s00280-010-1385-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00280-010-1385-y