Summary
H69AR is a multidrug-resistant human small-cell lung carcinoma cell line that was selected in doxorubicin and has previously been shown to be cross-resistant to a variety of natural-product-type anticancer drugs. H69AR is unlike many other multidrug-resistant cell lines in that it does not overexpress P-glycoprotein. In the present study, the drug sensitivity and cross-resistance patterns of H69AR cells were further characterized. A total of 15 drugs belonging to a number of chemical classes were screened. These compounds included anthracyclines, DNA binders (anthrapyrazoles, benzothiopyranoindazoles, and pyrazoloacridines), and lipophilic antifolates. The alkylating agent melphalan and the antimetabolite cytosine arabinofuranoside (Ara-C) were also tested. In general, the drug sensitivity and cross-resistance profiles of H69AR cells were consistent with those reported by others using other drug-resistant cell lines. However, there were several unexpected instances of cross-resistance. Thus, the H69AR cell line was more resistant than its parent cell line to the potent 3’-deamino-3’-(3-cyano-4-morpholinyl) doxorubicin, bisantrene, the pyrazoloacridine PD 114541, Ara-C, and melphalan. In addition, no cross-resistance to the four lipophilic antifolates tested, including trimetrexate, was found. The absence of a consistent pattern among the various drug-resistant cell lines indicates that assumptions about the efficacy of anticancer drugs in multidrug resistance should be made with caution.
Similar content being viewed by others
References
Acton EM, Tong GL, Mosher CW, Wolgemuth RL (1984) Intensely potent morpholinyl anthracyclines. J Med Chem 27: 638
Assaraf YG, Molina A, Schimke RT (1989) Cross-resistance to the lipid-soluble antifolate trimetrexate in human carcinoma cells with the multidrug-resistant phenotype. J Natl Cancer Inst 81: 290
Barbieri B, Giuliani FC, Bordoni T, Casazza AM, Geroni C, Bellini O, Suarato A, Gioia B, Penco S, Arcamone F (1987) Chemical and biological characterization of 4’-iodo-4’-deoxydoxorubicin. Cancer Res 47: 4001
Bradley G, Juranka PF, Ling V (1988) Mechanism of multidrug resistance. Biochim Biophys Acta 948: 87
Cole SPC (1986) Rapid chemosensitivity testing of human lung tumor cells using the MTT assay. Cancer Chemother Pharmacol 17: 259
Cole SPC, Downes HF, Slovak ML (1989) Effect of calcium antagonists on the chemosensitivity of two multidrug resistant human tumour cell lines which do not overexpress P-glycoprotein. Br J Cancer 59: 42
Cole SPC, Downes HF, Mirski SEL, Clements DJ (1990) Alterations in glutathione and glutathione-related enzymes in a multidrug resistant small cell lung cancer cell line. Mol Pharmacol 37: 192
Coley HM, Twentyman PR, Workman P (1989) Identification of anthracyclines and related agents that retain preferential activity over Adriamycin in multidrug-resistant cell lines, and further resistance modification by verapamil and cyclosporin A. Cancer Chemother Pharmacol 24: 284
Dalton WS, Durie BGM, Alberts DS, Gerlach JH, Cress AE (1986) Characterization of a new drug-resistant human myeloma cell line that expresses P-glycoprotein. Cancer Res 46: 5125
Dalton WS, Cress AE, Alberts DS, Trent JM (1988) Cytogenetic and phenotypic analysis of a human colon carcinoma cell line resistant to mitoxantrone. Cancer Res 48: 1882
Dalton WS, Grogan TM, Rybski JA, Scheper RJ, Richter L, Kailey J, Broxterman HJ, Pinedo HM, Salmon SE (1989) Immunohistochemical detection and quantitation of P-glycoprotein in multiple drug-resistant human myeloma cells: association with level of drug resistance and drug accumulation. Blood 73: 747
Gerlach JH, Kartner N, Bell DR, Ling V (1986) Multidrug resistance. Cancer Surv 5: 25
Goldstein LJ, Galski H, Fojo A, Willingham M, Lai S-L, Gazdar A, Pirker R, Green A, Crist W, Brodeur GM, Lieber M, Cossman J, Gottesman MM, Pastan I (1989) Expression of a multidrug resistance gene in human cancers. J Natl Cancer Inst 81: 116
Gottesman MM, Pastan I (1989) Clinical trials of agents that reverse multidrug resistance. J Clin Oncol 7: 409
Green JA, Vistica DT, Young RC, Hamilton TC, Rogan AM, Ozols RF (1984) Potentiation of melphalan cytotoxicity in human ovarian cancer cell lines by glutathione depletion. Cancer Res 44: 5427
Gupta RS, Murray W, Gupta R (1988) Cross resistance pattern towards anticacer drugs of a human carcinoma multidrug-resistant cell line. Br J Cancer 58: 441
Harker WG, Sikic BI (1985) Multidrug (pleiotropic) resistance in doxorubicin-selected variants of the human sarcoma cell line MESSA. Cancer Res 45: 4091
Hartley JA, Reszka K, Zuo ET, Wilson WD, Morgan AR, Lown JW (1988) Characteristics of the interaction of anthrapyrazole anticancer agents with deoxyribonucleic acids: structural requirements for DNA binding, intercalation, and photosensitization. Mol Pharmacol 33: 265
Hill BT, Dennis LY, Li X-T, Wehlan RDH (1985) Identification of anthracycline analogues with enhanced cytotoxicity and lack of cross-resistance to Adriamycin using a series of mammalian cell lines in vitro. Cancer Chemother Pharmacol 14: 194
Hindenburg AA, Gervasoni JE Jr, Krishna S, Stewart VJ, Rosado M, Lutzky J, Bhalla K, Baker MA, Taub RN (1989) Intracellular distribution and pharmacokinetics of daunorubicin in anthracycline-sensitive and -resistant HL-60 cells. Cancer Res 49: 4607
Johnson RK, Ovejera AA, Goldin A (1976) Activity of anthracyclines against an Adriamycin (NSC-123127)-resistant subline of P388 leukemia with special emphasis on cinerubin A (NSC-18334). Cancer Treat Rep 60: 99
Kamen BA, Eibl B, Cashmore A, Bertino J (1984) Uptake and efficacy of trimetrexate (TMQ, 2,4-diamino-5-methyl-6-[3,4,5-trimethoxyanilino)methyl]quinazoline), a non-classical antifolate in methotrexate-resistant leukemia cells in vitro. Biochem Pharmacol 33: 1697
Kanamaru H, Kakehi Y, Yoshida O, Nakanishi S, Pastan I, Gottesman MM (1989) MDRI RNA levels in human renal cell carcinomas: correlation with grade and prediction of reversal of doxorubicin resistance by quinidine in tumor explants. J Natl Cancer Inst 81: 844
Lohs WD, Steinkampf RW, Besserer JA, Fry DW (1986) Cross resistance of pleiotropically drug resistant P388 leukemia cells to the lipophilic antifolates trimetrexate and BW 301U. Cancer Lett 31: 253
Klohs WD, Steinkampf RW, Havlick MJ, Jackson RC (1986) Resistance to anthrapyrazoles and anthracyclines in multidrug-resistant P388 murine leukemia cells: reversal by calcium blockers and calmodulin antagonists. Cancer Res 46: 4352
Lai S-L, Goldstein LJ, Gottesman MM, Pastan I, Tsai C-M, Johnson BE, Mulshine JL, Ihde DC, Kayser K, Gazdar AF (1989) MDR1 gene expression in lung cancer. J Natl Cancer Inst 81: 1144
Ma DD, Davey RA, Harman DH, Isbister JP, Scurr RD, Mackertich SM, Dowden G, Bell DR (1987) Detection of a multidrug resistant phenotype in acute non-lymphoblastic leukemia. Lancet 1: 135
McGrath T, Center MS (1987) Adriamycin resistance in HL60 cells in the absence of detectable P-glycoprotein. Biochem Biophys Res Commun 145: 1171
Mirski SEL, Gerlach JH, Cole SPC (1987) Multidrug resistance in a human small cell lung cancer line selected in Adriamycin. Cancer Res 47: 2594
Mosmann T (1983) Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods 65: 55
Ramu A, Fridkin M, Steinherz R (1985) Cross-resistance to esters of methotrexate in a doxorubicin-resistant subline of P388 murine leukemia. Cancer Chemother Pharmacol 15: 31
Salmon SE, Grogan TM, Miller T, Scheper R, Dalton WS (1989) Prediction of doxorubicin resistance in vitro in myeloma, lymphoma, and breast cancer by P-glycoprotein staining. J Natl Cancer Inst 81: 696
Schott B, Robert J (1989) Comparative cytotoxicity, DNA synthesis inhibition and drug incorporation of eight anthracyclines in a model of doxorubicin-sensitive and -resistant rat glioblastoma cells. Biochem Pharmacol 38: 167
Scott CA, Westmacott D, Broadhurst MJ, Thomas GJ, Hall MJ (1986) 9-Alkyl anthracyclines. Absence of cross-resistance to Adriamycin in human and murine cell cultures. Br J Cancer 53: 595
Sebolt JS, Scavone SV, Pinter CD, Hamelehle KL, Von Hoff DD, Jackson RC (1987) Pyrazoloacridines, a new class of anticancer agents with selectivity againt solid tumors in vitro. Cancer Res 47: 4299
Sebolt J, Havlick M, Hamelehle K, Nelson J, Leopold W, Jackson R (1989) Activity of pyrazoloacridines against multidrug-resistant tumor cells. Cancer Chemother Pharmacol 24: 219
Seneviratne C, Goldenberg GJ (1989) Further characterization of drug-sensitivity and cross-resistance profiles of cloned cell lines of Adriamycin-sensitive and -resistant P388 leukemia. Cancer Commun 1: 21
Showalter HDH, Johnson JL, Werbel LM, Leopold WR, Jackson RC, Elslager EF (1984) 5-[(Aminoalkyl)amino]-substituted anthra[1,9-cd]pyrazol-6(2H)-ones as novel anticancer agents. Synthesis and biological evaluation. J Med Chem 27: 253
Showalter HDH, Johnson JL, Hoftiezer JM, Turner WR, Werbel LM, Leopold WR, Shillis JL, Jackson RC, Elslager EF (1987) Anthrapyrazole anticancer agents. Synthesis and structure-activity relationships against murine leukemias. J Med Chem 30: 121
Sikic BI, Ehsan MN, Harker WG, Friend NF, Brown BW, Newman RA, Hacker MP, Acton EM (1985) Dissociation of antitumor potency from anthracycline cardiotoxicity in a doxorubicin analog. Science 228: 1544
Sirotnak FM, Moccio DM, Kelleher LE, Goutas LJ (1981) Relative frequency and kinetic properties of transport-defective phenotypes among methotrexate-resistant L1210clonal cell lines derived in vivo. Cancer Res 41: 4447
Slovak ML, Hoeltge GA, Dalton WS, Trent JM (1988) Pharmacological and biological evidence for differing mechanisms of doxorubicin resistance in two human tumor cell lines. Cancer Res 48: 2793
Streeter DG, Johl JS, Gordon GR, Peters JH (1986) Uptake and retention of morpholinyl anthracyclines by Adriamycin-sensitive and -resistant P388 cells. Cancer Chemother Pharmacol 16: 247
Twentyman PR (1988) Modification of cytotoxic drug resistance by non-immuno-suppressive cyclosporins. Br J Cancer 57: 254
Twentyman PR, Fox NE, Wright KA, Workman P, Broadhurst MJ, Martin JA, Bleehen NM (1986) The in vitro effects and cross-resistance patterns of some novel anthracyclines. Br J Cancer 53: 585
Author information
Authors and Affiliations
Additional information
Supported by a grant from the National Cancer Institute of Canada Correspondence and proofs: S. P. C. Cole, Ph. D., Cancer Research Laboratories, Botterell Hall Rm 331. Queen’s University, Kingston, Ontario K7L 3N6 Canada, TEL 613-545-6358. FAX 613-544-9708
Rights and permissions
About this article
Cite this article
Cole, S.P.C. Patterns of cross-resistance in a multidrug-resistant small-cell lung carcinoma cell line. Cancer Chemother Pharmacol 26, 250–256 (1990). https://doi.org/10.1007/BF02897225
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02897225