Dual repair modulation reverses Temozolomide resistance in vitro

Vincent A. Barvaux, Malcolm Ranson, Robert Brown, R. Stanley McElhinney, T. Brian H McMurry, Geoffrey P. Margison

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Temozolomide is an alkylating agent that mediates its cytotoxic effects via O6-methylguanine (O6-meG) adducts in DNA and their recognition and processing by the postreplication mismatch repair system (MMR). O6-meG adducts can be repaired by the DNA repair protein O6- alkylguanine-DNA-alkyltransferase (MGMT), which therefore constitutes a major resistance mechanism to the drug. Resistance to Temozolomide can also be mediate by loss of MMR, which is frequently mediated by methylation of the hMLH1 gene promoter. Methylation of hMLH1 can be reversed by treatment of cells with 5-aza-2′-deoxycytidine, while the MGMT pseudosubstrate O6-(4-bromothenyl)guanine (PaTrin-2) can deplete MGMT activity. Using a drug-resistant cell line which expresses MGMT and has methylated hMLH1, we show that while either of these treatments can individually sensitize cells to Temozolomide, the combined treatment leads to substantially greater sensitization. The increased sensitization is not observed in matched MMR proficient cells.
    Original languageEnglish
    Pages (from-to)123-127
    Number of pages4
    JournalMolecular Cancer Therapeutics
    Volume3
    Issue number2
    Publication statusPublished - Feb 2004

    Keywords

    • drug effects: Base Pair Mismatch
    • Cell Line, Tumor
    • drug effects: DNA Damage
    • DNA Repair
    • analogs & derivatives: Dacarbazine
    • Drug Resistance
    • analogs & derivatives: Guanine
    • Humans
    • genetics: Neoplasm Proteins
    • deficiency: O(6)-Methylguanine-DNA Methyltransferase
    • Research Support, Non-U.S. Gov't

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