Bcl-2 and Bcl-xL are important for the induction of paclitaxel resistance in human hepatocellular carcinoma cells

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Abstract

In this study we have investigated the mechanism underlying resistance to the chemotherapeutic drug paclitaxel in tumors of hepatocellular carcinoma (HCC) patients. Treatment with paclitaxel led to potent inhibition of growth of Hep3B hepatoma cells, but did not affect the growth properties of SNU-368 and SNU-398 cell lines that were established from primary HCC tumors. The growth inhibitory effect induced by paclitaxel correlated with levels of intracellular p21 and resulted in cell cycle arrest at the G2/M phase. However, paclitaxel treatment did not alter intracellular p53 levels. Instead, SNU-398 cells express high levels of the anti-apoptotic Bcl-2 and Bcl-xL proteins and the level of Bcl-xL could be further induced upon paclitaxel treatment. In contrast, Hep3B cells express pro-apoptotic members of the Bcl family and fail to induce Bcl-xL upon paclitaxel treatment. Therefore, these results strongly suggest that Bcl-2 and Bcl-xL play an important role in mediating resistance to paclitaxel.

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Materials and methods

Cell lines. Hep3B cells were purchased from the American Type Culture Collection (ATCC, Rockville, MD). SNU-398 and SNU-368 hepatoma cell lines were purchased from the Korean Cell Line Bank (Seoul, Korea) [38], [39], [40]. These cell lines were maintained in Dulbecco’s modified Eagle’s medium (DMEM; Flow Laboratories) supplemented with 10% fetal bovine serum/glutamine/antibiotics in a humidified atmosphere of 5% CO2 at 37 °C.

Reagents. Paclitaxel was purchased from Sigma (St. Louis, MO).

Selective sensitivity of human hepatoma cells to paclitaxel

It is known that cancer cells develop resistance to chemotherapeutic drugs through a variety of mechanisms. However, biochemical events underlying the development of resistance, especially in hepatocellular carcinoma, have not been adequately explored. To investigate resistance mechanisms against paclitaxel in hepatocellular carcinoma cells, we selected three hepatoma cell lines; Hep3B, as a well-characterized control hepatoma cell, and SNU-398 and SNU-368 as representatives of cancer cells

Discussion

There is increasing evidence of the chemotherapeutic potential of paclitaxel in the treatment of a variety of cancers such as ovarian, breast, lung, head and neck, and bladder carcinoma. However, chemotherapy with paclitaxel often fails due to acquired or innate resistance of cancer cells. A variety of mechanisms have been proposed to explain the development of resistance to anticancer drugs including increased efflux of the chemotherapeutic agent, and mutation or modification of the target

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    Abbreviations: P-gp, P-glycoprotein; HCC, human hepatocellular carcinoma; DMEM, Dulbecco’s modified Eagle’s medium; CPT, camptothecin.

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