PMID- 12438236 OWN - NLM STAT- MEDLINE DCOM- 20021217 LR - 20220310 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 62 IP - 22 DP - 2002 Nov 15 TI - Resistance to chemotherapy mediated by TrkB in neuroblastomas. PG - 6462-6 AB - Neuroblastoma is a common childhood tumor derived from the peripheral nervous system. Favorable neuroblastomas usually express TrkA, the receptor for nerve growth factor (NGF), whereas unfavorable, MYCN-amplified neuroblastomas usually express TrkB and its ligand, brain-derived neurotrophic factor (BDNF). Here, we provide evidence that the TrkB-BDNF pathway is associated with enhanced survival and resistance to chemotherapy in neuroblastoma. We transfected the neuroblastoma line SH-SY5Y, which has endogenous expression of BDNF, with a full-length TrkB expression vector, and obtained clones with moderate or high levels of expression. Cells were exposed in vitro to chemotherapy agents used to treat neuroblastomas: doxorubicin, etoposide (VP16), and cisplatin. Chemoresistance was measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay for cell survival and by ELISA for cell death. In all cases, the TrkB-expressing subclones were more resistant to treatment than the parent line. Furthermore, when the TrkB tyrosine kinase was blocked with the Trk-specific inhibitor CEP-2563, or by neutralizing antibody to BDNF, sensitivity to chemotherapy was significantly increased. We also found constitutive phosphorylation of AKT at the Ser-473 site in TrkB transfectants, whereas there was only a minimal level of constitutive phosphorylation of AKT in SY5Y cells. These results show that the TrkB-BDNF pathway provides a survival advantage when exposed to DNA-damaging reagents, and, therefore, this autocrine pathway may play an important role in mediating the drug-resistant phenotype associated with TrkB-expressing neuroblastomas. Activation of PI3K/AKT survival pathway may contribute to the increased drug resistance in TrkB-expressing neuroblastomas. FAU - Ho, Ruth AU - Ho R AD - Division of Oncology, the Children's Hospital of Philadelphia and the University of Pennsylvania, Philadelphia, Pennsylvania 19104-4318, USA. FAU - Eggert, Angelika AU - Eggert A FAU - Hishiki, Tomoro AU - Hishiki T FAU - Minturn, Jane E AU - Minturn JE FAU - Ikegaki, Naohiko AU - Ikegaki N FAU - Foster, Patricia AU - Foster P FAU - Camoratto, Anna Marie AU - Camoratto AM FAU - Evans, Audrey E AU - Evans AE FAU - Brodeur, Garrett M AU - Brodeur GM LA - eng GR - CA-94194/CA/NCI NIH HHS/United States GR - NS-34514/NS/NINDS NIH HHS/United States GR - T32-CA09615/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antibodies) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Enzyme Inhibitors) RN - 6PLQ3CP4P3 (Etoposide) RN - 80168379AG (Doxorubicin) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (Receptor, trkB) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Antibodies/pharmacology MH - Apoptosis/drug effects/physiology MH - Brain-Derived Neurotrophic Factor/antagonists & inhibitors/biosynthesis/genetics/immunology MH - Cisplatin/pharmacology MH - Doxorubicin/pharmacology MH - Drug Resistance, Multiple/*physiology MH - Drug Resistance, Neoplasm MH - Enzyme Inhibitors/pharmacology MH - Etoposide/pharmacology MH - Humans MH - Neuroblastoma/*drug therapy/genetics/metabolism MH - Protein-Tyrosine Kinases/antagonists & inhibitors MH - Receptor, trkB/genetics/metabolism/*physiology MH - Transfection MH - Tumor Cells, Cultured EDAT- 2002/11/20 04:00 MHDA- 2002/12/18 04:00 CRDT- 2002/11/20 04:00 PHST- 2002/11/20 04:00 [pubmed] PHST- 2002/12/18 04:00 [medline] PHST- 2002/11/20 04:00 [entrez] PST - ppublish SO - Cancer Res. 2002 Nov 15;62(22):6462-6.