PMID- 17666793 OWN - NLM STAT- MEDLINE DCOM- 20070921 LR - 20190720 IS - 0918-6158 (Print) IS - 0918-6158 (Linking) VI - 30 IP - 8 DP - 2007 Aug TI - Irinotecan-induced apoptosis is inhibited by increased P-glycoprotein expression and decreased p53 in human hepatocellular carcinoma cells. PG - 1400-6 AB - Irinotecan, a DNA topoisomerase I inhibitor, is widely used in cancer chemotherapy. However, little is known of the mechanisms of its antitumor effects and the development of drug resistance in human hepatocellular carcinoma (HCC). In this study, we investigated the effects of short-term culture with SN-38, the active metabolite of irinotecan, on apoptosis in Huh7 cells. The cells were cultured with SN-38 for 24, 72, and 120 h, and apoptosis was determined using the terminal dUTP nick-end labeling (TUNEL) assay. The expressions of p53, apoptosis-related proteins, and P-glycoprotein (P-gp), a protein conferring the multidrug-resistant phenotype, were analyzed using Western blotting. Induced expression of P-gp was detected using fluorescence microscopy. SN-38 significantly induced apoptosis in Huh7 cells at 24 h. SN-38 also increased the expression of p53, Bax, and caspase-9 and decreased Bcl-xL expression in Huh7 cells. SN-38 decreased p53 expression and increased P-gp expression after 120 h, resulting in inhibition of apoptosis. This inhibition was reversed by the addition of verapamil to the culture medium during 120 h incubation. SN-38-induced P-gp expression was additionally enhanced by p53 decoy oligodeoxynucleotide. The changes in P-gp expression were directly moderated by p53 gene downregulation, suggesting that it plays a role in the mechanism of drug resistance. These results suggest that the accumulation of irinotecan in HCC leads to the development of drug resistance. FAU - Takeba, Yuko AU - Takeba Y AD - Department of Pharmacology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa 216-8511, Japan. yakuri@marianna-u.ac.jp FAU - Sekine, Susumu AU - Sekine S FAU - Kumai, Toshio AU - Kumai T FAU - Matsumoto, Naoki AU - Matsumoto N FAU - Nakaya, Sachiko AU - Nakaya S FAU - Tsuzuki, Yashimitsu AU - Tsuzuki Y FAU - Yanagida, Yohei AU - Yanagida Y FAU - Nakano, Hiroshi AU - Nakano H FAU - Asakura, Takeshi AU - Asakura T FAU - Ohtsubo, Takehito AU - Ohtsubo T FAU - Kobayashi, Shinichi AU - Kobayashi S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Biol Pharm Bull JT - Biological & pharmaceutical bulletin JID - 9311984 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Antineoplastic Agents, Phytogenic) RN - 0 (Oligonucleotides) RN - 0 (RNA, Neoplasm) RN - 0 (Tumor Suppressor Protein p53) RN - 7673326042 (Irinotecan) RN - XT3Z54Z28A (Camptothecin) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/*biosynthesis/physiology MH - Antineoplastic Agents, Phytogenic/*pharmacology MH - Apoptosis/*drug effects MH - Blotting, Western MH - Camptothecin/*analogs & derivatives/pharmacology MH - Carcinoma, Hepatocellular/*metabolism MH - Cell Line, Tumor MH - Humans MH - In Situ Nick-End Labeling MH - Irinotecan MH - Liver Neoplasms/*metabolism MH - Microscopy, Fluorescence MH - Oligonucleotides/pharmacology MH - RNA, Neoplasm/biosynthesis MH - Reverse Transcriptase Polymerase Chain Reaction MH - Tumor Suppressor Protein p53/*biosynthesis/physiology EDAT- 2007/08/02 09:00 MHDA- 2007/09/22 09:00 CRDT- 2007/08/02 09:00 PHST- 2007/08/02 09:00 [pubmed] PHST- 2007/09/22 09:00 [medline] PHST- 2007/08/02 09:00 [entrez] AID - JST.JSTAGE/bpb/30.1400 [pii] AID - 10.1248/bpb.30.1400 [doi] PST - ppublish SO - Biol Pharm Bull. 2007 Aug;30(8):1400-6. doi: 10.1248/bpb.30.1400.