PMID- 21359954 OWN - NLM STAT- MEDLINE DCOM- 20120914 LR - 20231213 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 131 IP - 2 DP - 2012 Jan TI - Enhancement of chemotherapeutic efficacy in hypermethylator breast cancer cells through targeted and pharmacologic inhibition of DNMT3b. PG - 385-99 LID - 10.1007/s10549-011-1409-2 [doi] AB - A subset of primary breast cancers and breast cancer cell lines express a hypermethylation defect (characterized by DNMT hyperactivity and DNMT3b overexpression) which contributes to chemotherapy resistance and provides a target for development of new treatment strategies. The objective of the current study was to determine if targeting the epigenome enhances the sensitivity of breast cancer cells to cytotoxic chemotherapy. Hypermethylator breast cancer cell lines (MDA-MB-453, BT549, and Hs578T) were treated with 250 or 500 nM 5-aza-2'-deoxycytidine (5-aza) and/or were subjected to RNAi-mediated DNMT3b knockdown (KD), and then tested for sensitivity to doxorubicin hydrochloride (DOX), paclitaxel (PAX), and 5-fluorouracil (5-FU). In MDA-MB-453 cells, DNMT3b KD reduces the IC(50) for DOX from 0.086 to 0.048 muM (44% reduction), for PAX from 0.497 to 0.376 nM (24%), and for 5-FU from 0.817 to 0.145 mM (82%). Treatment with 250 nM 5-aza for 7 days did not increase the efficacy of DOX, PAX, or 5-FU, but 7-day treatment with 500 nM 5-aza sensitized cells, reducing the IC(50) for DOX to 0.035 muM (60%), PAX to 0.311 nM (37%), and 5-FU to 0.065 mM (92%). 5-aza treatment of DNMT3b KD cells reduced the IC(50) for DOX to 0.036 muM (59%), for PAX to 0.313 nM (37%) and for 5-FU to 0.067 (92%). Similar trends of enhancement of cell kill were seen in BT549 (13-60%) and Hs578T (29-70%) cells after RNAi-mediated DNMT3b KD and/or treatment with 5-aza. The effectiveness of DOX, PAX, and 5-FU is enhanced through targeted and/or pharmacological inhibition of DNMT3b, strongly suggesting that combined epigenetic and cytotoxic treatment will improve the efficacy of breast cancer chemotherapy. FAU - Sandhu, Rupninder AU - Sandhu R AD - Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, 515 Brinkhous Bullitt Building, CB #7525, Chapel Hill, NC 27599, USA. FAU - Rivenbark, Ashley G AU - Rivenbark AG FAU - Coleman, William B AU - Coleman WB LA - eng GR - P30 CA016086/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110227 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0 (Antineoplastic Agents) RN - 0 (RNA, Small Interfering) RN - EC 2.1.1.37 (DNA (Cytosine-5-)-Methyltransferases) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Breast Neoplasms/*enzymology/*genetics MH - Cell Line, Tumor MH - DNA (Cytosine-5-)-Methyltransferases/*antagonists & inhibitors/metabolism MH - *DNA Methylation MH - Drug Resistance, Neoplasm/genetics MH - Female MH - Gene Knockdown Techniques MH - Humans MH - RNA, Small Interfering/metabolism MH - DNA Methyltransferase 3B EDAT- 2011/03/02 06:00 MHDA- 2012/09/15 06:00 CRDT- 2011/03/02 06:00 PHST- 2010/10/15 00:00 [received] PHST- 2011/02/11 00:00 [accepted] PHST- 2011/03/02 06:00 [entrez] PHST- 2011/03/02 06:00 [pubmed] PHST- 2012/09/15 06:00 [medline] AID - 10.1007/s10549-011-1409-2 [doi] PST - ppublish SO - Breast Cancer Res Treat. 2012 Jan;131(2):385-99. doi: 10.1007/s10549-011-1409-2. Epub 2011 Feb 27.