PMID- 22217342 OWN - NLM STAT- MEDLINE DCOM- 20120320 LR - 20220408 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 12 DP - 2012 Jan 4 TI - HIF-1 activation induces doxorubicin resistance in MCF7 3-D spheroids via P-glycoprotein expression: a potential model of the chemo-resistance of invasive micropapillary carcinoma of the breast. PG - 4 LID - 10.1186/1471-2407-12-4 [doi] AB - BACKGROUND: Invasive micropapillary carcinoma (IMPC) of the breast is a distinct and aggressive variant of luminal type B breast cancer that does not respond to neoadjuvant chemotherapy. It is characterized by small pseudopapillary clusters of cancer cells with inverted cell polarity. To investigate whether hypoxia-inducible factor-1 (HIF-1) activation may be related to the drug resistance described in this tumor, we used MCF7 cancer cells cultured as 3-D spheroids, which morphologically simulate IMPC cell clusters. METHODS: HIF-1 activation was measured by EMSA and ELISA in MCF7 3-D spheroids and MCF7 monolayers. Binding of HIF-1alpha to MDR-1 gene promoter and modulation of P-glycoprotein (Pgp) expression was evaluated by ChIP assay and FACS analysis, respectively. Intracellular doxorubicin retention was measured by spectrofluorimetric assay and drug cytotoxicity by annexin V-FITC measurement and caspase activity assay. RESULTS: In MCF7 3-D spheroids HIF-1 was activated and recruited to participate to the transcriptional activity of MDR-1 gene, coding for Pgp. In addition, Pgp expression on the surface of cells obtained from 3-D spheroids was increased. MCF7 3-D spheroids accumulate less doxorubicin and are less sensitive to its cytotoxic effects than MCF7 cells cultured as monolayer. Finally, HIF-1alpha inhibition either by incubating cells with 3-(5'-hydroxymethyl-2'-furyl)-1-benzylindazole (a widely used HIF-1alpha inhibitor) or by transfecting cells with specific siRNA for HIF-1alpha significantly decreased the expression of Pgp on the surface of cells and increased the intracellular doxorubicin accumulation in MCF7 3-D spheroids. CONCLUSIONS: MCF7 breast cancer cells cultured as 3-D spheroids are resistant to doxorubicin and this resistance is associated with an increased Pgp expression in the plasma membrane via activation of HIF-1. The same mechanism may be suggested for IMPC drug resistance. FAU - Doublier, Sophie AU - Doublier S AD - Department of Genetics, Biology and Biochemistry, University of Turin, Via Santena, 5/bis, 10126 Turin, Italy. sophie.doublier@unito.it FAU - Belisario, Dimas C AU - Belisario DC FAU - Polimeni, Manuela AU - Polimeni M FAU - Annaratone, Laura AU - Annaratone L FAU - Riganti, Chiara AU - Riganti C FAU - Allia, Elena AU - Allia E FAU - Ghigo, Dario AU - Ghigo D FAU - Bosia, Amalia AU - Bosia A FAU - Sapino, Anna AU - Sapino A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120104 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Annexins) RN - 0 (Antineoplastic Agents) RN - 0 (Hypoxia-Inducible Factor 1) RN - 80168379AG (Doxorubicin) RN - EC 3.4.22.- (Caspases) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/*metabolism MH - Annexins/analysis MH - Antineoplastic Agents/*pharmacology MH - *Breast Neoplasms/drug therapy/metabolism MH - *Carcinoma, Papillary/drug therapy/metabolism MH - Caspases/analysis MH - Doxorubicin/*pharmacology MH - Drug Resistance, Neoplasm/*physiology MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1/*metabolism MH - Spheroids, Cellular MH - Tumor Cells, Cultured PMC - PMC3262753 EDAT- 2012/01/06 06:00 MHDA- 2012/03/21 06:00 PMCR- 2012/01/04 CRDT- 2012/01/06 06:00 PHST- 2011/04/14 00:00 [received] PHST- 2012/01/04 00:00 [accepted] PHST- 2012/01/06 06:00 [entrez] PHST- 2012/01/06 06:00 [pubmed] PHST- 2012/03/21 06:00 [medline] PHST- 2012/01/04 00:00 [pmc-release] AID - 1471-2407-12-4 [pii] AID - 10.1186/1471-2407-12-4 [doi] PST - epublish SO - BMC Cancer. 2012 Jan 4;12:4. doi: 10.1186/1471-2407-12-4.