PMID- 9384669 OWN - NLM STAT- MEDLINE DCOM- 19971208 LR - 20181201 IS - 1355-6568 (Print) IS - 1355-6568 (Linking) VI - 1 IP - 2 DP - 1995 Jun TI - Modulation of vindesine and doxorubicin resistance in multidrug-resistant pleural mesothelioma cells by tumor necrosis factor-alpha. PG - 123-32 AB - Tumor necrosis factor-alpha (TNF-alpha) has been shown to enhance the cytotoxicity of a variety of antineoplastic agents. To examine whether multidrug-resistant cells are targets of TNF-alpha, and whether TNF-alpha is capable of modulating chemoresistance of these cells, a pleural mesothelioma cell line (PXF1118L) and two multidrug-resistant sublines thereof were used as experimental models. Drug resistance of these cells was due to P-glycoprotein expression, as confirmed by (1) staining with a monoclonal antibody (MRK16) specific for human P-glycoprotein, (2) decreased accumulation of [3H]vinblastine that was reversed by verapamil, and (3) enhanced cytotoxicity of vindesine in the presence of verapamil. Parental and multidrug-resistant cells exhibited little but comparable sensitivity to TNF-alpha alone. Combining TNF-alpha with vindesine or, to a lesser extent, with doxorubicin, but not with cisplatin, resulted in greater cytotoxicity towards multidrug-resistant cells than seen for each compound alone, indicating a synergism. In contrast, TNF-alpha failed to modulate vindesine or doxorubicin cytotoxicity in parental cells. [3H]Vinblastine accumulation was unaffected by TNF-alpha, and chemoresistance was reduced by TNF-alpha also in the presence of verapamil (10 microM), indicating that TNF-alpha was acting in a way different from calcium-channel blockers. Though the molecular mechanism by which TNF-alpha was enhancing vindesine and doxorubicin cytotoxicity remained undefined in this study, the numbers of TNF-alpha binding sites on parental and on multidrug-resistant cells were similar, and P-glycoprotein expression was unmodulated during the entire 48 h incubation period. In conclusion, we show that TNF-alpha increases the cytotoxicity of anticancer drugs in multidrug-resistant tumor cells by a mechanism that differs from most chemosensitizing agents, including verapamil. Further studies will be needed to clarify the mechanism by which TNF-alpha synergizes with anticancer drugs. FAU - Licht, T AU - Licht T AD - University of Freiburg, Department of Internal Medicine 1 (Hematology/Oncology), Germany. FAU - Lubbert, M AU - Lubbert M FAU - Martens, C AU - Martens C FAU - Bross, K J AU - Bross KJ FAU - Fiebig, H H AU - Fiebig HH FAU - Mertelsmann, R AU - Mertelsmann R FAU - Herrmann, F AU - Herrmann F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Cytokines Mol Ther JT - Cytokines and molecular therapy JID - 9509183 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 1) RN - 0 (Recombinant Proteins) RN - 0 (Tumor Necrosis Factor-alpha) RN - 80168379AG (Doxorubicin) RN - CJ0O37KU29 (Verapamil) RN - RSA8KO39WH (Vindesine) SB - IM EIN - Cytokines Cell Mol Ther 1997 Dec;3(4):282-3 MH - ATP Binding Cassette Transporter, Subfamily B, Member 1/biosynthesis MH - Animals MH - Biological Transport/drug effects MH - Cell Survival/drug effects MH - Doxorubicin/pharmacokinetics/*toxicity MH - *Drug Resistance, Multiple MH - *Drug Resistance, Neoplasm MH - Humans MH - *Mesothelioma MH - *Pleural Neoplasms MH - Recombinant Proteins/pharmacology MH - Transplantation, Heterologous MH - Tumor Cells, Cultured MH - Tumor Necrosis Factor-alpha/*pharmacology MH - Verapamil/pharmacology MH - Vindesine/pharmacokinetics/*toxicity EDAT- 1995/06/01 00:00 MHDA- 1997/12/31 00:01 CRDT- 1995/06/01 00:00 PHST- 1995/06/01 00:00 [pubmed] PHST- 1997/12/31 00:01 [medline] PHST- 1995/06/01 00:00 [entrez] PST - ppublish SO - Cytokines Mol Ther. 1995 Jun;1(2):123-32.