PMID- 7553653 OWN - NLM STAT- MEDLINE DCOM- 19951108 LR - 20141120 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 55 IP - 20 DP - 1995 Oct 15 TI - Differentiation of neuroblastoma enhances Bcl-2 expression and induces alterations of apoptosis and drug resistance. PG - 4711-6 AB - Recent evidence suggests that resistance to antineoplastic therapy may result from mutations in genes mediating the apoptotic response to DNA damage. To determine the effects of epigenetic changes on tumor responsiveness to cytotoxic agents inducing DNA damage, we examined the chemosensitivity of neuroblastoma (NB) after differentiation by retinoic acid (RA). Differentiation of the cell lines SH-SY5Y and SMS-KCNR by RA abolished the cytotoxic effects of adriamycin (Adr) and cisplatin. Chemoresistance was not the result of decreased proliferation induced by RA because: (a) growth arrest by nutrient deprivation did not affect sensitivity; (b) growth arrested NB cell lines, which did not differentiate, remained chemosensitive; and (c) RA concentrations which promoted differentiation without affecting growth, induced resistance. Apoptosis characterized NB cells responding to Adr, although differentiated SH-SY5Y did not apoptose and were resistant to Adr and cisplatin. Marked induction of bcl-2 in NB cells followed RA-induced differentiation, whereas in cell lines failing to differentiate, bcl-2 was not detected. Our data indicate that NB differentiation induces drug resistance after a loss of the apoptotic response to antineoplastic drugs and suggest that bcl-2 overexpression is an important mechanism of resistance in differentiated tumor cells. FAU - Lasorella, A AU - Lasorella A AD - Preuss Laboratory for Molecular Neuro-oncology, Department of Neurological Surgery, University of California, San Francisco 94143-0520, USA. FAU - Iavarone, A AU - Iavarone A FAU - Israel, M A AU - Israel MA LA - eng GR - 5P20 NS31076/NS/NINDS 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 (Proto-Oncogene Proteins) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (RNA, Messenger) RN - 5688UTC01R (Tretinoin) RN - 80168379AG (Doxorubicin) SB - IM MH - Apoptosis/drug effects MH - *Cell Differentiation/drug effects MH - Doxorubicin/toxicity MH - Drug Resistance, Neoplasm MH - Gene Expression Regulation, Neoplastic/drug effects MH - Genes, myc MH - Humans MH - In Vitro Techniques MH - Neuroblastoma/*pathology MH - Neurons/cytology MH - Proto-Oncogene Proteins/*metabolism MH - Proto-Oncogene Proteins c-bcl-2 MH - RNA, Messenger/genetics MH - Tretinoin/pharmacology MH - Tumor Cells, Cultured EDAT- 1995/10/15 00:00 MHDA- 1995/10/15 00:01 CRDT- 1995/10/15 00:00 PHST- 1995/10/15 00:00 [pubmed] PHST- 1995/10/15 00:01 [medline] PHST- 1995/10/15 00:00 [entrez] PST - ppublish SO - Cancer Res. 1995 Oct 15;55(20):4711-6.