H. Eichholtzwirth et al., REDUCED EXPRESSION OF THE ICE-RELATED PROTEASE CPP32 IS ASSOCIATED WITH RADIATION-INDUCED CISPLATIN RESISTANCE IN HELA-CELLS, British Journal of Cancer, 76(10), 1997, pp. 1322-1327
Low-dose fractionated gamma-irradiation (three cycles of 5 x 2 Gy) ind
uced cisplatin resistance in HeLa cells, The drug resistance was modes
t (R-1 of about 2) and stable, similar to that found previously in mur
ine cells after irradiation. In the drug-resistant HeLa-C3 cells, flow
cytometric analysis revealed a decreased number of apoptotic cells co
mpared with the parental cells. Drug resistance was associated with co
nsiderably enhanced expression of the p53 suppressor protein in HeLa-C
3 cells after cisplatin exposure but seemed not to be regulated by the
bcl-2-dependent pathway. Cisplatin resistance correlated with reduced
expression of ICE-related proteases (interleukin-l P-converting enzym
e). Basal levels of the 45-kDa precursor ICE protein were reduced in H
eLa-C3 cells, while those of the mature 60-kDa heterotetramer were sim
ilar. The CPP32 protease, a member of the ICE family with structural h
omology but different substrate specificity, was expressed at a lowere
d level. After drug exposure, there was a slight increase of CPP32 in
HeLa-C3 cells, equivalent to about 45% of the level attained in the pa
rental cells. This is in contrast to the CPP32 levels measured after i
rradiation, which were similar in sensitive and in resistant cells. As
the radiosensitivity is unchanged in both cell lines, these results s
uggest that cisplatin resistance in HeLa-C3 cells is associated with a
lterations of a CPP32-linked apoptotic pathway, which is affected by t
he damage caused by cisplatin but not by irradiation. Whether these ch
anges are dependent on the observed p53 modifications is now being stu
died in resistant clones.