S. Shack et al., VULNERABILITY OF MULTIDRUG-RESISTANT TUMOR-CELLS TO THE AROMATIC FATTY-ACIDS PHENYLACETATE AND PHENYLBUTYRATE, Clinical cancer research, 2(5), 1996, pp. 865-872
Cytotoxic chemotherapies often give rise to multidrug resistance, whic
h remains a major problem in cancer management, In pursuit of alternat
ive treatments for chemoresistant tumor cells, we tested the response
of multi-drug-resistant (MDR) tumor cell lines to the aromatic fatty a
cids phenylacetate (PA) and phenylbutyrate (PB), two differentiation i
nducers currently in clinical trials, Both compounds induced cytostasi
s and maturation of multidrug-resistant breast, ovarian, and colon car
cinoma cells with no significant effect on cell viability, In contrast
to their poor response to doxorubicin, the MDR cells were generally m
ore sensitive to growth arrest by PA and PB than their parental counte
rparts. The aromatic fatty acids, like the differentiation-inducing al
iphatic fatty acid butyrate, up-regulated mdr-1 gene expression. Howev
er, while butyrate increased multidrug resistance, PA and PB potentiat
ed the cytotoxic activity of doxorubicin against MDR cells, The latter
was associated with time-dependent declines in glutathione levels and
in the activity of superoxide dismutase, catalase, glutathione peroxi
dase, glutathione reductase, and glutathione S-transferase, the antiox
idant enzymes implicated in cell resistance to free radical-based ther
apies, Taken together, our in vitro data indicate that PA and PB, diff
erentiation inducers of the aromatic fatty acid class, may provide an
alternative approach to the treatment of MDR tumors.