THE MUTATIONAL STATUS OF P53 PROTEIN IN GASTRIC AND ESOPHAGEAL ADENOCARCINOMA CELL-LINES PREDICTS SENSITIVITY TO CHEMOTHERAPEUTIC-AGENTS

Resistance to chemotherapy remains a serious problem in the successful treatment of gastric and esophageal cancers. DNA-damaging agents alte r levels of p53 protein in several cell types and it has been speculat ed that regulation of p53 can be involved in the resistance or sensiti vity of cancer cells to some chemotherapeutic drugs, depending on whet her cells have mutant or wild-type p53; however, little is known about the relationship of p53 to drug sensitivity in gastric/esophageal can cers. Here we have examined human gastric/esophageal adenocarcinoma ce ll lines for p53 mutational status, chemosensitivity to 5-fluorouracil , mitomycin C, and cis-dichlorodiammin-eplatinum(II), alteration in p5 3 levels following exposure of cells to these drugs, and the mechanism s involved in regulating p53 levels. Our results indicate that wild-ty pe p53 protein levels increase after treatment with each of these drug s via either post-translational and/or translational mechanisms and th at this increase in wild-type p53 appears to be required for effective chemotherapeutic growth control of gastric/esophageal adenocarcinoma cells. In contrast, gastric/esophageal cancer cells expressing either mutated p53 protein or no p53 protein are more resistant to the growth -inhibitory effects of these drugs, despite the fact that drug exposur e can also increase mutant p53 levels by a translational mechanism. Th us, these data indicate that the mutational status of p53 is predictiv e of chemosensitivity of gastric and esophageal adenocarcinomas, and s uggest a mechanism in which p53 protein contributes to the cellular re sponse to chemotherapy. (C) 1995 Wiley-Liss, Inc.