Cw. Porter et al., COLLATERAL SENSITIVITY OF HUMAN-MELANOMA MULTIDRUG-RESISTANT VARIANTSTO THE POLYAMINE ANALOG, N-1,N-11-DIETHYLNORSPERMINE, Cancer research, 54(22), 1994, pp. 5917-5924
Certain N-alkylated analogues of the natural polyamine spermine, such
as N-1,N-11-diethylnorspermine (DENSPM), rapidly deplete intracellular
polyamine pools by down-regulating the biosynthetic enzymes, ornithin
e decarboxylase and S-adenosylmethionine decarboxylase, and by potentl
y up-regulating the polyamine catabolizing enzyme, spermidine/spermine
N-1-acetyltransferase. On the basis of previously reported antitumor
activity in human tumor xenograft model systems, DENSPM is currently u
ndergoing Phase I clinical trials against human melanoma and other sol
id tumors. The antiproliferative activity of this analogue against the
multidrug resistance (MDR) phenotype was examined in three MDR sublin
es of human melanoma RPMI-7932 cells, which were shown to be 2-to 10-f
old resistant to classical MDR agents. These MDR lines had been separa
tely derived using different selecting agents (Lemontt et at, Cancer R
es., 48: 6344-6353, 1988). Subline functional resistance due to P-glyc
oprotein was confirmed by decreased retention of rhodamine 123 relativ
e to parent cells as detected by flow cytometry. Although the three su
blines were 2- to 10-fold less sensitive than the parent line to class
ical MDR-type agents, they were found in dose-response studies to be s
ignificantly more sensitive to DENSPM than the parent line. In additio
n, they showed a distinct cytotoxic response after a 48-h treatment wi
th 10 mu M DENSPM, which was not apparent in the parent line. Growth s
ensitivity of the sublines to the ornithine decarboxylase inhibitor, c
u-difluoromethylornithine, or the S-adenosylmethionine decarboxylase i
nhibitor, CGP-48664, was found to be similar to parent cells. The rati
o of the key biosynthetic enzyme activities for ornithine decarboxylas
e and S-adenosylmethionine decarboxylase was found to be 3.5- to 5-fol
d higher in all three sublines, due mainly to increases in the former
enzyme. This imbalance produced unusually high putrescine pools. Altho
ugh DENSPM down-regulation of decarboxylase activities and potent up-r
egulation of spermidine/spermine N-1-acetyltransferase activity occurr
ed similarly in both parent and variant lines, polyamine depletion was
greater in the variant lines. Collateral sensitivity of the MDR subli
nes to DENSPM is partially attributable to the finding that analogue (
and spermidine) uptake in the sublines was about 2-fold higher (after
2 h) than in the parent cells. The presence of disturbances in polyami
ne homeostasis and increased sensitivity to DENSPM in three independen
tly selected cell line variants suggests that they may be generally as
sociated with the MDR phenotype in human melanoma and possibly other t
umor tells. The collateral sensitivity of human melanoma MDR variants
to DENSPM represents a possible therapeutic indication which should be
considered during the ongoing clinical evaluation of this drug.