A subline of P388 leukemia made 10-fold resistant to camptothecin (CPT
) by serial passage in drug-treated mice was adapted to growth in tiss
ue culture and made hyper-resistant to CPT by passage in the presence
of increasing concentrations of the drug. Cells were obtained that wer
e 1,000-fold resistant to CPT, compared to wild-type P388 cells. Neith
er topoisomerase I mRNA nor 100 kDa topoisomerase I enzyme was detecta
ble in these cells, and topoisomerase I activity extracted from nuclei
was less than 4% of that extracted from nuclei of wild-type cells. An
immunoreactive 130 kDa protein that could be an altered, inactive for
m of topoisomerase I was evident in the hyper-resistant cells. In addi
tion, the cells deficient in topoisomerase I contained enhanced topois
omerase II activity. Maintenance of the hyper-resistant phenotype requ
ired continued exposure to CPT; growth in its absence led to loss of h
yper-resistance, increased topoisomerase I content and activity, and d
ecreased topoisomerase II activity. The sensitivity of the cells to ki
lling by a number of inhibitors of topoisomerases I and II was consist
ent with these observations. Thus, P388 cells have the potential to be
come highly resistant to CPT by severely curtailing topoisomerase I ex
pression; in these circumstances, topoisomerase I and II activities ar
e regulated coordinately.