The synthetic steroid RU486, which displays antiprogestin and antigluc
ocorticoid properties in different systems, inhibits cell growth in de
xamethasone-sensitive H56 cells containing glucocorticoid receptors, a
s well as in dexamethasone-resistant S-H56-125 cells displaying a very
low level of dexamethasone binding. In order to better understand the
mechanism of the antiproliferative effect, the binding of RU486 to th
ese hepatoma cells was examined. Results revealed the presence of two
different kinds of binding sites for RU486 in dexamethasone-sensitive
H56 cells whereas only one type of site was detected in the dexamethas
one-resistant cells. These peculiar sites were also recognized by cort
ivazol during competition experiments. Thus, it seems that S-H56-125 c
ells contain an altered glucocorticoid receptor that binds RU486 and c
ortivazol but virtually not dexamethasone. The ability of RU486 to inh
ibit the growth of dexamethasone-resistant cells suggests this steroid
may be used to treat tumor cells that develop glucocorticoid resistan
ce after long-term treatment.