Protein kinase C (PKC) signaling pathways play an important role in cell su
rvival and anticancer drug-induced apoptosis. We observed in clonogenicity
assays of BG-1 human ovarian cancer cells that gemcitabine cytotoxicity was
increased synergistically when drug treatment was followed or preceded by
a 24-h exposure to 10 nM 12-O-tetradecanoylphorbol-13-acetate (TPA). Coincu
bation of 10 nM TPA with pharmacological inhibitors of PKC abrogated the sy
nergism of TPA and gemcitabine. These observations prompted further investi
gation of PKC signaling events linked to TPA and gemcitabine cytotoxicity i
n BG-1 cells. Because PKC isoforms are differentially expressed in various
cell types, we determined that BG-1 cells express the alpha, beta, delta, e
psilon, and zeta isoforms of PKC. In addition, 1-h exposures to 10 mu M gem
citabine triggered cytosol to membrane translocation of PKC isoforms alpha,
delta, and epsilon, indicating these isoforms were activated by gemcitabin
e. We also explored the PKC mechanism(s) responsible for the synergism of T
PA and gemcitabine. and determined that treatment with 10 nM TPA for 24 h i
n BG-1 cells: 1) downregulated PKC delta and PKC alpha, without affecting P
KC epsilon, 2) did not affect cell cycle distribution into S phase, 3) incr
eased extracellular signal-regulated kinase signaling, and 4) increased int
racellular alkaline phosphatase activity, a biochemical marker of cellular
differentiation. Chronic exposure (24 h) to TPA enhanced gemcitabine cytoto
xicity, perhaps by inducing cellular differentiation pathways in BG-1 cells
. Therefore, the use of differentiating agents in combination with gemcitab
ine may improve its clinical efficacy.