Metastatic melanomas are often resistant to chemotherapy. To study whe
ther the p53 mutational status affects chemosensitivity, we compared t
he responses to chemotherapy of four melanoma cell lines containing th
e wild-type p53 and four cell lines carrying the mutant p53. Cisplatin
, at 10 mu M, virtually killed all the cells in the wild-type p53 cell
lines, while 57-95% of the cells in the mutant p53 cell lines survive
d (P = 0.005). After treatment with 100 nM of vincristine, on average
18% of the wild-type p53 melanoma cells survived compared with 55% of
the mutant p53 cells (P = 0.04). After treatment with 40 nM, 200 nM or
1 mu M of camptothecin the survival rates were, on average, 16%, 8% a
nd 4% for the wild-type p53 melanoma cells, compared with 89%, 67% and
38% for the mutant p53 cells, respectively (P = 0.00004, P = 0.003 an
d P = 0.04, respectively). The anticancer agents were not toxic to nor
mal melanocytes at doses inducing cytotoxicity in wild-type p53 melano
ma cells. The main mechanism of cytotoxicity appears to be drug-induce
d apoptosis. Cisplatin, camptothecin and vincristine all induced apopt
osis in wild-type p53 melanoma cells, but not in mutant p53 cells. Our
results suggest that chemotherapy-induced apoptosis in melanoma cells
is p53 dependent, and mutation of the p53 gene is an indicator of dru
g resistance in melanoma. (C) 1998 Rapid Science Ltd.