The anthracenedione, mitoxantrone, frequently selects for a unique dru
g resistance phenotype that is not mediated by either MDR 1, MRP, or a
ltered DNA topoisomerase II. In this study, we demonstrate that mitoxa
ntrone resistance is likely to be multifactorial with at least one res
istance mechanism being the result of a dominant genetic event. This f
inding was demonstrated by conducting chromosome transfer experiments
from human breast cancer cell lines that were either sensitive (MCF7/S
) or resistant to mitoxanthrone (MCF7/Mitox). Chromosomes transferred
from MCF7/Mitox cells into CHO-K1 cells resulted in the isolation of m
ultiple clones resistant to mitoxantrone. In contrast, chromosomes tra
nsferred from the drug sensitive MCF7/S, parent cell line did not conf
er drug resistance in the rodent CHO-K1 recipient cell line. Both Alu-
PCR analysis and Southern blot analysis demonstrated human DNA in the
CHO-KI cells receiving chromosomes from the MCF7/Mitox cells. Unlike t
he MCF7/Mitox cell line, the drug resistant, CHO-K1 chromosome transfe
rrent clones did not have a decrease in total drug accumulation. We co
nclude that chromosome transfer from the MCF7/Mitox cell line into CHO
-K1 cells, confers a non-transport mediated mechanism of drug resistan
ce that is a dominant genetic event. These studies provide evidence of
the genetic multifactorial nature of multidrug resistance in cells se
lected with mitoxantrone in vitro.