L. Bai et al., MECHANISMS RESPONSIBLE FOR RESISTANCE OF SUBLINES DERIVED FROM LEUKEMIA-CELL LINES TO AN ANTITUMOR AGENT 9-BETA-D-ARABINOFURANOSYL-2-FLUOROADENINE, Journal of cancer research and clinical oncology, 124(7), 1998, pp. 367-373
An agent 9-beta-D-arabinofuranosyl-2-fluoroadenine (2-F-Ara-A) is a ma
in metabolite of fludarabine, a fluorinated purine analogue with antit
umor activity in lymphoproliferative malignancies. In,this study, the
mechanism responsible for the resistance of cancer cells to fludarabin
e was examined using the 2-F-Ara-A-resistant sublines JOK-1/F-Ara-A an
d L1210/F-Ara-A from a human hairy leukemic cell line (JOK-1) and a mo
use leukemic cell line (L1210) respectively, which were established by
continuous treatment of the parental cell lines with 2-F-AraA. JOK-1/
F-Ara-A and L1210/F-Ara-A cells were more than 55 and 29 times more re
sistant to 2-F-Ara-A than were their parent cell lines, and showed a h
igh cross-resistance to 1-beta-D-arabinofuranosylcytosine but not to d
oxorubicin or vincristine. These resistant sublines intracellularly ac
cumulated almost the same amount of 2-F-Ara-A as did their parent cell
lines. However, the amount of 2-F-Ara-ATP, a cytotoxic metabolite of
2-F-Ara-A, decreased by 2.6% (JOK-1/F-Ara-A C3), 6% (L1210/F-Ara-A C1)
and 3.7% (L1210/F-Ara-A. C7) relative to the levels in the parent cel
l lines. Enzymatically, these resistant cells hardly activated deoxycy
tidine (dCyd) and 2-F-Ara-A. In addition, the abilities to phosphoryla
te deoxyadenosine and deoxyguanosine were also decreased in the resist
ant cells in comparison with the parent cells. These findings suggest
that the deficiency in activity of dCyd kinase may contribute to the r
esistance of 2-F-Ara-A.