Flavopiridol, the first inhibitor of cyclin-dependent kinases to enter clin
ical trials, has shown promising antineoplastic activity and is currently u
ndergoing Phase II testing. Little is known about mechanisms of resistance
to this agent, In the present study, we have characterized an ovarian carci
noma cell line [OV202 high passage (hp)] that spontaneously developed drug
resistance upon prolonged passage in tissue culture, Standard cytogenetic a
nalysis and spectral karyotyping revealed that OV202 hp and the parental lo
w passage line OV202 shared several marker chromosomes, confirming the rela
tedness of these cell lines. Immunoblotting demonstrated that OV202 and OV2
02 hp contained similar levels of a variety of polypeptides involved in cel
l cycle regulation, including cyclin-dependent kinases 2 and 4; cyclins A,
D-1, and E; and proliferating cell nuclear antigen, Despite these similarit
ies, OV202 hp was resistant to flavopiridol and cisplatin, with increases o
f 5- and 3-fold, respectively; in the mean drug concentrations required to
inhibit colony formation by 90%. In contrast, OV202 hp and OV202 displayed
indistinguishable sensitivities to oxaliplatin, paclitaxel, topotecan, 1,3-
bis(2-chloroethyl)-1-nitrosourea, etoposide, doxorubicin, vincristine, and
5-fluorouracil, suggesting that the spontaneously acquired resistance was n
ot attributable to altered P-glycoprotein levels or a general failure to en
gage the cell death machinery. After incubation with cisplatin, whole cell
platinum and platinum-DNA adducts measured using mass spectrometry were low
er in OV202 hp cells than OV202 cells. Similarly, after flavopiridol exposu
re, whole cell flavopiridol concentrations measured by a newly developed hi
gh performance liquid chromatography assay were lower in OV202 hp cells. Th
ese data are consistent with the hypothesis that acquisition of spontaneous
resistance to flavopiridol and cisplatin in OV202 hp cells is due, at leas
t in part, to reduced accumulation of the respective drugs. These observati
ons not only provide the first characterization of a flavopiridol-resistant
cell line but also raise the possibility that alterations in drug accumula
tion might be important in determining sensitivity to this agent.