Malignant gliomas are relatively resistant to radiation and chemothera
py. To investigate whether cisplatin (cis-diamminedichloroplatinum (II
), CDDP) causes resistance we pretreated C6 cells with 10(-6) M CDDP f
or 24 hours and then tested their sensitivity in a colorimetric assay.
Pretreated cells developed resistance to CDDP (resistance factor 2.0)
and radiation (survival after 9 Gy Co-60: 36.4% +/- 5.5 versus 28.6%
+/- 5.2, p=0.005). Glutathione levels of pretreated cells were higher
(51.7 +/- 13.8 ng/mg protein) than in wt cells (40.4 +/- 13.2 p=0.029)
. Addressing the mechanisms we established 4 wild type subclones with
different CDDP sensitivities. However, cross-resistance to CDDP (survi
val: 60.7% +/- 3.5 versus 7.2% +/- 0.5, respectively p=<0.001) and rad
iation (29.7% +/- 2.6 versus 12.9% +/- 0.8, p=<0.001) could also be in
duced in a subclone showing involvement of mutation. These data sugges
t that CDDP cart induce resistance mediated via induced mutation and i
ncreased GSH levels.