Indanocine is a potent tubulin-binding drug that is cytotoxic to multidrug-
resistant cancer cell lines. We demonstrated that indanocine specifically i
nduces apoptosis in malignant B cells from patients with chronic lymphocyti
c leukemia. To address the exact biochemical basis for indanocine toxicity,
an indanocine-resistant clone was selected from mutagenized CEM human lymp
hoblastoid cells. The resistant cells displayed a stable indanocine-resista
nt phenotype for at least 9 months in drug-free culture. The cloned cells a
re cross-resistant to colchicine and vinblastine, but not to paclitaxel, an
d do not have increased expression of the multidrug-resistant p170 glycopro
tein. In both parental cells and cell extracts, indanocine treatment caused
tubulin depolymerization. In contrast, the tubulin in the resistant clone
did not depolymerize under identical conditions. Both extract mixing and ce
ll fusion experiments suggested that a stable structural change in microtub
ules, rather than a soluble factor, was responsible for indanocine resistan
ce. Sequence analysis of parental and resistant cells revealed a single poi
nt mutation in the M40 isotype of beta -tubulin at nucleotide 1050 (G-->T,
Lys(350)-->Asn) in the indanocine-resistant clone, in a region close to the
putative colchicine binding site.