Membrane protein-associated alterations in cellular
drug accumulation have been recently implicated in resistance to
topoisomerase I (TOP-I)-interactive drugs. The present study investigated the cellular determinants of resistance to the indolocarbazole compound
NB-506 [6-N-formylamino-12,13-dihydro-1,11-dihydroxy-13(beta-D-glucopyranosyl)- 5H-indolo[2,3-alpha]pyrrolo[3,4-c]
carbazole-5,7(6H)-dione], a structurally novel TOP-I-interactive
drug, in parental and multidrug-resistant
tumor cells expressing either the P-170
glycoprotein (Pgp170) or multidrug resistance
protein (MRP). MRP-expressing 250-fold
doxorubicin-resistant human
fibrosarcoma HT1080/DR4
tumor cells were
drug sensitive to
NB-506 and
camptothecin (
CPT) (resistance factor: 0.7 and 0.8, respectively) with no alterations of TOP-I parameters including
DNA relaxation, expression of TOP-I
protein and
mRNA. In contrast,
doxorubicin-resistant human ovarian A2780/Dx5
tumor cells [pgp170 phenotype] were 6.2-fold resistant to
NB-506, whereas resistance to
CPT was 2.6-fold. HPLC analysis of cellular
NB-506 accumulation showed no significant differences between A2780 and A2780/Dx5 cells (peak intracellular concentrations after 120-min exposure to 10 microM
NB-506: 400+/-85.0 and 352+/-95.1 nmol
NB-506/mg
protein, respectively). However, resistant A2780/Dx5 cells expressed a lower amount of TOP-I
mRNA and 29%
protein levels of TOP-I compared to parental A2780 cells, resulting in decreased TOP-I catalytic activity (3.17+/-0.02 vs. 1.16+/-0.15 rel.U/microg
nuclear protein) and reduced induction of NB-506-mediated cleavable complex formation in A2780/Dx5 cells. Furthermore, the lower induction of NB-506-induced
protein-linked DNA breaks (PLDB) in A2780/Dx5 cells correlated with significantly decreased
DNA 12.2-440 kb size fragmentation in these cells. The present study demonstrates that expression of MRP and Pgp170 does not confer resistance to
NB-506. Resistance to indolocarbazole substance
NB-506 in A2780/Dx5 cells was only related to downregulation of TOP-I associated with lower induction of cleavable complex formation and DNA fragmentation. The data reported herein may indicate that the new indolocarbazole compound
NB-506 has potent antitumor efficacy in membrane-associated multidrug resistance.