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Genetic alterations determine chemotherapy resistance in childhood T‐ALL: modelling in stage‐specific cell lines and correlation with diagnostic patient samples
Author(s) -
Estes David A.,
Lovato Debbie M.,
Khawaja Hadya M.,
Winter Stuart S.,
Larson Richard S.
Publication year - 2007
Publication title -
british journal of haematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.907
H-Index - 186
eISSN - 1365-2141
pISSN - 0007-1048
DOI - 10.1111/j.1365-2141.2007.06763.x
Subject(s) - vincristine , jurkat cells , cancer research , drug resistance , biology , downregulation and upregulation , cytotoxic t cell , daunorubicin , cell culture , multiple drug resistance , asparaginase , gene expression profiling , neuroblastoma , asparagine synthetase , t cell , immunology , microbiology and biotechnology , chemotherapy , gene expression , gene , leukemia , genetics , in vitro , immune system , lymphoblastic leukemia , cyclophosphamide , asparagine , amino acid
Summary Acquired drug resistance eventually leads to treatment failure in T‐cell acute lymphoblastic leukaemia (T‐ALL). Immunophenotypic and cytogenetic heterogeneities within T‐ALL influence susceptibility to cytotoxic therapy, and little is known about the mechanisms of drug resistance at specific stages of T‐cell ontogeny. We developed tolerance to therapeutic concentrations of daunorubicin (DNR) and l ‐asparaginase ( l ‐asp) in Jurkat (CD1a − , sCD3 + ) and Sup T1 (CD1a + , sCD3 − ) cell lines, having respective ‘mature’ and ‘cortical’ stages of developmental arrest. DNR resistant cells acquired multidrug resistance: 310‐fold increased resistance to vincristine (VCR) and a 120‐fold increased resistance to prednisolone (PRED). Microarray analysis identified upregulation of asparagine synthetase ( ASNS ) and argininosuccinate synthase 1 ( ASS1 ) to cell lines with acquired resistance to l ‐asp, and in the case of DNR, upregulation of ATP‐binding cassette B1 ( ABCB1 ). Suppression of ABCB1 , ASNS and ASS1 by RNA interference revealed their functional relevance to acquired drug resistance. Expression profiling of these genes in 80 T‐ALL patients showed correlation with treatment response. This study expands the pool of available drug resistant cell lines having cortical and mature stages of developmental arrest, introduces three new drug resistant T‐ALL cell lines, and identifies gene interactions leading to l ‐asp and DNR resistance.