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Reversal of P-glycoprotein-mediated multidrug resistance with small interference RNA (siRNA) in leukemia cells

Abstract

The multidrug resistance (MDR) mediated by P-glycoprotein (P-gp), the MDR1 gene product, is one of the major obstacles in leukemia treatment. The present study was designed to explore a MDR1-targeted small interfering RNA (si-MDR1) approach for reversal of P-gp-mediated MDR in the MDR human leukemia cell line k562/A02. It was found that si-MDR1 significantly inhibited MDR1 expression at both mRNA and protein levels. Depletion of MDR1 by si-MDR1 correlated with the increased sensitivity of the cells to cytotoxic agents and with the enhanced intracellular retention of daunorubicin (DNR). One base-pair mutated control (si-MDR1-Mut) lost the effect of si-MDR1 on both the degradation of mdr1 mRNA and the reduction of P-gp expression. These findings indicate that siRNA specifically and efficiently interferes with the expression of mdr1 and could be used as a molecularly defined therapeutic approach for MDR in the treatment of leukemia.

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References

  1. Kartner N, Riordan JR, Ling V . Cell surface P-glycoprotein associated with multidrug resistance in mammalian cell lines. Science. 1983;221:1285–1288.

    Article  CAS  PubMed  Google Scholar 

  2. Gros P, Ben Neriah YB, Croop JM, Housman DE . Isolation and expression of a cDNA (mdr) that confers multidrug resistance. Nature. 1986;323:728–731.

    Article  CAS  PubMed  Google Scholar 

  3. Fardel O, Lecureur V, Guillouzo A . The P-glycoprotein multidrug transporter. Gen Pharmacol. 1996;27:1283–1291.

    Article  CAS  PubMed  Google Scholar 

  4. Campos L, Guyotat D, Archimbaud E, et al. Clinical significance of multidrug resistance P-glycoprotein expression on acute nonlymphoblastic leukemia cells at diagnosis. Blood. 1992;79:473–476.

    CAS  PubMed  Google Scholar 

  5. Pirker R, Wallner J, Geissler K, et al. MDR1 gene expression and treatment outcome in acute myeloid leukemia. J Natl Cancer Inst. 1991;83:708–712.

    Article  CAS  PubMed  Google Scholar 

  6. Wianny F, Zernicka GM . Specific interference with gene function by double-stranded RNA in early mouse development. Nat Cell Biol. 2000;2:70–75.

    Article  CAS  PubMed  Google Scholar 

  7. Williams BR . Role of the double-stranded RNA-activated protein kinase (PKR) in cell regulation. Biochem Soc Trans. 1997;25:509–513.

    Article  CAS  PubMed  Google Scholar 

  8. Elbashir SM, Harborth J, Lendeckel W, Yalcin A, Weber K, Tuschl T . Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature. 2001;411:494–498.

    Article  CAS  PubMed  Google Scholar 

  9. Wu H, Hait WN, Yang JM . Small interfering RNA-induced suppression of MDR1 (P-glycoprotein) restores sensitivity to multidrug-resistant cancer cells. Cancer Res. 2003;63:1515–1519.

    CAS  PubMed  Google Scholar 

  10. Tan Y, Li G, Zhao C, et al. Expression of sorcin predicts poor outcome in acute myeloid leukemia. Leuk Res. 2003;27:125–131.

    Article  CAS  PubMed  Google Scholar 

  11. Yang CZ, Luan FJ, Xiong DS, Liu BR, Xu YF, Gu KS . Multidrug resistance in leukemic cell line K562/A02 induced by doxorubicin. Acta Pharmacol Sinica. 1995;16:333–337.

    Google Scholar 

  12. Wilda M, Fuchs U, Wossmann W, Borkhardt A . Killing of leukemic cells with a BCR/ABL fusion gene by RNA interference (RNAi). Oncogene. 2002;21:5716–5724.

    Article  CAS  PubMed  Google Scholar 

  13. Sugawara I, Watanabe M, Matsunaga A, Itoyama S, Ueda K . Primer-dependent amplification of mdr1 mRNA by polymerase chain reaction. Jpn J Cancer Res. 1992;83:131–133.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Hamada H, Tsuruo T . Functional role for the 170- to 180-kDa glycoprotein specific to drug-resistant tumor cells as revealed by monoclonal antibodies. Proc Natl Acad Sci USA. 1986;83:7785–7789.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Zaman GJ, Flens MJ, van Leusden MR, et al. The human multidrug resistance-associated protein MRP is a plasma membrane drug-efflux pump. Proc Natl Acad Sci USA. 1994;91:8822–8826.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Den Boer ML, Pieters R, Kazemier KM, Janka-Schaub GE, Henze G, Veerman AJ . Relationship between the intracellular daunorubicin concentration, expression of major vault protein/lung resistance protein and resistance to anthracyclines in childhood acute lymphoblastic leukemia. Leukemia. 1999;13:2023–2030.

    Article  CAS  PubMed  Google Scholar 

  17. Motomura S, Motoji T, Takanashi M, et al. Inhibition of P-glycoprotein and recovery of drug sensitivity of human acute leukemic blast cells by multidrug resistance gene (mdr1) antisense oligonucleotides. Blood. 1998;91:3163–3171.

    CAS  PubMed  Google Scholar 

  18. Lambert E, Rees JK, Twentyman PR . Resistance circumvention strategies tested in clinical leukaemia specimens using the MTT colorimetric assay. Leukemia. 1992;6:1063–1071.

    CAS  PubMed  Google Scholar 

  19. Cioca DP, Aoki Y, Kiyosawa K . RNA interference is a functional pathway with therapeutic potential in human myeloid leukemia cell lines. Cancer Gene Ther. 2003;10:125–133.

    Article  CAS  PubMed  Google Scholar 

  20. Wohlbold L, Van Der Kuip H, Miething C, et al. Inhibition of bcr-abl gene expression by small interfering RNA sensitizes for imatinib mesylate (STI571). Blood. 2003;102:2236–2239.

    Article  CAS  PubMed  Google Scholar 

  21. Heidenreich O, Krauter J, Riehle H, et al. AML1/MTG8 oncogene suppression by small interfering RNAs supports myeloid differentiation of t(8;21)-positive leukemic cells. Blood. 2003;101:3157–3163.

    Article  CAS  PubMed  Google Scholar 

  22. Nagasawa K, Takara K, Nomiyama M, Ohnishi N, Yokoyama T . Transport mechanisms of anthracycline derivatives in human leukemia cell lines: uptake of pirarubicin, daunorubicin and doxorubicin by K562 and multidrug-resistant K562/ADM cells. Biol Pharm Bull. 1996;19:971–976.

    Article  CAS  PubMed  Google Scholar 

  23. Schlemmer SR, Sirotnak FM . Functional studies of P-glycoprotein in inside-out plasma membrane vesicles derived from murine erythroleukemia cells overexpressing MDR 3. Properties and kinetics of the interaction of vinblastine with P-glycoprotein and evidence for its active mediated transport. J Biol Chem. 1994;269:31059–31066.

    CAS  PubMed  Google Scholar 

  24. Hamada H, Tsuruo T . Functional role for the 170- to 180-kDa glycoprotein specific to drug-resistant tumor cells as revealed by monoclonal antibodies. Proc Natl Acad Sci USA. 1986;83:7785–7789.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. FitzGerald DJ, Willingham MC, Cardarelli CO, et al. A monoclonal antibody-Pseudomonas toxin conjugate that specifically kills multidrug-resistant cells. Proc Natl Acad Sci USA. 1987;84:4288–4292.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Marthinet E, Divita G, Bernaud J, Rigal D, Baggetto LG . Modulation of the typical multidrug resistance phenotype by targeting the MED-1 region of human MDR1 promoter. Gene Therapy. 2000;7:1224–1233.

    Article  CAS  PubMed  Google Scholar 

  27. Claudina A, Jean-Philippe A, Xing JL, et al. P-glycoprotein, expressed in multidrug resistant cells, is not responsible for alterations in membrane fluidity or membrane potential. Cancer Res. 2003;63:3084–3091.

    Google Scholar 

  28. Tuschl T . Expanding small RNA interference. Nat Biotechnol. 2002;20:446–448.

    Article  CAS  PubMed  Google Scholar 

  29. Paddison PJ, Caudy AA, Hannon GJ . Stable suppression of gene expression by RNAi in mammalian cells. Proc Natl Acad Sci USA. 2002;99:1443–1448.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Brummelkamp TR, Bernards R, Agami R . A system for stable expression of short interfering RNAs in mammalian cells. Science. 2002;296:550–553.

    Article  CAS  PubMed  Google Scholar 

  31. Brummelkamp TR, Bernards R, Agami R . Stable suppression of tumorigenicity by virus-mediated RNA interference. Cancer Cell. 2002;2:243–247.

    Article  CAS  PubMed  Google Scholar 

  32. Abbas-Terki T, Blanco-Bose W, Deglon N, Pralong W, Aebischer P . Lentiviral-mediated RNA interference. Hum Gene Ther. 2002;13:2197–2201.

    Article  CAS  PubMed  Google Scholar 

  33. Stewart SA, Dykxhoorn DM, Palliser D, et al. Lentivirus-delivered stable gene silencing by RNAi in primary cells. RNA. 2003;9:493–501.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Narasaki F, Matsuo I, Ikuno N, Fukuda M, Soda H, Oka M . Multidrug resistance associated protein (MRP) gene expression in human lung cancer. Anticancer Res. 1996;16:2079–2084.

    CAS  PubMed  Google Scholar 

  35. List AF, Spier CS, Grogan TM, et al. Overexpression of the major vault transporter lung resistance protein predicts treatment outcome in acute myeloid leukemia. Blood. 1996;87:2464–2469.

    CAS  PubMed  Google Scholar 

  36. Illmer T, Schuler US, Thiede C, et al. MDR1 gene polymorphisms affect therapy outcome in acute myeloid leukemia patients. Cancer Res. 2002;62:4955–4962.

    CAS  PubMed  Google Scholar 

  37. McCaffrey AP, Meuse L, Pham TT, Conklin DS, Hannon GJ, Kay MA . RNA interference in adult mice. Nature. 2002;418:38–39.

    Article  CAS  PubMed  Google Scholar 

  38. Sorensen DR, Leirdal M, Sioud M . Gene silencing by systemic delivery of synthetic siRNAs in adult mice. J Mol Biol. 2003;327:761–766.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

We thank Professor Chunzheng Yang for providing the cell line K562/A02 and Ms Ming Feng for technical assistance. This work is supported by grants of 863 (2001AA215311, 2002AA223354) and 973 (001CB5101) from the Ministry of Science & Technology of China to Han ZC.

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Correspondence to Zhong Chao Han.

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Peng, Z., Xiao, Z., Wang, Y. et al. Reversal of P-glycoprotein-mediated multidrug resistance with small interference RNA (siRNA) in leukemia cells. Cancer Gene Ther 11, 707–712 (2004). https://doi.org/10.1038/sj.cgt.7700738

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