Genomic-directed targeted therapy increases endometrial cancer cell sensitivity to doxorubicin

Am J Obstet Gynecol. 2010 Aug;203(2):158.e1-40. doi: 10.1016/j.ajog.2010.02.003. Epub 2010 May 4.

Abstract

Objective: We aimed to utilize genome-wide expression analysis to identify molecular pathways that may contribute to endometrial cancer resistance to doxorubicin (DOX) and that also represent therapeutic targets to increase DOX sensitivity.

Study design: Ten endometrial cancer cell lines were subjected to gene expression analysis. Sensitivity of each endometrial cell line to DOX was quantified by dimethylthiazoldiphenyltetrazoliumbromide cell proliferation assay. Pearson's correlation test was used to identify genes associated with response to DOX. Genes associated with DOX responsiveness were analyzed, and identified pathways were subjected to targeted inhibition.

Results: Pearson's correlation analysis identified 2871 genes associated with DOX resistance (P < .05), which included members of the Src pathway. Targeted inhibition of the Src pathway increased DOX sensitivity in RL 95-2 (P < .0001), HEC 1B (P < .001), MEF 296 (P < .05), and MEF 280 (P = .14) cell lines.

Conclusion: Genomic analysis can identify therapeutic targets such as the Src pathway that may influence endometrial cancer DOX sensitivity.

Publication types

  • Comparative Study

MeSH terms

  • Antibiotics, Antineoplastic / pharmacology*
  • Cell Line, Tumor / drug effects
  • Cell Proliferation / drug effects
  • Doxorubicin / pharmacology*
  • Drug Delivery Systems
  • Drug Resistance, Neoplasm / genetics
  • Endometrial Neoplasms / drug therapy
  • Endometrial Neoplasms / genetics
  • Endometrium / cytology
  • Endometrium / drug effects
  • Female
  • Gene Expression Regulation, Neoplastic / drug effects*
  • Genes, Neoplasm / drug effects
  • Genome / drug effects*
  • Humans
  • Microbial Sensitivity Tests
  • Pharmacogenetics
  • Probability
  • RNA / genetics
  • RNA / metabolism
  • Sensitivity and Specificity

Substances

  • Antibiotics, Antineoplastic
  • RNA
  • Doxorubicin