Abstract
Defects in mismatch repair are associated with cisplatin resistance, and several mechanisms have been proposed to explain this correlation. It is hypothesized that futile cycles of translesion synthesis past cisplatin-DNA adducts followed by removal of the newly synthesized DNA by an active mismatch repair system may lead to cell death. Thus, resistance to platinum-DNA adducts could arise through loss of the mismatch repair pathway. However, no direct link between mismatch repair status and replicative bypass ability has been reported. In this study, cytotoxicity and steady-state chain elongation assays indicate that hMLH1 or hMSH6 defects result in 1.5-4.8-fold increased cisplatin resistance and 2.5-6-fold increased replicative bypass of cisplatin adducts. Oxaliplatin adducts are not recognized by the mismatch repair complex, and no significant differences in bypass of oxaliplatin adducts in mismatch repair-proficient and -defective cells were found. Defects in hMSH3 did not alter sensitivity to, or replicative bypass of, either cisplatin or oxaliplatin adducts. These observations support the hypothesis that mismatch repair defects in hMutL alpha and hMutS alpha, but not in hMutS beta, contribute to increased net replicative bypass of cisplatin adducts and therefore to drug resistance by preventing futile cycles of translesion synthesis and mismatch correction.
Publication types
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adaptor Proteins, Signal Transducing
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Antineoplastic Agents / metabolism
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Antineoplastic Agents / pharmacology*
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Carrier Proteins
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Chromosomes, Human, Pair 2 / genetics
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Cisplatin / metabolism*
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Cisplatin / pharmacology*
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Colonic Neoplasms / genetics
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Colonic Neoplasms / metabolism
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DNA Adducts / metabolism*
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DNA Damage
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DNA Repair* / genetics
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DNA Replication
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DNA, Neoplasm / drug effects*
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DNA, Neoplasm / genetics
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DNA, Neoplasm / metabolism
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DNA-Binding Proteins / metabolism*
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Drug Resistance, Neoplasm
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Female
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Genetic Complementation Test
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Humans
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Multidrug Resistance-Associated Proteins*
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MutL Protein Homolog 1
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MutS Homolog 3 Protein
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Neoplasm Proteins / metabolism*
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Nuclear Proteins
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Organoplatinum Compounds / metabolism
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Organoplatinum Compounds / pharmacology*
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Ovarian Neoplasms / genetics
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Ovarian Neoplasms / metabolism
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Oxaliplatin
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Tumor Cells, Cultured / drug effects
Substances
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Adaptor Proteins, Signal Transducing
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Antineoplastic Agents
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Carrier Proteins
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DNA Adducts
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DNA, Neoplasm
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DNA-Binding Proteins
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G-T mismatch-binding protein
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MLH1 protein, human
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MSH3 protein, human
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Multidrug Resistance-Associated Proteins
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MutS Homolog 3 Protein
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Neoplasm Proteins
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Nuclear Proteins
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Organoplatinum Compounds
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cisplatin-DNA adduct
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Oxaliplatin
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MutL Protein Homolog 1
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Cisplatin
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multidrug resistance-associated protein 1