RT Journal Article T1 Temozolomide Resistance in Glioblastoma Cell Lines: Implication of MGMT, MMR, P-Glycoprotein and CD133 Expression. A1 Perazzoli, Gloria A1 Prados, Jose A1 Ortiz, Raul A1 Caba, Octavio A1 Cabeza, Laura A1 Berdasco, Maria A1 Gónzalez, Beatriz A1 Melguizo, Consolación K1 Antineoplásicos alquilantes K1 Azacitidina K1 Línea celular tumoral K1 Metilación de ADN K1 Metilasas de modificación del ADN K1 Enzimas reparadoras del ADN K1 Tumor Suppressor Proteins K1 Dacarbazina K1 Resistencia a antineoplásicos K1 Epigénesis genética K1 Expresión génica K1 Regulación neoplásica de la expresión génica K1 Glicoproteínas K1 Guanina K1 Concentración 50 inhibidora K1 Glicoproteína P K1 Péptidos K1 Regiones promotoras genéticas K1 Proteínas supresoras de tumor K1 Antígenos CD K1 Regiones promotoras genéticas AB BACKGROUNDThe use of temozolomide (TMZ) has improved the prognosis for glioblastoma multiforme patients. However, TMZ resistance may be one of the main reasons why treatment fails. Although this resistance has frequently been linked to the expression of O6-methylguanine-DNA methyltransferase (MGMT) it seems that this enzyme is not the only molecular mechanism that may account for the appearance of drug resistance in glioblastoma multiforme patients as the mismatch repair (MMR) complex, P-glycoprotein, and/or the presence of cancer stem cells may also be implicated.METHODSFour nervous system tumor cell lines were used to analyze the modulation of MGMT expression and MGMT promoter methylation by TMZ treatment. Furthermore, 5-aza-2'-deoxycytidine was used to demethylate the MGMT promoter and O(6)-benzylguanine to block GMT activity. In addition, MMR complex and P-glycoprotein expression were studied before and after TMZ exposure and correlated with MGMT expression. Finally, the effect of TMZ exposure on CD133 expression was analyzed.RESULTSOur results showed two clearly differentiated groups of tumor cells characterized by low (A172 and LN229) and high (SF268 and SK-N-SH) basal MGMT expression. Interestingly, cell lines with no MGMT expression and low TMZ IC50 showed a high MMR complex expression, whereas cell lines with high MGMT expression and high TMZ IC50 did not express the MMR complex. In addition, modulation of MGMT expression in A172 and LN229 cell lines was accompanied by a significant increase in the TMZ IC50, whereas no differences were observed in SF268 and SK-N-SH cell lines. In contrast, P-glycoprotein and CD133 was found to be unrelated to TMZ resistance in these cell lines.CONCLUSIONSThese results may be relevant in understanding the phenomenon of TMZ resistance, especially in glioblastoma multiforme patients laking MGMT expression, and may also aid in the design of new therapeutic strategies to improve the efficacy of TMZ in glioblastoma multiforme patients. PB Public Library of Science YR 2015 FD 2015-10-08 LK http://hdl.handle.net/10668/2596 UL http://hdl.handle.net/10668/2596 LA en NO Perazzoli G, Prados J, Ortiz R, Caba O, Cabeza L, Berdasco M, et al. Temozolomide Resistance in Glioblastoma Cell Lines: Implication of MGMT, MMR, P-Glycoprotein and CD133 Expression. PLoS ONE. 2015; 10(10):e0140131 NO Journal Article; Research Support, Non-U.S. Gov't; DS RISalud RD Apr 17, 2025