Abstract

Low efficiency of chemotherapy in ovarian cancer results from the development of drug resistance. Cisplatin (CIS) and topotecan (TOP) are drugs used in chemotherapy of this cancer. We analyzed the development of CIS and TOP resistance in ovarian cancer cell lines. Incubation of drug sensitive cell lines (W1 and A2780) with cytostatic drugs was used to determine the primary response to CIS and TOP. Quantitative polymerase chain reaction (Q-PCR) was performed to measure the expression levels of the genes. We observed decreased expression of the MCTP1 gene in all resistant cell lines. We observed overexpression of the S100A3 and HERC5 genes in TOP-resistant cell lines. Increased expression of the S100A3 gene was also observed in CIS-resistant A2780 sublines. Overexpression of the C4orf18 gene was observed in CIS- and TOP-resistant A2780 sublines. A short time of exposure to CIS led to increased expression of the ABCC2 gene in the W1 and A2780 cell lines and increased expression of the C4orf18 gene in the A2780 cell line. A short time of exposure to TOP led to increased expression of the S100A3 and HERC5 genes in both sensitive cell lines, increased expression of the C4orf18 gene in the A2780 cell line and downregulation of the MCTP1 gene in the W1 cell line. Our results suggest that changes in expression of the MCTP1, S100A3 and C4orf18 genes may be related to both CIS and TOP resistance. Increased expression of the HERC5 gene seems to be important only in TOP resistance.

Highlights

  • One of the main reasons for the low effectiveness of chemotherapy in neoplastic disease is the development of drug resistance

  • We investigated the expression of new genes that may be related to resistance this study, we investigated the expression of new genes that may be related to resistance

  • Our results show the expression of new genes in response to CIS and TOP treatment in ovarian cancer cell lines

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Summary

Introduction

One of the main reasons for the low effectiveness of chemotherapy in neoplastic disease is the development of drug resistance. During contact with cytotoxic agents, patients of ovarian cancer develop resistance to these drugs [1,2]. Approximately 80% of patients with advanced ovarian cancer, from whom good response was obtained after the first-line of treatment, will have a recurrence and will require a continuation of the treatment. Based on their response to cisplatin (CIS), patients can be divided into the following groups: sensitive to platinum—recurrence after 12 months or more (54.9%); partially sensitive to platinum—recurrence within 6–12 months after completion of treatment (22.7%); not sensitive to platinum—recurrence within six months after treatment (17.2%); and resistant to platinum—lack of remission or progression during treatment (5.3%). The sensitive group can be further divided into patients who were probably cured

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