Epigenetic Mechanisms of Drug Resistance: Drug-Induced DNA Hypermethylation and Drug Resistance

In a model system employing Chinese hamster V-79 cells, the DNA synthesis inhibitor 3'-azido-3'-deoxythymidine (BW A509U, AZT) was shown to induce genome-wide DNA hypermethylation, low-frequency silencing of thymidine kinase (TK; EC 2.7.1.21) gene expression, and resistance to AZT. Twenty-...

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Published in:Proceedings of the National Academy of Sciences - PNAS Vol. 90; no. 7; pp. 2960 - 2964
Main Authors: Nyce, Jonathan, Leonard, Sherry, Canupp, Dawn, Schulz, Stefan, Wong, So
Format: Journal Article
Language:English
Published: Washington, DC National Academy of Sciences of the United States of America 01-04-1993
National Acad Sciences
National Academy of Sciences
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Summary:In a model system employing Chinese hamster V-79 cells, the DNA synthesis inhibitor 3'-azido-3'-deoxythymidine (BW A509U, AZT) was shown to induce genome-wide DNA hypermethylation, low-frequency silencing of thymidine kinase (TK; EC 2.7.1.21) gene expression, and resistance to AZT. Twenty-four hours of exposure of V-79 cells to 150 μM AZT led to >2-fold enhancement of genomic 5-methylcytosine levels and produced TK-epimutants at a rate ≈43-fold above background. Such AZT-induced TK-epimutants were shown to be severely reduced in their capacity to activate AZT to its proximate antiviral form, AZT 5'-monophosphate, as compared with the TK+parental cell line from which they were derived. TK-clones isolated under these conditions were shown to be 9- to 24-fold more resistant to the cytotoxic effects of AZT than the parental TK+cell line and showed collateral resistance to 5-fluoro-2'-deoxyuridine. Three of four TK-epimutants could be reactivated at very high frequency (8-73%) to the TK+AZT-sensitive phenotype by 24 hr of exposure to the demethylating agent 5-azadeoxycytidine (5-azadC), implying that drug-induced DNA hypermethylation, rather than classical mutation, was involved in the original gene-silencing event in these three clones. These 5-azadC-induced TK+revertants concomitantly regained the ability to metabolize AZT to its 5'-monophosphate. RNA slot blot analyses indicated that the four AZT-induced TK-clones expressed 8.9%, 15.6%, 17.8%, and 11.1% of the parental level of TK mRNA. The three clones that were reactivatable by 5-azadC showed reexpression of TK mRNA to levels 84.4%, 51.1%, and 80.0% that of the TK+parental cell line. These experiments show that one potential mechanism of drug resistance involves drug-induced DNA hypermethylation and resulting transcriptional inactivation of cellular genes whose products are required for drug activation.
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ISSN:0027-8424
1091-6490
DOI:10.1073/pnas.90.7.2960