Resistance to various anti-neoplastic agents is a common observation in clinical management of
melanoma. The
biologic mechanisms conferring these different
drug-resistant phenotypes, including resistance against the commonly used anti-
cancer drug cisplatin, are unclear. In order to elucidate the role of the membrane
adenosine triphosphate binding cassette-transporter
cMOAT (canalicular multispecific
anion transporter) (MRP2/ABCC2) in
cisplatin resistance of
melanoma, the expression of this
protein was analyzed in the
platinum drug-resistant cell line MeWo CIS 1.
Cisplatin-resistant
melanoma cells showed a distinct overexpression of
cMOAT on
mRNA and
protein level. This observation was accompanied by a reduced formation of
platinum-induced intrastrand cross-links in the nuclear
DNA measured by an immunocytologic assay. This decrease in
DNA platination was accompanied by an accelerated re-entry into the cell cycle after the typical
cisplatin-induced G2 arrest, and a resistance to undergo apoptosis. Kinetics of formation and elimination of
platinum-
DNA adducts suggest that the DNA repair capacity for Pt-
d(GpG) adducts was not elevated in
platinum drug-resistant
melanoma cells. The decrease in
platinum-
DNA adduct formation in
cisplatin-resistant
melanoma cells was rather a reflection of the protecting activity of the transporter
cMOAT. In conclusion, the functional inhibition of
cMOAT might be a promising strategy in the reversal of resistance to
platinum-based anti-
cancer drugs in human
melanoma.