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Acquisition of paclitaxel resistance is associated with a more aggressive and invasive phenotype in prostate cancer.

Abstract
Drug resistance is a major limitation to the successful treatment of advanced prostate cancer (PCa). Patients who have metastatic, castration-resistant PCa (mCRPC) are treated with chemotherapeutics. However, these standard therapy modalities culminate in the development of resistance. We established paclitaxel resistance in a classic, androgen-insensitive mCRPC cell line (DU145) and, using a suite of molecular and biophysical methods, characterized the structural and functional changes in vitro and in vivo that are associated with the development of drug resistance. After acquiring paclitaxel-resistance, cells exhibited an abnormal nuclear morphology with extensive chromosomal content, an increase in stiffness, and faster cytoskeletal remodeling dynamics. Compared with the parental DU145, paclitaxel-resistant (DU145-TxR) cells became highly invasive and motile in vitro, exercised greater cell traction forces, and formed larger and rapidly growing tumors in mouse xenografts. Furthermore, DU145-TxR cells showed a discrete loss of keratins but a distinct gain of ZEB1, Vimentin and Snail, suggesting an epithelial-to-mesenchymal transition. These findings demonstrate, for the first time, that paclitaxel resistance in PCa is associated with a trans-differentiation of epithelial cell machinery that enables more aggressive and invasive phenotype and portend new strategies for developing novel biomarkers and effective treatment modalities for PCa patients.
AuthorsJohn J Kim, Bo Yin, Christhunesa S Christudass, Naoki Terada, Krithika Rajagopalan, Ben Fabry, Danielle Y Lee, Takumi Shiraishi, Robert H Getzenberg, Robert W Veltri, Steven S An, Steven M Mooney
JournalJournal of cellular biochemistry (J Cell Biochem) Vol. 114 Issue 6 Pg. 1286-93 (Jun 2013) ISSN: 1097-4644 [Electronic] United States
PMID23192682 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
CopyrightCopyright © 2012 Wiley Periodicals, Inc.
Chemical References
  • Antineoplastic Agents, Phytogenic
  • KRT18 protein, human
  • KRT8 protein, human
  • Keratin-18
  • Keratin-19
  • Keratin-8
  • Paclitaxel
Topics
  • Animals
  • Antineoplastic Agents, Phytogenic (pharmacology)
  • Cell Line, Tumor (drug effects)
  • Cell Movement
  • Cell Nucleus (drug effects)
  • Drug Resistance, Neoplasm
  • Epithelial-Mesenchymal Transition
  • Humans
  • Inhibitory Concentration 50
  • Keratin-18 (metabolism)
  • Keratin-19 (metabolism)
  • Keratin-8 (metabolism)
  • Male
  • Mice
  • Neoplasm Invasiveness
  • Paclitaxel (pharmacology)
  • Prostatic Neoplasms (drug therapy, pathology)
  • Xenograft Model Antitumor Assays

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