Doxorubicin-resistant Friend
erythroleukemia cells, line F4-6 ADM2R, were selected by exposure of wild-type F4-6 cells to
doxorubicin concentrations of up to 1 microgram/ml. In these cells, increased expression of multidrug resistance (MDR) genes was demonstrated by Northern blot analysis. The growth-inhibitory effect of
doxorubicin,
daunorubicin,
N,N-dimethyldoxorubicin,
N,N-dimethyldaunorubicin,
morpholinodoxorubicin, and
pyrromycin was comparatively investigated in resistant and wild-type cells. The
doxorubicin-resistant F4-6 cells showed approx. 200-fold resistance to
doxorubicin and about 100-fold resistance to
daunorubicin with respect to the
drug-sensitive counterpart. A dramatic decrease in resistance was observed for the N,N-dimethylated derivatives of
doxorubicin and
daunorubicin as well as for the N,N-dimethylated natural
anthracycline pyrromycin and for
morpholinodoxorubicin. Uptake studies using [14C]-
daunorubicin and [14C]-
N,N-dimethyldaunorubicin in resistant F4-6 cells showed a decreased accumulation of
daunorubicin but no significant reduction in
N,N-dimethyldaunorubicin accumulation as compared with the wild-type cells. Treatment with
verapamil led to increased intracellular levels of
daunorubicin in resistant cells, whereas an excess of
N,N-dimethyldaunorubicin did not have this effect. Thus, the decreased resistance of the
doxorubicin-resistant F4-6 cells to the N-alkylated
anthracyclines may at least in part be due to a reduced affinity of these compounds for the efflux pump. The results indicate that the dimethylation of the amino group of the
anthracycline sugar moiety and its incorporation within a morpholinyl ring may overcome MDR by similar mechanisms.