Biological parameters influencing the response of human
colorectal cancers (
CRCs) to
CPT-11, a topoisomerase 1 (top1) inhibitor, were investigated using a panel of nine
CRCs xenografted into nude mice. CRC xenografts differed in their p53 status (wt or muf) and in their
microsatellite instability phenotype (MSI+ when altered). Five CRC xenografts were established from clinical samples. All five had a functional p53, two were MSI+ and three were MSI-. Tumour-bearing nude mice were treated intraperitonealy (i.p.) with
CPT-11.
At 10 mg kg(-1) of
CPT-11, four
injections at 4-day intervals, four of the five xenografts responded to
CPT-11 (growth delay of up to 10 days); the non-responder tumour was MSI-. At 40 mg kg(-1) of
CPT-11, six
injections at 4-day intervals, the five
CRCs displayed variable but marked responses with complete regressions. In order to assess the role of p53 status in
CPT-11 response, four CRC lines were used. HT29 cell line was MSI-/Ala273-mutp53, its subclone HT29A3 being transfected by wtp53. LoVo cell line was MSI+/wtp53, its subclone X17LoVo dominantly expressed Ala273-mutp53 after transfection. LoVo tumours (MSI+/mutp53) were more sensitive than X17LoVo (MSI+/mutp53. HT 29 tumours (MSI-Imutp53), were refractory to
CPT-11 while HT29A3 tumours (MSI-/wtp53) were sensitive, showing that wtp53 improves the
drug-response in these MSI- tumours. Levels of
mRNA expression of top1, fasR, TP53 and mdr1 were semi-quantified by reverse transcription polymerase chain reaction. None of these parameters correlated with
CPT-11 response. Taken together, these observations indicate that MSI and p53 alterations could be associated with different
CPT-11 sensitivities; MSI phenotype moderately influences the
CPT-11 sensitivity, MSI+ being more sensitive than MSI(-)CRC freshly obtained from patients, mutp53 status being associated with a poor response to
CPT-11.