The phenomenon of multidrug resistance (MDR) in human
cancers is one of the major causes of failure of
chemotherapy. A recently identified new member of the superfamily of
ATP-binding cassette transporters,
breast cancer resistance
protein (BCRP), was demonstrated to confer an atypical multidrug-resistant phenotype to
tumor cells. To overcome the BCRP-mediated drug resistance, a specific anti-BCRP
hammerhead ribozyme was introduced into the human gastric
carcinoma cell line, EPG85-257RNOV, exhibiting an atypical MDR phenotype. By this approach, the expression levels of the targeted BCRP-encoding
mRNA and the BCRP
transport protein were decreased to the low constitutive expression level that was observed in highly
drug-sensitive parental gastric
carcinoma cells. In addition, in the anti-BCRP
ribozyme-treated cells, the cellular
drug accumulation was dramatically increased to the level measured in
drug-sensitive cells. These effects were accompanied by an extensive reversal of the
drug-resistant phenotype of more than 80%. Because additional mechanisms contribute to the multimodal-mediated MDR phenotype exhibited by this gastric
carcinoma cell line, the data suggest that the BCRP-mediated contingent to the drug resistance was overcome nearly completely. Moreover, the data indicate that
ribozyme-based gene therapy may be clinically applicable in preventing and reversing BCRP-mediated atypical MDR.