The proto-oncogene c-Myc is overexpressed in 70% of colorectal tumours and can modulate proliferation and apoptosis after cytotoxic insult. Using an isogenic cell system, we demonstrate that c-Myc overexpression in colon
carcinoma LoVo cells resulted in sensitisation to
camptothecin-induced apoptosis, thus identifying c-Myc as a potential marker predicting response of colorectal tumour cells to
camptothecin. Both
camptothecin exposure and c-Myc overexpression in LoVo cells resulted in elevation of p53
protein levels, suggesting a role of p53 in the c-Myc-imposed sensitisation to the apoptotic effects of
camptothecin. This was confirmed by the ability of
PFT-alpha, a specific inhibitor of p53, to attenuate
camptothecin-induced apoptosis. p53 can induce the expression of p21(Waf1/Cip1), an antiproliferative
protein that can facilitate DNA repair and drug resistance. Importantly, although
camptothecin treatment markedly increased p21(Waf1/Cip1) levels in parental LoVo cells, this effect was abrogated in c-Myc-overexpressing derivatives. Targeted inactivation of p21(Waf1/Cip1) in HCT116
colon cancer cells resulted in significantly increased levels of apoptosis following treatment with
camptothecin, demonstrating the importance of p21(Waf1/Cip1) in the response to this agent. Finally,
cDNA microarray analysis was used to identify genes that are modulated in expression by c-Myc upregulation that could serve as additional markers predicting response to
camptothecin. Thirty-four sequences were altered in expression over four-fold in two isogenic c-Myc-overexpressing clones compared to parental LoVo cells. Moreover, the expression of 10 of these genes was confirmed to be significantly correlated with response to
camptothecin in a panel of 30
colorectal cancer cell lines.