Association between acquired resistance to PLX4032 (vemurafenib) and ATP-binding cassette transporter expression
© Michaelis et al.; licensee BioMed Central Ltd. 2014
Received: 21 August 2014
Accepted: 2 October 2014
Published: 10 October 2014
Various kinase inhibitors are known to be ATP-binding cassette (ABC) transporter substrates and resistance acquisition to kinase inhibitors has been associated to increased ABC transporter expression. Here, we investigated the role of the ABC transporters ABCB1, ABCC1, and ABCG2 during melanoma cell resistance acquisition to the V600-mutant BRAF inhibitors PLX4032 (vemurafenib) and PLX4720. PLX4032 had previously been shown to interfere with ABCB1 and ABCG2. PLX4720 had been demonstrated to interact with ABCB1 but to a lower extent than PLX4032.
PLX4032 and PLX4720 affected ABCC1- and ABCG2-mediated drug transport in a similar fashion. In a panel of 16 V600E BRAF-mutated melanoma cell lines consisting of four parental cell lines and their sub-lines with acquired resistance to PLX4032, PLX4720, vincristine (cytotoxic ABCB1 and ABCC1 substrate), or mitoxantrone (cytotoxic ABCG2 substrate), we detected enhanced ABC transporter expression in 4/4 cytotoxic ABC transporter substrate-resistant, 3/4 PLX4720-resistant, and 1/4 PLX4032-resistant melanoma cell lines.
PLX4032 has the potential to induce ABC transporter expression but this potential is lower than that of PLX4720 or cytotoxic ABC transporter substrates. Since ABC transporters confer multi-drug resistance, this is of relevance for the design of next-line therapies.
KeywordsVemurafenib PLX4032 PLX4720 Acquired drug resistance Melanoma Mitoxantrone Vincristine ABCB1 ABCC1 ABCG2
The oncogenic V600-mutant BRAF inhibitor PLX4032 (vemurafenib) caused improved response and survival rates in V600-mutant BRAF melanoma patients but PLX4032 resistance formation remains inevitable. Resistance mechanisms involve activation of alternative kinases and non-related compensatory pathways [1, 2]. Although protein kinase inhibitors are rather specific drugs (particularly in comparison to the cytotoxic anti-cancer chemotherapeutics) they are also known to exert off-target effects [3–5]. For example, different protein kinase inhibitors interfere with drug transport mediated by various ATP binding cassette (ABC) transporters including ABCB1 (also known as MDR1 or P-glycoprotein), ABCC1 (also known as MRP1), and ABCG2 (also known as BCRP) [3, 4, 6–9].
ABC transporters play important roles in the passage of drugs, xenobiotics, and food constituents through cellular and tissue barriers and consequently in their absorption, distribution, and excretion. Moreover, different ABC transporters are frequently found highly expressed on cancer cells playing an important role in cancer cell chemoresistance [10–12]. Resistance acquisition to kinase inhibitors may be associated with enhanced ABC transporter expression on cancer cells [13–15].
Some information is already available on the effects of PLX4032 and the closely related V600-mutant BRAF inhibitor PLX4720  on ABC transporter function. PLX4032 and PLX4720 both interfere with ABCB1-mediated drug transport [17–19]. PLX4032 was also shown to interact with ABCG2 (also known as BCRP) [17, 18]. ABCG2 expression was suggested to be an acquired resistance mechanism to PLX4032  although data on ABCG2 expression in cells with acquired PLX4032 resistance are missing.
Recently, we had shown that PLX4032 and PLX4720 differed in their effects on ABCB1-mediated drug transport. Despite the structural similarity of these compounds PLX4032 interfered stronger with ABCB1 function than PLX4720 . Here, we 1) compared the effects of PLX4032 and PLX4720 on ABCG2 and ABCC1 and 2) investigated whether resistance acquisition to these compounds may be associated with enhanced ABC transporter expression.
Effects of PLX4032 and PLX4720 on ABCG2 and ABCC1 function
In wash-out experiments, cellular BODIPY-prazosine fluorescence levels declined rapidly in UKF-NB-3ABCG2 cells (Figure 1B), likely because the removal of extracellular PLX4032 and PLX4720 resulted in the rapid ABCG2-mediated efflux of PLX4032/PLX4720 and BODIPY-prazosine. PLX4032 and PLX4720 increased ABCG2 ATPase activity in an isolated membrane assay (Figure 1C) indicating binding and activation of ABCG2 by these compounds. Further, PLX4032 and PLX4720 concentration-dependently enhanced the toxicity of the ABCG2 substrate mitoxantrone in UKF-NB-3ABCG2 cells but not of non-transduced UKF-NB-3 cells or UKF-NB-3 cells transduced with a control vector (Additional file 2: Table S1) as indicated by MTT assay after five day incubation. These findings are in accordance with previous studies demonstrating PLX4032 to be an ABCG2 substrate [17, 18, 20].
PLX4032 and PLX4720 also sensitised two wild-type BRAF melanoma cell lines, IPC-298 and SK-Mel-30 (DSMZ, Braunschweig, Germany), that express ABCB1, ABCC1, and ABCG2 (Additional file 4: Table S3) to vincristine and mitoxantrone (Additional file 5: Table S4). Taken together, these results show that PLX4032 and PLX4720 interfere with ABCC1 and ABCG2 in a similar fashion.
ABC transporter expression in V600E BRAF-mutated melanoma cell lines with acquired resistance to PLX4032 and PLX4720
Colo-679rVCR10, MelHOrVCR20, IGR-39rPLX472020 μM, and RVH-421rPLX472010 μM expressed increased ABCB1 levels, IGR-39rVCR10, IGR-39rPLX403220 μM, and IGR-39rPLX472020 μM high ABCC1 levels, IGR-39rVCR10, MelHOrPLX472010 μM, RVH-421rMITOX10, and RVH-421rPLX472010 μM high ABCG2 levels (Figure 3). The ABC transporters conferred resistance to the cytotoxic ABC transporter substrates vincristine (ABCB1, ABCC1) and mitoxantrone (ABCG2) but not to PLX4032 or PLX4720 (Additional file 7: Table S6). These data show that V600-mutant melanoma cells with acquired resistance to PLX4032 may express enhanced ABC transporter levels. However, the potential of PLX4032 to induce ABC transporter expression appears to be lower compared to PLX4720, although both molecules differ in just one phenyl group (Additional file 8: Figure S2), and cytotoxic ABC transporter substrates.
The finding that resistance acquisition to PLX4032 and PLX4720 may be associated with enhanced ABCB1 expression is in line with data showing resistance acquisition to other kinase inhibitors to be associated with ABCB1, ABCC1, and ABCG2 expression [13–15, 26].
PLX4032 had previously been shown to interfere substantially stronger with ABCB1 than PLX4720  while we show here that both compounds display similar effects on ABCG2 and ABCC1. Therefore, differing levels of interaction with the investigated ABC transporters do not explain the enhanced ABC transporter expression in PLX4720-resistant relative to PLX4032-resistant cells. ABC transporter up-regulation may be part of the cellular stress response, and anti-cancer drug-induced stress may induce ABC transporter expression regardless of whether the drugs are ABC transporter substrates [27–29]. PLX4720 induced more pronounced toxic off-target effects (IC50 15.04 ± 0.60 μM in BRAF wild-type UKF-NB-3 cells) than PLX4032 (IC50 30.61 ± 1.37 μM in UKF-NB-3). Also, we detected enhanced ABCG2 expression in IGR-39rVCR10 cells although vincristine is not regarded to be an ABCG2 substrate.
In conclusion, we show that PLX4032 and PLX4720 interfere with ABCC1- and ABCG2-mediated drug transport. Since ABC transporters play important roles in the absorption, distribution, and excretion of drugs these findings are of potential clinical relevance when PLX4032 is co-administered with anti-cancer drugs or non-cancer-related drugs that are ABC transporter substrates [10–12]. The investigation of a panel of 16 BRAF V600-mutant melanoma cell lines suggested that resistance acquisition to PLX4032 may be associated with enhanced ABC transporter expression although PLX4720 and cytotoxic ABC transporter substrates are stronger inducers of ABC transporter expression than PLX4032. This is of relevance for the design of next-line therapies for melanomas with acquired PLX4032 resistance since ABC transporters including ABCB1, ABCC1, and ABCG2 confer multi-drug resistance [10–12]. The potential clinical implications of our findings are outlined in Additional file 9: Figure S3.
Availability of supporting data
The data sets supporting the results of this article are included within the article and its additional files.
The authors thank Kristoffer Riecken and Boris Fehse (Universitätsklinikum Hamburg-Eppendorf) for provision of and support with the LeGO vectors.
The work was supported by the Hilfe für krebskranke Kinder Frankfurt e.V. (JCjr, MM), the Frankfurter Stiftung für krebskranke Kinder (JCjr, MM), the Royal Society (MM), and the Kent Cancer trust (MM).
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