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Blood, 15 September 2001, Vol. 98, No. 6, pp. 1897-1903
NEOPLASIA
Reduction in drug-induced DNA double-strand breaks associated
with 1 integrin-mediated adhesion correlates with drug
resistance in U937 cells
Lori A. Hazlehurst,
Nikola Valkov,
Lee Wisner,
Jonathan A. Storey,
David Boulware,
Daniel M. Sullivan, and
William S. Dalton
From the Department of Interdisciplinary Oncology and
Clinical Investigations Program and the Biostatistical Department, H. Lee Moffitt Cancer Center and Research Institute, University of South
Florida, Tampa, FL.
We previously showed that adhesion of myeloma cells to fibronectin
(FN) by means of 1 integrins causes resistance to certain cytotoxic
drugs. The study described here found that adhesion of U937 human
histiocytic lymphoma cells to FN provides a survival advantage with
respect to damage induced by the topoisomerase (topo) II inhibitors
mitoxantrone, doxorubicin, and etoposide. Apoptosis induced by a topo
II inhibitor is thought to be initiated by DNA damage. The neutral
comet assay was used to determine whether initial drug-induced DNA
damage correlated with cellular-adhesion-mediated drug resistance.
Cellular adhesion by means of 1 integrins resulted in a 40% to 60%
reduction in mitoxantrone- and etoposide-induced DNA double-strand
breaks. When the mechanisms regulating the initial drug-induced DNA
damage were examined, a 1 integrin-mediated reduction in
drug-induced DNA double-strand breaks was found to correlate with
reduced topo II activity and decreased salt-extractable nuclear topo
II protein levels. Confocal studies showed changes in the nuclear
localization of topo II ; however, alterations in the
nuclear-to-cytoplasmic ratio of topo II in FN-adhered cells were not
significantly different. Furthermore, after a high level of salt
extraction of nuclear proteins, higher levels of topo II -associated
DNA binding were observed in FN-adhered cells than in cells in
suspension. Together, these data suggest that topo II is more
tightly bound to the nucleus of FN-adhered cells. Thus, FN adhesion by
means of 1 integrins appears to protect U937 cells from initial
drug-induced DNA damage by reducing topo II activity secondarily to
alterations in the nuclear distribution of topo II .

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