Carcinogenesis Advance Access originally published online on May 14, 2009
Carcinogenesis 2009 30(8):1298-1304; doi:10.1093/carcin/bgp120
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Prolactin confers resistance against cisplatin in breast cancer cells by activating glutathione-S-transferase
Department of Cancer and Cell Biology
1 Shriners Burns Institute
2 Department of Chemistry, University of Cincinnati, Cincinnati, OH 45267, USA
* To whom correspondence should be addressed. Nira Ben-Jonathan, Department of Cancer and Cell Biology, University of Cincinnati, 3125 Eden Avenue, Cincinnati, OH 45267-0521, USA. Tel: +1 513 558 4821; Fax: +1 513 558 4823; Email: nira.ben-jonathan{at}uc.edu
Resistance to chemotherapy is a major obstacle for successful treatment of breast cancer patients. Given that prolactin (PRL) acts as an anti-apoptotic/survival factor in the breast, we postulated that it antagonizes cytotoxicity by chemotherapeutic drugs. Treatment of breast cancer cells with PRL caused variable resistance to taxol, vinblastine, doxorubicin and cisplatin. PRL prevented cisplatin-induced G2/M cell cycle arrest and apoptosis. In the presence of PRL, significantly less cisplatin was bound to DNA, as determined by mass spectroscopy, and little DNA damage was seen by
-H2AX staining. PRL dramatically increased the activity of glutathione-S-transferase (GST), which sequesters cisplatin in the cytoplasm; this increase was abrogated by Jak and mitogen-activated protein kinase inhibitors. PRL upregulated the expression of the GSTµ, but not the
, isozyme. A GST inhibitor abrogated antagonism of cisplatin cytotoxicity by PRL. In conclusion, PRL confers resistance against cisplatin by activating a detoxification enzyme, thereby reducing drug entry into the nucleus. These data provide a rational explanation for the ineffectiveness of cisplatin in breast cancer, which is characterized by high expression of both PRL and its receptor. Suppression of PRL production or blockade of its actions should benefit patients undergoing chemotherapy by allowing for lower drug doses and expanded drug options.
Abbreviations: CSS, charcoal-stripped serum; GST, glutathione-S-transferase; MAPK, mitogen-activated protein kinase; MRP, multidrug resistance-associated protein; 468, MDA-MB-468; PI, propidium iodide; PI3K, phosphoinositide-3 kinase; PRL, prolactin; PRL-R, prolactin receptor
Received February 6, 2009; revised May 1, 2009; accepted May 8, 2009.