Establishment of Methotrexate-Resistant Human Acute Lymphoblastic Leukemia Cells in Culture and Effects of Folate Antagonists

Taisuke Ohnoshi, Takao Ohnuma, Isao Takahashi, James F. Helland, Kevin Scanlon, Bartoa A. Kamen

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A human acute lymphoblastic T-cell line, MOLT-3, was fed with Roswell Park Memorial Institute Medium 1640-10% fetal bovine serum-antibiotics, containing increasing concentrations of methotrexate (MTX). After 10 months of feeding, the cells became resistant to 10-7 m MTX; resistance was not reversed when the cells were placed in the original MTX-free medium. At 10-7 m MTX, the concentration which produced complete inhibition of the parent MOLT-3 cell growth, the resistant cells were not inhibited at all. On a 50% inhibitory concentration basis, the resistant cells were approximately 30-fold more resistant to MTX. The parent MOLT-3 and the resistant line had the same doubling time of approximately 36 hr. There were no differences in light microscopic morphology. MOLT-3 produced loose colonies on 0.5% agar enriched with fetal bovine serum, whereas the colonies of the resistant line were tightly packed. The development of resistance was accompanied by a 4- to 5-fold decrease in [3H]MTX transport (MOLT-3/MTXt). Kinetic analysis of MTX uptake showed that the resistant subline did not have an altered Km for MTX (6.6 µm) but had a decreased Vmax of about 20% of the parent cell line. These data suggest that either the number of folate transport sites or the turnover rate of these sites has been reduced in the MTX-resistant cell line. Dihydrofolate reductase was only minimally elevated in the resistant cell line. The MTX-resistant cell line was cross-resistant to dichloromethotrexate. The sensitivity of the resistant line to the substituted 2,4-diaminoquinazoline and pyrimidine compounds, 2,4-diamino-5-methyl-6-[(3́,4́,5́-tri-methoxyanilino) methyl] quinazoline (JB-11) and 2,4-diamino-5-(3́-dichlorophenyl)-6-methylpyrimidine, increased more than 3-fold. While leucovorin equally reversed the MTX effects on the parent and resistant cells, leucovorin reversal of 2,4-diamino-5-methyl-6-{(3́4́,5́-trimethoxyanilino) methyl] quiazoline and 2,4-diamino-5-(3́,4́-dichlorophenyl)-6-methylpyr-imidine effects was limited only to the parent cell line. 2,4-diamino-5-methyl-6-{(3́,4́,5́-trimethoxyanilino) methyl] quinazoline or 2,4-diamino-5-(3́,4́-dichlorophenyl)-6-methylpyrimi-dine plus leucovorin might prove to be unique in treating patients with acute lymphoblastic leukemia when the leukemic cells develop transport resistance to MTX.

Original languageEnglish
Pages (from-to)1655-1660
Number of pages6
JournalCancer Research
Issue number5
StatePublished - 1 May 1982
Externally publishedYes


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