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Journal article

Cellular polarity modulates drug resistance in primary colorectal cancers via orientation of the multidrug resistance protein ABCB1

Abstract:
Colonic epithelial cells are highly polarised with a lumen‐facing apical membrane, termed the brush border, and a basal membrane in contact with the underlying extracellular matrix (ECM). This polarity is often maintained in cancer tissue in the form of neoplastic glands and has prognostic value. We compared the cellular polarity of several ex vivo spheroid colonic cancer cultures with their parental tumours and found that those grown as non‐attached colonies exhibited apical brush border proteins on their outer cellular membranes. Transfer of these cultures to an ECM such as collagen re‐established the centralised apical polarity observed in vivo. The multidrug resistance protein ABCB1 also became aberrantly polarised to outer colony membranes in suspension cultures, unlike cultures grown in collagen where it was polarised to central lumens. This polarity switch was dependent on the presence of serum, or selected serum components including EGF, TGFB1 and IGF1. The apical/basal orientation of primary cancer colon cultures cultured in collagen/serum was modulated by α2β1 integrin signalling. The polarisation of ABCB1 in colonies significantly altered drug uptake and sensitivity, as the outward polarisation of ABCB1 in suspension colonies effluxed substrates more effectively than ECM grown colonies with ABCB1 polarised to central lumens. Thus serum free suspension colonies were more resistant to a variety of anticancer drugs than ECM grown colonies. In conclusion the local stroma, or absence thereof, can have profound effects on the sensitivity of colorectal cultures to drugs that are ABCB1 substrates.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1002/path.5179

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
RDM
Sub department:
Weatherall Insti. of Molecular Medicine
Oxford college:
Mansfield College
Role:
Author
ORCID:
0000-0002-1655-5137
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
RDM; Weatherall Inst of Molecular Medicine
Role:
Author



Publisher:
John Wiley and Sons, Ltd.
Journal:
Journal of Pathology More from this journal
Volume:
247
Issue:
3
Pages:
293-304
Publication date:
2018-10-10
Acceptance date:
2018-10-02
DOI:
EISSN:
1096-9896
ISSN:
0022-3417
Pmid:
30306567


Language:
English
Keywords:
Pubs id:
pubs:927671
UUID:
uuid:381a8220-42b4-471f-b933-667338dec489
Local pid:
pubs:927671
Source identifiers:
927671
Deposit date:
2018-10-16

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