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Short-Term Serum Deprivation Confers Sensitivity to Taxanes in Platinum-Resistant Human Ovarian Cancer Cells
  1. Seiji Isonishi, MD*,
  2. Motoaki Saito, MD,
  3. Misato Saito, BA and
  4. Tadao Tanaka, MD
  1. * Department of Obstetrics/Gynecology, Jikei University Daisan Hospital, Izumi-honnchou, Komae-shi, Tokyo; and
  2. Department of Obstetrics/Gynecology, Jikei University School of Medicine, Nishi-shinbashi, Minato-ku, Tokyo, Japan.
  1. Address correspondence and reprint requests to Seiji Isonishi, MD, Department of Obstetrics/Gynecology, Jikei University Daisan Hospital, 4-11-1 Izumi-honnchou, Komae-shi, Tokyo 201-8601, Japan. E-mail: isonishi{at}


Background Based on the evidences showing that serum deprivation provokes apoptosis in a variety of cells, we have investigated the effect of serum deprivation on drug sensitivity.

Methods After human ovarian cancer cells were preincubated in 0.5 % serum containing medium for 12 hours, cellular drug sensitivities were determined by colony-forming assay.

Results Serum deprivation treatment resulted in significant increase in paclitaxel sensitivity by factors of mean ± SD, 148.6 ± 28.1 and 10.1 ± 1.0 (n = 3; P < 0.001) fold in platinum-resistant C13 and CP70 cells, respectively. Similarly, serum deprivation induced significant docetaxel sensitivity in these cell lines. However, no enhancement effect of serum deprivation was observed in platinum-sensitive 2008 and A2780 cells. Serum deprivation did not have any effect on the sensitivities to cisplatin, vincristin, and doxorubicin in all of these cells. More than 7-fold increase of apoptotic cells were observed in C13 or CP70 cells when they were treated by serum deprivation followed by paclitaxel compared with the treatment of either serum deprivation or paclitaxel alone. Confocal laser microscopy using rhodamine 123 and flow cytometric analysis with 3,3′-dihexyloxacarbocyanine iodide revealed that serum deprivation decreased mitochondrial membrane potential in C13 or CP70 cells, whereas no change was observed in 2008 and A2780 cells. This indicates that serum deprivation induced depolarization specifically in platinum-resistant cells. Electron microscopy revealed that serum deprivation caused regeneration of mitochondrial matrix structure in C13 or CP70 cells where mitochondria were usually destructed and disappeared.

Discussions These results indicate that serum deprivation confers taxane hypersensitivity specifically in platinum-resistant cells by recovering their impaired mitochondrial functions. The evidence might be clinically beneficial for the development of new chemotherapeutic technology, particularly for the patients with platinum-resistant ovarian cancer.

  • Platinum resistant
  • Taxanes
  • Drug sensitivity
  • Serum deprivation
  • Mitochondria

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  • The authors have no conflict of interest.