Abstract:Objective To study the mechanisms of cisplatin resistance of human lung adenocarcinoma cell lines A549 and A549/DDP. Methods Human lung adenocarcinoma A549 cells and a cisplatin-resistant derivative A549/DDP were treated with varying concentrations of cisplatin. The changes in cell growth, cytotoxicity and apoptosis were explored. Western blot was used to determine the expression of copper transporter 1 (CTR1), copper transporting phosphorylated ATPase (ATP7B) and poly-ADP-ribose polymerase (PARP). The correlations of cisplatin resistance with CTR1, ATP7B and PARP were analyzed. Results Compared to the A549 cells, the A549/DDP cells were less sensitive to cisplatin-induced cytotoxicity and apoptosis. ATP7B expression increased but CTR1 expression decreased in the A549/DDP cells compared to the A 549 cells. Conclusions Our results demonstrate that reduced expression of the copper influx transporter CTR1 and overexpression of the copper efflux transporter ATP7B are responsible for the resistance of A549/DDP cells to cisplatin. These results indicate well that the expression of ATP7B and CTR1 may provide markers for chemoresistance and chemosensitivity, respectively, to cisplatin-based chemotherapy.