YB-1 est membre de la superfamille de protéines de choc thermique. YB-1 se lie à l'ARN et l'ADN. Des corrélations entre niveau élevé de YB-1, expression élevée de la P-glycoprotéine MDR1 et un mauvais pronostic ont été faites pour plusieurs types de cancer. Le rôle de YB-1 dans la cancérogenèse peut être soutenu par plusieurs mécanismes: i) l'activation de la transcription; ii) la participation à la réparation de l'ADN; iii) la régulation de la traduction. Les deux premiers modèles supposent une localisation nucléaire de YB-1, et cela malgré le fait que YB-1 est apparaît principalement dans cytoplasme dans des conditions physiologiques et les mécanismes de son accumulation nucléaire restent obscurs. Dans ce travail, nous avons tenté d’identifier les mécanismes qui déclenchent la translocation nucléaire de YB-1. Il est apparu que cette localisation nucléaire dépend principalement du niveau d’ARNm dans le cytoplasme et ainsi d’une transcription active, plutôt que de la présence de lésion à l'ADN nucléaire. A l'inverse, le rôle de YB-1 comme régulateur de la traduction est clairement établi. YB-1 peut influencer la traduction et favoriser la progression du cancer, indépendamment de ses fonctions éventuelles dans le noyau. Nous avons démontré par microscopie à force atomique et à l’aide de méthodes biochimiques, que YB-1 se lie aux ARNm d'une manière coopérative à l’ARNm, ce qui a des conséquences directes sur sa capacité à sélectionner des ARNm spécifiques et à moduler la traduction. Au-delà de ces recherches, nous nous sommes appuyés sur notre maitrise de la biologie de YB-1 pour développer une méthode innovante pour mettre en évidence les interactions protéine-protéine dans le contexte cellulaire. Nous avons ainsi confirmé à l’aide de cette méthode la capacité de YB-1 de former des oligomères en présence d'ARNm, et également révélé son interaction potentielle avec Lin28. / YB-1 is a member of the cold-shock protein superfamily. It binds to both RNA and DNA. Correlations between high level of YB-1, elevated expression of P-glycoprotein MDR1 and poor patient prognosis were made for several types of cancer. The role of YB-1 in cancerogenesis can be accounted by several mechanisms: i) activation of transcription; ii) participation in DNA repair; iii) regulation of translation. The first two proposals imply a nuclear localization for YB-1, despite the fact that it appears mainly in the cytoplasm under physiological conditions and the mechanisms for its nuclear accumulation remain unclear. In this work we attempted to identify the mechanisms that trigger the nuclear translocation of YB-1. It appeared that this depends on the level of mRNA in the cytoplasm and thus on active transcription, rather than on the presence of nuclear DNA damages. In contrast to its function in the nucleus, the role of YB-1 in the regulation of translation was clearly established. YB-1 may therefore orchestrate a translation bias in order to promote cancer progression independently of its putative functions in the nucleus. Here we demonstrated, using atomic force microscopy and biochemical methods, that YB-1 binds mRNA in a highly cooperative manner and this has direct consequences on mRNA selection and following translational modulation. Beyond this research, we took advantage of our knowledge of the biology of YB-1 to develop a new method to detect protein-protein interactions in cellular context, using YB-1 as model protein. Besides the fact that we confirmed ability of YB-1 to make oligomers in the presence of mRNA, we also highlighted its potential interaction with Lin28, using this method.

YB-l est une protéine multifonctionnelle exprimée majoritairement au cytoplasme qui régule de façon globale la traduction. YB-l est également exprimée au noyau et agit comme facteur de transcription liant les séquences promotrices CCAA T inversées. De plus, YB-l participe à l'épissage alternatif et est impliquée dans la réparation de l'ADN. Il existe une corrélation entre l'expression nucléaire de YB-I dans les cellules tumorales et la résistance à la cisplatine, un composé largement utilisé en chimiothérapie. De plus, la déplétion de YB-I par un ARN antisens sensibilise les cellules à la cisplatine. In vitro, YB- 1 lie préférentiellement l'ADN contenant un pontage causé par la cisplatine et possède une activité exonucléase 3' -5'. Malgré ces nombreuses associations, le mécanisme par lequel YB-l confère la résistance à la cisplatine demeure toujours inexpliqué. Cette thèse contient les travaux entrepris dans le but de caractériser les fonctions de la protéine YB-I dans le mécanisme de résistance à la cisplatine. Nous avons démontré in vitro que la protéine YB-I purifiée avait la capacité de séparer préférentiellement différents duplex d'ADN contenant un pontage à la cisplatine ou un mésappariement et qu'elle possédait une activité endonucléase. Par chromatographie d'affinité, les protéines de la réparation MSH2, WRN, Ku80 et la polymérase 8 ont été co-purifiées avec YB-I. L'étude approfondie de l'interaction entre les protéines YB-I et WRN, protéine responsable du syndrome de vieillissement prématuré appelé Werner, a permis d'identifier la formation d'un complexe entre les protéines YB-l, p53 et WRN dans des foyers nucléaires dt:1 cellules exposées aux rayons ultraviolets. Ensuite, la caractérisation de l'interaction entre YB-I et hNTHI, une ADN glycosylase/ AP lyase impliquée dans l'initiation de la voie de réparation par excision de base, a démontré que YB-l se liait au domaine N-terminal auto-inhibiteur de hNTHI augmentant ainsi son activité in vitro. De plus, la déplétion de -hNTHI sensibilise spécifiquement les cellules à la cisplatine et aux rayons ultraviolets, même chez les cellules surexprimant YB-l. Finalement, nous avons déterminé que les activités de séparation des brins d'ADN, d'endonucléase et d'épissage alternatif ne sont pas essentielles à YB-I pour conférer une résistance à la cisplatine. Par contre, le changement global du profil d'expression des ARNm accompagnant la surexpression de YB-I et de sa forme tronquée dans des cellules de cancers du sein peut être associé à la résistance à la cisplatine observée.

The human epidermal growth factor receptor (HER-2) is over-expressed in 20-30% of breast carcinomas and is a prognostic marker for poor patient outcome. We previously identified the transcription/translation factor Y-box binding protein-1 (YB-1) to be a novel substrate of AKT which binds to epidermal growth factor receptor (EGFR) and HER-2 promoters once phosphorylated (Wu J et al. 2006). YB-1 is over-expressed in approximately 40% of breast cancers; its expression is strongly correlated with HER-2 and is associated with poor patient survival. In order to gain a deeper understanding of the functional role of YB-1 in HER-2 over-expressing breast cancer, we silenced the expression of this factor in BT474-m1 and MDA-MB-453 cells. The loss of YB-1 inhibited the growth of BT474-m1 and MDA-MB-453 cells in monolayer and/or in soft agar. Consistent with this, we found a decrease in the expression of YB-1 responsive gene egfr and/or her-2 in BT474-m1 and MDA-MB-453 cells, which could begin to explain how growth is promoted by this factor. Furthermore, loss of YB-1 expression induced apoptosis in BT474-m1 cells. Beyond its role in tumor growth, YB-1 is also strongly linked to drug resistance. We therefore addressed whether it could play a part in Herceptin sensitivity. Herceptin is currently being used to treat patients with HER-2 positive breast cancer; however, only 30% of the patients respond to the therapy and many of them develop resistance within the first year of treatment. Therefore, it is of utmost importance to understand the biology of HER-2 over-expressing breast cancer to develop novel therapies that can benefit more patients. First we established that Herceptin inhibited BT474-m1 cell growth in anchorage-independent conditions whereas MDA-MB-453 cells were resistant to this treatment. We subsequently demonstrated that knock-down of YB-1 increased sensitivity of BT474-m1 cells to Herceptin while MDA-MB-453 cells failed to respond to the combination treatment. The mechanism for Herceptin resistance in MDA-MB-453 cells still remains elusive and requires further investigation. Thus far, we conclude that YB-1 is needed for the growth and survival of HER-2 positive BT474-m1 and MDA-MB-453 breast cancer cells by inducing members of the HER family.

The human epidermal growth factor receptor (HER-2) is over-expressed in 20-30% of breast carcinomas and is a prognostic marker for poor patient outcome. We previously identified the transcription/translation factor Y-box binding protein-1 (YB-1) to be a novel substrate of AKT which binds to epidermal growth factor receptor (EGFR) and HER-2 promoters once phosphorylated (Wu J et al. 2006). YB-1 is over-expressed in approximately 40% of breast cancers; its expression is strongly correlated with HER-2 and is associated with poor patient survival. In order to gain a deeper understanding of the functional role of YB-1 in HER-2 over-expressing breast cancer, we silenced the expression of this factor in BT474-m1 and MDA-MB-453 cells. The loss of YB-1 inhibited the growth of BT474-m1 and MDA-MB-453 cells in monolayer and/or in soft agar. Consistent with this, we found a decrease in the expression of YB-1 responsive gene egfr and/or her-2 in BT474-m1 and MDA-MB-453 cells, which could begin to explain how growth is promoted by this factor. Furthermore, loss of YB-1 expression induced apoptosis in BT474-m1 cells. Beyond its role in tumor growth, YB-1 is also strongly linked to drug resistance. We therefore addressed whether it could play a part in Herceptin sensitivity. Herceptin is currently being used to treat patients with HER-2 positive breast cancer; however, only 30% of the patients respond to the therapy and many of them develop resistance within the first year of treatment. Therefore, it is of utmost importance to understand the biology of HER-2 over-expressing breast cancer to develop novel therapies that can benefit more patients. First we established that Herceptin inhibited BT474-m1 cell growth in anchorage-independent conditions whereas MDA-MB-453 cells were resistant to this treatment. We subsequently demonstrated that knock-down of YB-1 increased sensitivity of BT474-m1 cells to Herceptin while MDA-MB-453 cells failed to respond to the combination treatment. The mechanism for Herceptin resistance in MDA-MB-453 cells still remains elusive and requires further investigation. Thus far, we conclude that YB-1 is needed for the growth and survival of HER-2 positive BT474-m1 and MDA-MB-453 breast cancer cells by inducing members of the HER family.

Early detection is one of the most important factors for successful treatment of cancer. Currently, scientists are searching for molecular markers that can help identify and predict outcome and chance of recurrence in patients. In this study, we demonstratet he potential impact of Y-Box binding protein-1 (YB-1) as a marker of aggressiveness and cancer recurrence in breast malignancies by screening one of the largest tissue microarrays in North America. YB-1 is an oncogenic transcription/translation factor, which is over-expressed in the majority of malignancies, including breast cancer. In the cohort of 4049 primary breast tumours, we show that YB-1 is a strong marker of aggressiveness, poor survival and cancer recurrence in all subtypes of human breast cancer with a particularly high frequency of expression in the ER negative basal-like and HER-2 breast cancer subtypes. This suggests that targeting YB-1 may provide a new avenue for therapeutic intervention in these breast cancers that are currently challenging to treat. Cox regression multivariate analysis indicates that YB-1 is second only to nodal status as a strong independent prognostic marker for poor outcome and relapse compared to established clinico-pathological biomarkers, including tumour size, age, grade, ER and HER-2 status. This finding suggests that YB-1 has great potential to be in a priority list of biomarkers for identifying the patients with a higher risk of relapse and poor outcome. Subsequently, we find an association between YB-1 and urokinase Plasminogen Activator (uPA) expression in the basal-like subtype. We then show that YB-1 is involved in the regulation of uPA expression. More importantly, silencing YB-1 or uPA results in a significant reduction in cancer cell invasion. As there are no commercially available YB-linibitors we examine the efficacy of BMS-536924, a small molecule inhibitor for activated IGF-1R/IR on SUM149 cells. We demonstrate that activated IGF-1R is associated with poor survival in primary breast tumours and, that BMS-536924 reduces uPA expression through inhibition YB-1 in SUM149 cells. We therefore conclude that YB-1 is a bio-marker for poor survival and relapse. We also indicate that YB-1 has potential use as a molecular marker in a clinical setting. Inhibiting YB-1 may provide an ideal opportunity for targeted therapy in breast cancer.

Early detection is one of the most important factors for successful treatment of cancer. Currently, scientists are searching for molecular markers that can help identify and predict outcome and chance of recurrence in patients. In this study, we demonstratet he potential impact of Y-Box binding protein-1 (YB-1) as a marker of aggressiveness and cancer recurrence in breast malignancies by screening one of the largest tissue microarrays in North America. YB-1 is an oncogenic transcription/translation factor, which is over-expressed in the majority of malignancies, including breast cancer. In the cohort of 4049 primary breast tumours, we show that YB-1 is a strong marker of aggressiveness, poor survival and cancer recurrence in all subtypes of human breast cancer with a particularly high frequency of expression in the ER negative basal-like and HER-2 breast cancer subtypes. This suggests that targeting YB-1 may provide a new avenue for therapeutic intervention in these breast cancers that are currently challenging to treat. Cox regression multivariate analysis indicates that YB-1 is second only to nodal status as a strong independent prognostic marker for poor outcome and relapse compared to established clinico-pathological biomarkers, including tumour size, age, grade, ER and HER-2 status. This finding suggests that YB-1 has great potential to be in a priority list of biomarkers for identifying the patients with a higher risk of relapse and poor outcome. Subsequently, we find an association between YB-1 and urokinase Plasminogen Activator (uPA) expression in the basal-like subtype. We then show that YB-1 is involved in the regulation of uPA expression. More importantly, silencing YB-1 or uPA results in a significant reduction in cancer cell invasion. As there are no commercially available YB-linibitors we examine the efficacy of BMS-536924, a small molecule inhibitor for activated IGF-1R/IR on SUM149 cells. We demonstrate that activated IGF-1R is associated with poor survival in primary breast tumours and, that BMS-536924 reduces uPA expression through inhibition YB-1 in SUM149 cells. We therefore conclude that YB-1 is a bio-marker for poor survival and relapse. We also indicate that YB-1 has potential use as a molecular marker in a clinical setting. Inhibiting YB-1 may provide an ideal opportunity for targeted therapy in breast cancer.

The human epidermal growth factor receptor (HER-2) is over-expressed in 20-30% of breast carcinomas and is a prognostic marker for poor patient outcome. We previously identified the transcription/translation factor Y-box binding protein-1 (YB-1) to be a novel substrate of AKT which binds to epidermal growth factor receptor (EGFR) and HER-2 promoters once phosphorylated (Wu J et al. 2006). YB-1 is over-expressed in approximately 40% of breast cancers; its expression is strongly correlated with HER-2 and is associated with poor patient survival. In order to gain a deeper understanding of the functional role of YB-1 in HER-2 over-expressing breast cancer, we silenced the expression of this factor in BT474-m1 and MDA-MB-453 cells. The loss of YB-1 inhibited the growth of BT474-m1 and MDA-MB-453 cells in monolayer and/or in soft agar. Consistent with this, we found a decrease in the expression of YB-1 responsive gene egfr and/or her-2 in BT474-m1 and MDA-MB-453 cells, which could begin to explain how growth is promoted by this factor. Furthermore, loss of YB-1 expression induced apoptosis in BT474-m1 cells. Beyond its role in tumor growth, YB-1 is also strongly linked to drug resistance. We therefore addressed whether it could play a part in Herceptin sensitivity. Herceptin is currently being used to treat patients with HER-2 positive breast cancer; however, only 30% of the patients respond to the therapy and many of them develop resistance within the first year of treatment. Therefore, it is of utmost importance to understand the biology of HER-2 over-expressing breast cancer to develop novel therapies that can benefit more patients. First we established that Herceptin inhibited BT474-m1 cell growth in anchorage-independent conditions whereas MDA-MB-453 cells were resistant to this treatment. We subsequently demonstrated that knock-down of YB-1 increased sensitivity of BT474-m1 cells to Herceptin while MDA-MB-453 cells failed to respond to the combination treatment. The mechanism for Herceptin resistance in MDA-MB-453 cells still remains elusive and requires further investigation. Thus far, we conclude that YB-1 is needed for the growth and survival of HER-2 positive BT474-m1 and MDA-MB-453 breast cancer cells by inducing members of the HER family. / Medicine, Faculty of / Medicine, Department of / Experimental Medicine, Division of / Graduate

Early detection is one of the most important factors for successful treatment of cancer. Currently, scientists are searching for molecular markers that can help identify and predict outcome and chance of recurrence in patients. In this study, we demonstratet he potential impact of Y-Box binding protein-1 (YB-1) as a marker of aggressiveness and cancer recurrence in breast malignancies by screening one of the largest tissue microarrays in North America. YB-1 is an oncogenic transcription/translation factor, which is over-expressed in the majority of malignancies, including breast cancer. In the cohort of 4049 primary breast tumours, we show that YB-1 is a strong marker of aggressiveness, poor survival and cancer recurrence in all subtypes of human breast cancer with a particularly high frequency of expression in the ER negative basal-like and HER-2 breast cancer subtypes. This suggests that targeting YB-1 may provide a new avenue for therapeutic intervention in these breast cancers that are currently challenging to treat. Cox regression multivariate analysis indicates that YB-1 is second only to nodal status as a strong independent prognostic marker for poor outcome and relapse compared to established clinico-pathological biomarkers, including tumour size, age, grade, ER and HER-2 status. This finding suggests that YB-1 has great potential to be in a priority list of biomarkers for identifying the patients with a higher risk of relapse and poor outcome. Subsequently, we find an association between YB-1 and urokinase Plasminogen Activator (uPA) expression in the basal-like subtype. We then show that YB-1 is involved in the regulation of uPA expression. More importantly, silencing YB-1 or uPA results in a significant reduction in cancer cell invasion. As there are no commercially available YB-linibitors we examine the efficacy of BMS-536924, a small molecule inhibitor for activated IGF-1R/IR on SUM149 cells. We demonstrate that activated IGF-1R is associated with poor survival in primary breast tumours and, that BMS-536924 reduces uPA expression through inhibition YB-1 in SUM149 cells. We therefore conclude that YB-1 is a bio-marker for poor survival and relapse. We also indicate that YB-1 has potential use as a molecular marker in a clinical setting. Inhibiting YB-1 may provide an ideal opportunity for targeted therapy in breast cancer. / Medicine, Faculty of / Graduate

YB-1, ein Y-Box-Protein in Säugerzellen, konnte sowohl im Zytoplasma als auch in den Zellkernen von HeLa-Zellen nachgewiesen werden. Es wurde eine Abhängigkeit der intrazellulären Lokalisation von YB-1 vom Verlauf des Zellzyklus beobachtet. In jeder Phase des Zellzyklus war YB-1 im Zytoplasma zu finden. Eine Kernlokalisation von YB- 1 konnte nur in den HeLa-Zellen festgestellt werden, die sich im Übergang von der G1- in die S-Phase oder in der frühen S-Phase des Zellzyklus befanden. Die Abhängigkeit der Lokalisation von YB-1 vom Verlauf des Zellzyklus unterstützt die These, daß YB-1 und andere Y-Box-Proteine an der Regulation der Zellproliferation beteiligt sind. Es wurden verschiedene Proteine identifiziert, die im Zytoplasma von HeLa-Zellen mit YB-1 assoziiert vorkommen. Alle identifizierten Proteine erfüllen Aufgaben im RNA-Metabolismus, was auf eine Beteiligung dieser Proteinkomplexe an der Regulation der mRNA hinweist. Die Interaktion von P32/SF2 (P35) mit YB-1 erwies sich als abhängig vom Zellzyklus, wobei eine maximale Assoziation dieser beiden Proteine beim Übergang der HeLa-Zellen von der G1- in die S-Phase zu beobachten war. In Multidrug-resistenten MCF7/ADR-Zellen konnte eine deutlich verstärkte Interaktion von P32/SF2 mit YB-1 im Vergleich zu den sensitiven MCF7-Zellen festgestellt werden. Im Zytoplasma von HeLa-Zellen konnte YB-1 in Verbindung mit membrangebundenen Polysomen nachgewiesen werden. Eine Assoziation von YB-1 mit freien oder zytoskelettgebundenen Polysomen konnte nicht festgestellt werden. Damit wurde erstmalig gezeigt, daß YB-1 eine Spezifität für eine bestimmte Gruppe von Polysomen besitzt. Die Assoziation mit membrangebundenen Polysomen legte die Vermutung nahe, daß YB-1 an der Translationskontrolle von Polypeptiden beteiligt ist, die am rauhen endoplasmatischen Retikulum synthetisiert werden. Es konnte gezeigt werden, daß YB-1 die Translation von P-Glykoprotein, einem integralen Membranprotein, positiv reguliert. Ein Einfluß auf die Translation der untersuchten sekretorischen Proteine (a-Faktor und Präprolactin) konnte nicht beobachtet werden. Diese Ergebnisse belegen, daß YB-1 ein spezifischer Regulator der Translation bestimmter Membranproteine ist. Am Hand von P-Glykoprotein konnte des weiteren demonstriert werden, daß YB-1 sowohl die Transkription als auch die Translation dieses Proteins positiv reguliert. Die in den Zellkulturen beobachtete Korrelation von YB-1 mit der Expression von P-Glykoprotein konnte auch in primären Mammakarzinomen nachgewiesen werden. Somit ist YB-1 ein entscheidender Faktor bei der Ausbildung einer intrinsischen multiplen Resistenz von Mammakarzinomen gegen die Behandlung mit Chemotherapeutika. Aus diesem Grunde könnte YB-1 einen Ansatzpunkt für die künftige Diagnose und Therapie von Mammakarzinomen und eventuell auch von anderen Tumoren bieten. / YB-1, a mammalian Y-box protein was detected in the cytoplasm as well as in the nuclei of HeLa cells. The intracellular localisation of YB-1 depends on the cell cycle. In every part of the cell cycle, YB-1 was found in the cytoplasm. A nuclear localisation of YB-1 was only detectable in the G1- to S-phase transition and in the early S-phase. These observations underline the hypothesis, that Y-box proteins are envolved in the regulation of cell proliferation. Different proteins interacting with YB-1 were identified in the cytoplasm of HeLa cells. All identified poteins are envolved in the RNA metabolism, indicating a role of these protein complexes in the regulation of mRNA. The interaction of P32/SF2 (P35) with YB-1 alternates during the cell cycle with a maximum at the G1- to S-phase transition. A remarkable increase of the association of YB-1 and P32 was observed in the multidrug-resistant MCF7 cells compared with the parental cell line. Furthermore, YB-1 was detected in association with membrane-bound polysomes, suggesting a role of YB-1 at the translational regulation of the synthesis of polypeptides at the rough endoplasmic reticulum. It was shown, that YB-1 stimulate the translation of P-glycoprotein. This influence is specific, beause the translation of a set of control proteins (alpha factor, preprolactin, luciferase) was not effected by YB-1. It was shown, that YB-1 stimulate the expression of P-glycoprotein at the level of transcription as well as at the level of translation. This indicates a central role of YB-1 in the regulation of the biosynthesis of this protein. The correlation of the nuclear expression of YB-1 and the expression of P-glycoprotein was demonstrated in primary breast cancers. Taken together, YB-1 is a important factor for the development of a resistant phenotyp and therefore a possible new target for anti-cancer therapy.

Tumoren entwickeln während einer Chemotherapie häufig Resistenzen gegen strukturell und funktionell unabhängige Zytostatika - ein Phänomen, das als Multidrug-Resistenz (MDR) bezeichnet wird und die Hauptursache für das Scheitern einer Chemotherapie ist. Die klassische MDR ist mit einer Überexpression des ABC-Transporters MDR1/P-gp assoziiert. Der vorliegende gentherapeutische Ansatz beinhaltet eine selektiv gegen MDR1/P-gp gerichtete und vor allem effiziente Strategie zur Überwindung des MDR-Phänotyps humaner Tumorzellen. Basierend auf der Integration verschiedener anti-MDR1 shRNA Expressionskassetten in adenovirale Gentherapievektoren, konnte mit Hilfe der RNA-Interferenz Technologie (RNAi) die MDR1/P-gp Expression selektiv inhibiert werden. Mittels des hoch effizienten Adenovirus Ad5U6/MDR-C wurde die MDR1 mRNA- sowie Protein-Expression soweit reprimiert, dass eine vollständige Aufhebung der biologischen Aktivität der Effluxpumpe MDR1/P-gp und eine Reversion des Resistenz Phänotyps gegenüber den typischen MDR1/P-g-Substraten Daunorubicin (87 % in EPP85-181RDB bzw. 66 % in EPG85-257RDB) sowie Vincristin (96 % bzw. 82 %) resultierte. Zudem wurde gezeigt, dass E1-deletierte und damit replikationsinkompetente Adenoviren in multidrug-resistenten Tumorzellen replizieren können. Damit wirkt Ad5U6/MDR-C in MDR-Tumorzellen onkolytisch. Zwar konnte die Adenovirusreplikation mit dem DNA-Synthese-Hemmer Hydroxyurea (HU) zu 94 % inhibiert werden, die anti-MDR1 Effizienz von Ad5U6/MDR-C wurde dennoch erhöht (+5 % in HeLaRDB, +12 % in EPG85-257RDB), was für eine erfolgreiche und niedrig dosierte Ad-Gentherapie multidrug-resistenter Tumoren in Kombination mit HU ausgenutzt werden kann. Außerdem wurde der entscheidende Einfluss des regulatorischen Proteins YB-1 auf die selektive Replikation von Ad5U6/MDR-C in MDR1/P-gp überexprimierenden Tumorzellen gezeigt. Eine 90 %ige Inhibition von YB-1 bedingt eine Hemmung der Adenovirusreplikation um 70 % und damit eine verringerte Effizienz der RNAi-vermittelten Inhibition von MDR1/P-gp um 40 %. Mit diesem gentherapeutischen Ansatz können die Effekte der YB-1-abhängigen und der die Zelllyse bedingenden Adenovirusreplikation sowie der anti-MDR1 shRNA vermittelten Chemosensitivierung kombiniert und zu einer verbesserten Eliminierung von MDR-Tumorzellen führen. / Simultaneous resistance of cancer cells to multiple cytotoxic drugs, multidrug resistance (MDR), is the major limitation to the successful chemotherapeutic treatment of disseminated neoplasms. The ‘classical’ MDR phenotype is conferred by MDR1/P-glycoprotein (MDR1/P-gp) that is expressed in almost 50% of human cancers. Recent developments in the use of small interfering RNAs for specific inhibition of gene expression have highlighted their potential use as therapeutic agents. DNA cassettes encoding RNA polymerase III promoter-driven siRNA-like short hairpin RNAs (shRNAs) allow long-term expression of therapeutic RNAs in targeted cells. A variety of viral vectors have been used to deliver such cassettes to mammalian cells. In this study, the construction of different adenoviruses for anti- MDR1/P-gp shRNA delivery in different human multidrug-resistant cancer cells was investigated. It could be demonstrated that MDR1/P-gp mRNA and protein expression could be completely inhibited by adenoviral delivery of anti-MDR1/P-gp shRNAs. This down regulation in mRNA and protein expression was accompanied by a complete inhibition of the pump activity of MDR1/P-gp and a reversal of the multidrug-resistant phenotype. Moreover, it could be demonstrated that MDR-tumour cells facilitate adenoviral replication of originally E1- and E3-deleted and thus replication deficient adenoviral vectors through stable relocation of the fundamental regulatory factor YB-1 to the nucleus. To analyse the impact of YB-1 on adenoviral replication, two specific in vitro MDR models were used which stably trigger YB-1 posttranscriptional gene-silencing via the RNA interference (RNAi) pathway, i.e. the MDR cell line EPG85-257RDB well as its drug-sensitive counterpart EPG85-257P. The YB-1 gene-silencing effects of 90 % were accompanied by a reduction of adenoviral gene expression of 70 %. In conclusion, the data demonstrate that an highly efficient adenoviral delivery of shRNAs can chemosensitise human cancer cells and that YB-1 is involved in the regulation of adenoviral gene expression of originally replication deficient Ad-vectors in MDR cancer cells.