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Involvement of MDR1 P-glycoprotein in multifactorial resistance to methotrexate

✍ Scribed by Murray D. Norris; David De Graaf; Michelle Haber; Maria Kavallaris; Janice Madafiglio; Jayne Gilbert; Edward Kwan; Bernard W. Stewart; Eugene B. Mechetner; Andrei V. Gudkov; Igor B. Roninson


Publisher
John Wiley and Sons
Year
1996
Tongue
French
Weight
881 KB
Volume
65
Category
Article
ISSN
0020-7136

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✦ Synopsis


Cellular resistance to methotrexate (MTX) is believed to be unaffected by expression of MDRl P-glycoprotein (Pgp), a pleiotropic efflux pump acting on different hydrophobic compounds that enter cells by passive diffusion. A series of human leukemic CCRF-CEM sublines, isolated by multi-step selection for very high resistance to MTX, exhibit multiple mechanisms of MTX resistance, including decreased carrier-mediated uptake of MTX and DHFR gene amplification. These sublines show cross-resistance to drugs of the multi-drug resistance (MDR) family, which is correlated with relative resistance to MTX. The MTX-selected sublines show increased expression and function of the MDR I gene, based on the measurement of MDR I mRNA, Pgp and rhodamine I23 accumulation. Sequence analysis of the MDR I cDNA from MTX-selected CCRF-CEM cells revealed no mutations in the protein coding region. MTX resistance in these cell lines is partially reversible by a Pgp-specific monoclonal antibody (MAb) UlC2 and a monovalent Fab fragment of UIC2. Our results indicate that Pgp can contribute to multifactorial resistance to MTX.


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