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Vol. 55, Issue 5, 921-928, May 1999
Department of Cancer Chemotherapy, Institute for Cancer Research,
Faculty of Medicine, Kagoshima University, Kagoshima, Japan
(Z-S.C., T.F., T.S., S.A.);
Experimental Technology Research Center,
Tokyo Research and Development Center, Daiichi Pharmaceutical
Co., Ltd., Tokyo, Japan (K.O.);
Laboratory of Biochemistry, Division of
Applied Life Sciences, Graduate School of Agriculture, Kyoto
University, Kyoto, Japan (K.U.); and
Research Planning Department,
Pharmaceutical Division, Nissan Chemical Industries, Ltd., Tokyo, Japan
(K.S.)
Non-P-glycoprotein-mediated multidrug-resistant C-A120 cells that
overexpressed multidrug resistance protein (MRP) were 10.8- and
29.6-fold more resistant to
7-ethyl-10-[4-(1-piperidino)-1-piperidino]carbonyloxycamptothecin (CPT-11) and SN-38, respectively, than parental KB-3-1 cells. To
see whether MRP is involved in CPT-11 and SN-38 resistance, MRP cDNA was transfected into KB-3-1 cells. The
transfectant, KB/MRP, which overexpressed MRP, was resistant to both
CPT-11 and SN-38.
2-[4-Diphenylmethyl)-1-piperazinyl]ethyl-5-(trans-4,6-dimethyl-1,3,2-dioxaphosphorinan-2-yl)-2,6-dimethyl-4-(3-nitrophenyl)-3-pyridinecarboxylate P-oxide (PAK-104P) and MK571, which reversed drug resistance in MRP overexpressing multidrug-resistant cells, significantly increased the sensitivity of C-A120 and KB/MRP cells, but not of KB-3-1 cells, to
CPT-11 and SN-38. The accumulation of both CPT-11 and SN-38 in C-A120
and KB/MRP cells was lower than that in KB-3-1 cells. The treatment
with 10 µM PAK-104P increased the accumulation of CPT-11 and
SN-38 in C-A120 and KB/MRP cells to a level similar to that found in
KB-3-1 cells. The ATP-dependent efflux of CPT-11 and SN-38 from C-A120
and KB/MRP cells was inhibited by PAK-104P. DNA topoisomerase I
expression, activity, and sensitivity to SN-38 were similar in the
three cell lines. Furthermore, the conversion of CPT-11 to SN-38 in
KB-3-1 and C-A120 cell lines was similar. These findings suggest that
MRP transports CPT-11 and SN-38 and is involved in resistance to CPT-11
and SN-38 and that PAK-104P reverses the resistance to CPT-11 and SN-38
in tumors that overexpress MRP.
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