Volume 65, Issue 5 pp. 613-619
Experimental Cancer

Involvement of MDR1 P-glycoprotein in multifactorial resistance to methotrexate

Murray D. Norris

Murray D. Norris

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

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David De Graaf

David De Graaf

Department of Genetics, University of Illinois at Chicago, Chicago, IL 60612-7309, USA

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Michelle Haber

Corresponding Author

Michelle Haber

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

Michelle Haber, Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, High St., Randwick, Sydney, NSW, Australia 2031. Fax: (61) 2-399-8697

Eugene B. Mechetner, Oncotech Inc., 1791 Kaiser Ave, Irvine. CA 92714, USA

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Maria Kavallaris

Maria Kavallaris

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

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Janice Madafiglio

Janice Madafiglio

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

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Jayne Gilbert

Jayne Gilbert

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

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Edward Kwan

Edward Kwan

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

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Bernard W. Stewart

Bernard W. Stewart

Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, Sydney, New South Wales, Australia

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Eugene B. Mechetner

Corresponding Author

Eugene B. Mechetner

Department of Genetics, University of Illinois at Chicago, Chicago, IL 60612-7309, USA

Michelle Haber, Children's Leukaemia and Cancer Research Centre, Prince of Wales Children's Hospital, High St., Randwick, Sydney, NSW, Australia 2031. Fax: (61) 2-399-8697

Eugene B. Mechetner, Oncotech Inc., 1791 Kaiser Ave, Irvine. CA 92714, USA

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Andrei V. Gudkov

Andrei V. Gudkov

Department of Genetics, University of Illinois at Chicago, Chicago, IL 60612-7309, USA

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Igor B. Roninson

Igor B. Roninson

Department of Genetics, University of Illinois at Chicago, Chicago, IL 60612-7309, USA

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Abstract

Cellular resistance to methotrexate (MTX) is believed to be unaffected by expression of MDRI 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 MDRI gene, based on the measurement of MDRI mRNA, Pgp and rhodamine 123 accumulation. Sequence analysis of the MDRI 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) UIC2 and a monovalent Fab fragment of UIC2. Our results indicate that Pgp can contribute to multifactorial resistance to MTX. © 1996 Wiley-Liss, Inc.

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