Source:http://linkedlifedata.com/resource/pubmed/id/10344751
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1999-6-17
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pubmed:abstractText |
Drug resistance is a major cause of chemotherapy failure in cancer treatment. One reason is the overexpression of the drug efflux pump P-glycoprotein (P-gp), involved in multidrug resistance (MDR). In vivo pharmacokinetic analysis of P-gp transport might identify the capacity of modulation by P-gp substrate modulators, such as cyclosporin A. Therefore, P-gp function was measured in vivo with positron emission tomography (PET) and [11C]verapamil as radiolabeled P-gp substrate. Studies were performed in rats bearing tumors bilaterally, a P-gp-negative small cell lung carcinoma (GLC4) and its P-gp-overexpressing subline (GLC4/P-gp). For validation, in vitro and biodistribution studies with [11C]daunorubicin and [11C]verapamil were performed. [11C]Daunorubicin and [11C]verapamil accumulation were higher in GLC4 than in GLC4/P-gp cells. These levels were increased after modulation with cyclosporin A in GLC4/P-gp. Biodistribution studies showed 159% and 185% higher levels of [11C]daunorubicin and [11C]verapamil, respectively, in GLC4 than in GLC4/P-gp tumors. After cyclosporin A, [11C]daunorubicin and [11C]verapamil content in the GLC4/P-gp tumor was raised to the level of GLC4 tumors. PET measurements demonstrated a lower [11C]verapamil content in GLC4/P-gp tumors compared with GLC4 tumors. Pretreatment with cyclosporin A increased [11C]verapamil levels in GLC4/P-gp tumors (184%) and in brains (1280%). This pharmacokinetic effect was clearly visualized with PET. These results show the feasibility of in vivo P-gp function measurement under basal conditions and after modulation in solid tumors and in the brain. Therefore, PET and radiolabeled P-gp substrates may be useful as a clinical tool to select patients who might benefit from the addition of a P-gp modulator to MDR drugs.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antibiotics, Antineoplastic,
http://linkedlifedata.com/resource/pubmed/chemical/Calcium Channel Blockers,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclosporine,
http://linkedlifedata.com/resource/pubmed/chemical/Daunorubicin,
http://linkedlifedata.com/resource/pubmed/chemical/Neoplasm Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/P-Glycoprotein,
http://linkedlifedata.com/resource/pubmed/chemical/Recombinant Fusion Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/Verapamil
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0008-5472
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
59
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2411-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10344751-Animals,
pubmed-meshheading:10344751-Antibiotics, Antineoplastic,
pubmed-meshheading:10344751-Blood-Brain Barrier,
pubmed-meshheading:10344751-Brain Chemistry,
pubmed-meshheading:10344751-Calcium Channel Blockers,
pubmed-meshheading:10344751-Carcinoma, Small Cell,
pubmed-meshheading:10344751-Cyclosporine,
pubmed-meshheading:10344751-Daunorubicin,
pubmed-meshheading:10344751-Drug Resistance, Multiple,
pubmed-meshheading:10344751-Drug Resistance, Neoplasm,
pubmed-meshheading:10344751-Humans,
pubmed-meshheading:10344751-Lung Neoplasms,
pubmed-meshheading:10344751-Male,
pubmed-meshheading:10344751-Metabolic Clearance Rate,
pubmed-meshheading:10344751-Neoplasm Proteins,
pubmed-meshheading:10344751-Neoplasm Transplantation,
pubmed-meshheading:10344751-Neoplasms,
pubmed-meshheading:10344751-P-Glycoprotein,
pubmed-meshheading:10344751-Rats,
pubmed-meshheading:10344751-Rats, Nude,
pubmed-meshheading:10344751-Recombinant Fusion Proteins,
pubmed-meshheading:10344751-Tissue Distribution,
pubmed-meshheading:10344751-Tumor Cells, Cultured,
pubmed-meshheading:10344751-Verapamil
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pubmed:year |
1999
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pubmed:articleTitle |
A new in vivo method to study P-glycoprotein transport in tumors and the blood-brain barrier.
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pubmed:affiliation |
Positron Emission Tomography Center, Department of Medical Oncology, Groningen University Hospital, The Netherlands.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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