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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2000-7-17
pubmed:abstractText
Human malignant gliomas are commonly resistant to chemotherapy. Here, we examined the role of the multidrug resistance (mdr) mechanism in the chemo-resistance of these tumors, using a twofold approach: (i) by assessing a possible mdr phenotype before and after chronic drug exposure of glioma cells in vitro, and (ii) by assessing the modulation of expression of the mdr-associated P-glycoprotein (Pgp) using radiotherapy and serial cycles of chemotherapy in human glioblastoma patients in vivo. T98G, and to a lesser degree, LN-229 human malignant glioma cells exhibit a constitutive mdr phenotype as determined by the modulation of dye transport and by the augmentation of chemosensitivity by the mdr antagonist, verapamil. Thus, coexposure to verapamil enhances the cytotoxicity of vincristine, doxorubicin and VM26 in T98G cells and that of vincristine in LN-229 cells. Chronic exposure of the cells to low concentrations of vincristine and doxorubicin, but not VM26, topotecan or BCNU, moderately enhances the mdr-like phenotype, as assessed by drug expulsion assays. However, chronic exposure to increasing drug concentrations does not significantly alter the sensitivity to the respective drugs. These data are consistent with a constitutive, but not drug-inducible, mdr-like drug resistance in glioma cells in vitro. Immunocytochemical analysis of human malignant gliomas in vivo reveals that Pgp expression is more abundant in endothelial cells within the gliomas, than in the glioma cells proper. Importantly, Pgp expression is unaltered by radiochemotherapy, assessed by comparative immunocytochemistry of glioma specimens obtained serially before and after radiochemotherapy. We conclude that (i) glioma cells exhibit constitutive mdr-like drug resistance that is not significantly altered by chronic drug exposure in vitro; (ii) endothelial cells may play an important role in Pgp-mediated drug resistance of gliomas in vivo; (iii) radiotherapy and repeated chemotherapy cycles do not modulate Pgp expression in human malignant gliomas in vivo; (iv) there is preliminary evidence for a non-Pgp, verapamil-sensitive drug transport activity in glioma cells.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents, http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents, Alkylating, http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents, Phytogenic, http://linkedlifedata.com/resource/pubmed/chemical/Calcium Channel Blockers, http://linkedlifedata.com/resource/pubmed/chemical/Carmustine, http://linkedlifedata.com/resource/pubmed/chemical/DNA, Neoplasm, http://linkedlifedata.com/resource/pubmed/chemical/Doxorubicin, http://linkedlifedata.com/resource/pubmed/chemical/P-Glycoprotein, http://linkedlifedata.com/resource/pubmed/chemical/Teniposide, http://linkedlifedata.com/resource/pubmed/chemical/Topotecan, http://linkedlifedata.com/resource/pubmed/chemical/Verapamil, http://linkedlifedata.com/resource/pubmed/chemical/Vincristine
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0001-6322
pubmed:author
pubmed:issnType
Print
pubmed:volume
99
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
555-62
pubmed:dateRevised
2007-11-9
pubmed:meshHeading
pubmed-meshheading:10805101-Adolescent, pubmed-meshheading:10805101-Adult, pubmed-meshheading:10805101-Antineoplastic Agents, pubmed-meshheading:10805101-Antineoplastic Agents, Alkylating, pubmed-meshheading:10805101-Antineoplastic Agents, Phytogenic, pubmed-meshheading:10805101-Blood-Brain Barrier, pubmed-meshheading:10805101-Brain Neoplasms, pubmed-meshheading:10805101-Calcium Channel Blockers, pubmed-meshheading:10805101-Carmustine, pubmed-meshheading:10805101-Combined Modality Therapy, pubmed-meshheading:10805101-DNA, Neoplasm, pubmed-meshheading:10805101-Doxorubicin, pubmed-meshheading:10805101-Drug Resistance, Neoplasm, pubmed-meshheading:10805101-Female, pubmed-meshheading:10805101-Flow Cytometry, pubmed-meshheading:10805101-Gene Expression Regulation, Neoplastic, pubmed-meshheading:10805101-Glioblastoma, pubmed-meshheading:10805101-Humans, pubmed-meshheading:10805101-Male, pubmed-meshheading:10805101-Middle Aged, pubmed-meshheading:10805101-P-Glycoprotein, pubmed-meshheading:10805101-Phenotype, pubmed-meshheading:10805101-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:10805101-Teniposide, pubmed-meshheading:10805101-Topotecan, pubmed-meshheading:10805101-Tumor Cells, Cultured, pubmed-meshheading:10805101-Verapamil, pubmed-meshheading:10805101-Vincristine
pubmed:year
2000
pubmed:articleTitle
Evidence for a constitutive, verapamil-sensitive, non-P-glycoprotein multidrug resistance phenotype in malignant glioma that is unaltered by radiochemotherapy in vivo.
pubmed:affiliation
Department of Neurology, University of Tübingen, Medical School, Germany.
pubmed:publicationType
Journal Article, In Vitro