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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1996-7-26
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pubmed:abstractText |
Multidrug resistance (MDR) is a widely studied mechanism of cellular resistance to structurally unrelated cytotoxic agents. The MDR phenotype is related to the overexpression of the MDR1 gene product, P-glycoprotein (P-gp), a transmembrane drug efflux pump. The capacity to compete with the cytotoxic drug for the active outward transport process, thus inhibiting the activity of the P-gp pump, has been demonstrated for numerous non-cytotoxic compounds, termed MDR modulators. The possibility of modulating the activity of the P-gp pump has initiated numerous clinical trials, using a wide range of chemosensitizers. This article reviews these substances, discusses problems that may arise in connection with the concurrent administration of P-gp modulators and chemotherapeutic agents and provides guidelines for the design of future clinical trials. Furthermore, now data are presented concerning the potential of idarubicin to overcome the MDR phenotype.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0887-6924
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10 Suppl 3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S32-S38
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8656698-Antibiotics, Antineoplastic,
pubmed-meshheading:8656698-Clinical Trials as Topic,
pubmed-meshheading:8656698-Drug Resistance, Multiple,
pubmed-meshheading:8656698-Drug Resistance, Neoplasm,
pubmed-meshheading:8656698-Gene Expression Regulation, Neoplastic,
pubmed-meshheading:8656698-Humans,
pubmed-meshheading:8656698-Idarubicin,
pubmed-meshheading:8656698-Immunologic Factors,
pubmed-meshheading:8656698-Neoplasms,
pubmed-meshheading:8656698-P-Glycoprotein,
pubmed-meshheading:8656698-Phenotype,
pubmed-meshheading:8656698-Research Design,
pubmed-meshheading:8656698-Time Factors,
pubmed-meshheading:8656698-Up-Regulation
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pubmed:year |
1996
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pubmed:articleTitle |
MDR1 reversal: criteria for clinical trials designed to overcome the multidrug resistance phenotype.
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pubmed:affiliation |
Department of Oncology and Hematology, Medical University Clinic, Hamburg, Germany.
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pubmed:publicationType |
Journal Article,
Review
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