Retention of activity by selected anthracyclines in a multidrug resistant human large cell lung carcinoma line without P-glycoprotein hyperexpression
1991

Anthracyclines in Multidrug Resistant Lung Cancer

publication Evidence: moderate

Author Information

Author(s): H.M. Coley, P. Workman, P.R. Twentyman

Primary Institution: MRC Clinical Oncology and Radiotherapeutics Unit, MRC Centre, Cambridge, UK

Hypothesis

Can anthracyclines retain activity in a multidrug resistant lung cancer cell line that does not express P-glycoprotein?

Conclusion

The study found that certain anthracyclines can remain effective against a multidrug resistant lung cancer cell line despite the absence of P-glycoprotein.

Supporting Evidence

  • The COR-L23/R cell line shows cross-resistance to several drugs but not to modified anthracyclines.
  • Verapamil did not significantly sensitize the COR-L23/R cell line.
  • Reduced accumulation of doxorubicin was observed in the resistant cell line compared to the parental line.
  • Energy-dependent efflux of daunorubicin was enhanced in the resistant cell line.

Takeaway

Some cancer cells can become resistant to drugs, but certain modified drugs can still work against them. This study shows that some anthracyclines can be effective even when the usual resistance mechanism is not present.

Methodology

The study involved creating a drug-resistant cell line and testing the effectiveness of various anthracyclines and resistance modifiers.

Limitations

The study primarily focuses on a single cell line, which may not represent all types of multidrug resistance in cancer.

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