Doxorubicin selected multidrug-resistant small cell lung cancer cell lines characterised by elevated cytoplasmic Ca2` and resistance modulation by verapamil in absence of P-glycoprotein overexpression
1991

Doxorubicin Resistance in Lung Cancer Cells

publication Evidence: moderate

Author Information

Author(s): P. Nygren, R. Larsson, A. Gruber, C. Peterson, J. Bergh

Primary Institution: University Hospital, University of Uppsala

Hypothesis

Does the development of resistance to doxorubicin in small cell lung cancer cells also confer resistance to other cytotoxic drugs and involve changes in drug accumulation and P-glycoprotein expression?

Conclusion

The study found that doxorubicin resistance in small cell lung cancer cells is characterized by atypical multidrug resistance mechanisms, including the absence of P-glycoprotein overexpression.

Supporting Evidence

  • Resistance to doxorubicin was accompanied by cross-resistance to vincristine and other drugs.
  • Verapamil was able to reverse doxorubicin resistance in some cell lines.
  • Calcium levels were found to be elevated in resistant cell lines.

Takeaway

Some lung cancer cells can become resistant to a drug called doxorubicin, and this resistance can also make them resistant to other drugs, but it doesn't always happen in the usual way.

Methodology

The study involved culturing small cell lung cancer cell lines in the presence of doxorubicin and assessing their resistance to various drugs, as well as measuring cytoplasmic calcium levels and P-glycoprotein expression.

Limitations

The study primarily focused on in vitro cell lines, which may not fully represent in vivo conditions.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

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