The polyoxyethylene castor oil Cremophor EL modifies multidrug resistance
1990

Cremophor EL Modifies Multidrug Resistance

publication Evidence: moderate

Author Information

Author(s): G.J. Schuurhuis, H.J. Broxterman, H.M. Pinedo, Th. H.M. van Heijningen, C.K. van Kalken, J.B. Vermorken, E.C. Spoelstra, J. Lankelma

Primary Institution: Free University Hospital

Hypothesis

Does Cremophor EL affect drug accumulation and cytotoxicity in multidrug-resistant cancer cells?

Conclusion

Cremophor EL is effective in reversing multidrug resistance in human myeloma cells and may have clinical implications.

Supporting Evidence

  • Cremophor EL significantly stimulated doxorubicin and daunorubicin accumulation in resistant cells.
  • At higher concentrations, Cremophor EL showed more pronounced effects on drug cytotoxicity.
  • Cremophor EL reversed doxorubicin resistance in myeloma cells with a low resistance index.
  • Drug accumulation differences were more pronounced for daunorubicin than for doxorubicin in resistant cells.
  • Cremophor EL's effects on drug localization may explain its ability to reverse resistance.

Takeaway

Cremophor EL helps cancer cells take in more medicine, making the medicine work better against the cancer.

Methodology

In vitro experiments were conducted on human tumor cell lines to assess the effects of Cremophor EL on drug accumulation and cytotoxicity.

Limitations

The study primarily focuses on specific cell lines and may not fully represent all types of cancer.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

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