Investigation of the relationship between altered intracellular pH and multidrug resistance in mammalian cells
1990

Intracellular pH and Multidrug Resistance in Cancer Cells

publication Evidence: moderate

Author Information

Author(s): D. Boscoboinik, R.S. Gupta, R.M. Epand

Primary Institution: McMaster University

Hypothesis

Is there a relationship between altered intracellular pH and multidrug resistance in mammalian cells?

Conclusion

The study found that higher intracellular pH in multidrug resistant cells does not consistently correlate with drug resistance reversal.

Supporting Evidence

  • Cells with higher drug resistance had a higher intracellular pH compared to their parental lines.
  • Verapamil reversed drug resistance without affecting intracellular pH.
  • Cyclosporin A lowered pH in resistant cells but did not affect all cell lines.
  • Amiloride did not reverse drug resistance despite acidifying the cells.

Takeaway

Some cancer cells that resist drugs have a higher pH inside them, but changing that pH doesn't always help make the drugs work better.

Methodology

The study compared intracellular pH of multidrug resistant cell lines with their parental lines using a fluorescent probe and tested the effects of various agents on drug resistance.

Limitations

The study does not establish a direct correlation between pH and drug resistance across all cell lines.

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