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College of Pharmacy [M. G., C. T., S. G.] and the Department of Pharmacology, College of Medicine [T. H., M. V.], University of Kentucky, Lexington, Kentucky 40356
The multidrug resistance (MDR) gene family has been shown to be highly expressed in several normal tissues including the canalicular membrane of the hepatocyte. We report that a cholestatic estrogen metabolite, 17ß-estradiol glucuronide (E217G), is a substrate for the MDR transporter, P-glycoprotein. In cytotoxicity studies, the MDR sarcoma cell line Dx5 was 4.7-fold resistant to E217G, and the K562/R7 leukemia MDR cell line was 5.0-fold resistant to E217G relative to their parental cell lines. There was also a 2- to 3-fold accumulation defect of [3H]E217G in the MDR cells relative to their parental cell lines. E217G (100 µM) modulated resistance to doxorubicin, taxol, vinblastine, and etoposide in the Dx5 cells, completely reversing the 30- to 60-fold resistance observed with these agents. E217G had no effect on the toxicity of these compounds in the parental cell line (MES-SA). In contrast, MDR cells were not resistant to the noncholestatic estrogen metabolite, estriol 3-glucuronide, and this metabolite did not modulate resistance to MDR substrates. ATP-dependent transport of [3H]E217G in rat canalicular membranes was inhibited by several MDR substrates including vinblastine, etoposide, verapamil, cyclosporine, and PSC-833.
1 Supported in part by Grant IN-163 from the American Cancer Society and USPHS Grant HD13250.
2 To whom requests for reprints should be addressed, at Lucille P. Markey Cancer Center, University of Kentucky, 800 Rose Street, Room CC-405, Lexington, KY 40356-0093.
Received 8/17/93. Accepted 10/ 5/93.
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