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[Cancer Research 59, 2532-2535, June 1, 1999]
© 1999 American Association for Cancer Research

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[Cancer Research 59, 2532-2535, June 1, 1999]
© 1999 American Association for Cancer Research


Advances in Brief

Antifolate Resistance Mediated by the Multidrug Resistance Proteins MRP1 and MRP21

Jan Hendrik Hooijberg, Henk J. Broxterman, Marcel Kool, Yehuda G. Assaraf, Godefridus J. Peters, Paul Noordhuis, Rik J. Scheper, Piet Borst, Herbert M. Pinedo and Gerrit Jansen2

Departments of Medical Oncology [J. H. H., H. J. B., G. J. P., P. N., H. M. P., G. J.] and Pathology [R. J. S.], Academisch Ziekenhuis Vrije Universiteit, 1007 MB Amsterdam, the Netherlands; Department of Molecular Biology, Netherlands Cancer Institute, 1066 CX Amsterdam, the Netherlands [M. K., P. B.]; and Department of Biology, The Technion, Israel Institute of Technology, Haifa 32000, Israel [Y. G. A.]

Transfection of multidrug resistance proteins (MRPs) MRP1 and MRP2 in human ovarian carcinoma 2008 cells conferred a marked level of resistance to short-term (1–4 h) exposure to the polyglutamatable antifolates methotrexate (MTX; 21–74-fold), ZD1694 (4–138-fold), and GW1843 (101–156-fold). Evidence for MRP-mediated antifolate efflux relies upon the following findings: (a) a 2–3.3-fold lower accumulation of [3H]MTX and subsequent reduced formation of long-chain polyglutamate forms of MTX; (b) reversal of MTX resistance by probenecid in both transfectants, and (c) ATP-dependent uptake of [3H]MTX in inside-out vesicles of MRP1 and MRP2 transfectants. This report provides a mechanistic basis for resistance to polyglutamatable antifolates through an MRP-mediated drug extrusion.




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