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Experimental Therapeutics, Molecular Targets, and Chemical Biology

Gefitinib Modulates the Function of Multiple ATP-Binding Cassette Transporters In vivo

Markos Leggas, John C. Panetta, Yanli Zhuang, John D. Schuetz, Brad Johnston, Feng Bai, Brian Sorrentino, Sheng Zhou, Peter J. Houghton and Clinton F. Stewart
Markos Leggas
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John C. Panetta
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Yanli Zhuang
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John D. Schuetz
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Brad Johnston
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Feng Bai
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Brian Sorrentino
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Sheng Zhou
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Peter J. Houghton
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Clinton F. Stewart
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DOI: 10.1158/0008-5472.CAN-05-2915 Published May 2006
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    Figure 1.

    Bcrp1 is expressed in mouse and primate tissues. A, Bcrp1 expression in (SCID mouse) organs that influence drug absorption and elimination. Bcrp1 is expressed at the apical face of intestinal epithelium (i), at the apical face of proximal convoluted tubules in the kidney (ii), and the liver canaliculi (iii). Probing of sections from Abcg2−/− animals (iv-vi) with the primary antibody did not produce staining. B, BCRP expression in brain tissue. Antibody specificity in human tissue was tested using formalin-fixed paraffin-embedded Saos-2 pcDNA3.1 (i) and Saos-2 BCRP (ii) cell lines. Apical BCRP localization in brain endothelium was observed in human (iii), rhesus monkey (iv), and mouse tissues (v).

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    Figure 2.

    Gefitinib modulates the function of multiple ABC transporters leading to increased apparent bioavailability and reduced topotecan (TPT) clearance (see Table 1). An oral dose of topotecan (2 mg/kg) was administered alone or following a gefitinib oral dose (100 mg/kg) to Abcg2+/+ and Abcg2−/− mice (A), Mdr1(a/b)+/+ and Mdr1(a/b)−/− mice (B), and SCID mice (C).

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    Figure 3.

    Gefitinib modulates the function of human BCRP and MDR1. A, accumulation of Hoechst 33342 dye in cells expressing human BCRP increased following incubation with gefitinib. Similarly, co-incubation with gefitinib increased accumulation of calcein in cells expressing MDR1. B, quantitative assessment of gefitinib effects from representative flow cytometry experiments. C, gefitinib abolished MDR1 resistance to vincristine. D, low intracellular accumulation in BCRP-expressing cells suggests gefitinib is a substrate at the low micromolar range but overall intracellular differences are minimal.

Tables

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    Summary of topotecan pharmacokinetic parameters in wild-type and transporter-deficient mice treated with topotecan alone or with topotecan plus gefitinib

    ParameterTreatmentP
    TopotecanTopotecanTopotecan + gefitinib
    Abcg2+/+Abcg2−/−Abcg2−/−(+/+) vs (−/−)Gefitinib vs without
    CL (L/h/m2)15.4 (1.6)11.3 (2.2)8.3 (2.5)0.0060.008
    Vc (L/m2)5.75 (0.8)————
    F0.11 (0.02)0.22 (0.06)0.47 (0.11)0.060.006
    Kcp (h−1)0.50 (0.12)————
    Kpc (h−1)0.62 (0.09)————
    Ka (h−1)2.35 (0.40)————
    Mdr1(a/b)+/+Mdr1(a/b)−/−Mdr1(a/b)−/−(+/+) vs (−/−)Gefitinib vs without
    CL (L/h/m2)15.5 (0.97)12.2 (1.5)10.2 (1.4)0.0040.04
    Vc (L/m2)4.9 (0.47)————
    F0.21 (0.02)0.30 (0.04)0.50 (0.10)0.010.03
    Kcp (h−1)0.32 (0.04)1.45 (0.41)0.29 (0.57)0.0060.004
    Kpc (h−1)0.68 (0.06)————
    Ka (h−1)2.02 (0.48)————
    SCIDSCIDGefitinib vs without
    CL (L/h/m2)42.2 (4.6)22.5 (7.2)0.0004
    Vc (L/m2)19.2 (3.7)——
    F0.35 (0.09)0.61 (0.14)0.02
    Kcp (h−1)0.59 (0.19)——
    Kpc (h−1)0.18 (0.07)——
    Ka (h−1)1.43 (0.42)4.41 (0.86)0.00008
    • NOTE: Data are presented as mean (SE). —, no significant difference.

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Cancer Research: 66 (9)
May 2006
Volume 66, Issue 9
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Gefitinib Modulates the Function of Multiple ATP-Binding Cassette Transporters In vivo
Markos Leggas, John C. Panetta, Yanli Zhuang, John D. Schuetz, Brad Johnston, Feng Bai, Brian Sorrentino, Sheng Zhou, Peter J. Houghton and Clinton F. Stewart
Cancer Res May 1 2006 (66) (9) 4802-4807; DOI: 10.1158/0008-5472.CAN-05-2915

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Gefitinib Modulates the Function of Multiple ATP-Binding Cassette Transporters In vivo
Markos Leggas, John C. Panetta, Yanli Zhuang, John D. Schuetz, Brad Johnston, Feng Bai, Brian Sorrentino, Sheng Zhou, Peter J. Houghton and Clinton F. Stewart
Cancer Res May 1 2006 (66) (9) 4802-4807; DOI: 10.1158/0008-5472.CAN-05-2915
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