Skip to main content
Log in

Genetic aspects of multidrug resistance

  • Published:
Medical Oncology and Tumor Pharmacotherapy Aims and scope Submit manuscript

Abstract

Gene amplification is responsible both for dihydrofolate reductase induced methotrexate resistance, and for the P-glycoprotein encoding multigene family induced multidrug resistance. The 6 pairs of hydrophobic regions of the P-glycoprotein fold up in a snake-like structure through the lipidic layers of the cell membrane. Other detoxification mechanisms include the glutathione S-transferase ‘pi’, but without gene amplification.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. BorstP: DNA amplification and multidrug resistance.Nature 309, 580(1984).

    Article  PubMed  CAS  Google Scholar 

  2. Riordan J R, Deuchars K, Kartner N, Alon N, Trent J, LingV: Amplification of P-glycoprotein genes in multi-drug-resistant mammalian cell lines.Nature 316, 817 (1985).

    Article  PubMed  CAS  Google Scholar 

  3. Kartner N, LingV: Multidrug resistance in cancer.Sc Am 260, 26(1989).

    Google Scholar 

  4. Scotto K W, Biedler J L, Melera P W: Amplification and expression of genes associated with multidrug resistance in mammalian cells.Science 232, 751 (1986).

    Article  PubMed  CAS  Google Scholar 

  5. Gros P, Croop J, HousmanD: Mammalian multidrug resistance gene: complete cDNA sequence indicates strong homology to bacterial transport proteins.Cell 47, 371 (1986).

    Article  PubMed  CAS  Google Scholar 

  6. Chen C J, Chin J E, Ueda K, Clark D P, Pastan I, Gottesman M M, Roninson I B: Internal duplication and homology with bacterial transport proteins in the mdr1 (P-glycoprotein) gene from multidrug-resistant human cells.Cell 47, 381 (1986).

    Article  PubMed  CAS  Google Scholar 

  7. Shen D W, Fojo A, Roninson I B, Chin j E, Soffir R, Pastan I, Gottesman M M: Multidrug resistance of DNA-mediated transformants is linked to transfer of the human mdrl gene.Mol Cell Biol 6, 4039 (1986b).

    PubMed  CAS  Google Scholar 

  8. Ueda K, Cardarelli C, Gottesman M M, PastanI: Expression of a full-lenth cDNA for the human “MDRl” gene confers resistance to colchicine, doxorubicin, and vinblastine.Proc Natl Acad Sci USA 84, 3004 (1987).

    Article  PubMed  CAS  Google Scholar 

  9. Moscow J A, Townsend A J, Goldsmith M E, WhangPeng J, Vickers P J, Poisson R, Legault-Poisson S, Myers C E, Cowan K H: Isolation of the human anionic gluta-thione S-transferase cDNA and the relation of its gene expression to estrogen-receptor content in primary breast cancer.Proc Natl Acad Sci USA 85, 6518 (1988).

    Article  PubMed  CAS  Google Scholar 

  10. Vickers P J, Dickson R B, Shoemaker R, Cowan K H: A multidrug-resistant MCF-7 human breast, cancer cell line which exhibits cross-resistance to antiestrogens and hormone-independent tumor growth in vivo.Mol Endocrinol 2, 886(1988).

    Article  PubMed  CAS  Google Scholar 

  11. Kane S E,Troen B R, Gal S, Ueda K, Pastan I, Gottesman M M: Use of a cloned multidrug resistance gene for coamplification and overproduction of major excreted protein, a transformation-regulated secreted acid protease.Mol Cell Biol 8, 3316(1988).

    PubMed  CAS  Google Scholar 

  12. Croop J M, Raymond M, Haber D, Devault A, Arceci R J, Gros P, HousmanD: The three mouse multidrug resistance genes are expressed in a tissue-specific manner in normal mouse tissues.Mol Cell Biol 9, 1346 (1989).

    PubMed  CAS  Google Scholar 

  13. Fojo A T, Ueda K, Slamon D J, Poplack D G, Gottesman M M, PastanI: Expression of a multidrug-resistance gene in human tumors and tissues.Proc Natl Acad Sci USA 84, 265 (1987).

    Article  PubMed  CAS  Google Scholar 

  14. Kohno K, Sato S I, Uchiumi T, Takano H, Kato S, KuwanoM: Tissue-specific enhancer of the human multidrug-resistance (MDR1) gene.J Biol Chem 265, 19690 (1990).

    PubMed  CAS  Google Scholar 

  15. Pauly M, Kayser I, Hammarström-Schmitz M, Dicato M, Hentges F and Michels J M: An A + T-rich intron in the central region of the human mdrl gene harbours a 32-bp minisatellite-like sequence with a stretchof alternating purines and pyrimidines.Arch Intern Physiol Biochun 99, B72 (1991).

    Google Scholar 

  16. Shen D W, Fojo A, Chin J E, Roninson I B, RichertN, Pastan I, Gottesman M M: Human multidrug-resistant cell lines:increased mdrl expression can precede gene amplification.Science 252, 643 (1986a).

    Article  Google Scholar 

  17. Haber D A, Housrnan D E: MspI/HpaII polymorphism in the human multidrug resistance gene 1.Nucl Ac Res 17, 10142 (1989).

    Article  CAS  Google Scholar 

  18. Choi K, Hake L E, Bowcock A M, Roninson I B, Cavalli-Sforza L L: RFLPs associated with MDR2, a member of the human multidrug resistance gene family mapped to chromosome 7.Nucl Ac Res 15, 6305 (1987).

    Article  CAS  Google Scholar 

  19. Fitzgerald D J, Willingham M C, Cardarelli C O, Hamada H, Tsuruo T, Gottesman M M, PastanI: A monoclonal antibody-Pseudomonas toxin conjugate that specifically kills multidrug-resistant cells.Proc Natl Acad Sci USA 84, 4288 (1987).

    Article  PubMed  CAS  Google Scholar 

  20. Ozols R F, Cunnion R E, Klecker R Wet al: Verapamil and adriamycin in the treatment of drug-resistant ovarian cancer patients.J Clin Oncol 5, 641 (1987).

    PubMed  CAS  Google Scholar 

  21. Dalton W S, Grogan T M, Meltzer P S: Drug-resistance in multiple myeloma and non-hodgkin’s lymphoma:detection of P-glycoprotein and potential circumvention by addition of verapamil to chemotherapy.J Clin Oncol 7, 415 (1989).

    PubMed  CAS  Google Scholar 

  22. Ries F, DicatoM: Treatment of advanced and refractory breast cancer with doxorubicin, vincristine and continuous infusion of verapamil. A phase I-II clinical trial.Med Oncol and Tumor Pharmacother 8, 39 (1991).

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pauly, M., Ries, F. & Dicato, M. Genetic aspects of multidrug resistance. Med Oncol. & Tumor Pharmacother. 9, 21–24 (1992). https://doi.org/10.1007/BF02989649

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02989649

Key Words

Navigation