Multidrug Resistance and Its Circumvention in Acute Leukemia

  • A. F. List
  • C. M. Spier
  • W. S. Dalton
Conference paper
Part of the Haematology and Blood Transfusion / Hämatologie und Bluttransfusion book series (HAEMATOLOGY, volume 34)


The use of intensive chemotherapy regimens produces complete remissions in up to 90% of children with acute lymphocytic leukemia, and more than half of these patients are expected to be cured of their disease [1]. Among patients with acute myeloid leukemia (AML) and adults with acute lymphocytic leukemia, sustained complete remissions are achieved in only 20%–40% of cases [2, 3]. Remission rates in patients relapsing from a complete remission are substantially lower due to development of resistance to agents employed in primary therapy and other agents to which the patient has not been exposed. In experimental systems, resistance to multiple agents most often relates to expression of P-glycoprotein, or the multidrug resistance (MDR) phenotype. In this chapter we review the role of MDR in acute leukemia and current clinical trials at the Arizona Cancer Center aimed a-restoring chemosensitivity in these disorders.


Acute Lymphoblastic Leukemia Acute Leukemia Acute Nonlymphocytic Leukemia Mdrl Gene Multi Drug Resistance Gene 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • A. F. List
    • 1
  • C. M. Spier
    • 1
  • W. S. Dalton
    • 1
  1. 1.Section of Hematology/Oncology, Department of Internal Medicine and Department of PathologyUniversity of Arizona College of MedicineTucsonUSA

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