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Publication : Multidrug resistance and the role of P-glycoprotein knockout mice.

First Author  Schinkel AH Year  1995
Journal  Eur J Cancer Volume  31A
Issue  7-8 Pages  1295-8
PubMed ID  7577039 Mgi Jnum  J:28573
Mgi Id  MGI:76096 Doi  10.1016/0959-8049(95)00130-b
Citation  Schinkel AH, et al. (1995) Multidrug resistance and the role of P-glycoprotein knockout mice. Eur J Cancer 31A(7-8):1295-8
abstractText  Drug resistance, be it intrinsic or acquired, is a major problem in cancer chemotherapy. In vitro, one well characterised form of resistance against many different cytotoxic drugs is caused by the MDR1 P-glycoprotein, a large plasma membrane protein that protects the cell by actively pumping substrate drugs out. Available evidence suggests that this protein may cause drug resistance in at least some clinical tumours. Drugs inhibiting the MDR1 P-glycoprotein activity are, therefore, co-administered during chemotherapy of these tumours. To predict the biological and pharmacological effects of the blocking of this protein, we have generated mice with a genetic disruption of the drug-transporting mdr1a P-glycoprotein. These mice are overall healthy, but they accumulate much higher levels of substrate drugs in the brain, and have markedly slower elimination of these drugs from the circulation. For some drugs, this leads to dramatically increased toxicity, indicating that P-glycoprotein inhibitors should be used with caution in patients.
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