PMID- 19020751 OWN - NLM STAT- MEDLINE DCOM- 20090202 LR - 20211203 IS - 1019-6439 (Print) IS - 1019-6439 (Linking) VI - 33 IP - 6 DP - 2008 Dec TI - Expression of multidrug resistance-associated protein 2 is involved in chemotherapy resistance in human pancreatic cancer. PG - 1187-94 AB - Despite the recent introduction of the new anticancer agents gemcitabine (GEM) and TS-1, as well as combination regimens such as GEM plus cisplatin (CDDP), pancreatic cancer treatment remains relatively ineffective. Both intrinsic and acquired resistance to chemotherapy are major roadblocks to the successful treatment of pancreatic cancer patients. The aims of this study were to examine the expression of multidrug resistance-associated proteins (MRPs) MRP1, MRP2 and MRP3 and to evaluate the correlation between MRP2 expression and CDDP resistance in human pancreatic cancer. Five human pancreatic cancer cell lines and several surgically resected pancreatic cancer tissues were subjected to reverse-transcriptase (RT)-PCR, real-time PCR and immunohistochemical analysis. While MRP1 and MRP2 mRNA was expressed in all cell lines, MRP3 mRNA was only detected in two cell lines. In resected pancreatic cancer tissues, only MRP2 mRNA was expressed and it was overexpressed compared with normal pancreatic tissues. MRP2 protein expression was observed in 77.5% (31/40) of cancer tissues, primarily in the cytoplasm of cancer cells, but was not observed in normal pancreatic tissue. Two CDDP-resistant pancreatic cancer cell line SUIT-2 variants, SUIT-2-CD3 and SUIT-2-CD4, were established by continuously administering 10 nM CDDP to SUIT-2 cell lines for 3 and 4 months, respectively. Incubation of these cells with CDDP in the presence of anti-MRP2 antibody or the MRP2 inhibitor MK-571 in a growth inhibition assay demonstrated that the CDDP-resistant variants were more resistant to CDDP than the parent cell line and this resistance was diminished by either anti-MRP2 antibody or MK-571. Moreover, RT-PCR and real-time PCR revealed that while induction of MRP2 mRNA expression was increased in CDDP-resistant compared with parent cells, MRP1 and MRP3 expression remained unchanged. These observations suggest that MRP2 may correlate to intrinsic and acquired resistance for CDDP in human pancreatic cancer. FAU - Noma, Bunjiro AU - Noma B AD - Department of Medicine and Molecular Science, Hiroshima University Graduate School of Biomedical Sciences, Minami-ku, Hiroshima 734-8551, Japan. bunjiro@hiroshima-u.ac.jp FAU - Sasaki, Tamito AU - Sasaki T FAU - Fujimoto, Yoshifumi AU - Fujimoto Y FAU - Serikawa, Masahiro AU - Serikawa M FAU - Kobayashi, Kenso AU - Kobayashi K FAU - Inoue, Motoki AU - Inoue M FAU - Itsuki, Hiroshi AU - Itsuki H FAU - Kamigaki, Michihiro AU - Kamigaki M FAU - Minami, Tomoyuki AU - Minami T FAU - Chayama, Kazuaki AU - Chayama K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (ABCC2 protein, human) RN - 0 (Antineoplastic Agents) RN - 0 (Multidrug Resistance-Associated Protein 2) RN - 0 (Multidrug Resistance-Associated Proteins) RN - 0 (Propionates) RN - 0 (Quinolines) RN - 0 (RNA, Messenger) RN - 1YV0492L5Z (multidrug resistance-associated protein 3) RN - 5Q9O54P0H7 (verlukast) RN - Q20Q21Q62J (Cisplatin) RN - Y49M64GZ4Q (multidrug resistance-associated protein 1) SB - IM MH - Antineoplastic Agents/*therapeutic use MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cisplatin/*therapeutic use MH - Dose-Response Relationship, Drug MH - *Drug Resistance, Neoplasm/drug effects/genetics MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Immunohistochemistry MH - Multidrug Resistance-Associated Protein 2 MH - Multidrug Resistance-Associated Proteins/antagonists & inhibitors/genetics/*metabolism MH - Pancreatic Neoplasms/drug therapy/genetics/*metabolism/pathology MH - Propionates/pharmacology MH - Quinolines/pharmacology MH - RNA, Messenger/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Up-Regulation EDAT- 2008/11/21 09:00 MHDA- 2009/02/03 09:00 CRDT- 2008/11/21 09:00 PHST- 2008/11/21 09:00 [pubmed] PHST- 2009/02/03 09:00 [medline] PHST- 2008/11/21 09:00 [entrez] PST - ppublish SO - Int J Oncol. 2008 Dec;33(6):1187-94.