Study of resistance to chemotherapy mediated by ABC transporters in biopsies of glioblastoma multiforme

Mortality rate is dramatically high in high grade brain tumors. The presence of multiple drug resistance transporters in glioblastoma multiforme, has contributed largely to the poor efficacy of targeted therapy against cancer in the central nervous system. To analyze the percentage of survival and m...

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Veröffentlicht in:Revista medíca de Chile 2011-04, Vol.139 (4), p.415-424
Hauptverfasser: Quezada, Claudia, Peigñan, Lilia, Segura, Rodrigo, Riquelme, Francisco, Melo, Rómulo, Rojas Z, David, Ayach, Freddy, San Martín, Rody, Cárcamo, Juan Guillermo
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container_issue 4
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container_title Revista medíca de Chile
container_volume 139
creator Quezada, Claudia
Peigñan, Lilia
Segura, Rodrigo
Riquelme, Francisco
Melo, Rómulo
Rojas Z, David
Ayach, Freddy
San Martín, Rody
Cárcamo, Juan Guillermo
description Mortality rate is dramatically high in high grade brain tumors. The presence of multiple drug resistance transporters in glioblastoma multiforme, has contributed largely to the poor efficacy of targeted therapy against cancer in the central nervous system. To analyze the percentage of survival and mortality of patients with glioblastoma multiforme in a cohort of patients in Chile and to co-rrelate the chemo-resistance of these cells with the expression level of multiple drug resistance transporters. Eighteen biopsies of glioblastoma multiforme were obtained from patients at the Institute of Neurosurgery Dr. Asenjo (INCA). The tumor cells were obtained from primary cultures and the expression and activity of multiple drug resistance transporters was assessed by RT-PCR and immunohistochemistry. Population-based study was performed using the databases of the Department of Neurosurgery of INCA. The number of patients with glioblastoma multiforme increased between 2007 and 2009, from 3.5% to 7.9% of total brain tumors. Mortality of these tumors is 90 % at three years. A high expression and activity of the multiple drugs resistance associated protein 1 (Mrp1) transporter was observed in primary cultures of biopsies. We propose that Mrp1 activity is responsible for the chemo-resistance of the glioblastoma multiforme and inhibition of this transporter could represent a plausible strategy for the treatment.
doi_str_mv 10.4067/S0034-98872011000400001
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adolescent
Adult
Aged
ATP-Binding Cassette Transporters - metabolism
Brain Neoplasms - drug therapy
Brain Neoplasms - metabolism
Brain Neoplasms - mortality
Child
Child, Preschool
Cohort Studies
Drug Resistance, Neoplasm
Female
Follow-Up Studies
Glioblastoma - drug therapy
Glioblastoma - metabolism
Glioblastoma - mortality
Humans
Immunohistochemistry
Male
Middle Aged
Neoplasm Proteins - metabolism
Reverse Transcriptase Polymerase Chain Reaction
Survival Analysis
Tumor Cells, Cultured
Young Adult
title Study of resistance to chemotherapy mediated by ABC transporters in biopsies of glioblastoma multiforme
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