Multidrug resistance in glioblastoma. Chemosensitivity testing and immunohistochemical demonstration of P-glycoprotein

Pathol Res Pract. 1998;194(3):149-55. doi: 10.1016/S0344-0338(98)80015-0.

Abstract

Chemosensitivity of previously untreated glioblastomas to mitoxantrone, methotrexate, ACNU and BCNU was tested on cultured tissue. Sixteen of 62 tumors were partially chemosensitive in vitro. The monoclonal antibody C 219 was used to demonstrate the presence of p-glycoprotein in the 16 sensitive and five highly resistant glioblastomas. All 21 tumors identically expressed p-glycoprotein. These results show that untreated glioblastomas primarily express p-glycoprotein even if they are at least partially chemosensitive in vitro. Therefore, immunohistochemical demonstration of p-glycoprotein with the monoclonal antibody C 219 can not provide reliable information on short term resistance of the individual tumors to antineoplastic drugs. P-glycoprotein expression could, however, help to explain the disappointing overall long-term efficacy of chemotherapy by showing the existence of cell populations with early drug resistance in these tumors.

Publication types

  • Comparative Study

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / metabolism*
  • Antibodies, Monoclonal
  • Antineoplastic Agents / therapeutic use*
  • Brain Neoplasms / drug therapy
  • Brain Neoplasms / metabolism*
  • Brain Neoplasms / pathology
  • Carmustine / pharmacology
  • Cell Survival / drug effects
  • Drug Resistance, Multiple*
  • Drug Resistance, Neoplasm*
  • Glioblastoma / chemistry
  • Glioblastoma / drug therapy
  • Glioblastoma / metabolism*
  • Glioblastoma / pathology
  • Immunohistochemistry
  • Methotrexate / pharmacology
  • Mitoxantrone / pharmacology
  • Nimustine / pharmacology
  • Tetrazolium Salts
  • Thiazoles
  • Tumor Cells, Cultured

Substances

  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Antibodies, Monoclonal
  • Antineoplastic Agents
  • Tetrazolium Salts
  • Thiazoles
  • Nimustine
  • Mitoxantrone
  • Carmustine
  • Methotrexate