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Updated: May 5, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Effect of the breast-cancer resistance protein on atypical multidrug resistance
1Institute of Pathology, University Hospital Charité, Humboldt-University Berlin, Germany. hermann.lage@charite.de
Abstract:
Simultaneous resistance of malignant cells to several antineoplastic agents that are structurally and functionally unrelated is known as multidrug resistance. It is one of the main causes of chemotherapy failure. Besides the classic multidrug-resistant phenotype, mediated by increased activity of the ATP-binding cassette (ABC) transporter P-glycoprotein, there are other multidrug-resistant tumours, with resistance caused by different mechanisms. This is called atypical multidrug resistance. Pronounced overexpression of a novel ABC transporter has been observed in various human cancer cell lines with atypical multidrug resistance (which were established by in vitro exposure to mitoxantrone, topotecan, doxorubicin, or bisantrene). This novel transporter was originally named breast-cancer resistance protein (BCRP). BCRP is a 655-aminoacid protein of about 72 kDa. It can be thought of as an ABC 'half-transporter', and it forms dimers to produce an active transport complex. Transfection experiments with BCRP cDNA showed that the phenotype of atypical multidrug resistance could be transferred to formerly drug-sensitive cancer cells. Although the role of BCRP in drug resistance of clinical cancers is still unclear, preliminary data obtained by mRNA and protein expression analyses support the assumption that it has a role in clinical multidrug resistance.
Insights
A novel transporter, breast-cancer resistance protein (BCRP), contributes to atypical multidrug resistance in cancer cells. This finding may impact future chemotherapy strategies by identifying new targets for overcoming drug resistance.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- Multidrug resistance (MDR) is a major cause of chemotherapy failure in cancer treatment.
- Classic MDR is often mediated by P-glycoprotein, an ATP-binding cassette (ABC) transporter.
- Atypical MDR involves different mechanisms, including novel ABC transporters.
Purpose of the Study:
- To investigate the role of a novel ABC transporter, breast-cancer resistance protein (BCRP), in atypical multidrug resistance.
- To characterize the BCRP transporter and its contribution to drug resistance in cancer cell lines.
Main Methods:
- Analysis of human cancer cell lines with atypical multidrug resistance.
- Identification and characterization of the novel ABC transporter BCRP.
- Transfection experiments using BCRP cDNA to transfer the MDR phenotype.
Main Results:
- Pronounced overexpression of BCRP was observed in cancer cell lines exhibiting atypical multidrug resistance.
- BCRP is a 655-aminoacid protein that functions as a dimerized ABC half-transporter.
- Transfection of BCRP cDNA conferred an atypical multidrug-resistant phenotype to drug-sensitive cells.
Conclusions:
- BCRP is a key mediator of atypical multidrug resistance in cancer.
- While its clinical role is under investigation, preliminary data suggest BCRP is involved in clinical multidrug resistance.
- Understanding BCRP's function may lead to novel therapeutic strategies against drug-resistant cancers.
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