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Neither P-gp SNP variants, P-gp expression nor functional P-gp activity predicts MDR in a preliminary study of plasma
Stephen Drain1, Mark A Catherwood, Anthony J Bjourson
1Haemato-Oncology Laboratory, Belfast HSC Trust, Belfast City Hospital, Northern Ireland BT9 7AB.
Introduction:
Multidrug resistance (MDR) mediated by P-glycoprotein (P-gp) can compromise the successful treatment of many malignancies including plasma cell myeloma (PCM). However, methods do not yet exist that can accurately determine P-gp activity in PCM patient samples.
Methods:
In this study, we have utilized new advances in flow cytometric methods to determine the activity of P-gp in PCM tumor cells. Furthermore, we have used several PCR-based approaches to perform a pilot study determining the functional impact of ABCB1 SNPs in patients with PCM.
Results:
No associations were seen between P-gp activity or expression and subgroups of PCM. Similarly, no association was seen between P-gp expression and SNPs within ABCB1 although a nonsignificant reduction in activity was demonstrated for rs1045642 (P = 0.121).
Conclusions:
We have described a new method for the determination of P-gp and MRP activity suitable for use in clinical studies and have optimized this method to include a gating strategy, allowing routine use on PCM bone marrow aspirate samples. This is the first patient study to consider the full impact of SNPs within ABCB1 all the way from the genome to the proteome in PCM. The methods described here could also be utilized for future studies of "stem cell like" side populations in PCM that are considered to be drug resistant. Furthermore, minor amendments to these methods will facilitate studies of P-gp, MRP, and BCRP activity in other haematological malignancies.
Insights
Researchers developed a new flow cytometry method to measure P-glycoprotein (P-gp) activity in plasma cell myeloma (PCM) patients. This study explored the impact of ABCB1 gene variants on P-gp function in PCM, finding no significant associations.
Area of Science:
- Hematology
- Oncology
- Molecular Biology
Background:
- Multidrug resistance (MDR) via P-glycoprotein (P-gp) hinders plasma cell myeloma (PCM) treatment.
- Accurate methods to assess P-gp activity in patient samples are currently lacking.
Purpose of the Study:
- To establish and optimize flow cytometry methods for determining P-gp activity in PCM patient samples.
- To investigate the functional impact of ABCB1 single nucleotide polymorphisms (SNPs) in patients with PCM.
Main Methods:
- Utilized advanced flow cytometry techniques to measure P-gp activity in PCM tumor cells.
- Employed PCR-based approaches for a pilot study on ABCB1 SNPs in PCM patients.
Main Results:
- No significant associations were found between P-gp activity/expression and PCM subgroups.
- No association between P-gp expression and ABCB1 SNPs; a trend towards reduced activity for rs1045642 (P=0.121) was observed.
Conclusions:
- A novel, clinically applicable flow cytometry method for P-gp and MRP activity assessment in PCM was developed and optimized.
- This study represents the first comprehensive analysis of ABCB1 SNPs' impact from genome to proteome in PCM.
- The described methods can be adapted for studying drug-resistant populations and other hematological malignancies.
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