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Updated: May 19, 2026

Murine Model of Leukemia Relapse to Induction Chemotherapy for Acute Lymphoblastic Leukemia
Published on: October 17, 2025
Multidrug resistance-associated protein 1 predicts relapse in Iranian childhood acute lymphoblastic leukemia
Frouzandeh Mahjoubi1, Soodeh Akbari
1Clinical Genetic Department, National Institute of Genetic Engineering and Biotechnology (NIGEB), Tehran, Iran. frouz@nrcgeb.ac.ir
Abstract:
Multidrug resistance (MDR) is a main cause of failure in the chemotherapeutic treatment of malignant disorders. One of the well-known genes responsible for drug resistance encodes the multidrug resistance- associated protein (MRP1). The association of MRP1 with clinical drug resistance has not systematically been investigated in Iranian pediatric leukemia patients. We therefore applied real-time RT-PCR technology to study the association between the MRP1 gene and MDR phenotype in Iranian pediatric leukemia patients. We found that overexpression of MRP1 occurred in most Iranian pediatric leukemia patients at relapse. However, no relation between MRP1 mRNA levels and other clinical characteristics, including cytogenetic subgroups and FAB subtypes, was found.
Insights
Multidrug resistance (MDR) in pediatric leukemia is often linked to the multidrug resistance-associated protein 1 (MRP1) gene. This study found MRP1 gene overexpression in most Iranian pediatric leukemia patients during relapse.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Multidrug resistance (MDR) significantly hinders chemotherapy efficacy in malignant disorders.
- The multidrug resistance-associated protein 1 (MRP1) is a key gene implicated in MDR.
- Systematic investigation of MRP1's role in Iranian pediatric leukemia patients is lacking.
Purpose of the Study:
- To investigate the association between the MRP1 gene and MDR phenotype in Iranian pediatric leukemia patients.
- To analyze MRP1 mRNA levels using real-time RT-PCR technology.
Main Methods:
- Real-time RT-PCR technology was employed.
- MRP1 gene expression levels were quantified in pediatric leukemia patients.
- Data were analyzed for associations with clinical characteristics.
Main Results:
- Overexpression of the MRP1 gene was observed in the majority of Iranian pediatric leukemia patients at the time of relapse.
- No significant correlation was found between MRP1 mRNA levels and clinical factors such as cytogenetic subgroups or FAB subtypes.
Conclusions:
- MRP1 gene overexpression is a common finding in relapsed pediatric leukemia in the Iranian population.
- While MRP1 is associated with MDR in this cohort, its expression levels do not correlate with specific clinical or cytogenetic subtypes.
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