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Updated: Aug 16, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
[The molecular basis and in vitro determination of multiple resistance to cytostatic agents]
Abstract:
Contemporary therapeutic procedures used in the treatment of malignant diseases are based on the no-selective action of cytotoxic or cytostatic substances. The sensitivity of tumour cells to cytostatics can be, however, reduced by the action of several mechanisms among which expression of the membrane glycoprotein P-170 is the most important. The latter actively transfers the cytotoxic substance from the cell and is responsible for multiple drug resistance-MDR). Glycoprotein P-170 can be assessed on leukaemic cells immunochemically by flow cytometry. A very perspective procedure is assessment of the in vitro sensitivity of leukaemic cells to clinically used cytostatics.
Insights
Chemotherapy resistance in cancer is often caused by P-glycoprotein (P-170), which removes drugs from tumor cells. Assessing P-170 expression and drug sensitivity in leukemia cells offers a promising approach for personalized treatment.
Area of Science:
- Oncology
- Cell Biology
- Pharmacology
Background:
- Cancer therapies often use non-selective cytotoxic or cytostatic drugs.
- Tumor cell resistance mechanisms can reduce treatment efficacy.
- P-glycoprotein (P-170) expression is a key factor in multidrug resistance (MDR).
Purpose of the Study:
- To investigate the role of P-glycoprotein (P-170) in multidrug resistance (MDR) in malignant diseases.
- To explore the assessment of P-170 expression in leukaemic cells.
- To evaluate the potential of in vitro drug sensitivity testing for leukemia treatment.
Main Methods:
- Immunochemical assessment of P-glycoprotein (P-170) expression on leukaemic cells.
- Utilizing flow cytometry for P-170 detection.
- In vitro sensitivity testing of leukaemic cells against clinically used cytostatics.
Main Results:
- P-glycoprotein (P-170) actively extrudes cytotoxic substances from cells, leading to multidrug resistance (MDR).
- P-170 expression can be quantified on leukaemic cells using immunochemical methods and flow cytometry.
- In vitro assessment of leukaemic cell sensitivity to cytostatics is a promising diagnostic procedure.
Conclusions:
- P-glycoprotein (P-170) mediated drug efflux is a critical mechanism of multidrug resistance (MDR) in cancer.
- Flow cytometry provides a viable method for assessing P-170 expression in leukemia.
- In vitro drug sensitivity testing holds significant potential for optimizing chemotherapy regimens in leukemia patients.
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