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    • 44. 发明授权
    • Methods for preventing multidrug resistance in cancer cells
    • 预防癌细胞多药耐药的方法
    • US5972598A
    • 1999-10-26
    • US370724
    • 1995-01-10
    • Preet ChaudharyAlexander A. ShtilIgor B. Roninson
    • Preet ChaudharyAlexander A. ShtilIgor B. Roninson
    • C07H15/232A61K20060101A61K31/00A61K31/495A61K31/55A61K31/70A61K31/7028A61K31/7034A61K31/7036A61K38/00A61K45/00A61K45/06A61P35/00B05B7/06C12Q1/68G01N33/50
    • A61K31/00A61K31/495A61K31/55A61K38/005A61K45/06B05B7/066C12Q1/6897G01N33/5011
    • This invention is directed to methods for preventing the emergence of multidrug resistance in tumor cells during cancer chemotherapy. In particular, it relates to the use of protein kinase inhibitors to prevent the induction of expression of the multidrug resistance gene (MDR1) encoding P-glycoprotein by chemotherapeutic drugs. MDR1 expression, which results in tumor cell resistance to subsequent treatment with certain chemotherapeutic drugs, is shown herein to be induced in response to treatment with various cytotoxic agents, including such agents that are and are not substrates for P-glycoprotein-mediated efflux from cancer cells. Inhibitors of protein kinases, in particular, protein kinase C, are shown herein to suppress this cellular response. In addition, such protein kinase inhibitors are also shown herein to inhibit expression of a gene encoding a multidrug resistance-associated protein (the MRP gene). The instant invention provides methods for using such protein kinase inhibitors to both suppress induction of MDR1 gene expression by cytotoxic drugs, and to inhibit expression of MRP. The invention also provides methods for identifying protein kinase inhibitors that have either or both of these effects on MDR1 and MRP expression. Thus, the invention provides useful methods and reagents for preventing the emergence of multidrug resistance in tumor cells treated with cytotoxic and chemotherapeutic drugs in cancer patients undergoing chemotherapy, when such protein kinase inhibitors are administered prior to or simultaneous with cytotoxic drug treatment in such individuals.
    • 本发明涉及用于预防癌症化疗期间肿瘤细胞中多药耐药性出现的方法。 特别涉及使用蛋白激酶抑制剂来预防化疗药物对编码P-糖蛋白的多药耐药基因(MDR1)的表达的诱导。 本文显示导致对某些化学治疗药物随后治疗的肿瘤细胞耐药性的MDR1表达,是响应于用各种细胞毒剂(包括这些并不是P糖蛋白介导的癌症流出的底物)的药物而被诱导的 细胞。 本文显示蛋白激酶,特别是蛋白激酶C的抑制剂以抑制这种细胞反应。 此外,本文还显示了这种蛋白激酶抑制剂抑制编码多药耐药相关蛋白(MRP基因)的基因的表达。 本发明提供了使用这种蛋白激酶抑制剂抑制细胞毒性药物诱导MDR1基因表达并抑制MRP表达的方法。 本发明还提供用于鉴定具有这些对MDR1和MRP表达的这些作用中的一种或两种的蛋白激酶抑制剂的方法。 因此,本发明提供了有用的方法和试剂,用于在这种个体的细胞毒性药物治疗之前或同时施用这种蛋白激酶抑制剂时,用于预防在接受化疗的癌症患者中用细胞毒性和化学治疗药物治疗的肿瘤细胞中多药耐药性的出现。