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甲诺孕酮和屈洛昔芬对K562/A02细胞株多种耐药机制的调节 被引量:17

Modulation of multiple drug resistance by nomegestrol acetate and droloxifene in K562/A02
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摘要 目的研究甲诺孕酮(NOM)和屈洛昔芬(DRO)对K562/A02细胞株耐药基因mdr1、谷胱甘肽S转移酶(GSTπ)、拓扑异构酶Ⅱα(TopoⅡα)和多药耐药相关蛋白(MRP)的调节。方法应用细胞培养技术,采用MTT比色法、免疫组织化学、逆转录聚合酶链反应和流式细胞术分析。结果NOM和DRO均可明显提高K562/A02细胞株对阿霉素(ADM)的敏感性,增加细胞内ADM积累量。可显著下调mdr1、GSTπ的mRNA和蛋白表达,明显上调TopoⅡα基因表达。K562敏感株的GSTπ基因表达同样被抑制。都具有明显的时间依赖性。MRP基因表达的变化差异无统计学意义。结论NOM和DRO可明显逆转K562/A02细胞株对ADM的耐药性。NOM与异搏定逆转强度相似;两药对mdr1、GSTπ和TopoⅡα基因表达均有明显调节作用。调节呈时间依赖性。 Objective To study the modulation of mdr1, glutathione Stransferase Pi (GST), topoisomerase (Topo) and multidrug resistanceassociated protein (MRP) by nomegestrol acetate (NOM) and droloxifene (DRO) in K562 cell line. Methods Adriamycin (ADM)resistant K562 (K562/A02) and parental K562 cells were treated with NOM and DRO. The alterations of chemosensitivity to ADM were evaluated by MTT assay, mRNA and protein expression of drugresistant gene by RTPCR and immunohistochemistry and accumulation of ADM by flow cytometry (FCM). Results Both NOM and DRO markedly enhanced chemosensitivity to ADM of K562/A02 cells. After 20, 10 and 5mol/L of NOM or DRO treatment, the chemosensitivities to ADM were increased by 17.7, 15.1 and 5.1 times, respectively in NOM treated cells and by 12.3, 12.9 and 4.0 times, respectively in DRO treated cells. In both the drugs treated cells the accumulation of ADM was increased by 23 times. The MDR reversal activity of NOM was similar to that of VRP, but the modulatory action of DRO on K562/A02 cells was weaker than that of VRP at concentration of 20mol/L. After 20mol/L of NOM treatment, chemosensitivity to ADM of K562 cells was markedly enhanced ( P <0.05). Both NOM and DRO were found to significantly inhibit mdr1 and GST expression and increase Topo expression at the mRNA and protein level. This modulation of gene expression was time dependent and the maximal effects appeared 5 days after drugs treatment. Both NOM and DRO failed to modulate the MRP expression. In K562 cells, NOM and DRO also inhibited GST expression ( P <0.05). Conclusion Both NOM and DRO could markedly reverse the MDR of K562/A02 cells. The reversal activity of NOM was comparable to that of VRP. Both the drugs could modulate mdr1, GST and Topo expression in a time dependent manner.
出处 《中华血液学杂志》 CAS CSCD 北大核心 1999年第6期288-291,共4页 Chinese Journal of Hematology
关键词 甲诺孕酮 屈洛昔芬 K562细胞系 MDR 多药耐药 Drug resistance, multipleNomegestrol acetateDroloxifeneCell line,K562
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