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Vol. 293, Issue 2, 530-538, May 2000
Cancer Research Laboratories, Queen's University, Kingston,
Ontario, Canada
Multidrug resistance in tumor cells is often associated with reduced
drug accumulation resulting from increased expression of the 190-kDa
multidrug resistance protein 1 (MRP1) or the 170-kDa P-glycoprotein.
However, unlike P-glycoprotein, MRP1 is a primary active transporter of
many conjugated organic anions, including the cysteinyl leukotriene
LTC4. Moreover, agents such as verapamil that reverse
P-glycoprotein-mediated resistance are often poorly, or not at all,
effective in MRP1-overexpressing cells. In the present study, we
investigated the effects of verapamil on MRP1-mediated transport
processes. We found that verapamil inhibited LTC4 transport into inside-out membrane vesicles prepared from MRP1-transfected cells
in a competitive manner, but only in the presence of reduced glutathione (GSH) or its nonreducing S-methyl
derivative. In the presence of 1 mM GSH, the apparent
Ki for verapamil was 1.2 µM, and in the
presence of 100 µM verapamil, the apparent
Ki for GSH was 77 µM. Verapamil itself was
not transported by MRP1 in either intact cells or membrane vesicles.
However, verapamil strongly stimulated MRP1-mediated GSH uptake by
membrane vesicles in a concentration-dependent and osmotically
sensitive manner that was inhibitable by MRP1-specific monoclonal
antibodies. In the presence of 100 µM verapamil, the apparent
Km and Vmax for
GSH uptake were 83 µM and 55 pmol mg
1
min
1, respectively. It is proposed that the variable
ability of verapamil to modulate MRP1-mediated resistance in different
cell lines may be more closely linked to its effect on the GSH status
of the cells than on its ability to inhibit the MRP1 transporter itself.
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