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Title of Journal: Invest New Drugs

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Abbravation: Investigational New Drugs

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Springer US

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DOI

10.1002/pol.1973.170111015

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1573-0646

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Purine analogs sensitize the multidrug resistant c

Authors: Milica Pešić Ana Podolski Ljubiša Rakić Sabera Ruždijić
Publish Date: 2009/06/18
Volume: 28, Issue: 4, Pages: 482-492
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Abstract

The resistant cell line NCIH460/R and its counterpart NCIH460 were used to investigate the ability of purine analogs to overcome multidrug resistance MDR that seriously limit the efficacy of lung cancer regimens with chemotherapeutic agents Two purine analogs sulfinosine SF and 8ClcAMP exerted dosedependent effects on cell growth in both parental and resistant cell lines They significantly decreased mdr1 expression in NCIH460/R cells Low concentrations 1 µM of SF and 8ClcAMP in combination with doxorubicin DOX exerted synergistic growth inhibition in both cell lines Pretreatment with SF and 8ClcAMP improved the sensitivity to DOX more than verapamil VER the standard modulator of MDR The increased accumulation of DOX observed after the treatment with SF and 8ClcAMP was consistent with the results obtained with VER VER stimulated the effect of 8ClcAMP on DOX cytotoxicity and mdr1 expression Combinations of either SF or 8ClcAMP with VER at clinically acceptable concentrations exhibited synergistic effects on cell growth inhibition in the resistant cell line SF and 8ClcAMP modulated MDR in NCIH460/R cells especially when applied before DOX administration This feature together with their ability to reverse MDR renders the purine analogs in combination with VER as potential candidates for improving the clinical activity of existing lung cancer therapeutics


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