Pgp Upregulation Ex Vivo Before Treatment Correlated With the Subsequent Pgp Changes In Vivo After Chemotherapy
Patient Diagnosis (patient no.) . | Ex Vivo . | In Vivo . | |||||
---|---|---|---|---|---|---|---|
Pgp Status4-150 . | |||||||
No Drug . | IDA . | MX2 . | EPI4-151 . | Actual Treatment (drugs) . | Response‡ to Treatment . | Pgp Status on Subsequent Presentation (time after initial chemotherapy)4-150 . | |
AML (1) | 1.0 | 1.23 | 1.34 | 1.23 | IDA/AraC | Refractory | 1.76 (3 mo) |
BT-CML (7) | 0.75 | 1.50 | 2.46 | 2.61 | Hydroxyurea | Refractory | 1.19 (1 mo) |
BT-CML (8) | 0.87 | 2.20 | 2.30 | 3.27 | Hydroxyurea/AraC | Refractory | 1.51 (5 mo) |
Patient Diagnosis (patient no.) . | Ex Vivo . | In Vivo . | |||||
---|---|---|---|---|---|---|---|
Pgp Status4-150 . | |||||||
No Drug . | IDA . | MX2 . | EPI4-151 . | Actual Treatment (drugs) . | Response‡ to Treatment . | Pgp Status on Subsequent Presentation (time after initial chemotherapy)4-150 . | |
AML (1) | 1.0 | 1.23 | 1.34 | 1.23 | IDA/AraC | Refractory | 1.76 (3 mo) |
BT-CML (7) | 0.75 | 1.50 | 2.46 | 2.61 | Hydroxyurea | Refractory | 1.19 (1 mo) |
BT-CML (8) | 0.87 | 2.20 | 2.30 | 3.27 | Hydroxyurea/AraC | Refractory | 1.51 (5 mo) |
Pgp status was expressed as the ratio of the arithmetic mean of fluorescence (MCF) of MRK 16-labeled cells versus IGg2a-labeled controls.
Blasts were treated with 20 ng/mL IDA, 50 ng/mL MX2, or 100 ng/mL EPI for 16 hours before being subjected to Pgp analysis as described in Materials and Methods.
All 3 patients died as a result of disease progression.