Table 2.

Parameters Influencing Achievement of CR

Parameters Patients Who Achieved CR (patients)Patients Refractory to Treatment (patients)P Value
In Vitro Resistance Parameters  
MDR1 expression  
 RT-PCR* 0.092 ± 0.087  0.197 ± 0.022  .04#  
 Flow cytometry 2.10 ± 0.59  3.93 ± 2.27  .04#  
MRP1 expression  
 RT-PCR* 0.212 ± 0.341 0.756 ± 0.312  .05#  
 Flow cytometry 1.38 ± 0.53  1.90 ± 0.43  .05#  
Mvp/LRP expression  
 RT-PCR* 0.57 ± 0.51  0.69 ± 0.66 NS  
 Flow cytometry 3.7 ± 1.7 4.4 ± 3.1  NS  
Modulatory effect of CsA on calcein-AM uptake,2-153 1.17 ± 0.27  1.55 ± 0.37  .05# 
Modulatory effect of probenecid on calcein-AM uptake,2-155 1.12 ± 0.36  1.39 ± 0.22  .04#  
Modulatory effect of CsA + probenecid on calcein-AM uptake,2-154 1.35 ± 0.47 2 ± 0.54  .008#  
LC50 DNR (μmol/L)  0.29 ± 0.28 0.56 ± 1.32  .05#  
LC50 AraC (μmol/L)  5.0 ± 8.8 17.2 ± 28.5  .06#  
LC50 etoposide (μmol/L) 14.9 ± 17.3  20.4 ± 28.5   NS# 
Clinical and Biological Parameters  
Age (yr)  48 ± 16  62 ± 22  .03#  
WBC at diagnosis (×109/L)  77 ± 72  139 ± 111 .03#  
CD34 (% of positive patients)  54 64   NS2-160 
Cytogenetic (%)    .052-164 
 Good  88  12 
 Intermediate  58  42 
 Poor  40  60 
Parameters Patients Who Achieved CR (patients)Patients Refractory to Treatment (patients)P Value
In Vitro Resistance Parameters  
MDR1 expression  
 RT-PCR* 0.092 ± 0.087  0.197 ± 0.022  .04#  
 Flow cytometry 2.10 ± 0.59  3.93 ± 2.27  .04#  
MRP1 expression  
 RT-PCR* 0.212 ± 0.341 0.756 ± 0.312  .05#  
 Flow cytometry 1.38 ± 0.53  1.90 ± 0.43  .05#  
Mvp/LRP expression  
 RT-PCR* 0.57 ± 0.51  0.69 ± 0.66 NS  
 Flow cytometry 3.7 ± 1.7 4.4 ± 3.1  NS  
Modulatory effect of CsA on calcein-AM uptake,2-153 1.17 ± 0.27  1.55 ± 0.37  .05# 
Modulatory effect of probenecid on calcein-AM uptake,2-155 1.12 ± 0.36  1.39 ± 0.22  .04#  
Modulatory effect of CsA + probenecid on calcein-AM uptake,2-154 1.35 ± 0.47 2 ± 0.54  .008#  
LC50 DNR (μmol/L)  0.29 ± 0.28 0.56 ± 1.32  .05#  
LC50 AraC (μmol/L)  5.0 ± 8.8 17.2 ± 28.5  .06#  
LC50 etoposide (μmol/L) 14.9 ± 17.3  20.4 ± 28.5   NS# 
Clinical and Biological Parameters  
Age (yr)  48 ± 16  62 ± 22  .03#  
WBC at diagnosis (×109/L)  77 ± 72  139 ± 111 .03#  
CD34 (% of positive patients)  54 64   NS2-160 
Cytogenetic (%)    .052-164 
 Good  88  12 
 Intermediate  58  42 
 Poor  40  60 

Abbreviation: NS, not significant.

*

Variations between samples in cDNA synthesis were normalized by their relative quantities of β2m amplified by 23-cycle PCR. The normalized yield of MDR products relative to β2m were then compared with those of A549 cells for MRP1 and LRP and with those of HL60 Pgp for MDR1, which were defined as 1 arbitrary unit.

Values were expressed as adjusted for control, ie, the ratio of MoAbs fluorescence divided by control antibody fluorescence.

Data were calculated as the ratio of drug fluorescence with modulator divided by drug fluorescence without modulator after subtraction of the fluorescence of the control.

F2-153

Quantified Pgp activity.

F2-155

Quantified MRP1 activity.

F2-154

Quantified the simultaneous activity of Pgp and MRP1.

#Using U Mann Whitney test.

F2-160

Using χ2 test.

F2-164

Using Kruskal Wallis test.

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