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Cited by 356

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

The drug efflux protein, P-glycoprotein, additionally protects drug-resistant tumor cells from multiple forms of caspase-dependent apoptosis

Open access
Smyth, Mark J., Krasovskis, Erika, Sutton, Vivien R., Johnstone, Ricky W.·1998·Proceedings of the National Academy of Sciences

Abstract

Multidrug resistance mediated by the drug efflux protein, P-glycoprotein (P-gp), is one mechanism that tumor cells use to escape death induced by chemotherapeutic agents. However, the mechanism by which P-gp confers resistance to a large variety of structurally diverse molecules has remained elusive. In this study, classical multidrug resistant human CEM and K562 tumor cell lines expressing high levels of P-gp were less sensitive to multiple forms of caspase-dependent cell death, including that mediated by cytotoxic drugs and ligation of Fas. The DNA fragmentation and membrane damage inflicted by these stimuli were defined as caspase dependent by various soluble peptide fluoromethylketone caspase inhibitors. Inhibition of P-gp function by the anti-P-gp mAb MRK-16 or verapamil could reverse resistance to these forms of cell death. Inhibition of P-gp function also enhanced drug or Fas-mediated activation of caspase-3 in drug-resistant CEM cells. By contrast, caspase-independent cell death events in the same cells, including those mediated by pore-forming proteins or intact NK cells, were not affected by P-gp expression. These observations suggest that, in addition to effluxing drugs, P-gp may play a specific role in regulating some caspase-dependent apoptotic pathways.

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Metadata

Authors
Smyth, M. J., Krasovskis, E., Sutton, V. R., & Johnstone, R. W.
Venue
Proceedings of the National Academy of Sciences
Published
1998-06-09
Volume
95
Issue
12
Pages
7024-7029
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2013995823
Cited by
356
References
43
FWCI
8.30
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The drug efflux protein, P-glycoprotein, additionally protects drug-resistant tumor cells from multiple forms of caspase-dependent apoptosis. https://app.cochat.ai/papers/10.1073/pnas.95.12.7024
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Smyth, M. J., Krasovskis, E., Sutton, V. R., & Johnstone, R. W. (1998). The drug efflux protein, P-glycoprotein, additionally protects drug-resistant tumor cells from multiple forms of caspase-dependent apoptosis. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.95.12.7024

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