Skip Navigation

JNCI Journal of the National Cancer Institute 2000 92(20):1651-1656; doi:10.1093/jnci/92.20.1651
© 2000 by Oxford University Press
This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Request Permissions
Google Scholar
Right arrow Articles by Jonker, J. W.
Right arrow Articles by Schinkel, A. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jonker, J. W.
Right arrow Articles by Schinkel, A. H.
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Journal of the National Cancer Institute, Vol. 92, No. 20, 1651-1656, October 18, 2000
© 2000 Oxford University Press

Role of Breast Cancer Resistance Protein in the Bioavailability and Fetal Penetration of Topotecan

Johan W. Jonker, Johan W. Smit, Remco F. Brinkhuis, Marc Maliepaard, Jos H. Beijnen, Jan H. M. Schellens, Alfred H. Schinkel

Affiliations of authors: J. W. Jonker, J. W. Smit, R. F. Brinkhuis, M. Maliepaard, A. H. Schinkel (Division of Experimental Therapy), J. H. M. Schellens (Divisions of Experimental Therapy and Medical Oncology), The Netherlands Cancer Institute, Amsterdam; J. H. Beijnen, Department of Pharmacy and Pharmacology, Slotervaart Hospital, Amsterdam, The Netherlands.

Correspondence to: Alfred H. Schinkel, Ph.D., Division of Experimental Therapy, The Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands (e-mail: alfred{at}nki.nl).


    ABSTRACT
 Top
 Notes
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Background and Methods: Breast cancer resistance protein (BCRP/MXR/ABCP) is a multidrug-resistance protein that is a member of the adenosine triphosphate-binding cassette family of drug transporters. BCRP can render tumor cells resistant to the anticancer drugs topotecan, mitoxantrone, doxorubicin, and daunorubicin. To investigate the physiologic role of BCRP, we used polarized mammalian cell lines to determine the direction of BCRP drug transport. We also used the BCRP inhibitor GF120918 to assess the role of BCRP in protecting mice against xenobiotic drugs. Bcrp1, the murine homologue of BCRP, was expressed in the polarized mammalian cell lines LLC-PK1 and MDCK-II, and the direction of Bcrp1-mediated transport of topotecan and mitoxantrone was determined. To avoid the confounding drug transport provided by P-glycoprotein (P-gp), the roles of Bcrp1 in the bioavailability of topotecan and the effect of GF120918 were studied in both wild-type and P-gp-deficient mice and their fetuses. Results: Bcrp1 mediated apically directed transport of drugs in polarized cell lines. When both topotecan and GF120918 were administered orally, the bioavailability (i.e., the extent to which a drug becomes available to a target tissue after administration) of topotecan in plasma was dramatically increased in P-gp-deficient mice (greater than sixfold) and wild-type mice (greater than ninefold), compared with the control (i.e., vehicle-treated) mice. Furthermore, treatment with GF120918 decreased plasma clearance and hepatobiliary excretion of topotecan and increased (re-)uptake by the small intestine. In pregnant GF120918-treated, P-gp-deficient mice, relative fetal penetration of topotecan was twofold higher than that in pregnant vehicle-treated mice, suggesting a function for BCRP in the maternal–fetal barrier of the placenta. Conclusions: Bcrp1 mediates apically directed drug transport, appears to reduce drug bioavailability, and protects fetuses against drugs. We propose that strategic application of BCRP inhibitors may thus lead to more effective oral chemotherapy with topotecan or other BCRP substrate drugs.



    INTRODUCTION
 Top
 Notes
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
After a period of treatment with a single cytotoxic drug, cancer cells can become resistant to multiple drugs, a phenomenon known as multidrug resistance. Several mechanisms of multidrug resistance have been identified, including the overexpression of P-glycoprotein (P-gp) and MRP1, which are members of the adenosine triphosphate-binding cassette (ABC) superfamily of transport proteins that are situated in the plasma membrane and can actively transport drugs out of the cell (13). Recently, breast cancer resistance protein (BCRP) (also known as mitoxantrone resistance protein [MXR] and placenta-specific ABC transporter [ABCP]), a new member of this superfamily involved in multidrug resistance, was identified in an MCF-7 breast cancer cell subline that was selected for resistance to doxorubicin. This BCRP-overexpressing cell line was markedly cross-resistant to mitoxantrone and daunorubicin (4,5). Subsequently, several other groups (68) have shown overexpression of BCRP or its murine homologue, Bcrp1, in cell lines selected for resistance to the anticancer agents mitoxantrone, doxorubicin, and topotecan. BCRP-mediated drug resistance could be effectively reversed by GF120918 (a P-gp inhibitor) in human (9) and murine (7) cell lines.

In this study, we investigate the direction of BCRP-mediated drug transport in various polarized cell lines and determine the role of BCRP in protecting mice against xenobiotic drugs (10), by using the efficient BCRP inhibitor GF120918.


    MATERIALS AND METHODS
 Top
 Notes
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Animals

The mice were housed and handled according to institutional guidelines and Dutch laws. For all experiments, the animals used were male mdr1a/1b(-/-) or wild-type mice of a 99% FVB genetic background; they were 9–14 weeks of age. The mice were kept in a temperature-controlled environment with a 12-hour light–12-hour dark cycle and were given a standard diet (AM-II; Hope Farms, Woerden, The Netherlands) and acidified water ad libitum.

Reagents

Topotecan (Hycamtin®) and [14C]topotecan (56 Ci/mol) were from SmithKline Beecham Pharmaceuticals (King of Prussia, PA). GF120918 was from Glaxo Wellcome (Research Triangle Park, NC). Ketamine (Ketalar®) was from Parke-Davis (Hoofddorp, The Netherlands). Xylazine was from Sigma Chemical Co. (St. Louis, MO). Methoxyflurane (Metofane®) was from Mallinckrodt Veterinary, Inc. (Mundelein, IL). All other compounds used were reagent grade.

Drug Preparation, Administration, and Analysis

GF120918 was suspended at 5 mg/mL in a mixture of hydroxypropyl methylcellulose (10 g/L)/2% (vol/vol) Tween 80/H2O (0.5 : 1 : 98.5 [vol/vol/vol] for oral administration). Animals, lightly anesthetized with methoxyflurane, were administered GF120918 (50 mg/kg; 10 µL of drug solution/g body weight) or a corresponding amount of vehicle by gavage into the stomach. Topotecan (0.2 mg/mL) (freshly prepared in 5% [wt/vol] D-glucose; 5 µL/g body weight) was administered orally at a dose of 1.0 mg/kg body weight. For intravenous administration, topotecan or, where indicated, [14C]topotecan at 5 µL of drug solution/g body weight was injected into the tail vein of mice lightly anesthetized with methoxyflurane.

Animals were killed by cardiac puncture or axillary bleeding after being anesthetized with methoxyflurane, and their blood was collected. Heparinized plasma was mixed with three volumes of ice-cold methanol (-20 °C). Their organs were removed and subsequently homogenized in 4% (wt/vol) bovine serum albumin. Where applicable, the intestinal content was separated from the intestinal tissue before homogenization. Radioactivity in homogenates was determined as described previously (11). Because topotecan is hardly metabolized in vivo, the amounts of 14C reflect total unchanged levels of topotecan (12). The total topotecan levels (lactone plus carboxylate form) in plasma were determined by high-pressure liquid chromatography as described earlier (13). The area under the plasma concentration–time curve (AUC) was calculated (from 0 to 4 hours for oral administration and from 1 minute to 4 hours for intravenous administration) by use of the linear trapezoidal rule. Plasma bioavailability (i.e., the extent to which a drug becomes available in plasma after administration) of administered drug was determined as the ratio of the AUC after oral and intravenous administrations. For gallbladder cannulation experiments, mice were anesthetized and cannulated as described previously (14). Anesthetics, a combination of ketamine (100 mg/kg) and xylazine (6.7 mg/kg), were injected intraperitoneally into the mice at 2.33 µL/g body weight.

Ribonuclease Protection Analysis

Total RNA was isolated from mouse tissues by use of the TRIzol® reagent (Life Technologies, Inc. [GIBCO BRL], Rockville, MD), according to the manufacturer's instructions. Ribonuclease (RNase) protection assays were performed, as described previously (15), with 10 µg of total RNA per sample. A mouse probe for bcrp1 was made by cloning a 405-nucleotide (nt) polymerase chain reaction fragment (positions 1554–1959 relative to the translation start) into the pGEM-T vector (Promega Corp., Madison, WI). After the vector was linearized with restriction endonuclease EcoRI, a 280-nt antisense RNA probe was generated by transcription with SP6 RNA polymerase, yielding a protected probe fragment of 205 nt.

Expression of Full-Length Mouse bcrp1 Complementary DNA in LLC-PK1 and MDCK-II Cells

The full-length mouse bcrp1 complementary DNA (cDNA) (7) was excised from pBluescript KS with SmaI and NotI and was cloned into the LZRS-MS-IRES-GFP expression vector between the SnaBI and NotI sites (16). The resulting vector was a monocistronic construct containing bcrp1 followed by sequences for an internal ribosome entry site and the enhanced green fluorescent protein. This construct was transfected to the amphotropic Phoenix producer cell line (17) by use of the calcium phosphate precipitation method. Viral supernatants from these transfected cells were used to transduce LLC-PK1 or MDCK-II cells. Transduced clones were selected first for expression of the enhanced green fluorescent protein and then for the reduced accumulation of mitoxantrone by flow cytometry. The expression of bcrp1 cDNA in selected clones was determined by northern blot analysis.

Transport Assay

Transport assays were carried out as described earlier (14), with minor modifications. M199 medium containing L-glutamine (2 mM), penicillin (100 IU/mL), streptomycin (100 µg/mL), and fetal calf serum (10%) was used throughout. Cells were seeded on microporous polycarbonate membrane filters (3.0-µm pore size, 24.5-mm diameter, TranswellTM 3414, Costar®) at a density of 2 x 106 cells/well. The cells were grown for 4 days in M199 medium with one change of medium. Ninety minutes before the start of the experiment, medium on both the apical and the basal sides of the monolayer was replaced with 2 mL of Optimem (Life Technologies Ltd., Paisley, Scotland) containing L-glutamine (2 mM), penicillin (100 IU/mL), and streptomycin (100 µg/mL) without fetal calf serum, at pH 6.5 (adjusted with HCl). The experiment was started by replacing the medium on either the apical or the basal side of the cell layer with 2 mL of Optimem (pH 6.5) containing 10 µM [14C]topotecan (7 Ci/mol) and 192 nM [3H]inulin (0.8 Ci/mmol). The cells were incubated at 37 °C in 5% CO2-95% air. After 0.5, 2, 4, 6, and 24 hours, 50 µL was taken from each compartment, and the radioactivity in each aliquot was measured. Any radioactivity crossing the monolayer and appearing in the opposite compartment was noted as the fraction of total radioactivity added at the beginning of the experiment. The tightness of the monolayer was measured by monitoring the paracellular flux of [3H]inulin to the opposite compartment. This flux was always lower than 1% of the total radioactivity per hour.

Statistical Analysis

The two-sided unpaired Student's t test was used throughout to assess the statistical significance of difference between the two sets of data. Results are presented as the means ± standard deviation. Differences were considered to be statistically significant when P<.05.


    RESULTS
 Top
 Notes
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Polarized Transport of [14C]Topotecan by Mouse Bcrp1 in Epithelial Cell Lines

To determine the direction of Bcrp1-mediated drug transport in polarized epithelia, we transduced the pig kidney cell line LLC-PK1 with a retroviral expression vector containing mouse bcrp1 cDNA. By northern blot analysis, expression of bcrp1 cDNA in two independent transductants (L-Bcrp1.1 and L-Bcrp-1.2) was 25%–50% of that found in D320 cells, a doxorubicin-selected cell line that highly overexpresses bcrp1 [(7); data not shown]. The parental and transduced cell lines were grown to confluent polarized monolayers on porous membrane filters, and vectorial transport of [14C]topotecan (10 µM) across the monolayers was determined. Background transport of topotecan by the endogenous pig P-gp (18) present in the LLC-PK1-derived lines was abolished by the addition of the P-gp inhibitor PSC 833 (10 µM). This compound hardly affects Bcrp1-mediated drug transport (data not shown). Although topotecan was translocated equally well in both apical and basolateral directions in the parental line LLC-PK1, in the bcrp1-transduced lines, it was translocated more in the apical direction and less in the basolateral direction (Fig. 1Go, a and b; data for L-Bcrp1.2 [not shown] were similar to those for L-Bcrp1.1). When the Bcrp1/P-gp inhibitor GF120918 (7,9) was used, polarized topotecan transport was abolished in parental and bcrp1-transduced lines, resulting in equal levels of (passive) translocation of topotecan in both directions (Fig. 1Go, c and d). Similar results were obtained for [14C]topotecan and [3H]mitoxantrone when mouse bcrp1 was expressed in the polarized canine kidney cell line MDCK-II (data not shown). Thus, Bcrp1-mediated drug transport is apically directed in various polarized cells, which suggests that Bcrp1 is located apically in polarized epithelia, and can be effectively inhibited by GF120918.



View larger version (27K):
[in this window]
[in a new window]
 
Fig. 1. Transepithelial transport of [14C]topotecan (10 µM) in LLC-PK1 (a and c) and L-Bcrp1.1 (a representative clone) (b and d) monolayers. The experiment was started with the addition of [14C]topotecan to one compartment (basal or apical) of the culture dish. After 0.5, 2, 4, and 6 hours, the percentage of radioactivity appearing in the opposite compartment was measured and plotted. The P-glycoprotein (P-gp) inhibitor PSC 833 (a and b) or the breast cancer resistance protein (BCRP)/P-gp inhibitor GF120918 (c and d) was present as indicated. Results are the means; the error bars indicate the standard deviations (n = 3). Transport from the apical to the basal sides and from the basal to the apical sides (at 6 hours) was only significantly different for L-Bcrp1.1 cells treated with 10 µM PSC 833 (P = .002; two-sided Student's t test).

 
Expression of bcrp1 Messenger RNA in Mouse Tissues

P-gp mediates apically directed drug transport in polarized cultured cells and the elimination of drugs by organs such as liver and intestine. P-gp also reduces the uptake of drugs from the intestine and prevents the accumulation of drugs in certain critical tissues and the fetus (10,1921). To assess a possible pharmacologic role of Bcrp1, we first determined the tissue distribution of mouse bcrp1 by using RNase protection assays. Fig. 2Go, a, shows that mouse bcrp1 is highly expressed in kidney and expressed more moderately in liver, colon, heart, spleen, and placenta. The moderate levels of bcrp1 expression in the mouse placenta contrast with the very high levels of BCRP expression previously observed in human placenta (4,22).



View larger version (59K):
[in this window]
[in a new window]
 
Fig. 2. Expression of the murine breast cancer resistance protein (bcrp1) messenger RNA in mouse tissues. Ribonuclease protection analysis was performed with 10 µg of total RNA/sample. a) bcrp1 expression in mdr1a/1b(-/-) mouse tissues: colon (lane 1), cecum (lane 2), heart (lane 3), lung (lane 4), skeletal muscle (lane 5), thymus (lane 6), stomach (lane 7), epididymis (lane 8), brain (lane 9), liver (lane 10), kidney (lane 11), spleen (lane 12), placenta (lane 13), and uterus (lane 14). b) Comparison of bcrp1 expression between wild-type (wt) and mdr1a/1b(-/-) (ko) mice: wt brain (lane 15), ko brain (lane 16), wt liver (lane 17), ko liver (lane 18), wt kidney (lane 19), ko kidney (lane 20), wt spleen (lane 21), ko spleen (lane 22), wt small intestine (lane 23), and ko small intestine (lane 24). Positions of bcrp1- and Gapdh (i.e., glyceraldehyde-3-phosphate dehydrogenase)-protected RNA fragments are indicated. The Gapdh expression differs between tissues and is used to compare amounts of RNA from the same tissues from mice with different genotypes.

 
Effect of GF120918-Mediated Inhibition of Bcrp1 on the Pharmacokinetics of Topotecan in Mice

We studied the pharmacologic role of Bcrp1 in vivo in liver, intestine, kidney, and placenta by analyzing the effects of the Bcrp1 inhibitor GF120918, which is well tolerated by both mice and humans [(23); unpublished data], on the pharmacokinetics of topotecan. Because GF120918 inhibits both P-gp and Bcrp1, we used P-gp-deficient mdr1a/1b(-/-) mice (10) to exclude any confounding effects of P-gp inhibition. Comparison of the expression of bcrp1 in several organs between wild-type and mdr1a/1b(-/-) mice established that expression of bcrp1 was not increased by the loss of P-gp (Fig. 2Go, b). To study topotecan bioavailability, we administered GF120918 or vehicle orally to mdr1a/1b(-/-) mice 15 minutes before oral or intravenous administration of topotecan, and we determined the plasma concentration of topotecan as a function of time (Fig. 3Go, a and c). In GF120918-treated animals, the bioavailability of topotecan given orally, as measured by the AUC, was more than sixfold higher than that in vehicle-treated animals (596 ± 62 versus 96 ± 18 hours • mg/L; P<.001; Fig. 3Go, a). In GF120918-treated animals, the bioavailability of topotecan given intravenously increased about twofold (406 ± 25 versus 200 ± 29 hours • mg/L; P<.001; Fig. 3Go, c). Taking the bioavailability of intravenously administered topotecan in vehicle-treated mice as 100%, the bioavailability of topotecan administered orally was 48% ± 9% in vehicle-treated mice and 299% ± 31% in GF120918-treated mice. Thus, Bcrp1 appears to be a major determinant for the bioavailability of topotecan that is administered orally.



View larger version (33K):
[in this window]
[in a new window]
 
Fig. 3. Plasma topotecan concentration versus time curves and biliary excretion of topotecan in mice treated with GF120918 or vehicle. Mdr1a/1b(-/-) (a) or wild-type (b) mice were given an oral dose of GF120918 (50 mg/kg) or vehicle 15 minutes before an oral dose of topotecan (1 mg/kg). Plasma levels of unchanged topotecan were determined by high-pressure liquid chromatography at 15, 30, 60, 120, and 240 minutes. Results are the means ± standard deviation (n >= 3). c) Plasma topotecan concentration versus time curves for intravenously administered topotecan in mdr1a/1b(-/-) mice treated with GF120918 or vehicle. Mdr1a/1b mice received an oral dose of GF120918 (50 mg/kg) or vehicle 15 minutes before intravenously administered topotecan (1 mg/kg). Plasma levels of topotecan were determined at 1, 5, 15, 30, 60, 120, and 240 minutes. Results are the means ± standard deviation (n >= 3). d) Cumulative biliary excretion of topotecan. Bile was collected through a cannula in the gallbladder of mdr1a/1b(-/-) mice with a ligated common bile duct. Mice received an oral dose of GF120918 (50 mg/kg) or vehicle 15 minutes before topotecan (1 mg/kg) was administered intravenously. Levels of unchanged topotecan in bile were determined at 10, 20, 30, 40, 50, and 60 minutes. Results are the means ± standard deviation (n = 3).

 
Topotecan is a weak to moderate substrate for P-gp (24). Because the bioavailability of topotecan administered orally to vehicle-treated wild-type mice (41 ± 7 hours • mg/L) is twofold lower than that in vehicle-treated P-gp-deficient mdr1a/1b(-/-) mice (96 ± 18 hours • mg/L) (P<.001; compare lower curves in Fig. 3Go, a and b), P-gp also appears to have a role in the bioavailability of topotecan. When wild-type mice, clinically the most relevant model, were treated with GF120918, the bioavailability of topotecan given orally increased ninefold (381 ± 41 versus 41 ± 7 hours • mg/L; P<.001). This result indicates that inhibition of both Bcrp1 and P-gp by GF120918 has a strong effect on uptake of topotecan administered orally, although the resulting availability did not quite reach the level observed in GF120918-treated mdr1a/1b(-/-) mice (596 ± 62 hours • mg/L).

We next determined how GF120918 given orally affected the levels of topotecan excreted in the small intestine. GF120918 was administered orally to mdr1a/1b(-/-) mice; 15 minutes later, [14C]topotecan was administered intravenously; then 15 and 60 minutes later, the amount of [14C]topotecan excreted into the small intestine was measured. Fifteen and 60 minutes after [14C]topotecan was administered to GF120918-treated animals, the percentage of total [14C]topotecan in the small intestinal lumen was about twofold and threefold lower, respectively, and the plasma levels were about 1.5-fold and 2.5-fold higher compared with vehicle-treated animals (Table 1Go). These observations could reflect diminished excretion of topotecan into the small intestine and/or increased (re-)uptake from the small intestine, both caused by GF120918. To analyze this effect further, we separately determined the hepatobiliary, direct intestinal, and renal excretion of [14C]topotecan. For the measurement of hepatobiliary excretion, anesthetized mdr1a/1b(-/-) mice with a cannulated gallbladder were given GF120918 or vehicle orally 15 minutes before they were given [14C]topotecan intravenously, and the amount of topotecan excreted was determined over the next hour. Hepatobiliary excretion of unchanged topotecan was substantially decreased in GF120918-treated animals for the first 10 minutes after topotecan administration (5.5% ± 2.6%) compared with that of vehicle-treated animals (14.7 % ± 2.4%) (P = .011); however, after about 20 minutes, the excretion rate in both gradually became similar (Fig. 3Go, d). This observation and the fact that biliary topotecan excretion was not completely blocked by GF120918 suggest that hepatic Bcrp1 was not completely blocked by GF120918 or that there are additional transporters for topotecan in the bile canalicular membrane. In contrast to the hepatobiliary excretion of topotecan, the effect of GF120918 treatment on direct intestinal (7.5% ± 2.5% with GF120918 and 11.6% ± 1.1% with vehicle) or renal (12.6% ± 7.9% with GF120918 and 18.0% ± 10.4% with vehicle) excretion of total radioactivity was not statistically significant. These data suggest that the GF120918-induced high bioavailability of topotecan administered orally results primarily from a combination of its increased intestinal (re-)uptake and decreased hepatobiliary excretion.


View this table:
[in this window]
[in a new window]
 
Table 1. GF120918 and [14C]topotecan in mdrla/1b(-/-) mice
 
Pharmacologic Role of Bcrp1 in Placenta

P-gp has been shown to be functionally active in the pharmacologically important blood–brain, blood–testis, and maternal–fetal barriers (10,20). The high expression of BCRP messenger RNA (mRNA) in human placenta and (to a lesser extent) in mouse placenta suggested to us that BCRP might also play a role in protecting fetuses against xenobiotics. So that we could test this hypothesis, pregnant mdr1a/1b(-/-) dams at gestation day 15.5 were administered GF120918 or vehicle orally 2 hours before intravenous administration of [14C]topotecan; 30 minutes after receiving [14C]topotecan, fetuses and maternal plasma were collected. We found that levels of [14C]topotecan were about 3.2-fold higher in fetuses of GF120918-treated dams, whereas at the same time maternal plasma levels were only about 1.6-fold increased (Table 1Go). These results indicate that mouse Bcrp1 plays an important role in protecting the fetus from topotecan. Because BCRP mRNA expression is much higher in human placenta, the role of BCRP in humans could be even more pronounced. In contrast, for the blood–brain and blood–testis barriers, we found no indication that Bcrp1 has a role in limiting drug penetration, as determined by the distribution of intravenously administered [14C]topotecan or [3H]mitoxantrone in tissues of GF120918-treated and vehicle-treated mdr1a/1b (-/-) mice (data not shown).


    DISCUSSION
 Top
 Notes
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our data show that Bcrp1 mediates apically directed transport of its drug substrates and support the view that Bcrp1 is important in preventing intestinal (re-)uptake and in mediating hepatobiliary excretion of transported drugs. In these ways, Bcrp1 restricts the bioavailability of orally administered drugs. Moreover, it also protects fetuses through its presence in the maternal–fetal barrier. Our data strongly suggest that Bcrp1 is present and functional in the apical membrane of the intestinal epithelium, in the bile canalicular membrane, and in the membrane of placental trophoblasts that is in contact with the maternal circulation.

The highest levels of bcrp1 mRNA were found in the kidney, suggesting that Bcrp1 might play an important pharmacologic role in the renal excretion of substrate drugs. Our experiments measuring this renal excretion gave highly variable results between individual mice and were essentially not influenced by GF120918 (12.6% ± 7.9% with GF120918 and 18.0% ± 10.4% with vehicle). Studies in patients also have found high variability in renal elimination of topotecan (mean = 40%; range = 26%–80%) (25). A possible explanation for the high variability in renal excretion is that human and murine kidneys could have several transport mechanisms for topotecan that vary extensively among individuals.

Oral administration of drugs is highly preferred for its convenience and potential use on an outpatient basis. However, the therapeutic use of orally administered drugs is frequently limited by the poor and (consequently) highly variable drug bioavailability, factors that are largely determined by the extent to which the drugs are absorbed from the gut, metabolized, and excreted. The narrow therapeutic index of most anticancer drugs implies that this variability will frequently result in excessive toxicity or, conversely, in inadequate efficacy. For instance, for topotecan administered orally, the bioavailability in humans is moderate, with a high inter-patient variation (30% ± 7.7%) (26), and current chemotherapeutic schedules for topotecan are, therefore, mainly based on intravenous administration (27). Our findings suggest that, by combining topotecan administered orally with an effective BCRP (and P-gp) inhibitor, such as GF120918, the bioavailability of topotecan and thus its clinical usefulness might be dramatically improved. We should note that, based on these data, no conclusions can be made about whether the therapeutic index of topotecan (i.e., toxicity of topotecan for a tumor as opposed to its overall toxicity to the organism) is improved by GF120918. However, the ability to inhibit placental Bcrp1 with orally administered GF120918 suggests that a BCRP component of multidrug resistance in clinical tumors could also be blocked with GF120918 administered orally because the systemic exposure to GF120918 is apparently high enough.

Although we cannot exclude the possibility that other, as yet unidentified, GF120918-sensitive topotecan transporters are also contributing to the in vivo pharmacologic effects that we observed, the potential clinical application of GF120918 to improve the bioavailability of topotecan administered orally to patients should be pursued. In fact, we have started clinical trials to test whether it is feasible to increase the bioavailability of topotecan administered orally to patients by blocking BCRP with GF120918. If this procedure is successful in patients as well, it may prove to be applicable to other drugs transported by BCRP.


    NOTES
 
Supported by grants NKI 97-1434 and NKI 97-1433 (to A. H. Schinkel) and NKI 99-2060 (to J. H. M. Schellens and A. H. Schinkel) from the Dutch Cancer Society.

We thank J. D. Allen, P. Borst, and O. van Tellingen for their suggestions with regard to the manuscript; Glaxo Wellcome (Research Triangle Park, NC) for providing GF120918; SmithKline Beecham Pharmaceuticals (King of Prussia, PA) for providing [14C]topotecan; and E. Nooteboom and A. S. Pfauth for their excellent technical assistance.


    REFERENCES
 Top
 Notes
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

1 Juliano RL, Ling V. A surface glycoprotein modulating drug permeability in Chinese hamster ovary cell mutants. Biochim Biophys Acta 1976;445:152–62.

2 Gros P, Croop J, Housman D. Mammalian multidrug resistance gene: complete cDNA sequence indicates strong homology to bacterial transport proteins. Cell 1986;47:371–80.[CrossRef][Web of Science][Medline]

3 Cole SP, Bhardwaj G, Gerlach JH, Mackie JE, Grant CE, Almquist KC, et al. Overexpression of a transporter gene in a multidrug-resistant human lung cancer cell line. Science 1992;258:1650–4.[Abstract/Free Full Text]cancerlit;93088080

4 Doyle LA, Yang W, Abruzzo LV, Krogmann T, Gao Y, Rishi AK, et al. A multidrug resistance transporter from human MCF-7 breast cancer cells. Proc Natl Acad Sci U S A 1998;95:15665–70.[Abstract/Free Full Text]cancerlit;99080071

5 Ross DD, Yang W, Abruzzo LV, Dalton WS, Schneider E, Lage H, et al. Atypical multidrug resistance: breast cancer resistance protein messenger RNA expression in mitoxantrone-selected cell lines. J Natl Cancer Inst 1999;91:429–33.[Abstract/Free Full Text]cancerlit;99168489

6 Miyake K, Mickley L, Litman T, Zhan Z, Robey R, Cristensen B, et al. Molecular cloning of cDNAs which are highly overexpressed in mitoxantrone-resistant cells: demonstration of homology to ABC transport genes. Cancer Res 1999;59:8–13.[Abstract/Free Full Text]cancerlit;99107193

7 Allen JD, Brinkhuis RF, Wijnholds J, Schinkel AH. The mouse Bcrp1/Mxr/Abcp gene: amplification and overexpression in cell lines selected for resistance to topotecan, mitoxantrone, or doxorubicin. Cancer Res 1999;59:4237–41.[Abstract/Free Full Text]cancerlit;99413474

8 Maliepaard M, van Gastelen MA, de Jong LA, Pluim D, van Waardenburg RC, Ruevekamp-Helmers MC, et al. Overexpression of the BCRP/MXR/ABCP gene in a topotecan-selected ovarian tumor cell line. Cancer Res 1999;59:4559–63.[Abstract/Free Full Text]cancerlit;99421250

9 de Bruin M, Miyake K, Litman T, Robey R, Bates SE. Reversal of resistance by GF120918 in cell lines expressing the ABC half-transporter, MXR. Cancer Lett 1999;146:117–26.[CrossRef][Web of Science][Medline]cancerlit;20120409

10 Schinkel AH. The physiological function of drug-transporting P-glycoproteins. Semin Cancer Biol 1997;8:161–70.[CrossRef][Web of Science][Medline]

11 Mayer U, Wagenaar E, Beijnen JH, Smit JW, Meijer DK, van Asperen J, et al. Substantial excretion of digoxin via the intestinal mucosa and prevention of long-term digoxin accumulation in the brain by the mdr1a P-glycoprotein. Br J Pharmacol 1996;119:1038–44.[Web of Science][Medline]

12 Herben VM, ten Bokkel Huinink WW, Dubbelman AC, Mandjes IA, Groot Y, van Gortel-van Zomeren DM, et al. Phase I and pharmacologic study of sequential intravenous topotecan and oral etoposide. Br J Cancer 1997;76:1500–8.[Web of Science][Medline]cancerlit;98062121

13 Rosing H, van Zomeren DM, Doyle E, ten Bokkel WW, Schellens JH, Bult A, et al. Quantification of topotecan and its metabolite N-desmethyltopotecan in human plasma, urine and faeces by high-performance liquid chromatographic methods. J Chromatogr B Biomed Sci Appl 1999;727:191–203.[CrossRef][Medline]cancerlit;99287183

14 Jonker JW, Wagenaar E, van Deemter L, Gottschlich R, Bender HM, Dasenbrock J, et al. Role of blood-brain barrier P-glycoprotein in limiting brain accumulation and sedative side-effects of asimadoline, a peripherally acting analgaesic drug. Br J Pharmacol 1999;127:43–50.[CrossRef][Web of Science][Medline]

15 Schinkel AH, Smit JJ, van Tellingen O, Beijnen JH, Wagenaar E, van Deemter L, et al. Disruption of the mouse mdr1a P-glycoprotein gene leads to a deficiency in the blood-brain barrier and to increased sensitivity to drugs. Cell 1994;77:491–502.[CrossRef][Web of Science][Medline]

16 Michiels F, van der Kammen RA, Janssen L, Nolan G, Collard JG. Expression of Rho GTPases using retroviral vectors. Methods Enzymol 2000;325:295–302.[Web of Science][Medline]

17 Kinsella TM, Nolan GP. Episomal vectors rapidly and stably produce high-titer recombinant retrovirus. Hum Gene Ther 1996;7:1405–13.[Web of Science][Medline]cancerlit;97001207

18 Schinkel AH, Wagenaar E, van Deemter L, Mol CA, Borst P. Absence of the mdr1a P-Glycoprotein in mice affects tissue distribution and pharmacokinetics of dexamethasone, digoxin, and cyclosporin A. J Clin Invest 1995;96:1698–705.

19 Sparreboom A, van Asperen J, Mayer U, Schinkel AH, Smit JW, Meijer DK, et al. Limited oral bioavailability and active epithelial excretion of paclitaxel (Taxol) caused by P-glycoprotein in the intestine. Proc Natl Acad Sci U S A 1997;94:2031–5.[Abstract/Free Full Text]

20 Meerum Terwogt JM, Beijnen JH, ten Bokkel Huinink WW, Rosing H, Schellens JH. Co-administration of cyclosporin enables oral therapy with paclitaxel [letter] [published erratum appears in Lancet 1998;352:824]. Lancet 1998;352:285.[CrossRef]cancerlit;98352721

21 Smit JW, Huisman MT, van Tellingen O, Wiltshire HR, Schinkel AH. Absence or pharmacological blocking of placental P-glycoprotein profoundly increases fetal drug exposure. J Clin Invest 1999;104:1441–7.[Web of Science][Medline]

22 Allikmets R, Schriml LM, Hutchinson A, Romano-Spica V, Dean M. A human placenta-specific ATP-binding cassette gene (ABCP) on chromosome 4q22 that is involved in multidrug resistance. Cancer Res 1998;58:5337–9.[Abstract/Free Full Text]

23 Hyafil F, Vergely C, Du Vignaud P, Grand-Perret T. In vitro and in vivo reversal of multidrug resistance by GF120918, an acridonecarboxamide derivative. Cancer Res 1993;53:4595–602.[Abstract/Free Full Text]cancerlit;94006239

24 Chen AY, Yu C, Potmesil M, Wall ME, Wani MC, Liu LF. Camptothecin overcomes MDR1-mediated resistance in human KB carcinoma cells. Cancer Res 1991;51:6039–44.[Abstract/Free Full Text]cancerlit;92034716

25 Herben VM, ten Bokkel Huinink WW, Beijnen JH. Clinical pharmacokinetics of topotecan. Clin Pharmacokinet 1996;31:85–102.[Web of Science][Medline]cancerlit;97006638

26 Schellens JH, Creemers GJ, Beijnen JH, Rosing H, de Boer-Dennert M, McDonald M, et al. Bioavailability and pharmacokinetics of oral topotecan: a new topoisomerase I inhibitor. Br J Cancer 1996;73:1268–71.[Web of Science][Medline]cancerlit;96222459

27 van Warmerdam LJ, Verweij J, Schellens JH, Rosing H, Davies BE, de Boer-Dennert M, et al. Pharmacokinetics and pharmacodynamics of topotecan administered daily for 5 days every 3 weeks. Cancer Chemother Pharmacol 1995;35:237–45.[CrossRef][Web of Science][Medline]cancerlit;95103682

Manuscript received March 7, 2000; revised July 31, 2000; accepted August 7, 2000.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
Ann Rheum DisHome page
E Kis, T Nagy, M Jani, E Molnar, J Janossy, O Ujhellyi, K Nemet, K Heredi-Szabo, and P Krajcsi
Leflunomide and its metabolite A771726 are high affinity substrates of BCRP: implications for drug resistance
Ann Rheum Dis, July 1, 2009; 68(7): 1201 - 1207.
[Abstract] [Full Text] [PDF]


Home page
Mol. Interv.Home page
J. S. Lagas, M. L.H. Vlaming, and A. H. Schinkel
Pharmacokinetic Assessment of Multiple ATP-binding Cassette Transporters: The Power of Combination Knockout Mice
Mol. Interv., June 1, 2009; 9(3): 136 - 145.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
R. Zhao, T. J. Raub, G. A. Sawada, S. C. Kasper, J. A. Bacon, A. S. Bridges, and G. M. Pollack
Breast Cancer Resistance Protein Interacts with Various Compounds in Vitro, but Plays a Minor Role in Substrate Efflux at the Blood-Brain Barrier
Drug Metab. Dispos., June 1, 2009; 37(6): 1251 - 1258.
[Abstract] [Full Text] [PDF]


Home page
Antimicrob. Agents Chemother.Home page
B. Marquez, N. E. Caceres, M.-P. Mingeot-Leclercq, P. M. Tulkens, and F. Van Bambeke
Identification of the Efflux Transporter of the Fluoroquinolone Antibiotic Ciprofloxacin in Murine Macrophages: Studies with Ciprofloxacin-Resistant Cells
Antimicrob. Agents Chemother., June 1, 2009; 53(6): 2410 - 2416.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
R. L. Oostendorp, E. van de Steeg, C. M. M. van der Kruijssen, J. H. Beijnen, K. E. Kenworthy, A. H. Schinkel, and J. H. M. Schellens
Organic Anion-Transporting Polypeptide 1B1 Mediates Transport of Gimatecan and BNP1350 and Can Be Inhibited by Several Classic ATP-Binding Cassette (ABC) B1 and/or ABCG2 Inhibitors
Drug Metab. Dispos., April 1, 2009; 37(4): 917 - 923.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
N. Giri, S. Agarwal, N. Shaik, G. Pan, Y. Chen, and W. F. Elmquist
Substrate-Dependent Breast Cancer Resistance Protein (Bcrp1/Abcg2)-Mediated Interactions: Consideration of Multiple Binding Sites in in Vitro Assay Design
Drug Metab. Dispos., March 1, 2009; 37(3): 560 - 570.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
J. R. Molina, S. H. Kaufmann, J. M. Reid, S. D. Rubin, M. Galvez-Peralta, R. Friedman, K. S. Flatten, K. M. Koch, T. M. Gilmer, R. J. Mullin, et al.
Evaluation of Lapatinib and Topotecan Combination Therapy: Tissue Culture, Murine Xenograft, and Phase I Clinical Trial Data
Clin. Cancer Res., December 1, 2008; 14(23): 7900 - 7908.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
V. Petrovic, J.-H. Wang, and M. Piquette-Miller
Effect of Endotoxin on the Expression of Placental Drug Transporters and Glyburide Disposition in Pregnant Rats
Drug Metab. Dispos., September 1, 2008; 36(9): 1944 - 1950.
[Abstract] [Full Text] [PDF]


Home page
Molecular Cancer TherapeuticsHome page
C. de Wolf, R. Jansen, H. Yamaguchi, M. de Haas, K. van de Wetering, J. Wijnholds, J. Beijnen, and P. Borst
Contribution of the drug transporter ABCG2 (breast cancer resistance protein) to resistance against anticancer nucleosides
Mol. Cancer Ther., September 1, 2008; 7(9): 3092 - 3102.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
N. Giri, N. Shaik, G. Pan, T. Terasaki, C. Mukai, S. Kitagaki, N. Miyakoshi, and W. F. Elmquist
Investigation of the Role of Breast Cancer Resistance Protein (Bcrp/Abcg2) on Pharmacokinetics and Central Nervous System Penetration of Abacavir and Zidovudine in the Mouse
Drug Metab. Dispos., August 1, 2008; 36(8): 1476 - 1484.
[Abstract] [Full Text] [PDF]


Home page
Antimicrob. Agents Chemother.Home page
J. S. Lagas, R. W. Sparidans, R. A. B. van Waterschoot, E. Wagenaar, J. H. Beijnen, and A. H. Schinkel
P-Glycoprotein Limits Oral Availability, Brain Penetration, and Toxicity of an Anionic Drug, the Antibiotic Salinomycin
Antimicrob. Agents Chemother., March 1, 2008; 52(3): 1034 - 1039.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
H. Wang, E.-W. Lee, L. Zhou, P. C. K. Leung, D. D. Ross, J. D. Unadkat, and Q. Mao
Progesterone Receptor (PR) Isoforms PRA and PRB Differentially Regulate Expression of the Breast Cancer Resistance Protein in Human Placental Choriocarcinoma BeWo Cells
Mol. Pharmacol., March 1, 2008; 73(3): 845 - 854.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
L. Zhou, S. B. Naraharisetti, H. Wang, J. D. Unadkat, M. F. Hebert, and Q. Mao
The Breast Cancer Resistance Protein (Bcrp1/Abcg2) Limits Fetal Distribution of Glyburide in the Pregnant Mouse: An Obstetric-Fetal Pharmacology Research Unit Network and University of Washington Specialized Center of Research Study
Mol. Pharmacol., March 1, 2008; 73(3): 949 - 959.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
Y. Zhang, H. Wang, J. D. Unadkat, and Q. Mao
Breast Cancer Resistance Protein 1 Limits Fetal Distribution of Nitrofurantoin in the Pregnant Mouse
Drug Metab. Dispos., December 1, 2007; 35(12): 2154 - 2158.
[Abstract] [Full Text] [PDF]


Home page
Molecular Cancer TherapeuticsHome page
C. J. Henrich, R. W. Robey, H. R. Bokesch, S. E. Bates, S. Shukla, S. V. Ambudkar, M. Dean, and J. B. McMahon
New inhibitors of ABCG2 identified by high-throughput screening
Mol. Cancer Ther., December 1, 2007; 6(12): 3271 - 3278.
[Abstract] [Full Text] [PDF]


Home page
Molecular Cancer TherapeuticsHome page
C.-P. Wu, S. Shukla, A. M. Calcagno, M. D. Hall, M. M. Gottesman, and S. V. Ambudkar
Evidence for dual mode of action of a thiosemicarbazone, NSC73306: a potent substrate of the multidrug resistance linked ABCG2 transporter
Mol. Cancer Ther., December 1, 2007; 6(12): 3287 - 3296.
[Abstract] [Full Text] [PDF]


Home page
Molecular Cancer TherapeuticsHome page
S. Marchetti, R. L. Oostendorp, D. Pluim, M. van Eijndhoven, O. van Tellingen, A. H. Schinkel, R. Versace, J. H. Beijnen, R. Mazzanti, and J. H. Schellens
In vitro transport of gimatecan (7-t-butoxyiminomethylcamptothecin) by breast cancer resistance protein, P-glycoprotein, and multidrug resistance protein 2
Mol. Cancer Ther., December 1, 2007; 6(12): 3307 - 3313.
[Abstract] [Full Text] [PDF]


Home page
FASEB J.Home page
D. A. Evseenko, P. Murthi, J. W. Paxton, G. Reid, B. S. Emerald, K. M. Mohankumar, P. E. Lobie, S. P. Brennecke, B. Kalionis, and J. A. Keelan
The ABC transporter BCRP/ABCG2 is a placental survival factor, and its expression is reduced in idiopathic human fetal growth restriction
FASEB J, November 1, 2007; 21(13): 3592 - 3605.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
N. A. de Vries, J. Zhao, E. Kroon, T. Buckle, J. H. Beijnen, and O. van Tellingen
P-Glycoprotein and Breast Cancer Resistance Protein: Two Dominant Transporters Working Together in Limiting the Brain Penetration of Topotecan
Clin. Cancer Res., November 1, 2007; 13(21): 6440 - 6449.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
G. Pan, N. Giri, and W. F. Elmquist
Abcg2/Bcrp1 Mediates the Polarized Transport of Antiretroviral Nucleosides Abacavir and Zidovudine
Drug Metab. Dispos., July 1, 2007; 35(7): 1165 - 1173.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
T. Yamagata, H. Kusuhara, M. Morishita, K. Takayama, H. Benameur, and Y. Sugiyama
Improvement of the Oral Drug Absorption of Topotecan through the Inhibition of Intestinal Xenobiotic Efflux Transporter, Breast Cancer Resistance Protein, by Excipients
Drug Metab. Dispos., July 1, 2007; 35(7): 1142 - 1148.
[Abstract] [Full Text] [PDF]


Home page
Toxicol SciHome page
H. Okumura, M. Katoh, T. Sawada, M. Nakajima, Y. Soeno, H. Yabuuchi, T. Ikeda, C. Tateno, K. Yoshizato, and T. Yokoi
Humanization of Excretory Pathway in Chimeric Mice with Humanized Liver
Toxicol. Sci., June 1, 2007; 97(2): 533 - 538.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
A. Pal, D. Mehn, E. Molnar, S. Gedey, P. Meszaros, T. Nagy, H. Glavinas, T. Janaky, O. von Richter, G. Bathori, et al.
Cholesterol Potentiates ABCG2 Activity in a Heterologous Expression System: Improved in Vitro Model to Study Function of Human ABCG2
J. Pharmacol. Exp. Ther., June 1, 2007; 321(3): 1085 - 1094.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
I. E.L.M. Kuppens, E. O. Witteveen, R. C. Jewell, S. A. Radema, E. M. Paul, S. G. Mangum, J. H. Beijnen, E. E. Voest, and J. H.M. Schellens
A Phase I, Randomized, Open-Label, Parallel-Cohort, Dose-Finding Study of Elacridar (GF120918) and Oral Topotecan in Cancer Patients
Clin. Cancer Res., June 1, 2007; 13(11): 3276 - 3285.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Cell Physiol.Home page
J. W. Jonker, S. Musters, M. L. H. Vlaming, T. Plosch, K. E. R. Gooijert, M. J. Hillebrand, H. Rosing, J. H. Beijnen, H. J. Verkade, and A. H. Schinkel
Breast cancer resistance protein (Bcrp1/Abcg2) is expressed in the harderian gland and mediates transport of conjugated protoporphyrin IX
Am J Physiol Cell Physiol, June 1, 2007; 292(6): C2204 - C2212.
[Abstract] [Full Text] [PDF]


Home page
PhysiologyHome page
K. J. Linton
Structure and Function of ABC Transporters
Physiology, April 1, 2007; 22(2): 122 - 130.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
C. Q. Xia, N. Liu, G. T. Miwa, and L.-S. Gan
Interactions of Cyclosporin A with Breast Cancer Resistance Protein
Drug Metab. Dispos., April 1, 2007; 35(4): 576 - 582.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
D. A. Evseenko, J. W. Paxton, and J. A. Keelan
Independent Regulation of Apical and Basolateral Drug Transporter Expression and Function in Placental Trophoblasts by Cytokines, Steroids, and Growth Factors
Drug Metab. Dispos., April 1, 2007; 35(4): 595 - 601.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
S. S. Lee, H.-E. Jeong, J.-M. Yi, H.-J. Jung, J.-E. Jang, E.-Y. Kim, S.-J. Lee, and J.-G. Shin
Identification and Functional Assessment of BCRP Polymorphisms in a Korean Population
Drug Metab. Dispos., April 1, 2007; 35(4): 623 - 632.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
X. Wang and M. E. Morris
Effects of the Flavonoid Chrysin on Nitrofurantoin Pharmacokinetics in Rats: Potential Involvement of ABCG2
Drug Metab. Dispos., February 1, 2007; 35(2): 268 - 274.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
H. Wang, X. Wu, K. Hudkins, A. Mikheev, H. Zhang, A. Gupta, J. D. Unadkat, and Q. Mao
Expression of the breast cancer resistance protein (Bcrp1/Abcg2) in tissues from pregnant mice: effects of pregnancy and correlations with nuclear receptors.
Am J Physiol Endocrinol Metab, December 1, 2006; 291(6): E1295 - E1304.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
J. G. Turner, J. L. Gump, C. Zhang, J. M. Cook, D. Marchion, L. Hazlehurst, P. Munster, M. J. Schell, W. S. Dalton, and D. M. Sullivan
ABCG2 expression, function, and promoter methylation in human multiple myeloma
Blood, December 1, 2006; 108(12): 3881 - 3889.
[Abstract] [Full Text] [PDF]


Home page
Mol. Cell. Biol.Home page
K. K. W. To, Z. Zhan, and S. E. Bates
Aberrant Promoter Methylation of the ABCG2 Gene in Renal Carcinoma
Mol. Cell. Biol., November 15, 2006; 26(22): 8572 - 8585.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
F. Staud, Z. Vackova, K. Pospechova, P. Pavek, M. Ceckova, A. Libra, L. Cygalova, P. Nachtigal, and Z. Fendrich
Expression and Transport Activity of Breast Cancer Resistance Protein (Bcrp/Abcg2) in Dually Perfused Rat Placenta and HRP-1 Cell Line
J. Pharmacol. Exp. Ther., October 1, 2006; 319(1): 53 - 62.
[Abstract] [Full Text] [PDF]


Home page
Physiol. Rev.Home page
B. Sarkadi, L. Homolya, G. Szakacs, and A. Varadi
Human Multidrug Resistance ABCB and ABCG Transporters: Participation in a Chemoimmunity Defense System.
Physiol Rev, October 1, 2006; 86(4): 1179 - 1236.
[Abstract] [Full Text] [PDF]


Home page
Molecular Cancer TherapeuticsHome page
J. A. Seamon, C. A. Rugg, S. Emanuel, A. M. Calcagno, S. V. Ambudkar, S. A. Middleton, J. Butler, V. Borowski, and L. M. Greenberger
Role of the ABCG2 drug transporter in the resistance and oral bioavailability of a potent cyclin-dependent kinase/Aurora kinase inhibitor.
Mol. Cancer Ther., October 1, 2006; 5(10): 2459 - 2467.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
I. Szatmari, G. Vamosi, P. Brazda, B. L. Balint, S. Benko, L. Szeles, V. Jeney, C. Ozvegy-Laczka, A. Szanto, E. Barta, et al.
Peroxisome Proliferator-activated Receptor {gamma}-regulated ABCG2 Expression Confers Cytoprotection to Human Dendritic Cells
J. Biol. Chem., August 18, 2006; 281(33): 23812 - 23823.
[Abstract] [Full Text] [PDF]


Home page
International Journal of ToxicologyHome page
S. Choudhuri and C. D. Klaassen
Structure, Function, Expression, Genomic Organization, and Single Nucleotide Polymorphisms of Human ABCB1 (MDR1), ABCC (MRP), and ABCG2 (BCRP) Efflux Transporters
International Journal of Toxicology, July 1, 2006; 25(4): 231 - 259.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
H. Saito, H. Hirano, H. Nakagawa, T. Fukami, K. Oosumi, K. Murakami, H. Kimura, T. Kouchi, M. Konomi, E. Tao, et al.
A New Strategy of High-Speed Screening and Quantitative Structure-Activity Relationship Analysis to Evaluate Human ATP-Binding Cassette Transporter ABCG2-Drug Interactions
J. Pharmacol. Exp. Ther., June 1, 2006; 317(3): 1114 - 1124.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
L. Huang, Y. Wang, and S. Grimm
ATP-DEPENDENT TRANSPORT OF ROSUVASTATIN IN MEMBRANE VESICLES EXPRESSING BREAST CANCER RESISTANCE PROTEIN
Drug Metab. Dispos., May 1, 2006; 34(5): 738 - 742.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
M. Leggas, J. C. Panetta, Y. Zhuang, J. D. Schuetz, B. Johnston, F. Bai, B. Sorrentino, S. Zhou, P. J. Houghton, and C. F. Stewart
Gefitinib Modulates the Function of Multiple ATP-Binding Cassette Transporters In vivo.
Cancer Res., May 1, 2006; 66(9): 4802 - 4807.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Endocrinol. Metab.Home page
H. Wang, L. Zhou, A. Gupta, R. R. Vethanayagam, Y. Zhang, J. D. Unadkat, and Q. Mao
Regulation of BCRP/ABCG2 expression by progesterone and 17beta-estradiol in human placental BeWo cells
Am J Physiol Endocrinol Metab, May 1, 2006; 290(5): E798 - E807.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
D. A. Evseenko, J. W. Paxton, and J. A. Keelan
ABC drug transporter expression and functional activity in trophoblast-like cell lines and differentiating primary trophoblast
Am J Physiol Regulatory Integrative Comp Physiol, May 1, 2006; 290(5): R1357 - R1365.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
H. E. M. zu Schwabedissen, M. Grube, A. Dreisbach, G. Jedlitschky, K. Meissner, K. Linnemann, C. Fusch, C. A. Ritter, U. Volker, and H. K. Kroemer
EPIDERMAL GROWTH FACTOR-MEDIATED ACTIVATION OF THE MAP KINASE CASCADE RESULTS IN ALTERED EXPRESSION AND FUNCTION OF ABCG2 (BCRP)
Drug Metab. Dispos., April 1, 2006; 34(4): 524 - 533.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
K.-i. Nezasa, X. Tian, M. J. Zamek-Gliszczynski, N. J. Patel, T. J. Raub, and K. L. R. Brouwer
ALTERED HEPATOBILIARY DISPOSITION OF 5 (AND 6)-CARBOXY-2',7'-DICHLOROFLUORESCEIN IN Abcg2 (Bcrp1) AND Abcc2 (Mrp2) KNOCKOUT MICE
Drug Metab. Dispos., April 1, 2006; 34(4): 718 - 723.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
G. Merino, A. I. Alvarez, M. M. Pulido, A. J. Molina, A. H. Schinkel, and J. G. Prieto
BREAST CANCER RESISTANCE PROTEIN (BCRP/ABCG2) TRANSPORTS FLUOROQUINOLONE ANTIBIOTICS AND AFFECTS THEIR ORAL AVAILABILITY, PHARMACOKINETICS, AND MILK SECRETION
Drug Metab. Dispos., April 1, 2006; 34(4): 690 - 695.
[Abstract] [Full Text] [PDF]


Home page
J Biomol ScreenHome page
C. J. Henrich, H. R. Bokesch, M. Dean, S. E. Bates, R. W. Robey, E. I. Goncharova, J. A. Wilson, and J. B. McMahon
A High-Throughput Cell-Based Assay for Inhibitors of ABCG2 Activity
J Biomol Screen, March 1, 2006; 11(2): 176 - 183.
[Abstract] [PDF]


Home page
CarcinogenesisHome page
A. E.v. Herwaarden, E. Wagenaar, B. Karnekamp, G. Merino, J. W. Jonker, and A. H. Schinkel
Breast cancer resistance protein (Bcrp1/Abcg2) reduces systemic exposure of the dietary carcinogens aflatoxin B1, IQ and Trp-P-1 but also mediates their secretion into breast milk
Carcinogenesis, January 1, 2006; 27(1): 123 - 130.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
M. A. Rudek, M. Zhao, N. F. Smith, R. W. Robey, P. He, G. Hallur, S. Khan, M. Hidalgo, A. Jimeno, A. D. Colevas, et al.
In vitro and In vivo Clinical Pharmacology of Dimethyl Benzoylphenylurea, a Novel Oral Tubulin-Interactive Agent
Clin. Cancer Res., December 1, 2005; 11(23): 8503 - 8511.
[Abstract] [Full Text] [PDF]


Home page
JNCI J Natl Cancer InstHome page
P. J. Dilda, A. S. Don, K. M. Tanabe, V. J. Higgins, J. D. Allen, I. W. Dawes, and P. J. Hogg
Mechanism of Selectivity of an Angiogenesis Inhibitor From Screening a Genome-Wide Set of Saccharomyces cerevisiae Deletion Strains
J Natl Cancer Inst, October 19, 2005; 97(20): 1539 - 1547.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
A. A. Mathias, J. Hitti, and J. D. Unadkat
P-glycoprotein and breast cancer resistance protein expression in human placentae of various gestational ages
Am J Physiol Regulatory Integrative Comp Physiol, October 1, 2005; 289(4): R963 - R969.
[Abstract] [Full Text] [PDF]


Home page
Biol. Reprod.Home page
G. M. Kalabis, A. Kostaki, M. H. Andrews, S. Petropoulos, W. Gibb, and S. G. Matthews
Multidrug Resistance Phosphoglycoprotein (ABCB1) in the Mouse Placenta: Fetal Protection
Biol Reprod, October 1, 2005; 73(4): 591 - 597.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
M. Hirano, K. Maeda, S. Matsushima, Y. Nozaki, H. Kusuhara, and Y. Sugiyama
Involvement of BCRP (ABCG2) in the Biliary Excretion of Pitavastatin
Mol. Pharmacol., September 1, 2005; 68(3): 800 - 807.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
D. Mirchandani, H. Hochster, A. Hamilton, L. Liebes, H. Yee, J. P. Curtin, S. Lee, J. Sorich, C. Dellenbaugh, and F. M. Muggia
Phase I Study of Combined Pegylated Liposomal Doxorubicin with Protracted Daily Topotecan for Ovarian Cancer
Clin. Cancer Res., August 15, 2005; 11(16): 5912 - 5919.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
X.-f. Zhou, X. Yang, Q. Wang, R. A. Coburn, and M. E. Morris
EFFECTS OF DIHYDROPYRIDINES AND PYRIDINES ON MULTIDRUG RESISTANCE MEDIATED BY BREAST CANCER RESISTANCE PROTEIN: IN VITRO AND IN VIVO STUDIES
Drug Metab. Dispos., August 1, 2005; 33(8): 1220 - 1228.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
H. E. Meyer zu Schwabedissen, G. Jedlitschky, M. Gratz, S. Haenisch, K. Linnemann, C. Fusch, I. Cascorbi, and H. K. Kroemer
VARIABLE EXPRESSION OF MRP2 (ABCC2) IN HUMAN PLACENTA: INFLUENCE OF GESTATIONAL AGE AND CELLULAR DIFFERENTIATION
Drug Metab. Dispos., July 1, 2005; 33(7): 896 - 904.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
R. R. Vethanayagam, H. Wang, A. Gupta, Y. Zhang, F. Lewis, J. D. Unadkat, and Q. Mao
FUNCTIONAL ANALYSIS OF THE HUMAN VARIANTS OF BREAST CANCER RESISTANCE PROTEIN: I206L, N590Y, AND D620N
Drug Metab. Dispos., June 1, 2005; 33(6): 697 - 705.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
A. L. A. Sesink, I. C. W. Arts, V. C. J. de Boer, P. Breedveld, J. H. M. Schellens, P. C. H. Hollman, and F. G. M. Russel
Breast Cancer Resistance Protein (Bcrp1/Abcg2) Limits Net Intestinal Uptake of Quercetin in Rats by Facilitating Apical Efflux of Glucuronides
Mol. Pharmacol., June 1, 2005; 67(6): 1999 - 2006.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
G. Merino, J. W. Jonker, E. Wagenaar, M. M. Pulido, A. J. Molina, A. I. Alvarez, and A. H. Schinkel
TRANSPORT OF ANTHELMINTIC BENZIMIDAZOLE DRUGS BY BREAST CANCER RESISTANCE PROTEIN (BCRP/ABCG2)
Drug Metab. Dispos., May 1, 2005; 33(5): 614 - 618.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
C. Q. Xia, N. Liu, D. Yang, G. Miwa, and L.-S. Gan
EXPRESSION, LOCALIZATION, AND FUNCTIONAL CHARACTERISTICS OF BREAST CANCER RESISTANCE PROTEIN IN CACO-2 CELLS
Drug Metab. Dispos., May 1, 2005; 33(5): 637 - 643.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
G. Merino, J. W. Jonker, E. Wagenaar, A. E. van Herwaarden, and A. H. Schinkel
The Breast Cancer Resistance Protein (BCRP/ABCG2) Affects Pharmacokinetics, Hepatobiliary Excretion, and Milk Secretion of the Antibiotic Nitrofurantoin
Mol. Pharmacol., May 1, 2005; 67(5): 1758 - 1764.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
G. Merino, A. E. van Herwaarden, E. Wagenaar, J. W. Jonker, and A. H. Schinkel
Sex-Dependent Expression and Activity of the ATP-Binding Cassette Transporter Breast Cancer Resistance Protein (BCRP/ABCG2) in Liver
Mol. Pharmacol., May 1, 2005; 67(5): 1765 - 1771.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
D. Kolwankar, D. D. Glover, J. A. Ware, and T. S. Tracy
EXPRESSION AND FUNCTION OF ABCB1 AND ABCG2 IN HUMAN PLACENTAL TISSUE
Drug Metab. Dispos., April 1, 2005; 33(4): 524 - 529.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
P. Breedveld, D. Pluim, G. Cipriani, P. Wielinga, O. van Tellingen, A. H. Schinkel, and J. H.M. Schellens
The Effect of Bcrp1 (Abcg2) on the In vivo Pharmacokinetics and Brain Penetration of Imatinib Mesylate (Gleevec): Implications for the Use of Breast Cancer Resistance Protein and P-Glycoprotein Inhibitors to Enable the Brain Penetration of Imatinib in Patients
Cancer Res., April 1, 2005; 65(7): 2577 - 2582.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
S. Zhou, Y. Zong, P. A. Ney, G. Nair, C. F. Stewart, and B. P. Sorrentino
Increased expression of the Abcg2 transporter during erythroid maturation plays a role in decreasing cellular protoporphyrin IX levels
Blood, March 15, 2005; 105(6): 2571 - 2576.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
S. Zhang, X. Wang, K. Sagawa, and M. E. Morris
FLAVONOIDS CHRYSIN AND BENZOFLAVONE, POTENT BREAST CANCER RESISTANCE PROTEIN INHIBITORS, HAVE NO SIGNIFICANT EFFECT ON TOPOTECAN PHARMACOKINETICS IN RATS OR MDR1A/1B (-/-) MICE
Drug Metab. Dispos., March 1, 2005; 33(3): 341 - 348.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
Y. Adachi, H. Suzuki, A. H. Schinkel, and Y. Sugiyama
Role of Breast Cancer Resistance Protein (Bcrp1/Abcg2) in the Extrusion of Glucuronide and Sulfate Conjugates from Enterocytes to Intestinal Lumen
Mol. Pharmacol., March 1, 2005; 67(3): 923 - 928.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
K. F. K. Ejendal and C. A. Hrycyna
Differential Sensitivities of the Human ATP-Binding Cassette Transporters ABCG2 and P-Glycoprotein to Cyclosporin A
Mol. Pharmacol., March 1, 2005; 67(3): 902 - 911.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
D. Kobayashi, I. Ieiri, T. Hirota, H. Takane, S. Maegawa, J. Kigawa, H. Suzuki, E. Nanba, M. Oshimura, N. Terakawa, et al.
FUNCTIONAL ASSESSMENT OF ABCG2 (BCRP) GENE POLYMORPHISMS TO PROTEIN EXPRESSION IN HUMAN PLACENTA
Drug Metab. Dispos., January 1, 2005; 33(1): 94 - 101.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
Y.-J. Lee, H. Kusuhara, J. W. Jonker, A. H. Schinkel, and Y. Sugiyama
Investigation of Efflux Transport of Dehydroepiandrosterone Sulfate and Mitoxantrone at the Mouse Blood-Brain Barrier: A Minor Role of Breast Cancer Resistance Protein
J. Pharmacol. Exp. Ther., January 1, 2005; 312(1): 44 - 52.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
P. Pavek, G. Merino, E. Wagenaar, E. Bolscher, M. Novotna, J. W. Jonker, and A. H. Schinkel
Human Breast Cancer Resistance Protein: Interactions with Steroid Drugs, Hormones, the Dietary Carcinogen 2-Amino-1-methyl-6-phenylimidazo(4,5-b)pyridine, and Transport of Cimetidine
J. Pharmacol. Exp. Ther., January 1, 2005; 312(1): 144 - 152.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
C. F. Stewart, M. Leggas, J. D. Schuetz, J. C. Panetta, P. J. Cheshire, J. Peterson, N. Daw, J. J. Jenkins III, R. Gilbertson, G. S. Germain, et al.
Gefitinib Enhances the Antitumor Activity and Oral Bioavailability of Irinotecan in Mice
Cancer Res., October 15, 2004; 64(20): 7491 - 7499.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
N. Mizuno, M. Suzuki, H. Kusuhara, H. Suzuki, K. Takeuchi, T. Niwa, J. W. Jonker, and Y. Sugiyama
IMPAIRED RENAL EXCRETION OF 6-HYDROXY-5,7-DIMETHYL-2-METHYLAMINO-4-(3-PYRIDYLMETHYL) BENZOTHIAZOLE (E3040) SULFATE IN BREAST CANCER RESISTANCE PROTEIN (BCRP1/ABCG2) KNOCKOUT MICE
Drug Metab. Dispos., September 1, 2004; 32(9): 898 - 901.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
F. A. de Jong, S. Marsh, R. H. J. Mathijssen, C. King, J. Verweij, A. Sparreboom, and H. L. McLeod
ABCG2 Pharmacogenetics: Ethnic Differences in Allele Frequency and Assessment of Influence on Irinotecan Disposition
Clin. Cancer Res., September 1, 2004; 10(17): 5889 - 5894.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
P. Breedveld, N. Zelcer, D. Pluim, O. Sonmezer, M. M. Tibben, J. H. Beijnen, A. H. Schinkel, O. van Tellingen, P. Borst, and J. H. M. Schellens
Mechanism of the Pharmacokinetic Interaction between Methotrexate and Benzimidazoles: Potential Role for Breast Cancer Resistance Protein in Clinical Drug-Drug Interactions
Cancer Res., August 15, 2004; 64(16): 5804 - 5811.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
K. W. Ward and L. M. Azzarano
Preclinical Pharmacokinetic Properties of the P-Glycoprotein Inhibitor GF120918A (HCl salt of GF120918, 9,10-Dihydro-5-methoxy-9-oxo-N-[4-[2-(1,2,3,4-tetrahydro-6,7-dimethoxy-2-isoquinolinyl)ethyl]phenyl]-4-acridine-carboxamide) in the Mouse, Rat, Dog, and Monkey
J. Pharmacol. Exp. Ther., August 1, 2004; 310(2): 703 - 709.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
S. E. Bates, W. Y. Medina-Perez, G. Kohlhagen, S. Antony, T. Nadjem, R. W. Robey, and Y. Pommier
ABCG2 Mediates Differential Resistance to SN-38 (7-Ethyl-10-hydroxycamptothecin) and Homocamptothecins
J. Pharmacol. Exp. Ther., August 1, 2004; 310(2): 836 - 842.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
J. W. Polli, T. M. Baughman, J. E. Humphreys, K. H. Jordan, A. L. Mote, L. O. Webster, R. J. Barnaby, G. Vitulli, L. Bertolotti, K. D. Read, et al.
THE SYSTEMIC EXPOSURE OF AN N-METHYL-D-ASPARTATE RECEPTOR ANTAGONIST IS LIMITED IN MICE BY THE P-GLYCOPROTEIN AND BREAST CANCER RESISTANCE PROTEIN EFFLUX TRANSPORTERS
Drug Metab. Dispos., July 1, 2004; 32(7): 722 - 726.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
A. Gupta, Y. Zhang, J. D. Unadkat, and Q. Mao
HIV Protease Inhibitors Are Inhibitors but Not Substrates of the Human Breast Cancer Resistance Protein (BCRP/ABCG2)
J. Pharmacol. Exp. Ther., July 1, 2004; 310(1): 334 - 341.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
C. Ozvegy-Laczka, T. Heged""s, G. Varady, O. Ujhelly, J. D. Schuetz, A. Varadi, G. Keri, L. Orfi, K. Nemet, and B. Sarkadi
High-Affinity Interaction of Tyrosine Kinase Inhibitors with the ABCG2 Multidrug Transporter
Mol. Pharmacol., June 1, 2004; 65(6): 1485 - 1495.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
S. Zhang, X. Yang, and M. E. Morris
Flavonoids Are Inhibitors of Breast Cancer Resistance Protein (ABCG2)-Mediated Transport
Mol. Pharmacol., May 1, 2004; 65(5): 1208 - 1216.
[Abstract] [Full Text]


Home page
Antimicrob. Agents Chemother.Home page
S. U. C. Sankatsing, J. H. Beijnen, A. H. Schinkel, J. M. A. Lange, and J. M. Prins
P Glycoprotein in Human Immunodeficiency Virus Type 1 Infection and Therapy
Antimicrob. Agents Chemother., April 1, 2004; 48(4): 1073 - 1081.
[Full Text] [PDF]


Home page
Cancer Res.Home page
P. L. R. Ee, S. Kamalakaran, D. Tonetti, X. He, D. D. Ross, and W. T. Beck
Identification of a Novel Estrogen Response Element in the Breast Cancer Resistance Protein (ABCG2) Gene
Cancer Res., February 15, 2004; 64(4): 1247 - 1251.
[Abstract] [Full Text] [PDF]


Home page
Drug Metab. Dispos.Home page
K. S. Pang
MODELING OF INTESTINAL DRUG ABSORPTION: ROLES OF TRANSPORTERS AND METABOLIC ENZYMES (FOR THE GILLETTE REVIEW SERIES)
Drug Metab. Dispos., December 1, 2003; 31(12): 1507 - 1519.
[Full Text] [PDF]


Home page
GutHome page
C G Dietrich, A Geier, and R P J Oude Elferink
ABC of oral bioavailability: transporters as gatekeepers in the gut
Gut, December 1, 2003; 52(12): 1788 - 1795.
[Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
T. Nakanishi, L. A. Doyle, B. Hassel, Y. Wei, K. S. Bauer, S. Wu, D. W. Pumplin, H.-B. Fang, and D. D. Ross
Functional Characterization of Human Breast Cancer Resistance Protein (BCRP, ABCG2) Expressed in the Oocytes of Xenopus laevis
Mol. Pharmacol., December 1, 2003; 64(6): 1452 - 1462.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
A. E. van Herwaarden, J. W. Jonker, E. Wagenaar, R. F. Brinkhuis, J. H. M. Schellens, J. H. Beijnen, and A. H. Schinkel
The Breast Cancer Resistance Protein (Bcrp1/Abcg2) Restricts Exposure to the Dietary Carcinogen 2-Amino-1-methyl-6-phenylimidazo[4,5-b]pyridine
Cancer Res., October 1, 2003; 63(19): 6447 - 6452.
[Abstract] [Full Text] [PDF]


Home page
Mol. Pharmacol.Home page
Y. Imai, S. Asada, S. Tsukahara, E. Ishikawa, T. Tsuruo, and Y. Sugimoto
Breast Cancer Resistance Protein Exports Sulfated Estrogens but Not Free Estrogens
Mol. Pharmacol., September 1, 2003; 64(3): 610 - 618.
[Abstract] [Full Text] [PDF]


Home page
Pharmacol. Rev.Home page
N. Mizuno, T. Niwa, Y. Yotsumoto, and Y. Sugiyama
Impact of Drug Transporter Studies on Drug Discovery and Development
Pharmacol. Rev., September 1, 2003; 55(3): 425 - 461.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
Z.-S. Chen, R. W. Robey, M. G. Belinsky, I. Shchaveleva, X.-Q. Ren, Y. Sugimoto, D. D. Ross, S. E. Bates, and G. D. Kruh
Transport of Methotrexate, Methotrexate Polyglutamates, and 17{beta}-Estradiol 17-({beta}-D-glucuronide) by ABCG2: Effects of Acquired Mutations at R482 on Methotrexate Transport
Cancer Res., July 15, 2003; 63(14): 4048 - 4054.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
K. Shimano, M. Satake, A. Okaya, J. Kitanaka, N. Kitanaka, M. Takemura, M. Sakagami, N. Terada, and T. Tsujimura
Hepatic Oval Cells Have the Side Population Phenotype Defined by Expression of ATP-Binding Cassette Transporter ABCG2/BCRP1
Am. J. Pathol., July 1, 2003; 163(1): 3 - 9.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
M. Suzuki, H. Suzuki, Y. Sugimoto, and Y. Sugiyama
ABCG2 Transports Sulfated Conjugates of Steroids and Xenobiotics
J. Biol. Chem., June 13, 2003; 278(25): 22644 - 22649.
[Abstract] [Full Text] [PDF]


Home page
GutHome page
R O. Elferink
Cholestasis
Gut, May 1, 2003; 52(90002): ii42 - 48.
[Abstract] [Full Text]


Home page
Cancer Res.Home page
J. D. Allen, S. C. van Dort, M. Buitelaar, O. van Tellingen, and A. H. Schinkel
Mouse Breast Cancer Resistance Protein (Bcrp1/Abcg2) Mediates Etoposide Resistance and Transport, but Etoposide Oral Availability Is Limited Primarily by P-glycoprotein
Cancer Res., March 15, 2003; 63(6): 1339 - 1344.
[Abstract] [Full Text] [PDF]


Home page
J. Pharmacol. Exp. Ther.Home page
R. H. Stephens, J. Tanianis-Hughes, N. B. Higgs, M. Humphrey, and G. Warhurst
Region-Dependent Modulation of Intestinal Permeability by Drug Efflux Transporters: In Vitro Studies in mdr1a(-/-) Mouse Intestine
J. Pharmacol. Exp. Ther., December 1, 2002; 303(3): 1095 - 1101.
[Abstract] [Full Text] [PDF]


Home page
The OncologistHome page
C.M.F. Kruijtzer, J.H. Beijnen, and J.H.M. Schellens
Improvement of Oral Drug Treatment by Temporary Inhibition of Drug Transporters and/or Cytochrome P450 in the Gastrointestinal Tract and Liver: An Overview
Oncologist, December 1, 2002; 7(6): 516 - 530.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
J. W. Jonker, M. Buitelaar, E. Wagenaar, M. A. van der Valk, G. L. Scheffer, R. J. Scheper, T. Plosch, F. Kuipers, R. P. J. O. Elferink, H. Rosing, et al.
The breast cancer resistance protein protects against a major chlorophyll-derived dietary phototoxin and protoporphyria
PNAS, November 26, 2002; 99(24): 15649 - 15654.
[Abstract] [Full Text] [PDF]


Home page
Proc. Natl. Acad. Sci. USAHome page
S. Zhou, J. J. Morris, Y. Barnes, L. Lan, J. D. Schuetz, and B. P. Sorrentino
Bcrp1 gene expression is required for normal numbers of side population stem cells in mice, and confers relative protection to mitoxantrone in hematopoietic cells in vivo
PNAS, September 17, 2002; 99(19): 12339 - 12344.
[Abstract] [Full Text] [PDF]


Home page
JCOHome page
G. Hudes
Boosting Bioavailability of Topotecan: What Do We Gain?
J. Clin. Oncol., July 1, 2002; 20(13): 2918 - 2919.
[Full Text] [PDF]


Home page
JCOHome page
C. M.F. Kruijtzer, J. H. Beijnen, H. Rosing, W. W. ten Bokkel Huinink, M. Schot, R. C. Jewell, E. M. Paul, and J. H.M. Schellens
Increased Oral Bioavailability of Topotecan in Combination With the Breast Cancer Resistance Protein and P-Glycoprotein Inhibitor GF120918
J. Clin. Oncol., July 1, 2002; 20(13): 2943 - 2950.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Request Permissions
Google Scholar
Right arrow Articles by Jonker, J. W.
Right arrow Articles by Schinkel, A. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jonker, J. W.
Right arrow Articles by Schinkel, A. H.
Social Bookmarking
 Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?