title: Effects of cyclosporin at various concentrations on dexamethasone intracellular uptake in multidrug resistant cells.
abstract: BACKGROUND
  The multidrug resistance phenomenon results from the expression of P-glycoprotein (P-gp), a drug-efflux pump. Corticosteroids are substrates for P-gp, whose function can be inhibited by cyclosporin. This study evaluates the ability of cyclosporin to modulate dexamethasone uptake in multidrug resistant cells.
  
  
  METHODS
  The K 562 cell line, which does not express P-gp and a P-gp expressing clone, K562/ADM, were used. Cells were incubated with H3-dexamethasone in the absence or presence of cyclosporin at various concentrations. Then, cells were washed, lysed, and radioactivity was measured.
  
  
  RESULTS
  The uptake of dexamethasone alone was higher in sensitive than in resistant cells. Addition of cyclosporin induced a dose dependent increase of dexamethasone uptake in resistant cells, whereas the drug did not influence dexamethasone uptake in parental cells.
  
  
  CONCLUSIONS
  Cyclosporin, at therapeutic concentrations induces a moderate, but significant increase in dexamethasone accumulation in multidrug resistant cells. Thus, cyclosporin might increase the intestinal absorption of corticosteroids or their accumulation in mononuclear cells, or both, thereby increasing their therapeutic efficacy.
authors.affiliation: Department of Rheumatology, Dijon University Hospital, France.
authors.forename: J F
authors.initials: JF
authors.lastname: Maillefert
authors.forename: O
authors.initials: O
authors.lastname: Duchamp
authors.forename: E
authors.initials: E
authors.lastname: Solary
authors.forename: P
authors.initials: P
authors.lastname: Genne
authors.forename: C
authors.initials: C
authors.lastname: Tavernier
mesh_terms: D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1 / Q000378:metabolism; D000893:Anti-Inflammatory Agents / Q000493:pharmacokinetics*; D018501:Antirheumatic Agents / Q000494:pharmacology*; D016572:Cyclosporine / Q000494:pharmacology*; D003907:Dexamethasone / Q000493:pharmacokinetics*; D004305:Dose-Response Relationship, Drug; D018432:Drug Resistance, Multiple; D005938:Glucocorticoids / Q000494:pharmacology; D006801:Humans; D020014:K562 Cells / Q000378:metabolism
chemical_list: D020168:ATP Binding Cassette Transporter, Subfamily B, Member 1; D000893:Anti-Inflammatory Agents; D018501:Antirheumatic Agents; D005938:Glucocorticoids; D003907:Dexamethasone; D016572:Cyclosporine