The effect of MDR-1 gene expression on outcome in acute myeloblastic leukaemia.

Abstract:

:Resistance to cytotoxic agents may be encountered during the treatment of acute myeloblastic leukaemia (AML). P-glycoprotein encoded by the MDR-1 gene has been implicated as a potential drug resistance mechanism in leukaemic cells. In recent years, many data have been accrued concerning the expression of P-glycoprotein in leukaemia, and several studies have been published which have related MDR status to outcome in AML. Conclusions as to the effect of P-glycoprotein expression on prognosis in AML have varied widely. The studies are not immediately comparable, since they differ in methodology, treatment regimens, demographic profile and, perhaps most importantly, criteria for positivity of MDR status. The technique of statistical overview (meta-analysis) can be used to pool observational studies. Application of this statistical method to existing studies suggests an estimated relative risk of 0.68 for P-glycoprotein expression with respect to complete remission in AML. Further large studies are required to determine fully the role of P-glycoprotein in AML.

journal_name

Br J Cancer

authors

Holmes JA,West RR

doi

10.1038/bjc.1994.70

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

382-4

issue

2

eissn

0007-0920

issn

1532-1827

journal_volume

69

pub_type

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