Reversal of multidrug resistance by new dihydropyridines with low calcium antagonist activity

Acta Oncol. 1994;33(7):787-91. doi: 10.3109/02841869409083949.

Abstract

The clinical use of Ca++ antagonist agents as modulators of multidrug resistance is limited by their strong vasodilator activity. This study reports data obtained by testing a series of new 1,4 dihydropyridine derivatives (DHPs) for their in vitro resistance modulating activity and their Ca++ antagonist effect. All the tested DHPs are active to increase doxorubicin activity with dose modifying factor values ranging between 2 and 47 on P388/DX cells and 12 and 36 on LoVo/DX cells. Their resistance modulating action is exerted through an increase of DX intracellular level. The Ca++ antagonist activity of DHPs, evaluated as capacity to inhibit the KCl-induced contractions in isolated Guinea pig ileum strips, is not related to their resistance modulating activity. This finding makes it possible to select, for further in vivo evaluations, compounds IX, X and XI, which have strong ability to overcome multidrug resistance and low Ca++ antagonist effect.

MeSH terms

  • Animals
  • Calcium / antagonists & inhibitors*
  • Dihydropyridines / pharmacology*
  • Doxorubicin / pharmacology*
  • Drug Resistance, Multiple*
  • Drug Screening Assays, Antitumor
  • Drug Synergism
  • Guinea Pigs
  • Ileum / drug effects
  • In Vitro Techniques
  • Leukemia P388 / drug therapy*
  • Tumor Cells, Cultured / drug effects

Substances

  • Dihydropyridines
  • Doxorubicin
  • Calcium