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Atlas of Genetics and Cytogenetics in Oncology and Haematology OPEN ACCESS JOURNAL AT INIST-CNRS Gene Section Mini Review ABCB1 (ATP-binding cassette, sub-family B (MDR/TAP), member 1) Franck Viguié Laboratoire de Cytogénétique - Service d'Hématologie Biologique, Hôpital Hôtel-Dieu, 75181 Paris Cedex 04, France Published in Atlas Database: March 1998 Online updated version: http://AtlasGeneticsOncology.org/Genes/PGY1ID105.html DOI: 10.4267/2042/37409 This work is licensed under a Creative Commons Attribution-Non-commercial-No Derivative Works 2.0 France Licence. © 1998 Atlas of Genetics and Cytogenetics in Oncology and Haematology Localisation Identity Mainly at the cell membrane, with a secondary localisation at the Golgi apparatus. Other names: MDR1 (multidrug resistance 1) Location: 7q21.2 Function DNA/RNA The P-glycoprotein is an energy-dependent efflux pump involved in extrusion of many types of lypophilic coumpounds; it may acts in normal tissues as a protective mechanism against noxious xenobiotics and as a transporter of endogenous substrates; in tumour cells, the drug efflux pump results in a decrease in intracellular drug concentration. Description Spans on a 120 kb genomic fragment; separated from MDR3 gene (which is transcribed in the same direction) by only 34 kb of intergenic DNA. Transcription Homology 5 kb mRNA. Closely related gene to MDR3 (also called PGY3), located at the same chromosomal site but not implicated in multidrug resistance; there are 3 murine homolog genes (mdr1, mdr2, mdr3) out of which only 2 (mdr1 and mdr3) are involved in multidrug resistance; member of a large superfamily of transmembrane transporter proteins named ATP Binding Cassette (ABC) transporters or Traffic ATPases; structural homology with other ABC transporter proteins (CFTR, MRP). Protein Description The protein is called P-glycoprotein; 170 kDa transmembrane glycoprotein which includes 10-15 kDa of N-term glycosylation; the N-term half of the molecule contains 6 transmembrane domains, followed by a large cytoplasmic domain with an ATP binding site, and then a second section with 6 transmembrane domains and an ATP binding site which shows over 65% of amino acid similarity with the first half of the polypeptide. Implicated in Tumour cells resistance Expression Disease Tumour cells resistance to a wide variety of antineoplasic agents: doxorubicin, daunorubicin, vinblastine, vincristine, colchicine, actinomycine D, etoposide, tenoposide, mitoxantrone, homoharringtonine; this phenomenon is named 'multidrug resistance' (MDR); P-glycoprotein is the main protein responsible for the MDR phenotype; Normally expressed at secretory surface of a number of tissues, including biliary canaliculi, proximal tubules of the kidney, intestinal and colonic epithelium; hematopoietic stem cells express high levels of Pglycoprotein; overexpressed in many multidrug resistant cell lines and in tumour cells resistant to chemotherapy. Atlas Genet Cytogenet Oncol Haematol. 1998;2(2) 45 ABCB1 (ATP-binding cassette, sub-family B (MDR/TAP), member 1) Viguié F selected KB carcinoma cells. Mol Biol Cell 1992 May;3(5):50720. however, other agents may be involved in MDR, independently or in association with P-glycoprotein: "multidrug resistant associated protein" (MRP), "lung resistance protein" (LRP), 'anthracycline associated resistance protein" (ARX). Simon SM, Schindler M. Cell biological mechanisms of multidrug resistance in tumors. Proc Natl Acad Sci USA 1994 Apr 26;91(9):3497-504. Torigoe K, Sato S, Kusaba H, Kohno K, Kuwano M, Okumura K, Green ED, Tsui LC, Scherer SW, Schlessinger D, et al. A YAC-based contig of 1.5 Mb spanning the human multidrug resistance gene region and delineating the amplification unit in three human multidrug-resistant cell lines. Genome Res 1995 Oct;5(3):233-44. Leukemias Disease In leukemia, MDR1 overexpression is observed in patients with a lower complete remission rate and with a shortening of overall survival; frequently associated with intermediate and poor prognosis karyotype; in ANLL, approximately 50% of patients are MDR positive at diagnosis (range 22-70%) and the MDR phenotype is more frequently observed in CD34+ leukemias; in ALL, the average number of MDRpositive cases is 22% at diagnosis. Bosch I, Croop J. P-glycoprotein multidrug resistance and cancer. Biochim Biophys Acta 1996 Oct 9;1288(2):F37-54. Gottesman MM, Pastan I, Ambudkar SV. P-glycoprotein and multidrug resistance. Curr Opin Genet Dev 1996 Oct;6(5):6107. Hegewisch-Becker S, Hossfeld DK. The MDR phenotype in hematologic malignancies: prognostic relevance and future perspectives. Ann Hematol 1996 Mar;72(3):105-17. Srivastava RK, Srivastava AR, Cho-Chung YS. Multidrug resistance in cancer. Int J Oncol 1996:9:879-84. (Review) Tumour cell lines Zhou DC, Ramond S, Viguie F, Faussat AM, Zittoun R, Marie JP. Sequential emergence of MRP- and MDR1-gene overexpression as well as MDR1-gene translocation in homoharringtonine-selected K562 human leukemia cell lines. Int J Cancer 1996 Jan 26;65(3):365-71. Note In numerous continuous tumour cell lines which acquired experimentally a MDR phenotype when cultured with progressively increasing drug concentration, the acquisition of MDR was associated with hyperexpression of P-glycoprotein; for the higher levels of expression, southern blots revealed an increase in the number of copies of the MDR1 gene per cell. Cytogenetics The genomic amplification of MDR1 appears as extrachromosomic 'double-minute chromosomes' (DM) or intrachromosomic 'homogeneous staining regions' (HSR). Oncogenesis Amplification. Hunault M, Zhou D, Delmer A, Ramond S, Viguié F, Cadiou M, Perrot JY, Levy V, Rio B, Cymbalista F, Zittoun R, Marie JP. Multidrug resistance gene expression in acute myeloid leukemia: major prognosis significance for in vivo drug resistance to induction treatment. Ann Hematol 1997 Feb;74(2):65-71. Martínez A, San Miguel JF, Valverde B, Bárez A, Moro MJ, García-Marcos MA, Pérez-Simón JA, Vidriales B, Orfao A. Functional expression of MDR-1 in acute myeloid leukemia: correlation with the clinical-biological, immunophenotypical, and prognostic disease characteristics. Ann Hematol 1997 Sep;75(3):81-6. van den Heuvel-Eibrink MM, van der Holt B, te Boekhorst PA, Pieters R, Schoester M, Löwenberg B, Sonneveld P. MDR 1 expression is an independent prognostic factor for response and survival in de novo acute myeloid leukaemia. Br J Haematol 1997 Oct;99(1):76-83. References Ruiz JC, Choi KH, von Hoff DD, Robinson IB, Wahl GM. Autonomously replicating episomes contain mdr1 genes in a multidrug-resistant human cell line. Mol Cell Biol 1989 Jan;9(1):109-15. Willman CL. The prognostic significance of the expression and function of multidrug resistance transporter proteins in acute myeloid leukemia: studies of the Southwest Oncology Group Leukemia Research Program. Semin Hematol 1997 Oct;34(4 Suppl 5):25-33. Baer MR, Bloomfield CD. Multidrug resistance in acute myeloid leukemia. J Natl Cancer Inst 1991 May 15;83(10):663-5. This article should be referenced as such: Trent JM, Callen DE. Molecular and Cellular Biology of Multidrug Resistance in Tumor Cells (IM Roninson Ed.), Plenum Publishing Corporation 1991; pp169. Viguié F. ABCB1 (ATP-binding cassette, sub-family B (MDR/TAP), member 1) Atlas Genet Cytogenet Oncol Haematol.1998;2(2):45-46. Schoenlein PV, Shen DW, Barrett JT, Pastan I, Gottesman MM. Double minute chromosomes carrying the human multidrug resistance 1 and 2 genes are generated from the dimerization of submicroscopic circular DNAs in colchicine- Atlas Genet Cytogenet Oncol Haematol. 1998;2(2) 46