Normal cells human cell types express different ABC transporters that when over expressed in the cancer cell render the cancer cell with an MDR phenotype. However, the genome of the normal cell contains genes that express different efflux pumps that are selectively over-expressed in different cancer cell lines. One would expect that in a cancer cell where unexpressed genes of the normal cell are expressed, the cancer cell, would express more than one efflux pump responsible for the MDR phenotype of the cancer cell. Yet, with the possible exception of CACO cells that have been claimed to express at least two distinct ABC transporters that extrude cytotoxic drugs (Guo A, Marinaro W, Hu P, Sinko PJ. Delineating the contribution of secretory transporters in the efflux of etoposide using Madin-Darby canine kidney (MDCK) cells overexpressing P-glycoprotein (Pgp), multidrug resistance-associated protein (MRP1), and canalicular multispecific organic anion transporter (cMOAT).

Drug Metab Dispos. 2002 Apr;30(4):457-63. PubMed PMID: 11901101.), the literature suggests that only one specific ABC efflux pump is expressed in the cancer cell line. Does anyone know otherwise. And if yes, any evidence for selective suppression of genomes that code for more other efflux pumps within the same cell line?

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