99Tcm-MIBI显像对肿瘤多药耐药检测的应用

钱习军

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99Tcm-MIBI显像对肿瘤多药耐药检测的应用

    作者简介: 钱习军(1972-),女,安徽无为人,硕士研究生,主要从事肿瘤多药耐药机制及逆转的研究。;
  • 中图分类号: R817.4

The application of 99Tcm-MIBI imaging to detect multidrug resistance

  • CLC number: R817.4

  • 摘要: MDR(多药耐药)是目前肿瘤化疗失败的主要原因,对MDR的检测可以帮助化疗决策的制定,从而使肿瘤患者得到更有效的治疗。99Tcm-MIBI(99Tcm-甲氧基异丁基异腈)是mdr1基因编码的P-gp(P-糖蛋白)和MRP(多药耐药相关蛋白)的转运底物,肿瘤细胞内99Tcm-MIBI摄取减低表明其P-gp的高表达,并与MRP的表达相关。因此,99Tcm-MIBI显像可在治疗前预测对化疗的反应,并为选择更有效的化疗策略提供依据。
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    [10] Fujii H, Nakamura K, Kubo A, et al. Preoperative evaluation of the chemosensitivity of breast cancer by means of double phase 99Tcm-MIBI scintimammography[J]. Ann Nacl Med, 1998, 12(6):307-312.
    [11] Kostakoglu L, Ruacan S, Ergün EL, et al. Influence of the heterogeneity of P-glycoprotein expression on technetium-99m-MIBI uptake in breast cancer[J]. J Nucl Med, 1998, 39(6):1021-1026.
    [12] Duran-Cordobes M, Moretti JL, De-Beco V, et al. Uptake of liposome-encapsulated 99Tcm-MIBI by sensitive and multidrug-resistant tumour cell lines[J]. Nucl Med Commun, 1999, 20(5):433-437.
    [13] Hendrikse NH, Franssen EJF, Van-der-Graaf WTA, et al.99Tcm-sestamibi is a substrate for P-glycoprotein and the multidrug resistance-associated protein[J]. Br J Cancer, 1998, 77(3):353-358.
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    [15] Chia-Hung K, Shih-Chuan T, Tse-Jia L, et al. P-glycoprotein and multidrug resistance-related protein expressions in relation to technetium-99m methoxyisobutylisonitrile scintimammography findings[J]. Cancer Res, 2001, 61(4):1412-1414.
    [16] Chia-Hung K, Shih-Chuan T, Thi-Joung W, et al. Technetium-99m-sestamethoxyisobutylisonitrile scan as a predictor of chemotherapy response in malignant lymphomas compared with P-glycoprotein expression multidrug resistance-related protein expression and other prognosis factors[J]. Br J Haematol, 2001, 113(2):369-374.
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  • 收稿日期:  2002-04-24

99Tcm-MIBI显像对肿瘤多药耐药检测的应用

    作者简介:钱习军(1972-),女,安徽无为人,硕士研究生,主要从事肿瘤多药耐药机制及逆转的研究。
  • 210009 南京, 东南大学医学院血液肿瘤科

摘要: MDR(多药耐药)是目前肿瘤化疗失败的主要原因,对MDR的检测可以帮助化疗决策的制定,从而使肿瘤患者得到更有效的治疗。99Tcm-MIBI(99Tcm-甲氧基异丁基异腈)是mdr1基因编码的P-gp(P-糖蛋白)和MRP(多药耐药相关蛋白)的转运底物,肿瘤细胞内99Tcm-MIBI摄取减低表明其P-gp的高表达,并与MRP的表达相关。因此,99Tcm-MIBI显像可在治疗前预测对化疗的反应,并为选择更有效的化疗策略提供依据。

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