A newly synthesized
dihydropyridine analogue, 2-[benzyl(phenyl)amino]ethyl 1,4-dihydro-2,6-dimethyl-5-(5,5-dimethyl-2-oxo-1,3,2-dioxaphosphorina n-2-yl)-1- (2-morpholinoethyl)-4-(3-nitrophenyl)-3-pyridinecarboxylate (PAK-200), at 1 microM completely reversed the resistance to
vincristine in
vincristine-resistant P388 mouse
leukemia cells (P388/VCR), in vitro.
PAK-200 at 2 microM inhibited the efflux of [3H]
vincristine from P388/VCR and increased the accumulation of [3H]
vincristine in P388/VCR to a level similar to that in P388 cells.
P-Glycoprotein in membrane vesicles from P388/VCR cells was photolabeled with [3H]
azidopine. The labeling was completely inhibited by 10 microM
PAK-200. The
calcium antagonistic activity of
PAK-200 was about 1000 times lower than that of another
dihydropyridine analogue,
nicardipine. Experiments with P388 and P388/VCR-bearing mice showed that
PAK-200 enhanced the effect of
vincristine on both
leukemia cells in vivo. These results suggest that
PAK-200 interacts with
P-glycoprotein and reverses drug resistance in P388 mouse
leukemia cells in vitro, and that
PAK-200 has an ability to potentiate the effect of
vincristine on P388 mouse
leukemia cells in vivo.