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 5 microM inhibited the efflux of [3H]
vincristine from KB-C2 cells and increased the accumulation of [3H]
vincristine in KB-C2 cells to a level similar to that in KB-3-1 cells.
PAK-200 inhibited the photoaffinity labeling of
P-glycoprotein in KB-C2 membranes by [3H]
azidopine. At 5 microM,
PAK-200 enhanced the cytotoxic effect of
Adriamycin on
drug-sensitive KB-3-1 cells, multidrug-resistant KB-8-5 cells, and two human
colorectal carcinoma tumor lines, COK-28LN and COK-36LN, by factors of 2, 5, 2, and 3 times, respectively. The
calcium antagonistic activity of
PAK-200 was about 1000 and 5 times lower than that of another
dihydropyridine analogue,
nicardipine, and of
verapamil, respectively.
PAK-200 in combination with
Adriamycin completely suppressed the growth of KB-3-1 and COK-36LN and partially suppressed the growth of KB-8-5 but had no significant effect on COK-28LN cells xenografted in nude mice. The level of MDR1 expression of COK-36LN was about 3 times higher than that of COK-28LN, but lower than that of KB-8-5 cells. These results suggest that the interaction of
PAK-200 with
P-glycoprotein may be partly correlated with the enhancement of the antitumor effect of
Adriamycin on xenografted KB-8-5 and COK-36LN cells in nude mice.