Evidence map›Paper›PMID 32715517›Full record

ArticleJournal of clinical laboratory analysis2020

Overexpression of P-glycoprotein and resistance to Imatinib in chronic myeloid leukemia patients.

Mariam Ammar, Nour Louati, Imen Frikha, Moez Medhaffar, Hanen Ghozzi, Moez Elloumi, Hela Menif, Khaled Zeghal, Lobna Ben Mahmoud

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 30 citations in OpenAlex.

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  6. Current and future of targeted therapies against BCR::ABL kinases.Journal of the Egyptian National Cancer Institute · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Mariam AmmarDepartment of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia.ORCID https://orcid.org/0000-0001-8830-6837
Nour LouatiSfax Regional Center of Blood Transfusion, Sfax, Tunisia.
Imen FrikhaDepartment of Clinical Hematology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia.
Moez MedhaffarDepartment of Clinical Hematology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia.
Hanen GhozziDepartment of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
Moez ElloumiDepartment of Clinical Hematology, Hedi Chaker Hospital, University of Sfax, Sfax, Tunisia.
Hela MenifSfax Regional Center of Blood Transfusion, Sfax, Tunisia.
Khaled ZeghalDepartment of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia.
Lobna Ben MahmoudDepartment of Pharmacology, Faculty of Medicine, University of Sfax, Sfax, Tunisia.ORCID https://orcid.org/0000-0002-4499-9720
University of Sfax · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe P-glycoprotein (P-gp) is one of the mechanisms of Imatinib (IM) resistance in chronic myeloid leukemia (CML). P-gp has been identified as an efflux pump involved in releasing of IM outside CML cells. To date, the P-gp involvement in the IM resistance development was not completely understood. Therefore, the present study aimed at measuring the P-gp expression level on lymphocytes from Tunisian patients with CML and correlating this level with a molecular response to IM.

methodThe expression of P-gp on peripheral blood lymphocytes from 59 Tunisian patients with CML (27 IM responder patients vs 32 IM non-responder patients) was evaluated by flow cytometry.

resultOur finding showed significantly positive expression of P-gp in the lymphocytes from the IM non-responder group when compared to the IM-responder group (P = .001). In IM non-responder CML patients, the comparison between CCyR achievers and non-achievers showed a high mean fluorescence intensity (MFI) of P-gp expression in patients who did not achieve their CCyR (P = .001). The comparison between patients with primary and secondary resistance to IM showed an increasing MFI value in patients with primary resistance to IM (P = .001). Besides, the comparison between nilotinib-treated and dasatinib-treated patients proved a high value of MFI in nilotinib-treated patients (P = .001).

conclusionThe overexpression of P-gp on lymphocytes has significantly correlated with the failed molecular response to IM in patients with CML.

Indexed as

Drug Resistance, NeoplasmAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily B, Member 1Biomarkers, TumorCase-Control StudiesFemaleFollow-Up StudiesHumansImatinib MesylateLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateAntineoplastic AgentsATP Binding Cassette Transporter, Subfamily B, Member 1Biomarkers, TumorImatinib Mesylatechronic myeloid leukemiaImatinibmultidrug resistanceP-glycoproteinresistance

Identifiers

PMID32715517
PMCPMC7521244
OpenAlexW3045862146

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.