Eight cell lines were established from the pleural effusion of 4 patie
nts with malignant mesothelioma. The most sensitive (FCCMES-4) and the
most resistant (FCCMES-2) mesothelioma cell lines had IC50 of 0.66 an
d 1.85 mu M for doxorubicin in clonogenic assays, respectively. In com
parison with murine leukemic P388 cells, mesothelioma cell lines were
7.5- to 21-fold more resistant to doxorubicin. Co-incubation with vera
pamil significantly increased doxorubicin retention in one of the cell
lines (FCCMES-2) expressing P-glycoprotein in 16.8% of the cells. The
se results indicate that doxorubicin resistance may be intrinsic in re
fractory mesothelioma patients and P-glycoprotein-mediated drug efflux
may be involved in resistance of some of the mesotheliomas. (C) 1994
Wiley-Liss, Inc.