Several tumour types show resistance to a broad spectrum of anti-cancer dru
gs and are referred to as expressing a multidrug-resistant phenotype. This
has been associated with the overexpression of P-glycoprotein, a highly con
served transmembrane protein. Increased levels of P-glycoprotein are genera
ted In tumour cells resistant to a range of chemotherapeutic drugs. We have
examined five cultured human oesophageal squamous carcinoma cell lines and
one epidermoid carcinoma cell line for the expression of P-glycoprotein us
ing a radioimmuno assay developed for the purpose. The radioimmuno assays i
dentified significantly different (P = 0.05) levels of P-glycoprotein among
the five oesophageal carcinoma cell lines. Treating the lines with epiderm
al growth factor caused them to increase their P-glycoprotein expression ex
ponentially. Exposing the lines to vinblastine identified four of the five
oesophageal carcinoma cell fines as having some resistance to the drug. The
SNO cell line expressed a drug-sensitive phenotype with cell death occurri
ng at low drug concentrations. This drug sensitivity was reversed by prior
treatment with epidermal growth factor. The high levels of P-glycoprotein g
enerated by the cell lines may be linked to the poor success rate reported
for chemotherapeutic treatment of oesophageal carcinoma.