{"id":{"repo_id":"soton","oai_identifier":"oai:eprints.soton.ac.uk:67628"},"canonical_url":"https://search.dev.ndltd.org/etd/soton/oai:eprints.soton.ac.uk:67628","repository":{"repo_id":"soton","name":"University of Southampton","base_url":"https://eprints.soton.ac.uk/cgi/oai2"},"display":{"title":"Mechanisms of multidrug resistance in bladder cancer: the role of the nuclear membrane","abstract":"Multidrug resistance (MDR) describes the phenomenon whereby cancer cells<br/>exposed to a single cytotoxic drug develop cross resistance to numerous other<br/>structurally unrelated chemotherapeutics. The development of MDR is a major<br/>cause of cancer chemotherapy treatment failure in all types of cancer.<br/><br/>Numerous mechanisms of MDR have been elucidated which include ATPbinding<br/>cassette (ABC) transporter proteins, cytoplasmic vaults, alterations in<br/>topoisomerase II and increased expression of glutathione-S-transferases, all of<br/>which result in reduced chemotherapeutic efficacy.<br/><br/>Superficial bladder cancer is commonly treated with adjuvant intravesical<br/>chemotherapy using mitomycin C or epirubicin (an anthracycline), following<br/>surgical resection. However, despite this treatment, the recurrence rates of<br/>these tumours can approach 60%. This high recurrence rate represents the<br/>development of MDR in many cases.<br/><br/>Previous work using anthracycline fluorescence has shown that MDR cells<br/>have reduced levels of anthracycline uptake and also demonstrate a<br/>characteristic nuclear sparing of drug uptake. This nuclear sparing<br/>phenomenon in MDR cells transcends tissue type and suggests that the<br/>nuclear membrane may also play a role in MDR.<br/><br/>The work described herein discusses the current role of chemotherapy in the<br/>treatment of superficial bladder cancer, mechanisms of MDR and the role of the<br/>nuclear membrane in MDR. Following this our investigation of the role of the<br/>nuclear membrane is described, using a number of novel techniques including<br/>cell fusion and microinjection. In addition, we investigated MDR modulation by<br/>verapamil, with analysis of changes in cellular, cytoplasmic and nuclear drug<br/>uptake mediated by this known MDR reversing agent.","abstract_html":"Multidrug resistance (MDR) describes the phenomenon whereby cancer cells&lt;br/&gt;exposed to a single cytotoxic drug develop cross resistance to numerous other&lt;br/&gt;structurally unrelated chemotherapeutics. The development of MDR is a major&lt;br/&gt;cause of cancer chemotherapy treatment failure in all types of cancer.&lt;br/&gt;&lt;br/&gt;Numerous mechanisms of MDR have been elucidated which include ATPbinding&lt;br/&gt;cassette (ABC) transporter proteins, cytoplasmic vaults, alterations in&lt;br/&gt;topoisomerase II and increased expression of glutathione-S-transferases, all of&lt;br/&gt;which result in reduced chemotherapeutic efficacy.&lt;br/&gt;&lt;br/&gt;Superficial bladder cancer is commonly treated with adjuvant intravesical&lt;br/&gt;chemotherapy using mitomycin C or epirubicin (an anthracycline), following&lt;br/&gt;surgical resection. However, despite this treatment, the recurrence rates of&lt;br/&gt;these tumours can approach 60%. This high recurrence rate represents the&lt;br/&gt;development of MDR in many cases.&lt;br/&gt;&lt;br/&gt;Previous work using anthracycline fluorescence has shown that MDR cells&lt;br/&gt;have reduced levels of anthracycline uptake and also demonstrate a&lt;br/&gt;characteristic nuclear sparing of drug uptake. This nuclear sparing&lt;br/&gt;phenomenon in MDR cells transcends tissue type and suggests that the&lt;br/&gt;nuclear membrane may also play a role in MDR.&lt;br/&gt;&lt;br/&gt;The work described herein discusses the current role of chemotherapy in the&lt;br/&gt;treatment of superficial bladder cancer, mechanisms of MDR and the role of the&lt;br/&gt;nuclear membrane in MDR. Following this our investigation of the role of the&lt;br/&gt;nuclear membrane is described, using a number of novel techniques including&lt;br/&gt;cell fusion and microinjection. In addition, we investigated MDR modulation by&lt;br/&gt;verapamil, with analysis of changes in cellular, cytoplasmic and nuclear drug&lt;br/&gt;uptake mediated by this known MDR reversing agent.","abstract_has_math":false,"creators":["Featherstone, Jonathan Mark"],"institution":"University of Southampton","degree_name":"Ph.D.","degree_level":"doctoral","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Primrose, J.","Cooper, A."],"committee_chairs":[],"committee_members":[],"year":2007,"date_issued":"2007-12","date_published":"2007-12","updated_at":"2026-07-24T04:36:02Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":null,"outbound_label":null,"outbound_source":null},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Primrose, J.","Cooper, A."]},{"key":"dc:creator","label":"Author","values":["Featherstone, Jonathan Mark"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2007-12"]},{"key":"dc:date.issued","label":"Date","values":["2007-12"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Cancer Sciences (pre 2011 reorg)","School of Medicine"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Southampton"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://eprints.soton.ac.uk/67628/"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["Ph.D."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://eprints.soton.ac.uk/67628/1/Featherstone_DM_Thesis_2009_PDF.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Multidrug resistance (MDR) describes the phenomenon whereby cancer cells<br/>exposed to a single cytotoxic drug develop cross resistance to numerous other<br/>structurally unrelated chemotherapeutics. The development of MDR is a major<br/>cause of cancer chemotherapy treatment failure in all types of cancer.<br/><br/>Numerous mechanisms of MDR have been elucidated which include ATPbinding<br/>cassette (ABC) transporter proteins, cytoplasmic vaults, alterations in<br/>topoisomerase II and increased expression of glutathione-S-transferases, all of<br/>which result in reduced chemotherapeutic efficacy.<br/><br/>Superficial bladder cancer is commonly treated with adjuvant intravesical<br/>chemotherapy using mitomycin C or epirubicin (an anthracycline), following<br/>surgical resection. However, despite this treatment, the recurrence rates of<br/>these tumours can approach 60%. This high recurrence rate represents the<br/>development of MDR in many cases.<br/><br/>Previous work using anthracycline fluorescence has shown that MDR cells<br/>have reduced levels of anthracycline uptake and also demonstrate a<br/>characteristic nuclear sparing of drug uptake. This nuclear sparing<br/>phenomenon in MDR cells transcends tissue type and suggests that the<br/>nuclear membrane may also play a role in MDR.<br/><br/>The work described herein discusses the current role of chemotherapy in the<br/>treatment of superficial bladder cancer, mechanisms of MDR and the role of the<br/>nuclear membrane in MDR. Following this our investigation of the role of the<br/>nuclear membrane is described, using a number of novel techniques including<br/>cell fusion and microinjection. In addition, we investigated MDR modulation by<br/>verapamil, with analysis of changes in cellular, cytoplasmic and nuclear drug<br/>uptake mediated by this known MDR reversing agent."]},{"key":"dc:format","label":"Dc Format","values":["text"]},{"key":"dc:title","label":"Title","values":["Mechanisms of multidrug resistance in bladder cancer: the role of the nuclear membrane"]}]}],"canonical_facts":{"dc:contributor.advisor":["Primrose, J.","Cooper, A."],"dc:creator":["Featherstone, Jonathan Mark"],"dc:date":["2007-12"],"dc:date.issued":["2007-12"],"dc:description.abstract":["Multidrug resistance (MDR) describes the phenomenon whereby cancer cells<br/>exposed to a single cytotoxic drug develop cross resistance to numerous other<br/>structurally unrelated chemotherapeutics. The development of MDR is a major<br/>cause of cancer chemotherapy treatment failure in all types of cancer.<br/><br/>Numerous mechanisms of MDR have been elucidated which include ATPbinding<br/>cassette (ABC) transporter proteins, cytoplasmic vaults, alterations in<br/>topoisomerase II and increased expression of glutathione-S-transferases, all of<br/>which result in reduced chemotherapeutic efficacy.<br/><br/>Superficial bladder cancer is commonly treated with adjuvant intravesical<br/>chemotherapy using mitomycin C or epirubicin (an anthracycline), following<br/>surgical resection. However, despite this treatment, the recurrence rates of<br/>these tumours can approach 60%. This high recurrence rate represents the<br/>development of MDR in many cases.<br/><br/>Previous work using anthracycline fluorescence has shown that MDR cells<br/>have reduced levels of anthracycline uptake and also demonstrate a<br/>characteristic nuclear sparing of drug uptake. This nuclear sparing<br/>phenomenon in MDR cells transcends tissue type and suggests that the<br/>nuclear membrane may also play a role in MDR.<br/><br/>The work described herein discusses the current role of chemotherapy in the<br/>treatment of superficial bladder cancer, mechanisms of MDR and the role of the<br/>nuclear membrane in MDR. Following this our investigation of the role of the<br/>nuclear membrane is described, using a number of novel techniques including<br/>cell fusion and microinjection. In addition, we investigated MDR modulation by<br/>verapamil, with analysis of changes in cellular, cytoplasmic and nuclear drug<br/>uptake mediated by this known MDR reversing agent."],"dc:format":["text"],"dc:identifier.uri":["https://eprints.soton.ac.uk/67628/1/Featherstone_DM_Thesis_2009_PDF.pdf"],"dc:publisher.department":["Cancer Sciences (pre 2011 reorg)","School of Medicine"],"dc:publisher.institution":["University of Southampton"],"dc:relation.isreferencedby":["https://eprints.soton.ac.uk/67628/"],"dc:title":["Mechanisms of multidrug resistance in bladder cancer: the role of the nuclear membrane"],"dc:type":["Thesis"],"dc:type.qualificationlevel":["doctoral"],"dc:type.qualificationname":["Ph.D."]},"updated_at":"2026-07-24T04:36:02Z"}