<?xml version="1.0" encoding="ISO-8859-1"?><cms:container xmlns:cms="http://edoc.hu-berlin.de/diml/module/cms"><cms:document><cms:meta><cms:entry ref="front" type="front"/><cms:entry ref="_Toc137186254" type="link"/><cms:entry type="title">Überwindung der P-Glykoprotein (MDR1)-abhängigen Multidrugresistenz mittels RNA-Interferenz </cms:entry><cms:entry type="author">Alexandra Eva Stege</cms:entry><cms:entry ref="N1009E" type="dedication">Meiner Familie</cms:entry><cms:entry ref="_Toc156103993" type="link"/><cms:entry id="chapter1" part="chapter1" ref="chapter1" type="chapter">1</cms:entry><cms:entry id="N100B4" part="chapter1" ref="N100B4" type="citenumber">1</cms:entry><cms:entry id="N100F3" part="chapter1" ref="N100F3" type="citenumber">2</cms:entry><cms:entry id="N100FA" part="chapter1" ref="N100FA" type="section">1.1</cms:entry><cms:entry id="_Toc156103995" part="chapter1" ref="_Toc156103995" type="link"/><cms:entry id="N1010E" part="chapter1" ref="N1010E" type="subsection">1.1.1</cms:entry><cms:entry id="_Toc156103996" part="chapter1" ref="_Toc156103996" type="link"/><cms:entry id="N10118" part="chapter1" ref="N10118" type="citenumber">3</cms:entry><cms:entry id="N10130" part="chapter1" ref="N10130" type="mm">491#244</cms:entry><cms:entry id="_Toc156104053" part="chapter1" ref="_Toc156104053" type="link"/><cms:entry id="N10150" part="chapter1" ref="N10150" type="section">1.2</cms:entry><cms:entry id="_Toc156103997" part="chapter1" ref="_Toc156103997" type="link"/><cms:entry id="N1015A" part="chapter1" ref="N1015A" type="citenumber">4</cms:entry><cms:entry id="N10172" part="chapter1" ref="N10172" type="citenumber">5</cms:entry><cms:entry id="N101AF" part="chapter1" ref="N101AF" type="citenumber">6</cms:entry><cms:entry id="_Toc156103998" part="chapter1" ref="_Toc156103998" type="link"/><cms:entry id="N10217" part="chapter1" ref="N10217" type="section">1.3</cms:entry><cms:entry id="N10230" part="chapter1" ref="N10230" type="citenumber">7</cms:entry><cms:entry id="_Ref138077629" part="chapter1" ref="_Ref138077629" type="link"/><cms:entry id="_Ref138850798" part="chapter1" ref="_Ref138850798" type="link"/><cms:entry id="N10282" part="chapter1" ref="N10282" type="table"/><cms:entry id="_Toc156104080" part="chapter1" ref="_Toc156104080" type="link"/><cms:entry id="N1035F" part="chapter1" ref="N1035F" type="citenumber">8</cms:entry><cms:entry id="_Toc156103999" part="chapter1" ref="_Toc156103999" type="link"/><cms:entry id="N10373" part="chapter1" ref="N10373" type="section">1.4</cms:entry><cms:entry id="N103A2" part="chapter1" ref="N103A2" type="subsection">1.4.1</cms:entry><cms:entry id="_Toc156104000" part="chapter1" ref="_Toc156104000" type="link"/><cms:entry id="N103AC" part="chapter1" ref="N103AC" type="citenumber">9</cms:entry><cms:entry id="N103BC" part="chapter1" ref="N103BC" type="mm">510#397</cms:entry><cms:entry id="_Toc156104054" part="chapter1" ref="_Toc156104054" type="link"/><cms:entry id="_Ref138077668" part="chapter1" ref="_Ref138077668" type="link"/><cms:entry id="N103E8" part="chapter1" ref="N103E8" type="citenumber">10</cms:entry><cms:entry id="_Ref138077714" part="chapter1" ref="_Ref138077714" type="link"/><cms:entry id="N103F8" part="chapter1" ref="N103F8" type="table"/><cms:entry id="_Toc156104081" part="chapter1" ref="_Toc156104081" type="link"/><cms:entry id="N10532" part="chapter1" ref="N10532" type="citenumber">11</cms:entry><cms:entry id="N1053D" part="chapter1" ref="N1053D" type="subsection">1.4.2</cms:entry><cms:entry id="_Toc156104001" part="chapter1" ref="_Toc156104001" type="link"/><cms:entry id="N10545" part="chapter1" ref="N10545" type="block">1.4.2.1</cms:entry><cms:entry id="N10557" part="chapter1" ref="N10557" type="block">1.4.2.2</cms:entry><cms:entry id="N1057E" part="chapter1" ref="N1057E" type="citenumber">12</cms:entry><cms:entry id="_Toc156104002" part="chapter1" ref="_Toc156104002" type="link"/><cms:entry id="N1058B" part="chapter1" ref="N1058B" type="section">1.5</cms:entry><cms:entry id="N105CC" part="chapter1" ref="N105CC" type="subsection">1.5.1</cms:entry><cms:entry id="_Toc156104003" part="chapter1" ref="_Toc156104003" type="link"/><cms:entry id="N105D6" part="chapter1" ref="N105D6" type="citenumber">13</cms:entry><cms:entry id="N105FE" part="chapter1" ref="N105FE" type="mm">529#451</cms:entry><cms:entry id="_Toc156104055" part="chapter1" ref="_Toc156104055" type="link"/><cms:entry id="_Ref138077797" part="chapter1" ref="_Ref138077797" type="link"/><cms:entry id="_Toc156104004" part="chapter1" ref="_Toc156104004" type="link"/><cms:entry id="N1061D" part="chapter1" ref="N1061D" type="subsection">1.5.2</cms:entry><cms:entry id="N10652" part="chapter1" ref="N10652" type="citenumber">14</cms:entry><cms:entry id="N10655" part="chapter1" ref="N10655" type="mm">495#292</cms:entry><cms:entry id="_Toc156104056" part="chapter1" ref="_Toc156104056" type="link"/><cms:entry id="_Ref138077774" part="chapter1" ref="_Ref138077774" type="link"/><cms:entry id="N10666" part="chapter1" ref="N10666" type="section">1.6</cms:entry><cms:entry id="_Toc156104005" part="chapter1" ref="_Toc156104005" type="link"/><cms:entry id="N1067F" part="chapter1" ref="N1067F" type="citenumber">15</cms:entry><cms:entry id="N106BB" part="chapter1" ref="N106BB" type="citenumber">16</cms:entry><cms:entry id="N106BE" part="chapter1" ref="N106BE" type="mm">529#553</cms:entry><cms:entry id="_Ref138077895" part="chapter1" ref="_Ref138077895" type="link"/><cms:entry id="_Ref138077918" part="chapter1" ref="_Ref138077918" type="link"/><cms:entry id="_Toc156104006" part="chapter1" ref="_Toc156104006" type="link"/><cms:entry id="chapter2" part="chapter2" ref="chapter2" type="chapter">2</cms:entry><cms:entry id="N106DC" part="chapter2" ref="N106DC" type="section">2.1</cms:entry><cms:entry id="_Toc156104007" part="chapter2" ref="_Toc156104007" type="link"/><cms:entry id="N106E4" part="chapter2" ref="N106E4" type="subsection">2.1.1</cms:entry><cms:entry id="_Toc156104008" part="chapter2" ref="_Toc156104008" type="link"/><cms:entry id="N106EC" part="chapter2" ref="N106EC" type="block">2.1.1.1</cms:entry><cms:entry id="N106F1" part="chapter2" ref="N106F1" type="helpercitenumber">16</cms:entry><cms:entry id="N106F3" part="chapter2" ref="N106F3" type="table"/><cms:entry id="N10753" part="chapter2" ref="N10753" type="block">2.1.1.2</cms:entry><cms:entry id="N1075D" part="chapter2" ref="N1075D" type="citenumber">17</cms:entry><cms:entry id="N10760" part="chapter2" ref="N10760" type="table"/><cms:entry id="_Toc156104082" part="chapter2" ref="_Toc156104082" type="link"/><cms:entry id="N10872" part="chapter2" ref="N10872" type="block">2.1.1.3</cms:entry><cms:entry id="_Toc156104083" part="chapter2" ref="_Toc156104083" type="link"/><cms:entry id="N10885" part="chapter2" ref="N10885" type="table"/><cms:entry id="_Toc156104084" part="chapter2" ref="_Toc156104084" type="link"/><cms:entry id="N10924" part="chapter2" ref="N10924" type="citenumber">18</cms:entry><cms:entry id="N10927" part="chapter2" ref="N10927" type="table"/><cms:entry id="_Toc156104009" part="chapter2" ref="_Toc156104009" type="link"/><cms:entry id="N1099D" part="chapter2" ref="N1099D" type="subsection">2.1.2</cms:entry><cms:entry id="N109A7" part="chapter2" ref="N109A7" type="table"/><cms:entry id="N10F65" part="chapter2" ref="N10F65" type="subsection">2.1.3</cms:entry><cms:entry id="_Toc156104010" part="chapter2" ref="_Toc156104010" type="link"/><cms:entry id="N10F6F" part="chapter2" ref="N10F6F" type="citenumber">19</cms:entry><cms:entry id="N10F72" part="chapter2" ref="N10F72" type="table"/><cms:entry id="_Toc156104011" part="chapter2" ref="_Toc156104011" type="link"/><cms:entry id="N11050" part="chapter2" ref="N11050" type="subsection">2.1.4</cms:entry><cms:entry id="N11057" part="chapter2" ref="N11057" type="table"/><cms:entry id="_Toc156104012" part="chapter2" ref="_Toc156104012" type="link"/><cms:entry id="N111CB" part="chapter2" ref="N111CB" type="subsection">2.1.5</cms:entry><cms:entry id="N111D2" part="chapter2" ref="N111D2" type="table"/><cms:entry id="_Toc156104013" part="chapter2" ref="_Toc156104013" type="link"/><cms:entry id="N11526" part="chapter2" ref="N11526" type="subsection">2.1.6</cms:entry><cms:entry id="N1152D" part="chapter2" ref="N1152D" type="citenumber">20</cms:entry><cms:entry id="N11530" part="chapter2" ref="N11530" type="table"/><cms:entry id="_Ref138077983" part="chapter2" ref="_Ref138077983" type="link"/><cms:entry id="_Ref138684229" part="chapter2" ref="_Ref138684229" type="link"/><cms:entry id="_Toc156104085" part="chapter2" ref="_Toc156104085" type="link"/><cms:entry id="N115E4" part="chapter2" ref="N115E4" type="table"/><cms:entry id="N116D2" part="chapter2" ref="N116D2" type="citenumber">21</cms:entry><cms:entry id="N116E1" part="chapter2" ref="N116E1" type="mm">411#93</cms:entry><cms:entry id="_Ref138078065" part="chapter2" ref="_Ref138078065" type="link"/><cms:entry id="_Ref138684240" part="chapter2" ref="_Ref138684240" type="link"/><cms:entry id="_Toc156104086" part="chapter2" ref="_Toc156104086" type="link"/><cms:entry id="N116FA" part="chapter2" ref="N116FA" type="table"/><cms:entry id="N118B0" part="chapter2" ref="N118B0" type="citenumber">22</cms:entry><cms:entry id="_Ref138078097" part="chapter2" ref="_Ref138078097" type="link"/><cms:entry id="_Toc156104087" part="chapter2" ref="_Toc156104087" type="link"/><cms:entry id="N118BF" part="chapter2" ref="N118BF" type="table"/><cms:entry id="N11A06" part="chapter2" ref="N11A06" type="subsection">2.1.7</cms:entry><cms:entry id="_Toc156104014" part="chapter2" ref="_Toc156104014" type="link"/><cms:entry id="N11A10" part="chapter2" ref="N11A10" type="table"/><cms:entry id="_Toc156104015" part="chapter2" ref="_Toc156104015" type="link"/><cms:entry id="N11A61" part="chapter2" ref="N11A61" type="subsection">2.1.8</cms:entry><cms:entry id="N11A68" part="chapter2" ref="N11A68" type="citenumber">23</cms:entry><cms:entry id="N11A6B" part="chapter2" ref="N11A6B" type="table"/><cms:entry id="_Toc156104016" part="chapter2" ref="_Toc156104016" type="link"/><cms:entry id="N11B3A" part="chapter2" ref="N11B3A" type="subsection">2.1.9</cms:entry><cms:entry id="N11B44" part="chapter2" ref="N11B44" type="table"/><cms:entry id="N11C0E" part="chapter2" ref="N11C0E" type="section">2.2</cms:entry><cms:entry id="_Toc156104017" part="chapter2" ref="_Toc156104017" type="link"/><cms:entry id="N11C16" part="chapter2" ref="N11C16" type="subsection">2.2.1</cms:entry><cms:entry id="_Toc156104018" part="chapter2" ref="_Toc156104018" type="link"/><cms:entry id="N11C20" part="chapter2" ref="N11C20" type="citenumber">24</cms:entry><cms:entry id="_Toc156104019" part="chapter2" ref="_Toc156104019" type="link"/><cms:entry id="N11C2B" part="chapter2" ref="N11C2B" type="subsection">2.2.2</cms:entry><cms:entry id="N11C30" part="chapter2" ref="N11C30" type="block">2.2.2.1</cms:entry><cms:entry id="N11C4B" part="chapter2" ref="N11C4B" type="citenumber">25</cms:entry><cms:entry id="N11C51" part="chapter2" ref="N11C51" type="table"/><cms:entry id="N11C9A" part="chapter2" ref="N11C9A" type="citenumber">26</cms:entry><cms:entry id="N11CA0" part="chapter2" ref="N11CA0" type="table"/><cms:entry id="N11DA7" part="chapter2" ref="N11DA7" type="block">2.2.2.2</cms:entry><cms:entry id="N11DB1" part="chapter2" ref="N11DB1" type="citenumber">27</cms:entry><cms:entry id="N11DB6" part="chapter2" ref="N11DB6" type="block">2.2.2.3</cms:entry><cms:entry id="N11DBB" part="chapter2" ref="N11DBB" type="subblock">2.2.2.3.1</cms:entry><cms:entry id="N11DC7" part="chapter2" ref="N11DC7" type="subblock">2.2.2.3.2</cms:entry><cms:entry id="N11DD4" part="chapter2" ref="N11DD4" type="block">2.2.2.4</cms:entry><cms:entry id="N11DDB" part="chapter2" ref="N11DDB" type="citenumber">28</cms:entry><cms:entry id="N11DEA" part="chapter2" ref="N11DEA" type="table"/><cms:entry id="N11E6C" part="chapter2" ref="N11E6C" type="citenumber">29</cms:entry><cms:entry id="N11E6F" part="chapter2" ref="N11E6F" type="table"/><cms:entry id="_Toc156104020" part="chapter2" ref="_Toc156104020" type="link"/><cms:entry id="N11ED5" part="chapter2" ref="N11ED5" type="subsection">2.2.3</cms:entry><cms:entry id="N11EE0" part="chapter2" ref="N11EE0" type="block">2.2.3.1</cms:entry><cms:entry id="N11EF3" part="chapter2" ref="N11EF3" type="citenumber">30</cms:entry><cms:entry id="N11F31" part="chapter2" ref="N11F31" type="block">2.2.3.2</cms:entry><cms:entry id="N11F46" part="chapter2" ref="N11F46" type="block">2.2.3.3</cms:entry><cms:entry id="N11F56" part="chapter2" ref="N11F56" type="subsection">2.2.4</cms:entry><cms:entry id="_Toc156104021" part="chapter2" ref="_Toc156104021" type="link"/><cms:entry id="N11F5E" part="chapter2" ref="N11F5E" type="block">2.2.4.1</cms:entry><cms:entry id="N11F63" part="chapter2" ref="N11F63" type="subblock">2.2.4.1.1</cms:entry><cms:entry id="N11F6A" part="chapter2" ref="N11F6A" type="citenumber">31</cms:entry><cms:entry id="N11F79" part="chapter2" ref="N11F79" type="table"/><cms:entry id="N12133" part="chapter2" ref="N12133" type="subblock">2.2.4.1.2</cms:entry><cms:entry id="N1213A" part="chapter2" ref="N1213A" type="citenumber">32</cms:entry><cms:entry id="N12155" part="chapter2" ref="N12155" type="mm">302#271</cms:entry><cms:entry id="_Toc156104057" part="chapter2" ref="_Toc156104057" type="link"/><cms:entry id="N12171" part="chapter2" ref="N12171" type="citenumber">33</cms:entry><cms:entry id="N12177" part="chapter2" ref="N12177" type="table"/><cms:entry id="N12202" part="chapter2" ref="N12202" type="citenumber">34</cms:entry><cms:entry id="N12208" part="chapter2" ref="N12208" type="table"/><cms:entry id="N12305" part="chapter2" ref="N12305" type="block">2.2.4.2</cms:entry><cms:entry id="N1230D" part="chapter2" ref="N1230D" type="subblock">2.2.4.2.1</cms:entry><cms:entry id="N1231D" part="chapter2" ref="N1231D" type="citenumber">35</cms:entry><cms:entry id="N12325" part="chapter2" ref="N12325" type="subblock">2.2.4.2.2</cms:entry><cms:entry id="N12332" part="chapter2" ref="N12332" type="citenumber">36</cms:entry><cms:entry id="_Toc156104022" part="chapter2" ref="_Toc156104022" type="link"/><cms:entry id="N12342" part="chapter2" ref="N12342" type="subsection">2.2.5</cms:entry><cms:entry id="N12347" part="chapter2" ref="N12347" type="block">2.2.5.1</cms:entry><cms:entry id="N12353" part="chapter2" ref="N12353" type="block">2.2.5.2</cms:entry><cms:entry id="N1235C" part="chapter2" ref="N1235C" type="block">2.2.5.3</cms:entry><cms:entry id="N12361" part="chapter2" ref="N12361" type="subblock">2.2.5.3.1</cms:entry><cms:entry id="N12368" part="chapter2" ref="N12368" type="citenumber">37</cms:entry><cms:entry id="N12371" part="chapter2" ref="N12371" type="table"/><cms:entry id="N1246D" part="chapter2" ref="N1246D" type="citenumber">38</cms:entry><cms:entry id="N12470" part="chapter2" ref="N12470" type="table"/><cms:entry id="_Ref138078184" part="chapter2" ref="_Ref138078184" type="link"/><cms:entry id="N125B7" part="chapter2" ref="N125B7" type="table"/><cms:entry id="_Toc156104088" part="chapter2" ref="_Toc156104088" type="link"/><cms:entry id="N1269A" part="chapter2" ref="N1269A" type="subblock">2.2.5.3.2</cms:entry><cms:entry id="N126A1" part="chapter2" ref="N126A1" type="citenumber">39</cms:entry><cms:entry id="N126A7" part="chapter2" ref="N126A7" type="table"/><cms:entry id="N12788" part="chapter2" ref="N12788" type="block">2.2.5.4</cms:entry><cms:entry id="N1278F" part="chapter2" ref="N1278F" type="citenumber">40</cms:entry><cms:entry id="N12797" part="chapter2" ref="N12797" type="block">2.2.5.5</cms:entry><cms:entry id="N127A1" part="chapter2" ref="N127A1" type="table"/><cms:entry id="N12829" part="chapter2" ref="N12829" type="block">2.2.5.6</cms:entry><cms:entry id="N12830" part="chapter2" ref="N12830" type="citenumber">41</cms:entry><cms:entry id="N12835" part="chapter2" ref="N12835" type="block">2.2.5.7</cms:entry><cms:entry id="N12844" part="chapter2" ref="N12844" type="block">2.2.5.8</cms:entry><cms:entry id="N1284B" part="chapter2" ref="N1284B" type="citenumber">42</cms:entry><cms:entry id="N12851" part="chapter2" ref="N12851" type="subsection">2.2.6</cms:entry><cms:entry id="_Toc156104023" part="chapter2" ref="_Toc156104023" type="link"/><cms:entry id="N12859" part="chapter2" ref="N12859" type="block">2.2.6.1</cms:entry><cms:entry id="N12865" part="chapter2" ref="N12865" type="block">2.2.6.2</cms:entry><cms:entry id="N1286A" part="chapter2" ref="N1286A" type="subblock">2.2.6.2.1</cms:entry><cms:entry id="N12874" part="chapter2" ref="N12874" type="citenumber">43</cms:entry><cms:entry id="N1287D" part="chapter2" ref="N1287D" type="table"/><cms:entry id="N1291C" part="chapter2" ref="N1291C" type="subblock">2.2.6.2.2</cms:entry><cms:entry id="N12923" part="chapter2" ref="N12923" type="citenumber">44</cms:entry><cms:entry id="N12935" part="chapter2" ref="N12935" type="table"/><cms:entry id="N129C2" part="chapter2" ref="N129C2" type="subblock">2.2.6.2.3</cms:entry><cms:entry id="N129C9" part="chapter2" ref="N129C9" type="citenumber">45</cms:entry><cms:entry id="N129D7" part="chapter2" ref="N129D7" type="subblock">2.2.6.2.4</cms:entry><cms:entry id="N129E4" part="chapter2" ref="N129E4" type="citenumber">46</cms:entry><cms:entry id="N129E7" part="chapter2" ref="N129E7" type="table"/><cms:entry id="_Toc126323509" part="chapter2" ref="_Toc126323509" type="link"/><cms:entry id="_Toc132092971" part="chapter2" ref="_Toc132092971" type="link"/><cms:entry id="_Toc132616660" part="chapter2" ref="_Toc132616660" type="link"/><cms:entry id="N12ACB" part="chapter2" ref="N12ACB" type="block">2.2.6.3</cms:entry><cms:entry id="_Toc132092972" part="chapter2" ref="_Toc132092972" type="link"/><cms:entry id="N12ADF" part="chapter2" ref="N12ADF" type="subblock">2.2.6.3.1</cms:entry><cms:entry id="_Toc132616661" part="chapter2" ref="_Toc132616661" type="link"/><cms:entry id="DiDiSeite_P0_N_44" part="chapter2" ref="DiDiSeite_P0_N_44" type="link"/><cms:entry id="_Toc132092973" part="chapter2" ref="_Toc132092973" type="link"/><cms:entry id="_Toc132616662" part="chapter2" ref="_Toc132616662" type="link"/><cms:entry id="N12B0C" part="chapter2" ref="N12B0C" type="subblock">2.2.6.3.2</cms:entry><cms:entry id="N12B13" part="chapter2" ref="N12B13" type="citenumber">47</cms:entry><cms:entry id="N12B19" part="chapter2" ref="N12B19" type="table"/><cms:entry id="_Toc132092974" part="chapter2" ref="_Toc132092974" type="link"/><cms:entry id="_Toc132616663" part="chapter2" ref="_Toc132616663" type="link"/><cms:entry id="N12C2D" part="chapter2" ref="N12C2D" type="subblock">2.2.6.3.3</cms:entry><cms:entry id="N12C34" part="chapter2" ref="N12C34" type="citenumber">48</cms:entry><cms:entry id="N12C4A" part="chapter2" ref="N12C4A" type="block">2.2.6.4</cms:entry><cms:entry id="_Toc156104024" part="chapter2" ref="_Toc156104024" type="link"/><cms:entry id="N12C5A" part="chapter2" ref="N12C5A" type="subsection">2.2.7</cms:entry><cms:entry id="N12C5F" part="chapter2" ref="N12C5F" type="block">2.2.7.1</cms:entry><cms:entry id="N12C66" part="chapter2" ref="N12C66" type="citenumber">49</cms:entry><cms:entry id="N12C6C" part="chapter2" ref="N12C6C" type="table"/><cms:entry id="N12D8D" part="chapter2" ref="N12D8D" type="block">2.2.7.2</cms:entry><cms:entry id="N12D97" part="chapter2" ref="N12D97" type="citenumber">50</cms:entry><cms:entry id="N12D9A" part="chapter2" ref="N12D9A" type="table"/><cms:entry id="N12EF0" part="chapter2" ref="N12EF0" type="block">2.2.7.3</cms:entry><cms:entry id="N12EF5" part="chapter2" ref="N12EF5" type="subblock">2.2.7.3.1</cms:entry><cms:entry id="N12EFF" part="chapter2" ref="N12EFF" type="table"/><cms:entry id="N12FB0" part="chapter2" ref="N12FB0" type="citenumber">51</cms:entry><cms:entry id="N12FB6" part="chapter2" ref="N12FB6" type="table"/><cms:entry id="N130D1" part="chapter2" ref="N130D1" type="subblock">2.2.7.3.2</cms:entry><cms:entry id="N130DE" part="chapter2" ref="N130DE" type="citenumber">52</cms:entry><cms:entry id="N130E1" part="chapter2" ref="N130E1" type="table"/><cms:entry id="N1314F" part="chapter2" ref="N1314F" type="subblock">2.2.7.3.3</cms:entry><cms:entry id="_Ref138078244" part="chapter2" ref="_Ref138078244" type="link"/><cms:entry id="N13163" part="chapter2" ref="N13163" type="table"/><cms:entry id="_Toc156104089" part="chapter2" ref="_Toc156104089" type="link"/><cms:entry id="N1324E" part="chapter2" ref="N1324E" type="citenumber">53</cms:entry><cms:entry id="N1325A" part="chapter2" ref="N1325A" type="table"/><cms:entry id="N132F5" part="chapter2" ref="N132F5" type="block">2.2.7.4</cms:entry><cms:entry id="N132FC" part="chapter2" ref="N132FC" type="citenumber">54</cms:entry><cms:entry id="_Ref138078705" part="chapter2" ref="_Ref138078705" type="link"/><cms:entry id="_Toc156104025" part="chapter2" ref="_Toc156104025" type="link"/><cms:entry id="chapter3" part="chapter3" ref="chapter3" type="chapter">3</cms:entry><cms:entry id="N13318" part="chapter3" ref="N13318" type="helpercitenumber">54</cms:entry><cms:entry id="N1332F" part="chapter3" ref="N1332F" type="citenumber">55</cms:entry><cms:entry id="N13333" part="chapter3" ref="N13333" type="section">3.1</cms:entry><cms:entry id="_Toc156104026" part="chapter3" ref="_Toc156104026" type="link"/><cms:entry id="N1333B" part="chapter3" ref="N1333B" type="subsection">3.1.1</cms:entry><cms:entry id="_Toc156104027" part="chapter3" ref="_Toc156104027" type="link"/><cms:entry id="N1335B" part="chapter3" ref="N1335B" type="table"/><cms:entry id="_Toc135712497" part="chapter3" ref="_Toc135712497" type="link"/><cms:entry id="_Ref141842038" part="chapter3" ref="_Ref141842038" type="link"/><cms:entry id="_Toc156104090" part="chapter3" ref="_Toc156104090" type="link"/><cms:entry id="_Toc156104028" part="chapter3" ref="_Toc156104028" type="link"/><cms:entry id="N1341E" part="chapter3" ref="N1341E" type="subsection">3.1.2</cms:entry><cms:entry id="N13423" part="chapter3" ref="N13423" type="block">3.1.2.1</cms:entry><cms:entry id="N1342A" part="chapter3" ref="N1342A" type="citenumber">56</cms:entry><cms:entry id="N13439" part="chapter3" ref="N13439" type="mm">343#745</cms:entry><cms:entry id="_Toc156104058" part="chapter3" ref="_Toc156104058" type="link"/><cms:entry id="N1346B" part="chapter3" ref="N1346B" type="citenumber">57</cms:entry><cms:entry id="N13477" part="chapter3" ref="N13477" type="mm">321#750</cms:entry><cms:entry id="_Toc156104059" part="chapter3" ref="_Toc156104059" type="link"/><cms:entry id="N134AF" part="chapter3" ref="N134AF" type="citenumber">58</cms:entry><cms:entry id="N134C1" part="chapter3" ref="N134C1" type="mm">321#714</cms:entry><cms:entry id="_Toc156104060" part="chapter3" ref="_Toc156104060" type="link"/><cms:entry id="N134EF" part="chapter3" ref="N134EF" type="block">3.1.2.2</cms:entry><cms:entry id="N134F6" part="chapter3" ref="N134F6" type="citenumber">59</cms:entry><cms:entry id="N13523" part="chapter3" ref="N13523" type="citenumber">60</cms:entry><cms:entry id="N13538" part="chapter3" ref="N13538" type="mm">359#612</cms:entry><cms:entry id="_Toc156104061" part="chapter3" ref="_Toc156104061" type="link"/><cms:entry id="N13567" part="chapter3" ref="N13567" type="citenumber">61</cms:entry><cms:entry id="N1356A" part="chapter3" ref="N1356A" type="mm">531#495</cms:entry><cms:entry id="_Toc156104029" part="chapter3" ref="_Toc156104029" type="link"/><cms:entry id="N1358D" part="chapter3" ref="N1358D" type="subsection">3.1.3</cms:entry><cms:entry id="N135B5" part="chapter3" ref="N135B5" type="citenumber">62</cms:entry><cms:entry id="N135B8" part="chapter3" ref="N135B8" type="mm">415#475</cms:entry><cms:entry id="_Toc156104063" part="chapter3" ref="_Toc156104063" type="link"/><cms:entry id="N135D8" part="chapter3" ref="N135D8" type="mm">397#520</cms:entry><cms:entry id="_Toc156104064" part="chapter3" ref="_Toc156104064" type="link"/><cms:entry id="N13602" part="chapter3" ref="N13602" type="citenumber">63</cms:entry><cms:entry id="N13605" part="chapter3" ref="N13605" type="mm">397#502</cms:entry><cms:entry id="_Toc156104065" part="chapter3" ref="_Toc156104065" type="link"/><cms:entry id="_Ref138078527" part="chapter3" ref="_Ref138078527" type="link"/><cms:entry id="_Ref138078555" part="chapter3" ref="_Ref138078555" type="link"/><cms:entry id="N13632" part="chapter3" ref="N13632" type="table"/><cms:entry id="_Toc156104091" part="chapter3" ref="_Toc156104091" type="link"/><cms:entry id="N1382C" part="chapter3" ref="N1382C" type="section">3.2</cms:entry><cms:entry id="_Toc156104030" part="chapter3" ref="_Toc156104030" type="link"/><cms:entry id="N13834" part="chapter3" ref="N13834" type="subsection">3.2.1</cms:entry><cms:entry id="_Toc156104031" part="chapter3" ref="_Toc156104031" type="link"/><cms:entry id="N1383E" part="chapter3" ref="N1383E" type="citenumber">64</cms:entry><cms:entry id="N13857" part="chapter3" ref="N13857" type="mm">495#336</cms:entry><cms:entry id="_Toc156104066" part="chapter3" ref="_Toc156104066" type="link"/><cms:entry id="_Ref138078593" part="chapter3" ref="_Ref138078593" type="link"/><cms:entry id="N13890" part="chapter3" ref="N13890" type="citenumber">65</cms:entry><cms:entry id="N13893" part="chapter3" ref="N13893" type="mm">604#232</cms:entry><cms:entry id="_Toc156104067" part="chapter3" ref="_Toc156104067" type="link"/><cms:entry id="_Ref142032994" part="chapter3" ref="_Ref142032994" type="link"/><cms:entry id="_Ref138078617" part="chapter3" ref="_Ref138078617" type="link"/><cms:entry id="_Ref138078641" part="chapter3" ref="_Ref138078641" type="link"/><cms:entry id="N138BF" part="chapter3" ref="N138BF" type="table"/><cms:entry id="_Toc156104092" part="chapter3" ref="_Toc156104092" type="link"/><cms:entry id="N139CB" part="chapter3" ref="N139CB" type="citenumber">66</cms:entry><cms:entry id="N139DE" part="chapter3" ref="N139DE" type="mm">434#472</cms:entry><cms:entry id="_Toc156104068" part="chapter3" ref="_Toc156104068" type="link"/><cms:entry id="_Ref138077355" part="chapter3" ref="_Ref138077355" type="link"/><cms:entry id="_Ref138077348" part="chapter3" ref="_Ref138077348" type="link"/><cms:entry id="N139FD" part="chapter3" ref="N139FD" type="subsection">3.2.2</cms:entry><cms:entry id="_Toc156104032" part="chapter3" ref="_Toc156104032" type="link"/><cms:entry id="N13A0A" part="chapter3" ref="N13A0A" type="citenumber">67</cms:entry><cms:entry id="OLE_LINK1" part="chapter3" ref="OLE_LINK1" type="link"/><cms:entry id="OLE_LINK2" part="chapter3" ref="OLE_LINK2" type="link"/><cms:entry id="N13A32" part="chapter3" ref="N13A32" type="citenumber">68</cms:entry><cms:entry id="N13A35" part="chapter3" ref="N13A35" type="mm">415#629</cms:entry><cms:entry id="_Toc156104069" part="chapter3" ref="_Toc156104069" type="link"/><cms:entry id="_Ref138078751" part="chapter3" ref="_Ref138078751" type="link"/><cms:entry id="_Ref138078745" part="chapter3" ref="_Ref138078745" type="link"/><cms:entry id="_Toc156104033" part="chapter3" ref="_Toc156104033" type="link"/><cms:entry id="N13A5A" part="chapter3" ref="N13A5A" type="subsection">3.2.3</cms:entry><cms:entry id="N13A6B" part="chapter3" ref="N13A6B" type="citenumber">69</cms:entry><cms:entry id="N13A6E" part="chapter3" ref="N13A6E" type="mm">381#347</cms:entry><cms:entry id="_Toc156104070" part="chapter3" ref="_Toc156104070" type="link"/><cms:entry id="_Ref138078784" part="chapter3" ref="_Ref138078784" type="link"/><cms:entry id="_Toc156104034" part="chapter3" ref="_Toc156104034" type="link"/><cms:entry id="N13A8D" part="chapter3" ref="N13A8D" type="subsection">3.2.4</cms:entry><cms:entry id="N13A9E" part="chapter3" ref="N13A9E" type="citenumber">70</cms:entry><cms:entry id="N13AA1" part="chapter3" ref="N13AA1" type="mm">359#400</cms:entry><cms:entry id="_Toc156104071" part="chapter3" ref="_Toc156104071" type="link"/><cms:entry id="_Ref142122063" part="chapter3" ref="_Ref142122063" type="link"/><cms:entry id="N13ABF" part="chapter3" ref="N13ABF" type="mm">605#587</cms:entry><cms:entry id="_Toc156104072" part="chapter3" ref="_Toc156104072" type="link"/><cms:entry id="_Ref138078810" part="chapter3" ref="_Ref138078810" type="link"/><cms:entry id="N13AD3" part="chapter3" ref="N13AD3" type="citenumber">71</cms:entry><cms:entry id="N13ADD" part="chapter3" ref="N13ADD" type="mm">605#386</cms:entry><cms:entry id="_Toc156104073" part="chapter3" ref="_Toc156104073" type="link"/><cms:entry id="_Ref138078829" part="chapter3" ref="_Ref138078829" type="link"/><cms:entry id="_Toc156104035" part="chapter3" ref="_Toc156104035" type="link"/><cms:entry id="N13AF6" part="chapter3" ref="N13AF6" type="subsection">3.2.5</cms:entry><cms:entry id="N13B06" part="chapter3" ref="N13B06" type="citenumber">72</cms:entry><cms:entry id="N13B19" part="chapter3" ref="N13B19" type="mm">359#475</cms:entry><cms:entry id="_Toc156104074" part="chapter3" ref="_Toc156104074" type="link"/><cms:entry id="_Ref138078849" part="chapter3" ref="_Ref138078849" type="link"/><cms:entry id="N13B46" part="chapter3" ref="N13B46" type="citenumber">73</cms:entry><cms:entry id="N13B49" part="chapter3" ref="N13B49" type="mm">359#476</cms:entry><cms:entry id="_Toc156104075" part="chapter3" ref="_Toc156104075" type="link"/><cms:entry id="_Ref138078869" part="chapter3" ref="_Ref138078869" type="link"/><cms:entry id="_Ref138078894" part="chapter3" ref="_Ref138078894" type="link"/><cms:entry id="N13B7F" part="chapter3" ref="N13B7F" type="table"/><cms:entry id="_Toc156104093" part="chapter3" ref="_Toc156104093" type="link"/><cms:entry id="N13E4D" part="chapter3" ref="N13E4D" type="section">3.3</cms:entry><cms:entry id="_Toc156104036" part="chapter3" ref="_Toc156104036" type="link"/><cms:entry id="N13E5A" part="chapter3" ref="N13E5A" type="citenumber">74</cms:entry><cms:entry id="N13E6F" part="chapter3" ref="N13E6F" type="mm">302#229</cms:entry><cms:entry id="_Toc156104076" part="chapter3" ref="_Toc156104076" type="link"/><cms:entry id="_Toc136165377" part="chapter3" ref="_Toc136165377" type="link"/><cms:entry id="N13E7E" part="chapter3" ref="N13E7E" type="subsection">3.3.1</cms:entry><cms:entry id="_Toc156104037" part="chapter3" ref="_Toc156104037" type="link"/><cms:entry id="N13E88" part="chapter3" ref="N13E88" type="citenumber">75</cms:entry><cms:entry id="_Ref138079078" part="chapter3" ref="_Ref138079078" type="link"/><cms:entry id="N13EA6" part="chapter3" ref="N13EA6" type="mm">283#302</cms:entry><cms:entry id="_Toc156104077" part="chapter3" ref="_Toc156104077" type="link"/><cms:entry id="_Toc156104038" part="chapter3" ref="_Toc156104038" type="link"/><cms:entry id="N13EC2" part="chapter3" ref="N13EC2" type="subsection">3.3.2</cms:entry><cms:entry id="N13EC9" part="chapter3" ref="N13EC9" type="citenumber">76</cms:entry><cms:entry id="N13ED6" part="chapter3" ref="N13ED6" type="mm">396#379</cms:entry><cms:entry id="_Toc156104078" part="chapter3" ref="_Toc156104078" type="link"/><cms:entry id="_Ref141023394" part="chapter3" ref="_Ref141023394" type="link"/><cms:entry id="_Toc156104039" part="chapter3" ref="_Toc156104039" type="link"/><cms:entry id="N13EF2" part="chapter3" ref="N13EF2" type="subsection">3.3.3</cms:entry><cms:entry id="N13F0C" part="chapter3" ref="N13F0C" type="citenumber">77</cms:entry><cms:entry id="N13F25" part="chapter3" ref="N13F25" type="mm">729#501</cms:entry><cms:entry id="_Toc156104079" part="chapter3" ref="_Toc156104079" type="link"/><cms:entry id="_Ref138079042" part="chapter3" ref="_Ref138079042" type="link"/><cms:entry id="_Ref138079314" part="chapter3" ref="_Ref138079314" type="link"/><cms:entry id="_Toc156104040" part="chapter3" ref="_Toc156104040" type="link"/><cms:entry id="chapter4" part="chapter4" ref="chapter4" type="chapter">4</cms:entry><cms:entry id="N13F59" part="chapter4" ref="N13F59" type="helpercitenumber">77</cms:entry><cms:entry id="N13F70" part="chapter4" ref="N13F70" type="citenumber">78</cms:entry><cms:entry id="N13F9E" part="chapter4" ref="N13F9E" type="section">4.1</cms:entry><cms:entry id="_Toc156104041" part="chapter4" ref="_Toc156104041" type="link"/><cms:entry id="N13FAE" part="chapter4" ref="N13FAE" type="citenumber">79</cms:entry><cms:entry id="N13FFB" part="chapter4" ref="N13FFB" type="section">4.2</cms:entry><cms:entry id="_Toc156104042" part="chapter4" ref="_Toc156104042" type="link"/><cms:entry id="N14008" part="chapter4" ref="N14008" type="citenumber">80</cms:entry><cms:entry id="N14030" part="chapter4" ref="N14030" type="subsection">4.2.1</cms:entry><cms:entry id="_Toc156104043" part="chapter4" ref="_Toc156104043" type="link"/><cms:entry id="_Toc156104044" part="chapter4" ref="_Toc156104044" type="link"/><cms:entry id="N14057" part="chapter4" ref="N14057" type="subsection">4.2.2</cms:entry><cms:entry id="N1405E" part="chapter4" ref="N1405E" type="citenumber">81</cms:entry><cms:entry id="N14073" part="chapter4" ref="N14073" type="citenumber">82</cms:entry><cms:entry id="_Toc156104045" part="chapter4" ref="_Toc156104045" type="link"/><cms:entry id="N14087" part="chapter4" ref="N14087" type="subsection">4.2.3</cms:entry><cms:entry id="N1408C" part="chapter4" ref="N1408C" type="block">4.2.3.1</cms:entry><cms:entry id="N140A2" part="chapter4" ref="N140A2" type="citenumber">83</cms:entry><cms:entry id="_Toc156104046" part="chapter4" ref="_Toc156104046" type="link"/><cms:entry id="N140DF" part="chapter4" ref="N140DF" type="section">4.3</cms:entry><cms:entry id="N140E9" part="chapter4" ref="N140E9" type="citenumber">84</cms:entry><cms:entry id="N14107" part="chapter4" ref="N14107" type="citenumber">85</cms:entry><cms:entry id="N14139" part="chapter4" ref="N14139" type="section">4.4</cms:entry><cms:entry id="_Toc156104047" part="chapter4" ref="_Toc156104047" type="link"/><cms:entry id="N14146" part="chapter4" ref="N14146" type="citenumber">86</cms:entry><cms:entry id="N14179" part="chapter4" ref="N14179" type="citenumber">87</cms:entry><cms:entry id="_Ref138079356" part="chapter4" ref="_Ref138079356" type="link"/><cms:entry id="_Toc156104048" part="chapter4" ref="_Toc156104048" type="link"/><cms:entry ref="N1418C" type="back"/><cms:entry id="N1418E" part="N1418E" ref="N1418E" type="abbreviation">Glossar</cms:entry><cms:entry id="N14195" part="N1418E" ref="N14195" type="table"/><cms:entry id="_Ref138077496" part="N1418E" ref="_Ref138077496" type="link"/><cms:entry id="_Ref138234269" part="N1418E" ref="_Ref138234269" type="link"/><cms:entry id="_Toc156103994" part="N1418E" ref="_Toc156103994" type="link"/><cms:entry id="N14AC9" part="N14AC9" ref="N14AC9" type="bibliography">Literaturverzeichnis</cms:entry><cms:entry id="_Toc156104049" part="N14AC9" ref="_Toc156104049" type="link"/><cms:entry id="N15A32" part="N15A32" ref="N15A32" type="acknowledgement">Danksagung</cms:entry><cms:entry id="_Toc156104050" part="N15A32" ref="_Toc156104050" type="link"/><cms:entry id="N15AA1" part="N15AA1" ref="N15AA1" type="vita">Lebenslauf</cms:entry><cms:entry id="N15AA8" part="N15AA1" ref="N15AA8" type="table"/><cms:entry id="_Toc156104051" part="N15AA1" ref="_Toc156104051" type="link"/><cms:entry id="N15C8D" part="N15C8D" ref="N15C8D" type="appendix">Publikationen</cms:entry><cms:entry id="N15C8F" part="N15C8D" ref="N15C8F" type="head"/><cms:entry id="N15C92" part="N15C8D" ref="N15C92" type="p"/><cms:entry id="N15C95" part="N15C8D" ref="N15C95" type="p"/><cms:entry id="N15CA7" part="N15C8D" ref="N15CA7" type="p"/><cms:entry id="N15CAD" part="N15C8D" ref="N15CAD" type="p"/><cms:entry id="N15CB3" part="N15C8D" ref="N15CB3" type="p"/><cms:entry id="N15CB9" part="N15C8D" ref="N15CB9" type="p"/><cms:entry id="N15CBF" part="N15C8D" ref="N15CBF" type="p"/><cms:entry id="N15CC5" part="N15C8D" ref="N15CC5" type="p"/><cms:entry id="N15CCB" part="N15C8D" ref="N15CCB" type="p"/><cms:entry id="N15CCE" part="N15C8D" ref="N15CCE" type="p"/><cms:entry id="N15CD7" part="N15C8D" ref="N15CD7" type="p"/><cms:entry id="N15CDD" part="N15C8D" ref="N15CDD" type="p"/><cms:entry id="N15CE3" part="N15C8D" ref="N15CE3" type="p"/><cms:entry id="N15CEC" part="N15C8D" ref="N15CEC" type="p"/><cms:entry id="N15CF2" part="N15C8D" ref="N15CF2" type="p"/><cms:entry id="N15CF5" part="N15C8D" ref="N15CF5" type="p"/><cms:entry id="_Toc156104052" part="N15C8D" ref="_Toc156104052" type="link"/><cms:entry id="N15CFC" part="N15CFC" ref="N15CFC" type="declaration">Selbständigkeitserklärung</cms:entry><cms:entry part="front" type=":current"/><cms:entry type=":lang">de</cms:entry><cms:entry ref=":contents" type=":contents">Inhaltsverzeichnis</cms:entry><cms:entry type=":help"><url href="http://...">Hilfe</url></cms:entry></cms:meta><cms:content><front id="front"><p>
         <link id="_Toc137186254"/>
      </p><title>Überwindung der P-Glykoprotein (MDR1)-abhängigen<br/>Multidrugresistenz mittels RNA-Interferenz </title><submission>Dissertation</submission><degree>zur Erlangung des akademischen Grades <br/><strong>
            <em>Doctor rerum naturalium</em>
         </strong>(Dr. rer. nat.)<br/><br/>im Fach Biologie</degree><p>eingereicht an der</p><major>Mathematisch-Naturwissenschaftlichen Fakultät I</major><school>der Humboldt-Universität zu Berlin</school><author>von<br/>Diplom-Biologin <given>Alexandra Eva</given>
         <surname>Stege</surname><suffix>geboren am 29.07.1975 in Fulda</suffix>
         <suffix/>
      </author><p>Präsident der Humboldt-Universität zu Berlin<br/> Prof. Dr. Christoph Markschies</p><dean>Dekan der Mathematisch-Naturwissenschaftlichen Fakultät I<br/>Prof. Thomas Buckhout, PhD</dean><approvals>
         <name>PD Dr. Wolfgang Dreier</name>
         <name>PD Dr. Hermann Lage</name>
         <name>PD Dr. Carsten Denkert</name>
      </approvals><date>eingereicht:  02. August 2006</date><date>Tag der mündlichen Prüfung:  06. Dezember 2006</date><abstract lang="de">
         <head>Zusammenfassung</head>
         <p>P-Glykoprotein als Produkt des <em>MDR1</em>-Gens stellt einen gut untersuchten Mediator der Multidrugresistenz (MDR) in humanen Malignomen dar. Die Überexpression dieses ABC-Transporters steht in Korrelation zu einer erniedrigten Tumorremission und einer kürzeren Überlebensrate der Patienten. Bisherige Versuche, das Protein über niedermolekulare Substanzen (MDR-Modulatoren) zu inhibieren, vermochten in allen bisherigen klinischen Studien nicht zu überzeugen, so daß diese bis heute keinen Eingang in Standardtherapieschemata gefunden haben.</p>
         <p>Ziel dieser Arbeit war es, mittels RNA-Interferenz Strategien die Expression von MDR1 zu hemmen und eine Reversion der zellulären Chemoresistenz sowohl im Zellkultur- als auch im Tiermodell zu erreichen.</p>
         <p>Für die <em>in vitro </em>Untersuchungen an drei humanen multidrug-resistenten Karzinomzellinien wurden verschiedene siRNA (<em>short interfering</em>) Duplexe und shRNA (<em>short hairpin</em>)-exprimierende Vektoren gegen die MDR1 mRNA entwickelt. Die Behandlung der Zellen mit siRNAs führte zu einer bis zu 91 %igen Inhibition der MDR1 mRNA-Expression und zu einer Sensitivierung der Zellen gegenüber dem Anthrazyklin um 89 %. Diese Effekte konnte über einen Zeitraum von drei bis fünf Tagen aufrechterhalten werden. Die stabile Expression von anti-MDR1 shRNAs führte in zwei der untersuchten Zellmodellen zu einer dauerhaften und kompletten Überwindung des MDR1-abhängigen Resistenzphänotyps.</p>
         <p>Im Mausmodell konnte durch intratumorale Applikation des anti-MDR1 shRNA-kodierenden Vektors mittels <em>low-volume</em> Jet-Injektion eine komplette Reversion der MDR1-Überexpression sowie eine Wiederherstellung der Chemosensitivität gegenüber Doxorubicin in dem resistenten Tumormodell erreicht werden. Die Effizienz der kombinierten Gen- und Chemotherapie wird durch die Verminderung des <em>in vivo</em> Tumorwachstums auf das Volumen des von der sensiblen Zellinien-abgeleiteten Tumors reflektiert. </p>
         <p>Die Daten verdeutlichen das große Potential, welches die RNA-Interferenz Technik für die Modulation des MDR-Phänotyps in der biomedizinische Forschung und der gentherapeutischen Anwendung hat.</p>
      </abstract><abstract lang="en">
         <head>Abstract</head>
         <p>Multidrug resistance (MDR) is the major cause of failure of effective chemotherapeutic treatment of disseminated neoplasms. The "classical" MDR phenotype of human malignancies is mediated by drug extrusion by the adenosine triphosphate binding cassette (ABC)-transporter P-glycoprotein (MDR1/P-gp). For stable reversal of "classical" MDR in three human cancer cell lines by RNA interference (RNAi) technology, two small interfering RNA (siRNA) constructs and four H1-RNA gene promoter-driven expression vectors encoding anti-MDR1/P-gp short hairpin RNA (shRNA) molecules were constructed.</p>
         <p>In all cellular systems, siRNAs could specifically inhibit MDR1 expression up to 91% at the mRNA and protein levels. Resistance against daunorubicin was decreased to a maximum of 89%. The introduction of anti-MDR1/P-gp shRNA expression vectors leads in two of the three human cancer cell lines to a complete reversion of the MDR phenotype. The reversal of MDR was accompanied by a complete suppression of MDR1/P-gp expression on mRNA and protein level, and by a considerable increased intracellular anthracyline accumulation in the anti-MDR1/P-gp shRNA-treated cells.</p>
         <p>In a mouse xenograft model a complete in vivo restoration of MDR1 overexpression and chemosensitivity to doxorubicin could be obtained by intratumorally jet-injected anti-MDR1 shRNA in a multidrug resistant human cancer tumor model. </p>
         <p>The data indicate that the RNA interference technology is tremendously effective in reversing MDR1/P-gp-mediated MDR and is therefore a promising strategy for overcoming MDR by gene therapeutic applications.</p>
      </abstract><motto><p>Zwei Dinge sind zu unserer Arbeit nötig: <br/>Unermüdliche Ausdauer und die Bereitschaft,<br/>etwas, in das man viel Zeit und Arbeit gesteckt hat,<br/>wieder wegzuwerfen.<br/><br/>Albert Einstein</p></motto><dedication id="N1009E">
         <head>Meiner Familie</head>
         <p>
            <link id="_Toc156103993"/>
         </p>
      </dedication><freehead id=":contents">Inhaltsverzeichnis</freehead><ul><li><p><link ref="chapter1">1</link> Einleitung<ul><li><p><link ref="N100FA">1.1</link> 
               Chemotherapie<ul><li><p><link ref="N1010E">1.1.1</link> 
                  Daunorubicin und Doxorubicin</p></li></ul></p></li><li><p><link ref="N10150">1.2</link> 
               Zytostatikaresistenz von Tumorzellen</p></li><li><p><link ref="N10217">1.3</link> ABC-Transporter</p></li><li><p><link ref="N10373">1.4</link> P-Glykoprotein (ABCB1, MDR1)<ul><li><p><link ref="N103A2">1.4.1</link> 
                  Lokalisation und Funktion</p></li><li><p><link ref="N1053D">1.4.2</link> 
                  Überwindung der P-Glykoprotein-abhängigen Multidrugresistenz<ul><li><p><link ref="N10545">1.4.2.1</link> &#8222;Chemosensitizer&#8220; / MDR-Modulatoren </p></li><li><p><link ref="N10557">1.4.2.2</link> RNA-Technologien zur Genregulation</p></li></ul></p></li></ul></p></li><li><p><link ref="N1058B">1.5</link> RNA-Interferenz<ul><li><p><link ref="N105CC">1.5.1</link> 
                  Genereller Mechanismus (Mammalia)</p></li><li><p><link ref="N1061D">1.5.2</link> Bedeutung der RNA-Interferenz für die Forschung</p></li></ul></p></li><li><p><link ref="N10666">1.6</link> 
               Zielstellung der vorliegenden Arbeit</p></li></ul></p></li><li><p><link ref="chapter2">2</link> Materialien und Methoden<ul><li><p><link ref="N106DC">2.1</link> 
               Materialien<ul><li><p><link ref="N106E4">2.1.1</link> 
                  Biologisches Material<ul><li><p><link ref="N106EC">2.1.1.1</link> Antikörper</p></li><li><p><link ref="N10753">2.1.1.2</link> Humane Karzinomzellinien</p></li><li><p><link ref="N10872">2.1.1.3</link> Bakterienstämme und Plasmide</p></li></ul></p></li><li><p><link ref="N1099D">2.1.2</link> Chemikalien und Fertiglösungen</p></li><li><p><link ref="N10F65">2.1.3</link> 
                  Enzyme</p></li><li><p><link ref="N11050">2.1.4</link> Kits</p></li><li><p><link ref="N111CB">2.1.5</link> Geräte</p></li><li><p><link ref="N11526">2.1.6</link> Nukleinsäuren</p></li><li><p><link ref="N11A06">2.1.7</link> 
                  Radionukleotide</p></li><li><p><link ref="N11A61">2.1.8</link> Software</p></li><li><p><link ref="N11B3A">2.1.9</link> Verbrauchsmaterialien</p></li></ul></p></li><li><p><link ref="N11C0E">2.2</link> 
               Methoden<ul><li><p><link ref="N11C16">2.2.1</link> 
                  Sterilisierung von Geräten und Lösungen</p></li><li><p><link ref="N11C2B">2.2.2</link> Methoden der eukaryotischen Zellkultur<ul><li><p><link ref="N11C30">2.2.2.1</link> Kultivierung von humanen Karzinomzellen</p></li><li><p><link ref="N11DA7">2.2.2.2</link> Einfrieren und Auftauen von humanen Karzinomzellen</p></li><li><p><link ref="N11DB6">2.2.2.3</link> Transfektion humaner Karzinomzellinien<ul><li><p><link ref="N11DBB">2.2.2.3.1</link> Transiente Transfektion mittels Oligofectamine (Invitrogen)</p></li><li><p><link ref="N11DC7">2.2.2.3.2</link> Stabile Transfektion mittels SuperFect (Qiagen)</p></li></ul></p></li><li><p><link ref="N11DD4">2.2.2.4</link> Zytotoxizitätsassay mittels Sulforhodamin B (SRB)</p></li></ul></p></li><li><p><link ref="N11ED5">2.2.3</link> 
                  <em>in vivo</em> Experimente<ul><li><p><link ref="N11EE0">2.2.3.1</link> Intratumorale (i.t.) <em>in vivo</em>-Injektion von anti-MDR1 shRNA-kodierenden Plasmiden</p></li><li><p><link ref="N11F31">2.2.3.2</link> RNA-Isolation aus Maustumoren und Quantifizierung der MDR1 Expression mittels <em>real-time</em> RT-PCR</p></li><li><p><link ref="N11F46">2.2.3.3</link> Immunhistochemie</p></li></ul></p></li><li><p><link ref="N11F56">2.2.4</link> 
                  Mikrobiologische Methoden<ul><li><p><link ref="N11F5E">2.2.4.1</link> Transformation von Bakterien<ul><li><p><link ref="N11F63">2.2.4.1.1</link> TOPO10 (Invitrogen)</p></li><li><p><link ref="N12133">2.2.4.1.2</link> GT116 (InvivoGen)</p></li></ul></p></li><li><p><link ref="N12305">2.2.4.2</link> Präparation von Plasmid-DNA aus <em>Escherichia coli</em>
                  <ul><li><p><link ref="N1230D">2.2.4.2.1</link> Isolierung über das Qiagen Miniprep Kit</p></li><li><p><link ref="N12325">2.2.4.2.2</link> Isolierung mittels EndoFree Maxi Kit für die Injektion in NMRI:nu/nu Mäuse</p></li></ul></p></li></ul></p></li><li><p><link ref="N12342">2.2.5</link> Molekularbiologische Methoden<ul><li><p><link ref="N12347">2.2.5.1</link> Bestimmung der Nukleinsäure-Konzentrationen</p></li><li><p><link ref="N12353">2.2.5.2</link> Behandlung von DNA mit Restriktionsendonukleasen</p></li><li><p><link ref="N1235C">2.2.5.3</link> Polymerasekettenreaktion (PCR)<ul><li><p><link ref="N12361">2.2.5.3.1</link> PCR mit AmpliTaqGold&#8482; DNA Polymerase</p></li><li><p><link ref="N1269A">2.2.5.3.2</link> Real time-RT-PCR im LightCycler</p></li></ul></p></li><li><p><link ref="N12788">2.2.5.4</link> Aufreinigung von PCR-Produkten</p></li><li><p><link ref="N12797">2.2.5.5</link> Agarose-Gelelektrophorese</p></li><li><p><link ref="N12829">2.2.5.6</link> Präparative Isolierung von DNA-Fragmenten</p></li><li><p><link ref="N12835">2.2.5.7</link> Automatische Sequenzierung</p></li><li><p><link ref="N12844">2.2.5.8</link> Isolierung von genomischer DNA</p></li></ul></p></li><li><p><link ref="N12851">2.2.6</link> 
                  RNA-Techniken<ul><li><p><link ref="N12859">2.2.6.1</link> RNA-Isolation mittels RNeasy mini Kit (Qiagen)</p></li><li><p><link ref="N12865">2.2.6.2</link> Northern Blot Analyse<ul><li><p><link ref="N1286A">2.2.6.2.1</link> Auftrennung von RNA</p></li><li><p><link ref="N1291C">2.2.6.2.2</link> Transfer</p></li><li><p><link ref="N129C2">2.2.6.2.3</link> Radioaktive Sondenmarkierung</p></li><li><p><link ref="N129D7">2.2.6.2.4</link> Hybridisierung</p></li></ul></p></li><li><p><link ref="N12ACB">2.2.6.3</link> Expressionsnachweis<ul><li><p><link ref="N12ADF">2.2.6.3.1</link> 
                        Isolierung von miRNA</p></li><li><p><link ref="N12B0C">2.2.6.3.2</link> Auftrennung</p></li><li><p><link ref="N12C2D">2.2.6.3.3</link> Radioaktive Hybridisierung</p></li></ul></p></li><li><p><link ref="N12C4A">2.2.6.4</link> Reverse Transkription</p></li></ul></p></li><li><p><link ref="N12C5A">2.2.7</link> Proteintechniken<ul><li><p><link ref="N12C5F">2.2.7.1</link> Isolierung von Gesamtproteinen</p></li><li><p><link ref="N12D8D">2.2.7.2</link> Bestimmung der Proteinkonzentration</p></li><li><p><link ref="N12EF0">2.2.7.3</link> Western Blot Analyse<ul><li><p><link ref="N12EF5">2.2.7.3.1</link> Polyacrylamid-Gelelektrophorese (PAGE)</p></li><li><p><link ref="N130D1">2.2.7.3.2</link> Transfer (semi-dry)</p></li><li><p><link ref="N1314F">2.2.7.3.3</link> Antikörper-Reaktion und Detektion mittels Chemolumineszenz</p></li></ul></p></li><li><p><link ref="N132F5">2.2.7.4</link> Immunzytochemischer Nachweis von P-Glykoprotein</p></li></ul></p></li></ul></p></li></ul></p></li><li><p><link ref="chapter3">3</link> Ergebnisse<ul><li><p><link ref="N13333">3.1</link> 
               Posttranskriptionelle Genregulation durch exogene siRNAs<ul><li><p><link ref="N1333B">3.1.1</link> 
                  Auswahl der Zielsequenzen</p></li><li><p><link ref="N1341E">3.1.2</link> siRNA-abhängige Inhibition der MDR1 mRNA-Expression und Proteinsynthese<ul><li><p><link ref="N13423">3.1.2.1</link> Qualitative Analyse mittels Northern und Western Blot</p></li><li><p><link ref="N134EF">3.1.2.2</link> Quantitative Analyse der MDR1 mRNA-Expression</p></li></ul></p></li><li><p><link ref="N1358D">3.1.3</link> Reversion des Resistenzphänotyps durch siRNAs</p></li></ul></p></li><li><p><link ref="N1382C">3.2</link> 
               Posttranskriptionelle Genregulation durch anti-MDR1 shRNA-kodierende Vektoren in stabilen Transfektanten<ul><li><p><link ref="N13834">3.2.1</link> 
                  Konstruktion eines Vektors zur endogenen Expression von shRNAs</p></li><li><p><link ref="N139FD">3.2.2</link> 
                  MDR1-Expression in den stabilen Transfektanten</p></li><li><p><link ref="N13A5A">3.2.3</link> Nachweis der Expressionsvektoren in den Effekttransfektanten</p></li><li><p><link ref="N13A8D">3.2.4</link> Effekte auf die P-Glykoprotein-Synthese</p></li><li><p><link ref="N13AF6">3.2.5</link> Verhalten der Ausgangszellinie und der Transfektanten bei Zytostatikabehandlung</p></li></ul></p></li><li><p><link ref="N13E4D">3.3</link> 
               
               <em>In vivo</em> Applikation des shRNA MDR-C-kodierenden Vektors in MaTu/ADR abgeleiteten Tumoren<ul><li><p><link ref="N13E7E">3.3.1</link> 
                  Quantifizierung der MDR1 mRNA-Expression im Tumorgewebe</p></li><li><p><link ref="N13EC2">3.3.2</link> Immunhistochemischer Nachweis von P-Glykoprotein im Tumor</p></li><li><p><link ref="N13EF2">3.3.3</link> Chemosensitivierung von MaTu/ADR-abgeleiteten Maustumoren nach der Applikation des shRNA MDR-C kodierenden Vektors</p></li></ul></p></li></ul></p></li><li><p><link ref="chapter4">4</link> Diskussion<ul><li><p><link ref="N13F9E">4.1</link> 
               Modulation der MDR1 Biosynthese mittels anti-MDR1 siRNAs</p></li><li><p><link ref="N13FFB">4.2</link> 
               Anwendung von shRNA exprimierenden Vektoren <em>in vitro</em>
            <ul><li><p><link ref="N14030">4.2.1</link> 
                  Auswahl des Vektorsystems und der Zielsequenzen</p></li><li><p><link ref="N14057">4.2.2</link> Generierung stabiler Transfektanten</p></li><li><p><link ref="N14087">4.2.3</link> Funktionelle Untersuchungen der Effekttransfektanten<ul><li><p><link ref="N1408C">4.2.3.1</link> Reversion des P-Glykoprotein-abhängigen Resistenzphänotyps</p></li></ul></p></li></ul></p></li><li><p><link ref="N140DF">4.3</link> Anwendung von shRNA exprimierenden Vektoren <em>in vivo</em>
            </p></li><li><p><link ref="N14139">4.4</link> 
               Schlußbetrachtung</p></li></ul></p></li><li><p><link ref="N1418E">Glossar</link></p></li><li><p><link ref="N14AC9">Literaturverzeichnis</link></p></li><li><p><link ref="N15A32">Danksagung</link></p></li><li><p><link ref="N15AA1">Lebenslauf</link></p></li><li><p><link ref="N15C8D">Publikationen</link></p></li><li><p><link ref="N15CFC">Selbständigkeitserklärung</link></p></li></ul><freehead id=":toc-tables">Tabellen</freehead><ul><li><p><link ref="N10282">
                     Tabelle 1: ABC-Transporter assoziiert mit Zytostatikaresistenz (modifiziert nach Gottesman und Pastan, 1993) </link></p></li><li><p><link ref="N103F8">
                        Tabelle 2: Beispiele für Substanzen, die durch P-Glykoprotein transportiert werden.</link></p></li><li><p><link ref="N10760">
                           Tabelle 3: Humane Karzinomzellinien</link></p></li><li><p><link ref="N10885">Tabelle 4: Verwendete Bakterienstämme</link></p></li><li><p><link ref="N10927">Tabelle 5: Verwendete Plasmide</link></p></li><li><p><link ref="N115E4">Tabelle 6: Sequenzen der für die PCR verwendeten Oligonukleotide</link></p></li><li><p><link ref="N116FA">Tabelle 7: Sequenzen der für die shRNA Klonierung verwendeten Oligonukleotide </link></p></li><li><p><link ref="N118BF">Tabelle 8: Sequenzen der verwendeten siRNAs</link></p></li><li><p><link ref="N125B7">
                              Tabelle 9: Hybridisierungstemperaturen (T<sub>H</sub>) der verwendeten Primer</link></p></li><li><p><link ref="N13163">
                              Tabelle 10: Auflistung der für den Western Blot eingesetzten Lösungen und die Dauer ihrer Anwendung</link></p></li><li><p><link ref="N1335B">
                        
                        
                        Tabelle 11:Übersicht über die verwendeten siRNAs </link></p></li><li><p><link ref="N13632">
                        Tabelle 12: Vergleich des Resistenzphänotyps der untersuchten Karzinomzellinien nach der transienten Transfektion von anti-MDR1 siRNAs</link></p></li><li><p><link ref="N138BF">
                        Tabelle 13: Übersicht über die verwendeten shRNAs und ihrer Zielsequenz </link></p></li><li><p><link ref="N13B7F">
                        Tabelle 14: IC<sub>50</sub>-Werte und Resistenzfaktoren der untersuchten Zellinien  </link></p></li></ul><freehead id=":toc-media">Bilder</freehead><ul><li><p><link ref="N10130">
                        Abbildung 1: Strukturformeln von Daunorubicin und Doxorubicin</link></p></li><li><p><link ref="N103BC">
                        
                        Abbildung 2: Darstellung der zweidimensionalen Struktur (verändert nach Ambudkar <em>et al.</em>, 2003) und Funktion von P-Glykoprotein (verändert nach Hoffmeyer <em>et al.</em>, 2000)</link></p></li><li><p><link ref="N105FE">
                        
                        Abbildung 3: Genereller Mechanismus der RNA-Interferenz (verändert nach Schwarz <em>et al.</em>, 2003)</link></p></li><li><p><link ref="N10655">
                        
                        Abbildung 4: Schematische Darstellung verschiedener Arten, aktive siRNA in die Zelle einzubringen bzw. zu generieren (nach Wacheck und Vornlocher, 2003).</link></p></li><li><p><link ref="N12155">
                              Abbildung 5: Vektorkarte von psiRNA-hH1zeo (www.invivogen.comwww.invivogen.com)</link></p></li><li><p><link ref="N13439">
                           Abbildung 6: Charakterisierung der siRNA-abhängigen Erniedrigung des MDR1 mRNA und P-Glykoprotein Niveaus in der Pankreaskarzinomzellinie EPP85-181RDB</link></p></li><li><p><link ref="N13477">
                           Abbildung 7: Charakterisierung der siRNA-abhängigen Erniedrigung des MDR1 mRNA und P-Glykoprotein Niveaus in der Magenkarzinomzellinie EPG85-257RDB</link></p></li><li><p><link ref="N134C1">
                           Abbildung 8: Charakterisierung der siRNA-abhängigen Erniedrigung des MDR1 mRNA und P-Glykoprotein Niveaus in der Mammakarzinomzellinie MaTu/ADR.</link></p></li><li><p><link ref="N13538">
                           Abbildung 9: Quantifizierung der siRNA-abhängigen MDR1 mRNA-Repression</link></p></li><li><p><link ref="N1356A">Abbildung 10: Quantifizierung der siRNA-abhängigen MDR1 mRNA-Repression</link></p></li><li><p><link ref="N135B8">
                        Abbildung 11: Zytotoxitätsassay mit Daunorubicin in den siRNA transfizierten EPP85-181RDB</link></p></li><li><p><link ref="N135D8">
                        Abbildung 12: Zytotoxitätsassay mit Daunorubicin in den siRNA transfizierten EPG85-257RDB</link></p></li><li><p><link ref="N13605">
                        
                        Abbildung 13: Zytotoxitätsassay mit Doxorubicin in den siRNA transfizierten MaTu/ADR</link></p></li><li><p><link ref="N13857">
                        
                        Abbildung 14: Darstellung des Vektorsystems</link></p></li><li><p><link ref="N13893">
                        
                        Abbildung 15: Sequenz der chemisch synthetisierten shRNA MDR-B DNA-Oligonukleotide</link></p></li><li><p><link ref="N139DE">
                        
                        
                        Abbildung 16: Vektorkarte und Restriktionsanalyse verschiedener Bakterienklone</link></p></li><li><p><link ref="N13A35">
                        
                        
                        Abbildung 17: MDR1 mRNA-Expression in den shRNA-Transfektanten.</link></p></li><li><p><link ref="N13A6E">
                        
                        Abbildung 18: Vektor- und Aldolase-spezifische PCR</link></p></li><li><p><link ref="N13AA1">
                        
                        Abbildung 19: Bestimmung des P-Glykoproteingehalts mittels Western Blot</link></p></li><li><p><link ref="N13ABF">
                        
                        Abbildung 20: Immunzytochemischer Nachweis des P-Glykoproteins</link></p></li><li><p><link ref="N13ADD">
                        
                        Abbildung 21: Immunzytochemischer Nachweis des P-Glykoproteins</link></p></li><li><p><link ref="N13B19">
                        
                        Abbildung 22: Zytotoxizitätsassay mit Daunorubicin</link></p></li><li><p><link ref="N13B49">
                        
                        Abbildung 23: Zytotoxizitätsassay mit Doxorubicin</link></p></li><li><p><link ref="N13E6F">
                     
                     Abbildung 24: Expression der siRNA in der stabilen shRNA MDR-C Transfektanten der Mammakarzinomzelline MaTu/ADR</link></p></li><li><p><link ref="N13EA6">
                        Abbildung 25: Quantifizierung der MDR1 mRNA-Expression in Tumorgeweben</link></p></li><li><p><link ref="N13ED6">
                        
                        Abbildung 26: Immunhistochemische Färbung von P-Glykoprotein mit mAb C219</link></p></li><li><p><link ref="N13F25">
                        
                        Abbildung 27: Abnahme des Tumorwachstums in der Maus nach kombinierter Applikation des shRNA MDR-C kodierenden Vektors und Doxorubicin im Verlauf von 40 Tagen</link></p></li></ul></front></cms:content></cms:document></cms:container>