ABSTRACT. Fifty-two canine and eighteen feline primary pulmonary carcinomas were evaluated immunohistochemically for the expression of proteins associated with multidrug resistance to anti-cancer drugs. P-glycoprotein (PGP), multidrug resistance-related protein (MRP) and lung resistance-related protein (LRP) expression were frequently observed in neoplastic cells of all carcinoma types, and metallothionein (MT) expression was observed in about half of each carcinoma type. Furthermore, overlapping expression was detected in all positive cases. These results indicate that most canine and feline primary pulmonary carcinomas may have strong multidrug resistance, which is related to the PGP, MRP, LRP or MT expression. It might be difficult to treat canine and feline primary pulmonary carcinomas using anti-cancer drugs because of multidrug resistance.KEY WORDS: immunohistochemistry, lung resistance-related protein, metallothionein, multidrug resistance-related protein, P-glycoprotein.J. Vet. Med. Sci. 72 (5): [665][666][667][668] 2010 Human primary pulmonary carcinoma is divided into 2 groups; small cell lung carcinoma (SCLC) and non-small cell lung carcinoma (NSCLC). Surgical resection is not suitable for SCLC because of metastasis at the time of diagnosis in many cases; therefore, chemotherapy is recommended generally. For NSCLC, however, including adenocarcinoma, adenosquamous carcinoma and squamous cell carcinoma, chemotherapy is less effective; therefore, surgical resection is recommended generally [12]. Primary pulmonary tumors in domestic animals are uncommon to extremely rare, with a prevalence of 0.1-0.9% in dogs, a little higher than in cats [23]. In the treatment of canine and feline primary pulmonary carcinoma, surgical resection is recommended [18], but to reduce the risk of local recurrence and metastasis, adjuvant chemotherapy is required similarly to the treatment for human NSCLC. P-glycoprotein (PGP), a 150-170 kDa plasma membrane protein, belongs to the ATP binding cassette (ABC) superfamily of transporter proteins, and can extrude a range of hydrophobic anti-cancer drugs from the cell [20]. Overexpression of PGP is associated with resistance to different types of anti-cancer drugs (e.g. daunorubicin, doxorubicin, mitoxantrone, etoposide, teniposide, vinblastine, vincristine, mitomycin C, paclitaxel, actinomycin D and topotecan) [6]. Multidrug resistance-related protein (MRP), which belongs to the ABC superfamily as PGP, is a 190 kDa membrane-bound glycoprotein. MRP probably works by direct extrusion of cytotoxic drugs from the cell and/or by mediating sequestration of the drugs into intracellular compartments, both leading to a reduction in effective intracellular drug concentrations [16]. Overexpression of MRP is associated with resistance to doxorubicin, vincristine, actinomycin D, etoposide and colchicine [7,22]. Lung resistance-related protein (LRP) is a 110 kDa protein found in multidrug-resistant cell lines not expressing PGP. LRP is the main component of vault protein, and plays a role in ...