Background: Treatment of malignancies is still a major challenge in human and canine cancer, mostly due to the emergence of multidrug resistance (MDR). One of the main contributors of MDR is the overexpression P-glycoprotein (Pgp), which recognizes and extrudes various chemotherapeutics from cancer cells. Methods: To study mechanisms underlying the development of drug resistance, we established an in vitro treatment protocol to rapidly induce Pgp-mediated MDR in cancer cells. Based on a clinical observation showing that a 33-day-long, unplanned drug holiday can reverse the MDR phenotype of a canine diffuse large B-cell lymphoma patient, our aim was to use the established assay to prevent the emergence of drug resistance in the early stages of treatment. Results: We showed that an in vitro drug holiday results in the decrease of Pgp expression in MDR cell lines. Surprisingly, celecoxib, a known COX-2 inhibitor, prevented the emergence of drug-induced MDR in murine and canine lymphoma cell lines. Conclusions: Our findings suggest that celecoxib could significantly improve the efficiency of chemotherapy by preventing the development of MDR in B-cell lymphoma.

Permeability glycoprotein (P-glycoprotein, Pgp) immunohistochemistry (IHC) was evaluated in dogs with multicentric lymphoma treated with cyclophosphamide– doxorubicin–vincristine–prednisolone with or without L-Asparaginase. Lymph nodes of 33 untreated dogs were immunophenotyped: Ki67% and Pgp analyses (with anti-Pgp, monoclonal mouse C494 clone) were performed. Pgp positivity rate and intensity were determined microscopically (by manual counting done by two blinded authors in two parallel specimens). The median overall survival time (OST) was 333 days and the relapse-free period (RFP) 134 days. Pgp expressions were positive in 18 out of 33 (54.5%) of tumour cells. T-cell types stained more intensively. Lower OST and RFP were found with Pgp positivity ≥ 35% (OST: 240 days, RFP: 95 days) compared to Pgp positivity < 35% (OST: 428 days, RFP: 232 days). Intensive staining was associated with a lower OST and RFP (240 and 103 days, respectively) than weak staining (428 and 221 days, respectively). Death due to adverse drug reactions was best predicted at Pgp positivity ≤ 6.5% (sensitivity/specificity: 0.55/0.81) and ≤ 123 days (sensitivity/ specificity: 0.55/0.86). Pgp evaluation by IHC can have prognostic value with a properly established Pgp% positivity cut-off value in dogs treated with Pgp substrate drugs.

Various mechanisms are known to be involved in the development of multidrug resistance during cancer treatment. P-glycoprotein (P-gp) decreases the intracellular concentrations of cytotoxic drugs by an energy-dependent efflux mechanism. The aim of this study was to investigate the predictive value of P-gp function based on the evaluation of P-gp activity in tumor cells obtained from canine B-cell lymphoma patients at diagnosis. P-gp function of 79 immunophenotyped canine lymphoma samples was determined by flow cytometry using the Calcein assay. Dogs were treated with either the CHOP or the L-CHOP protocol, a subset of relapsed patients received L-asparaginase and lomustine rescue treatments. Among the 79 dogs, the median overall survival time was 417 days, and the median relapse-free period was 301 days. 47 percent of the samples showed high P-gp activity, which was significantly higher in Stage IV cancer patients compared to Stage II + III and V. Whereas staging was associated with major differences in survival times, we found that the intrinsic P-gp activity of tumor cells measured at diagnosis is not predictive for therapy outcome. Further studies are needed to identify the intrinsic and acquired resistant mechanisms that shape therapy response and survival in B-cell canine lymphoma patients.

Background/Objectives: Palladium-103 (¹⁰³Pd) is an Auger electron-emitting radionuclide with nanometer-scale penetration ranges that result in highly localized energy deposition, making it well suited for molecularly targeted radionuclide therapy. However, efficient production, separation, and in vivo evaluation workflows remain limited. This study aimed to establish a scalable workflow for the production, separation, purification, radiolabeling, and preclinical assessment of ¹⁰³Pd for theranostic applications. Methods: ¹⁰³Pd was produced via the ¹⁰³Rh(p,n)¹⁰³Pd reaction. An upgraded dry-distillation radionuclide separation equipment (RSE) enabled high-efficiency separation from irradiated rhodium foils, while a cotton-assisted acid recovery process yielded purified ¹⁰³Pd suitable for radiolabeling. Chelation with NOTA and DOTA-TATE was performed, and radiochemical purity was assessed using iTLC, SPE, and a C18 column. In vivo SPECT/CT imaging was conducted in NMRI Nu/Nu mice and in a canine model with spontaneous liver metastatic spread of insulinoma, injected with [¹⁰³Pd]Pd-labeled compounds. Results: The upgraded RSE achieved separation efficiencies of 64–86% and overall recovery yields of 81–94%, outperforming conventional wet-chemistry methods. Radiolabeling produced stable complexes with >95% radiochemical purity. SPECT/CT imaging confirmed in vivo stability in mice. In the canine model, a slight reduction in tumor size and increased glucose levels were observed during 24 days post-systemic application of 520 MBq of ¹⁰³Pd-DOTA-TATE radioactivity. Conclusions: This study establishes a complete and efficient radiochemical and preclinical pipeline for ¹⁰³Pd, demonstrating its feasibility as a theranostic radionuclide. The combination of high-yield production, robust separation chemistry, and localized Auger-mediated energy deposition highlights ¹⁰³Pd as a promising candidate for future targeted radionuclide therapy applications.