Title:MRP1-dependent Collateral Sensitivity of Multidrug-resistant Cancer Cells: Identifying Selective Modulators Inducing Cellular Glutathione Depletion
Volume: 24
Issue: 12
关键词:
ABCC1 / MRP1,多药耐药蛋白1,谷胱甘肽,侧枝敏感性,药物设计,类黄酮,分子模型,多药耐药性,定量结构 - 活性关系
摘要: Cancer cells are permanently being selected for survival and proliferation. During this
process, tumor cells often co-opt basic physiological mechanisms to protect themselves from toxic
chemotherapy. One of these mechanisms is the overexpression of ATP-binding cassette (ABC)
drug efflux pumps leading to multidrug resistance (MDR) of cancer cells through an increase of
drug efflux. In the past 20 years, many efforts were done to circumvent MDR through the inhibition
of ABC transporters. A number of inhibitors of these transporters were found but are rarely
specific or rationally developed. Beside this approach, a new therapeutic strategy towards eradicating
drug resistant tumor cells has recently emerged from the observation that cancer cells expressing
a high level of these pumps show an unexpected hypersensitivity, called collateral sensitivity
(CS) to a selected subset of chemical compounds. In this review, we target the multidrug resistance
protein 1 (MRP1) and after a non-exhaustively highlighting of some of the most exemplary inhibitors
of MRP1 and modulators of its expression, we focus on CS agents specifically targeting
MRP1 which becomes, when overexpressed, the so called "Achilles' heel" of multidrug resistant
cancer cells. We discuss the link between the prominent role of glutathione translocation and related
redox balance of the cell and the CS induced by certain types of compounds. The latter are
discussed according to their chemical class, and perspectives in their development for successful
eradication of resistant cancer are proposed.