Modulation by LY335979 of P-glycoprotein function in multidrug-resistant cell lines and human natural killer cells

L J Green1, P Marder, C A Slapak

  • 1Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, IN 46285, USA. green_lisa_j@lilly.com

Insights

A new drug, LY335979, is a highly potent inhibitor of P-glycoprotein (Pgp), a transporter protein linked to multidrug resistance (MDR) in cancer. It effectively blocks Pgp function in both isolated cells and whole blood, showing promise for clinical applications.

Area of Science:

  • Pharmacology
  • Molecular Biology
  • Cancer Research

Background:

  • Multidrug resistance (MDR) in human tumors is often mediated by efflux pumps like P-glycoprotein (Pgp).
  • Developing effective modulators of Pgp is crucial for overcoming chemotherapy resistance.

Purpose of the Study:

  • To evaluate the efficacy of a novel Pgp inhibitor, LY335979, in overcoming MDR.
  • To assess the potency of LY335979 in drug-resistant cell lines and normal human lymphocytes.

Main Methods:

  • Utilized flow cytometry to measure the intracellular accumulation of fluorescent MDR substrates (rhodamine 123 and daunorubicin).
  • Tested LY335979 in the multidrug-resistant HL60/VCR cell line and in normal human CD56(+) lymphocytes.
  • Determined IC50 values for Pgp inhibition in isolated cells and whole blood.

Main Results:

  • LY335979 demonstrated 500-1500 times greater potency than cyclosporin A or verapamil in restoring Pgp substrate accumulation in HL60/VCR cells.
  • LY335979 effectively inhibited Pgp function in isolated CD56(+) lymphocytes (IC50 = 1.2 nM) and in whole blood (IC50 = 174 nM).

Conclusions:

  • LY335979 is one of the most potent P-glycoprotein inhibitors identified to date.
  • The significant potency of LY335979 in whole human blood is critical for guiding future clinical dosing strategies.