Glutathione transferases as targets for cancer therapy

Paolo Ruzza1, Antonio Rosato, Carlo Riccardo Rossi

  • 1Institute of Biomolecular Chemistry of CNR, Padova, Italy. paolo.ruzza@unipd.it

Insights

Glutathione transferases (GSTs) inactivate anticancer drugs and promote drug resistance. This review covers GST inhibitors and prodrugs, offering insights into targeting these proteins for cancer therapy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Pharmacology

Background:

  • Cytosolic glutathione transferases (GSTs) are involved in detoxifying electrophilic anticancer agents.
  • Some GSTs, particularly GSTP1-1, are implicated in cellular apoptosis modulation and anticancer drug resistance.
  • Tumor overexpression of GSTs necessitates strategies to overcome resistance, such as GST inhibitors and prodrugs.

Purpose of the Study:

  • To review the current structural and pharmacological knowledge of GST-targeting compounds.
  • To explore the dual role of GSTs in anticancer drug inactivation and resistance modulation.
  • To discuss the therapeutic potential of inhibiting GSTs or utilizing GST-activated prodrugs.

Main Methods:

  • Literature review of structural and pharmacological data on GST-targeting compounds.
  • Analysis of the role of GSTs in drug metabolism and resistance mechanisms.
  • Synthesis of information on GST inhibitors and GST-activated prodrugs.

Main Results:

  • GSTs catalyze the inactivation of anticancer drugs through glutathione conjugation.
  • Overexpression of specific GSTs, like GSTP1-1, correlates with resistance to various anticancer agents.
  • GSTs can negatively modulate stress/drug-induced apoptosis via kinase interactions.

Conclusions:

  • GSTs represent a significant challenge in cancer chemotherapy due to their role in drug resistance.
  • Targeting GSTs with specific inhibitors or prodrugs is a promising strategy to enhance anticancer drug efficacy.
  • Further research into the structural and pharmacological properties of GST-targeting compounds is warranted.

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