Related Experiment Video
Updated: Jun 20, 2026

A Rapid Screening Workflow to Identify Potential Combination Therapy for GBM using Patient-Derived Glioma Stem Cells
Published on: March 28, 2021
A new mixed-backbone oligonucleotide against glucosylceramide synthase sensitizes multidrug-resistant tumors to
Gauri A Patwardhan1, Qian-Jin Zhang, Dongmei Yin
1Department of Basic Pharmaceutical Sciences, University of Louisiana at Monroe, Monroe, Louisiana, United States of America.
Abstract:
Enhanced ceramide glycosylation catalyzed by glucosylceramide synthase (GCS) limits therapeutic efficiencies of antineoplastic agents including doxorubicin in drug-resistant cancer cells. Aimed to determine the role of GCS in tumor response to chemotherapy, a new mixed-backbone oligonucleotide (MBO-asGCS) with higher stability and efficiency has been generated to silence human GCS gene. MBO-asGCS was taken up efficiently in both drug-sensitive and drug-resistant cells, but it selectively suppressed GCS overexpression, and sensitized drug-resistant cells. MBO-asGCS increased doxorubicin sensitivity by 83-fold in human NCI/ADR-RES, and 43-fold in murine EMT6/AR1 breast cancer cells, respectively. In tumor-bearing mice, MBO-asGCS treatment dramatically inhibited the growth of multidrug-resistant NCI/ADR-RE tumors, decreasing tumor volume to 37%, as compared with scrambled control. Furthermore, MBO-asGCS sensitized multidrug-resistant tumors to chemotherapy, increasing doxorubicin efficiency greater than 2-fold. The sensitization effects of MBO-asGCS relied on the decreases of gene expression and enzyme activity of GCS, and on the increases of C(18)-ceramide and of caspase-executed apoptosis. MBO-asGCS was accumulation in tumor xenografts was greater in other tissues, excepting liver and kidneys; but MBO-asGCS did not exert significant toxic effects on liver and kidneys. This study, for the first time in vivo, has demonstrated that GCS is a promising therapeutic target for cancer drug resistance, and MBO-asGCS has the potential to be developed as an antineoplastic agent.
Insights
Glucosylceramide synthase (GCS) hinders chemotherapy effectiveness in resistant cancers. A novel mixed-backbone oligonucleotide (MBO-asGCS) targeting GCS resensitized tumors to doxorubicin, showing potential as an anticancer agent.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Enhanced ceramide glycosylation by glucosylceramide synthase (GCS) contributes to resistance against antineoplastic agents like doxorubicin in cancer cells.
- Targeting GCS is a potential strategy to overcome multidrug resistance in cancer therapy.
Purpose of the Study:
- To investigate the role of GCS in tumor chemoresistance.
- To develop and evaluate a novel mixed-backbone oligonucleotide (MBO-asGCS) designed to silence the human GCS gene for enhancing cancer treatment efficacy.
Main Methods:
- Generation of a mixed-backbone oligonucleotide (MBO-asGCS) to specifically silence the GCS gene.
- Assessment of MBO-asGCS uptake and its effect on GCS expression and activity in drug-sensitive and drug-resistant cancer cells.
- Evaluation of MBO-asGCS in combination with doxorubicin in both in vitro cell lines and in vivo tumor models.
Main Results:
- MBO-asGCS was efficiently internalized by cancer cells and selectively suppressed GCS overexpression.
- Significant sensitization to doxorubicin was observed in drug-resistant cell lines (83-fold in NCI/ADR-RES, 43-fold in EMT6/AR1).
- In vivo, MBO-asGCS treatment inhibited multidrug-resistant tumor growth by 37% and enhanced doxorubicin efficacy over 2-fold, linked to reduced GCS activity and increased apoptosis.
Conclusions:
- Glucosylceramide synthase (GCS) is a viable therapeutic target for overcoming cancer drug resistance.
- MBO-asGCS effectively resensitizes multidrug-resistant tumors to chemotherapy with minimal toxicity to vital organs.
- MBO-asGCS demonstrates potential as a novel therapeutic agent for treating chemoresistant cancers.
Related Concept Videos
Treatment Resistant Cancers
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...

