Troglitazone reverses the multiple drug resistance phenotype in cancer cells

Gerald F Davies1, Bernhard H J Juurlink, Troy A A Harkness

  • 1Department of Anatomy and Cell Biology, College of Medicine, University of Saskatchewan, 107 Wiggins Road, Saskatoon, SK, Canada.

Insights

Troglitazone (TRG) re-sensitizes drug-resistant cancer cells, including breast and leukemia, to doxorubicin (DOX) by reducing key drug resistance proteins. This suggests TRG as a potential adjunct therapy for chemoresistant cancers.

Area of Science:

  • Oncology
  • Pharmacology
  • Epigenetics

Background:

  • Cancer drug resistance, particularly to doxorubicin (DOX), is a major clinical challenge.
  • Previous studies linked DOX resistance in K562 leukemia cells to increased glyoxalase 1 (GLO-1) and histone H3.
  • Troglitazone (TRG) previously reversed DOX resistance by modulating GLO-1 and histone H3.

Purpose of the Study:

  • To investigate if TRG can overcome the multidrug resistance (MDR) phenotype in various cancer cell lines.
  • To determine the role of TRG in downregulating key drug efflux pumps associated with MDR.

Main Methods:

  • Established DOX-resistant cell lines (K562/DOX and MCF7/DOX) from human leukemia and breast cancer cells.
  • Utilized Western blot to analyze expression of P-glycoprotein (MDR-1) and breast cancer resistance protein (BCRP).
  • Assessed the effect of TRG and peroxisome proliferator-activated receptor gamma (PPARγ) inhibitor GW9662 on drug sensitivity and protein expression.

Main Results:

  • TRG significantly decreased the expression of MDR-1 and BCRP in resistant K562/DOX and MCF7/DOX cells.
  • TRG treatment restored sensitivity to DOX in these resistant cancer cell lines.
  • Silencing MDR-1 also sensitized MCF7/DOX cells to DOX, confirming MDR-1's role.
  • TRG's effects were independent of PPARγ, though PPARγ appears involved in MDR and antagonized by TRG.

Conclusions:

  • TRG effectively downregulates MDR-1 and BCRP, restoring sensitivity to doxorubicin in resistant cancer cells.
  • The mechanism of TRG's action on MDR is independent of PPARγ.
  • TRG shows promise as an adjunctive therapy to overcome chemoresistance in various cancers.

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