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Updated: Jun 16, 2026

Profiling Ubiquitin and Ubiquitin-like Dependent Post-translational Modifications and Identification of Significant Alterations
Published on: November 7, 2019
Increased ubiquitination of multidrug resistance 1 by ginsenoside Rd
Yuba Raj Pokharel1, Nak Doo Kim, Hyo-Kyung Han
1BK21 Project Team, College of Pharmacy, Chosun University, Gwangju 501-759, South Korea.
Abstract:
MCF-7/ADR cells, a doxorubicin-resistant human breast cancer cell line, acquires resistance to several chemotherapeutic agents, such as anthracylines and taxol, via overexpression of the multidrug resistance1 (MDR1) gene. The present study was designed to clarify whether ginsenosides affect the expression of the MDR1 gene in MCF-7/ADR cells. Ginsenoside Rd, Re, Rb1, and Rg1 (100 microg/ml) decreased MDR1 protein levels in MCF-7/ADR cells. In particular, ginsenoside Rd most potently inhibited MDR1 protein expression without cytotoxicity, but did not change mRNA levels or nuclear levels of key transcriptional factors for MDR1 gene expression, hypoxia inducible factor-1alpha, CCAAT-enhancer binding protein beta, Forkhead box-containing protein, O subfamily1, or Y-box binding protein-1. Reporter gene analyses showed that ginsenoside Rd did not decrease MDR1 gene transcription or the pregnane X receptor reporter. MDR1 protein stability is dependent on ubiquitin-dependent protein degradation. We further found that ginsenosides Rd increased ubiquitination of MDR1. Moreover, doxorubicin resistance in MCF-7/ADR cells was reversed by ginsenoside Rd treatment. These results propose that ginseng administration with other anti-cancer agents may be useful for the treatment of chemotherapy-resistant breast cancer through down-regulating MDR1 protein.
Insights
Ginsenosides, particularly ginsenoside Rd, reduce multidrug resistance protein levels in chemotherapy-resistant breast cancer cells. This suggests ginseng may enhance anti-cancer treatments by overcoming drug resistance.
Area of Science:
- Pharmacology and Molecular Biology
- Cancer Research
- Natural Products Chemistry
Background:
- MCF-7/ADR cells, a human breast cancer line, exhibit multidrug resistance (MDR) through MDR1 gene overexpression.
- This resistance limits the efficacy of chemotherapeutic agents like doxorubicin, anthracylines, and taxol.
Purpose of the Study:
- To investigate the effect of ginsenosides on MDR1 gene expression in doxorubicin-resistant breast cancer cells.
- To determine if ginsenosides can reverse chemotherapy resistance mediated by MDR1.
Main Methods:
- Treatment of MCF-7/ADR cells with specific ginsenosides (Rd, Re, Rb1, Rg1) at 100 microg/ml.
- Assessment of MDR1 protein and mRNA levels, key transcriptional factors, and reporter gene activity.
- Analysis of MDR1 protein ubiquitination and subsequent degradation.
- Evaluation of doxorubicin resistance reversal by ginsenoside Rd.
Main Results:
- Ginsenosides Rd, Re, Rb1, and Rg1 significantly decreased MDR1 protein levels without cytotoxicity.
- Ginsenoside Rd was the most potent inhibitor of MDR1 protein expression.
- Ginsenoside Rd did not alter MDR1 mRNA levels or key transcriptional factors, suggesting post-transcriptional regulation.
- Ginsenoside Rd increased MDR1 ubiquitination, indicating enhanced protein degradation.
- Ginsenoside Rd treatment reversed doxorubicin resistance in MCF-7/ADR cells.
Conclusions:
- Ginsenosides, especially Rd, effectively down-regulate MDR1 protein levels in resistant breast cancer cells.
- The mechanism involves enhanced ubiquitin-dependent protein degradation of MDR1, not altered gene transcription.
- Ginseng administration may be a valuable adjunct therapy for chemotherapy-resistant breast cancer by overcoming MDR1-mediated resistance.
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