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Updated: Jun 9, 2026

A Method for Screening and Validation of Resistant Mutations Against Kinase Inhibitors
Published on: December 7, 2014
Interaction of tyrosine kinase inhibitors with the MDR- related ABC transporter proteins
1State Key Laboratory of Oncology in Southern China, Cancer center, Sun Yat-sen University, Guangzhou, 510060, China.
Abstract:
Tyrosine kinase inhibitors (TKIs) are a new class of highly-selective and molecularly targeted anticancer agents. Most of these newly developed TKIs are hydrophobic, thus allowing them to rapidly penetrate the cell membrane to reach their specific intracellular targets. However, their therapeutic potential could be significantly hindered by the overexpression of certain ATP binding cassette (ABC) membrane transporters, which extrude hydrophobic drugs and result in cellular resistance to TKIs by tumor cells. Moreover, it has been recently demonstrated that some TKIs could upregulate ABC transporters in tumor cells, thereby effectively reducing their intracellular accumulation and antitumor efficacy. On the other hand, other TKIs were found to interact with ABC transporters and reverse multi-drug resistance (MDR) of tumor cells. In this review, the interaction of several TKIs, currently in clinical use or being developed in clinical trials, with the MDR-related ABC transporters, in particular ABCB1, ABCC1 and ABCG2, will be discussed.
Insights
Tyrosine kinase inhibitors (TKIs) show promise in cancer treatment but can be hindered by ATP binding cassette (ABC) transporters. Some TKIs may reverse drug resistance, while others can cause it.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Tyrosine kinase inhibitors (TKIs) are targeted anticancer agents that penetrate cell membranes.
- Overexpression of ATP binding cassette (ABC) transporters can lead to tumor cell resistance to TKIs.
- Some TKIs may increase ABC transporter expression, reducing their efficacy.
Purpose of the Study:
- To review the interactions between TKIs and MDR-related ABC transporters.
- To discuss the clinical implications of these interactions for cancer therapy.
Main Methods:
- Literature review of TKIs in clinical use or trials.
- Analysis of TKI interactions with ABCB1, ABCC1, and ABCG2 transporters.
- Discussion of TKI-ABC transporter interplay in multidrug resistance (MDR).
Main Results:
- TKIs exhibit varied interactions with ABC transporters.
- Some TKIs are substrates for ABC transporters, leading to reduced efficacy.
- Other TKIs can inhibit ABC transporters, potentially reversing MDR.
Conclusions:
- Understanding TKI-ABC transporter interactions is crucial for optimizing cancer therapy.
- Strategies to overcome TKI resistance mediated by ABC transporters are needed.
- Further research into TKIs that modulate ABC transporters may yield new therapeutic approaches.
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