Interaction of tyrosine kinase inhibitors with the MDR- related ABC transporter proteins

Xiao-Kun Wang1, Li-Wu Fu

  • 1State Key Laboratory of Oncology in Southern China, Cancer center, Sun Yat-sen University, Guangzhou, 510060, China.

Current Drug Metabolism
|September 4, 2010
PubMed

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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