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Updated: May 15, 2026

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Published on: May 14, 2016
Anticancer agent shikonin is an incompetent inducer of cancer drug resistance
Hao Wu1, Jiansheng Xie, Qiangrong Pan
1Cancer Institute, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Purpose:
Cancer drug resistance is a major obstacle for the success of chemotherapy. Since most clinical anticancer drugs could induce drug resistance, it is desired to develop candidate drugs that are highly efficacious but incompetent to induce drug resistance. Numerous previous studies have proven that shikonin and its analogs not only are highly tumoricidal but also can bypass drug-transporter and apoptotic defect mediated drug resistance. The purpose of this study is to investigate if or not shikonin is a weak inducer of cancer drug resistance.
Experimental Design:
Different cell lines (K562, MCF-7, and a MDR cell line K562/Adr), after repeatedly treated with shikonin for 18 months, were assayed for drug resistance and gene expression profiling.
Results:
After 18-month treatment, cells only developed a mere 2-fold resistance to shikonin and a marginal resistance to cisplatin and paclitaxel, without cross resistance to shikonin analogs and other anticancer agents. Gene expression profiles demonstrated that cancer cells did strongly respond to shikonin treatment but failed to effectively mobilize drug resistant machineries. Shikonin-induced weak resistance was associated with the up-regulation of βII-tubulin, which physically interacted with shikonin.
Conclusion:
Taken together, apart from potent anticancer activity, shikonin and its analogs are weak inducers of cancer drug resistance and can circumvent cancer drug resistance. These merits make shikonin and its analogs potential candidates for cancer therapy with advantages of avoiding induction of drug resistance and bypassing existing drug resistance.
Insights
Shikonin shows potent anticancer activity and is a weak inducer of cancer drug resistance. This natural compound can bypass existing drug resistance, making it a promising candidate for cancer therapy.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Cancer drug resistance is a significant challenge in chemotherapy.
- Developing anticancer drugs that do not induce resistance is crucial.
- Shikonin and its analogs are known for potent tumoricidal effects and ability to bypass certain resistance mechanisms.
Purpose of the Study:
- To investigate whether shikonin induces cancer drug resistance.
- To evaluate shikonin's potential as a therapeutic agent that avoids resistance induction.
Main Methods:
- Long-term (18-month) repeated treatment of cancer cell lines (K562, MCF-7, K562/Adr) with shikonin.
- Assays for drug resistance development.
- Gene expression profiling to understand resistance mechanisms.
Main Results:
- Cells developed only a 2-fold resistance to shikonin and marginal resistance to other agents after 18 months.
- No cross-resistance was observed with shikonin analogs or other anticancer drugs.
- Gene expression analysis revealed strong cellular response to shikonin but failure to activate robust drug resistance pathways.
- Shikonin-induced weak resistance correlated with increased βII-tubulin, which interacts with shikonin.
Conclusions:
- Shikonin and its analogs exhibit potent anticancer activity and are weak inducers of drug resistance.
- These compounds can overcome existing cancer drug resistance.
- Shikonin's properties make it a promising candidate for cancer therapy, offering advantages in overcoming and avoiding drug resistance.
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