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Sunitinib reverse multidrug resistance in gastric cancer cells by modulating Stat3 and inhibiting P-gp function
1Tumour Therapy Department with Western Medicine & Traditional Chinese Medicine, Wuxi No. 4 People's Hospital, Wuxi Hospital of Oncology, The Fourth Affiliated Hospital of Soochow University, No. 200, Huihe Road, Wuxi, Jiangsu, 214062, China.
Abstract:
Sunitinib, a small-molecule multi-targeted tyrosine kinase inhibitor, has been applied in phase II clinical trial as second-line treatment for advanced gastric cancer. In this study, we determined the effect of Sunitinib on the multidrug resistance in gastric cancer cells selected by vincristine. Our results showed that Sunitinib significantly enhanced the cytotoxicity of adriamycin, vincristine, etoposide, 5-Fluorouracil, and cisplatin in multidrug-resistant gastric cancer cells (SGC7901/VCR). Sunitinib significantly increased the intracellular accumulation and retention of rhodamine 123 in the SGC7901/VCR cells. However, Sunitinib, at a concentration that reverses MDR, had no significant effect on P-gp protein or mRNA expression levels. In addition, the present study revealed that Sunitinib inhibited Stat3 and down-regulated Bcl-2 in SGC7901/VCR cells, which might also contribute to the reversal of MDR. In conclusion, Sunitinib reverses multidrug resistance in gastric cancer cells by inhibiting P-gp transporter function and modulating Stat3 and Bcl-2. Further study with Sunitinib may be helpful for developing combination therapeutic strategy or circumventing gastric cancer MDR to other conventional anti-cancer drugs.
Insights
Sunitinib reverses multidrug resistance in gastric cancer cells by inhibiting P-glycoprotein transporter function and modulating Stat3 and Bcl-2 pathways. This finding offers potential for new combination therapies against advanced gastric cancer.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Advanced gastric cancer often develops multidrug resistance (MDR).
- Sunitinib is a multi-targeted tyrosine kinase inhibitor investigated for cancer treatment.
Purpose of the Study:
- To investigate Sunitinib's effect on vincristine-selected multidrug-resistant gastric cancer cells (SGC7901/VCR).
- To determine Sunitinib's potential in overcoming MDR in gastric cancer.
Main Methods:
- Treatment of SGC7901/VCR cells with Sunitinib.
- Assessed cytotoxicity of various chemotherapeutic agents.
- Measured intracellular accumulation of rhodamine 123.
- Analyzed P-glycoprotein (P-gp) expression.
- Investigated Stat3 and Bcl-2 expression levels.
Main Results:
- Sunitinib enhanced the cytotoxicity of adriamycin, vincristine, etoposide, 5-Fluorouracil, and cisplatin.
- Sunitinib increased intracellular accumulation and retention of rhodamine 123 in resistant cells.
- Sunitinib inhibited Stat3 and down-regulated Bcl-2, without affecting P-gp expression.
- Sunitinib reversed MDR in gastric cancer cells.
Conclusions:
- Sunitinib effectively reverses multidrug resistance in gastric cancer cells.
- Mechanisms include inhibition of P-gp transporter function and modulation of Stat3 and Bcl-2.
- Sunitinib holds promise for combination therapeutic strategies against gastric cancer MDR.
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