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CEP-33779 antagonizes ATP-binding cassette subfamily B member 1 mediated multidrug resistance by inhibiting its
Shang-jun Tang1, Li-kun Chen2, Fang Wang2
1Department of General Surgery, Chen Xing Hai Hospital, Guangdong Medical College, Zhongshan, China; State Key Laboratory of Oncology in South China, Cancer Center of Sun Yat-Sen University, Guangzhou, China.
Abstract:
The overexpression of ATP-binding cassette (ABC) transporters often leads to the development of multidrug resistance (MDR), which is the major factor contributing to the failure of chemotherapy. The objective of this study was to investigate the enhancement of CEP-33779, a small-molecule inhibitor of Janus kinase 2 (JAK2), on the efficacy of conventional chemotherapeutic agents in MDR cells with overexpression of P-glycoprotein (ABCB1), multidrug resistance-associated protein 1 (ABCC1) and breast cancer resistance protein (ABCG2). Our results showed that CEP-33779, at nontoxic concentrations, significantly sensitized ABCB1 overexpressing MDR cells to its anticancer substrates. CEP-33779 significantly increased intracellular accumulation and decreased the efflux of doxorubicin by inhibiting the ABCB1 transport function. Furthermore, CEP-33779 did not alter the expression of ABCB1 both at protein and mRNA levels but did stimulate the activity of ABCB1 ATPase. CEP-33779 was predicted to bind within the large hydrophobic cavity of homology modeled ABCB1. In addition, the down-regulation of JAK2 by shRNA altered neither the expression of ABCB1 nor the cytotoxic effect of chemotherapeutic agents in ABCB1-overexpressing cells. Significantly, CEP-33779 enhanced the efficacy of vincristine against the ABCB1-overexpressing and drug resistant KBv200 cell xenograft in nude mice. In conclusion, we conclude that CEP-33779 enhances the efficacy of substrate drugs in ABCB1-overexpressing cells by directly inhibiting ABCB1 transport function. The findings encouraged to further study on the combination therapy of CEP-33779 with conventional chemotherapeutic agents in ABCB1 mediated-MDR cancer patients.
Insights
CEP-33779, a Janus kinase 2 (JAK2) inhibitor, overcomes multidrug resistance (MDR) in cancer cells by directly blocking P-glycoprotein (ABCB1) transport function. This enhances chemotherapy efficacy, offering new therapeutic strategies for MDR cancer patients.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Multidrug resistance (MDR) in cancer, driven by ATP-binding cassette (ABC) transporters like P-glycoprotein (ABCB1), significantly limits chemotherapy effectiveness.
- CEP-33779 is a small-molecule inhibitor targeting Janus kinase 2 (JAK2).
Purpose of the Study:
- To evaluate CEP-33779's potential to enhance conventional chemotherapeutic efficacy in MDR cancer cells overexpressing ABCB1, ABCC1, and ABCG2.
- To elucidate the mechanism by which CEP-33779 affects ABCB1-mediated drug resistance.
Main Methods:
- Assessing CEP-33779's effect on drug sensitivity and intracellular drug accumulation in ABCB1-overexpressing MDR cells.
- Investigating CEP-33779's impact on ABCB1 expression, protein and mRNA levels, and ATPase activity.
- Utilizing homology modeling to predict CEP-33779 binding to ABCB1.
- Evaluating the in vivo efficacy of CEP-33779 in combination with vincristine using a KBv200 cell xenograft model in nude mice.
Main Results:
- CEP-33779, at non-toxic concentrations, sensitized ABCB1-overexpressing MDR cells to anticancer drugs.
- CEP-33779 increased doxorubicin intracellular accumulation and reduced its efflux by inhibiting ABCB1 transport.
- CEP-33779 stimulated ABCB1 ATPase activity and was predicted to bind within ABCB1's hydrophobic cavity, without altering ABCB1 expression levels.
- JAK2 inhibition did not affect ABCB1 expression or drug sensitivity.
- CEP-33779 significantly improved vincristine efficacy in an in vivo xenograft model of ABCB1-mediated drug resistance.
Conclusions:
- CEP-33779 enhances chemotherapy efficacy in ABCB1-overexpressing MDR cells by directly inhibiting ABCB1 transport function, independent of JAK2 inhibition.
- These findings support further investigation into combination therapy with CEP-33779 for ABCB1-mediated MDR cancers.
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