Pgp efflux pump decreases the cytostatic effect of CENP-E inhibitor GSK923295
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Updated: Apr 16, 2026

Functional Assessment of Kinesin-7 CENP-E in Spermatocytes Using In Vivo Inhibition, Immunofluorescence and Flow Cytometry
Published on: December 28, 2021
Sergey O Tcherniuk1, Andrew V Oleinikov2
1Charles E. Schmidt College of Medicine, Department of Biomedical Science, Florida Atlantic University, 777 Glades Road, BC-71, Boca Raton, FL 33431, USA; Department of Biological Sciences, Youth Academy of Sciences of Ukraine, 12-B Kachtanovaya str., 02225 Kiev, Ukraine.
Abstract:
Human kinesin CENP-E is an attractive target for cancer chemotherapy. The allosteric CENP-E inhibitor GSK923295 was proposed as a promising anticancer compound with potent cytostatic effect. In our work, we have analyzed the influence of the Pgp efflux pump on the cytostatic effect of GSK923295. We have demonstrated that multidrug resistant MESSA Dx5 cells overexpressing Pgp are 70-80 times more resistant to GSK923295 than their parental counterpart MESSA cells. Addition of 20 µM verapamil restored the drug sensibility of MESSA Dx5 cells. Combinations of GSK923295 with verapamil showed nearly additive effects in MESSA and synergistic effects in MESSA Dx5 cells. Our results demonstrate that tumors possessing Pgp could be more resistant to GSK923295, and that overexpression of Pgp can decrease the therapeutic effect of this drug. Development of structural analogs of GSK923295 which would not be a substrate of the Pgp efflux pump or addition of Pgp pump inhibitors can significantly improve the cytostatic effect of this drug.
Insights
The P-glycoprotein (Pgp) efflux pump significantly reduces the effectiveness of the anticancer drug GSK923295. Inhibiting Pgp restores drug sensitivity, improving its potential for cancer chemotherapy.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- Human kinesin CENP-E is a validated target for cancer chemotherapy.
- GSK923295, an allosteric CENP-E inhibitor, exhibits potent cytostatic effects.
- The P-glycoprotein (Pgp) efflux pump is implicated in multidrug resistance.
Purpose of the Study:
- To investigate the impact of the Pgp efflux pump on the cytostatic efficacy of GSK923295.
- To evaluate the potential of Pgp inhibition to overcome resistance to GSK923295.
Main Methods:
- Comparison of GSK923295 sensitivity in Pgp-overexpressing cells (MESSA Dx5) versus parental cells (MESSA).
- Assessment of drug response upon co-administration with verapamil, a Pgp inhibitor.
- Analysis of drug interaction effects (additive vs. synergistic).
Main Results:
- MESSA Dx5 cells showed 70-80 fold increased resistance to GSK923295 compared to MESSA cells.
- Verapamil (20 µM) restored GSK923295 sensitivity in MESSA Dx5 cells.
- Combinations exhibited additive effects in MESSA cells and synergistic effects in MESSA Dx5 cells.
Conclusions:
- Tumors expressing Pgp may exhibit resistance to GSK923295, diminishing its therapeutic effect.
- Strategies involving Pgp-non-substrate analogs or Pgp inhibitors could enhance GSK923295's cytostatic activity.
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