Tangeretin, a citrus pentamethoxyflavone, antagonizes ABCB1-mediated multidrug resistance by inhibiting its transport

Sen-Ling Feng1, Zhong-Wen Yuan1, Xiao-Jun Yao1

  • 1State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute For Applied Research in Medicine and Health, Macau University of Science and Technology, Avenida Wai Long, Taipa, Macau (SAR), China.

Insights

Citrus flavonoid tangeretin effectively reverses multidrug resistance (MDR) in cancer by inhibiting the ABCB1 transporter. This natural compound sensitizes cancer cells to chemotherapy, offering a promising strategy for resistant cancers.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • Multidrug resistance (MDR) and tumor metastasis are primary drivers of chemotherapy failure and cancer mortality.
  • ABCB1 transporter overexpression is a significant mechanism contributing to MDR.

Purpose of the Study:

  • To investigate the potential of citrus flavonoid tangeretin in overcoming ABCB1-mediated multidrug resistance in cancer.
  • To elucidate the mechanism by which tangeretin affects ABCB1 transporter function.

Main Methods:

  • Cell-based assays to assess apoptosis, cell cycle arrest, and intracellular drug accumulation.
  • Efflux assays in Caco2 cells to evaluate ABCB1 substrate transport.
  • ATPase activity assays and molecular docking to determine transporter interaction.

Main Results:

  • Tangeretin reversed ABCB1-mediated resistance to chemotherapeutic agents at non-toxic concentrations.
  • Co-treatment with tangeretin and paclitaxel induced apoptosis and G2/M cell cycle arrest.
  • Tangeretin directly inhibited ABCB1 transporter activity, increasing intracellular drug accumulation and decreasing efflux without altering transporter expression.
  • Molecular docking confirmed tangeretin's binding to the ABCB1 transporter.

Conclusions:

  • Tangeretin effectively inhibits ABCB1 transporter function, sensitizing resistant cancer cells to chemotherapy.
  • Tangeretin demonstrates potential as a therapeutic agent to overcome MDR in cancers.
  • Further preclinical and clinical studies are warranted to explore tangeretin's efficacy in resistant cancers.

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