ABCG2 inhibition as a therapeutic approach for overcoming multidrug resistance in cancer
Maryam Hosseini Hasanabady1, Fatemeh Kalalinia
1Department of Biology, Science and Research Branch, Islamic Azad University, Mashhad, Iran.
Abstract:
Breast cancer resistance protein (BCRP, ABCP or MXR)/ATP-binding cassette subfamily G member 2 (ABCG2) was characterized as a multidrug resistance efflux transporter in 1998. ABCG2 physiologically acts as a part of a selfdefence mechanism for the organism; it enhances eliminating of toxic xenobiotic substances and harmful agents in the intestine, as well as through the blood-brain barrier and placenta. ABCG2 recognizes and transports numerous anticancer drugs including conventional chemotherapeutic and new targeted small therapeutic molecules in clinical usage. Development of ABCG2 inhibitors for clinical usage may allow increased penetration of therapeutic agents into sanctuary sites and increases their intestinal absorption. Here we review the mechanisms that modulate MDR mediated by the ABC transporter ABCG2 in normal and cancer cells by different levels including, epigenetic modifications, transcriptional, post-transcriptional, translation and post-translational regulation. Some clinical applications of ABCG2 inhibitors are also explained.
Insights
Breast cancer resistance protein (BCRP) / ATP-binding cassette subfamily G member 2 (ABCG2) is a transporter that affects drug efficacy. Understanding its regulation is key to improving cancer therapy and drug delivery.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- Breast cancer resistance protein (BCRP), also known as ATP-binding cassette subfamily G member 2 (ABCG2), functions as a crucial efflux transporter.
- ABCG2 plays a physiological role in eliminating xenobiotics and protecting organs like the brain and placenta.
Purpose of the Study:
- To review the regulatory mechanisms of ABCG2-mediated multidrug resistance (MDR).
- To explore the clinical applications of ABCG2 inhibitors in cancer treatment.
Main Methods:
- Literature review of studies on ABCG2.
- Analysis of epigenetic, transcriptional, post-transcriptional, translational, and post-translational regulation of ABCG2.
- Examination of clinical data on ABCG2 inhibitors.
Main Results:
- ABCG2 transports various anticancer drugs, impacting treatment outcomes.
- Inhibitors of ABCG2 show potential for enhancing drug penetration and absorption.
- Multiple regulatory levels influence ABCG2 activity in normal and cancer cells.
Conclusions:
- Modulating ABCG2 activity through inhibitors can overcome multidrug resistance.
- Targeting ABCG2 offers a promising strategy for improving cancer chemotherapy and drug delivery.
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