ABCG2/BCRP: Specific and Nonspecific Modulators
Diana Peña-Solórzano1, Simone Alexandra Stark2, Burkhard König2
1Grupo de Investigación en Macromoléculas, Departamento de Química, Universidad Nacional de Colombia-Sede Bogotá, 5997, Bogotá, Colombia.
Abstract:
Multidrug resistance (MDR) in cancer cells is the development of resistance to a variety of structurally and functionally nonrelated anticancer drugs. This phenomenon has become a major obstacle to cancer chemotherapy seriously affecting the clinical outcome. MDR is associated with increased drug efflux from cells mediated by an energy-dependent mechanism involving the ATP-binding cassette (ABC) transporters, mainly P-glycoprotein (ABCB1), the MDR-associated protein-1 (ABCC1), and the breast cancer resistance protein (ABCG2). The first two transporters have been widely studied already and reviews summarized the results. The ABCG2 protein has been a subject of intense study since its discovery as its overexpression has been detected in resistant cell lines in numerous types of human cancers. To date, a long list of modulators of ABCG2 exists and continues to increase. However, little is known about the clinical consequences of ABCG2 modulation. This makes the design of novel, potent, and nontoxic inhibitors of this efflux protein a major challenge to reverse MDR and thereby increase the success of chemotherapy. The aim of the present review is to describe and highlight specific and nonspecific modulators of ABCG2 reported to date based on the selectivity of the compounds, as many of them are effective against one or more ABC transport proteins.
Insights
Multidrug resistance (MDR) in cancer is a major hurdle in chemotherapy. This review focuses on ABCG2 modulators, aiming to overcome resistance and improve cancer treatment success.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Multidrug resistance (MDR) in cancer cells impedes chemotherapy efficacy, leading to poor clinical outcomes.
- MDR involves increased drug efflux mediated by ATP-binding cassette (ABC) transporters, notably ABCG2.
- ABCG2 overexpression is observed in various human cancers, making it a critical target for overcoming resistance.
Purpose of the Study:
- To review and highlight specific and nonspecific modulators of the ABCG2 transporter.
- To discuss the selectivity of ABCG2 modulators against various ABC transport proteins.
- To emphasize the challenge in designing effective ABCG2 inhibitors for clinical application.
Main Methods:
- Literature review of studies reporting modulators of ABCG2.
- Analysis of compound selectivity and effectiveness against ABC transport proteins.
- Synthesis of information on known ABCG2 modulators and their properties.
Main Results:
- A growing list of ABCG2 modulators has been identified.
- Many modulators exhibit activity against multiple ABC transport proteins.
- Limited understanding of the clinical impact of ABCG2 modulation exists.
Conclusions:
- Developing potent, non-toxic ABCG2 inhibitors is crucial for reversing MDR.
- Further research is needed to understand the clinical consequences of ABCG2 modulation.
- Targeting ABCG2 offers a promising strategy to enhance cancer chemotherapy success.
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