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Updated: Jan 29, 2026

Enrichment for Chemoresistant Ovarian Cancer Stem Cells from Human Cell Lines
Published on: September 10, 2014
AS602801 Sensitizes Ovarian Cancer Stem Cells to Paclitaxel by Down-regulating MDR1
Masahiro Yamamoto1, Shuhei Suzuki2,3, Keita Togashi2,4
1Department of Molecular Cancer Science, Yamagata University School of Medicine, Yamagata, Japan masahiro@med.id.yamagata-u.ac.jp m-okada@med.id.yamagata-u.ac.jp.
Background/Aim:
AS602801, an anti-cancer stem cell (CSC) candidate drug, sensitizes ovarian CSCs to paclitaxel and carboplatin by reducing the expression of survivin, an anti-apoptotic protein. The aim of the study was to examine the effect of AS602801 on the expression of multi drug resistance protein 1 (MDR1).
Materials And Methods:
Using two ovarian CSC lines, A2780 CSLC and TOV-21G CSLC, mechanisms other than survivin down-regulation were examined by comparing the effects of AS602801 and YM155, an inhibitor of survivin. After screening for the expression of ATP-binding cassette (ABC) transporters with or without AS602801 treatment, the sensitivity of cells to paclitaxel, carboplatin, and cisplatin was examined following knockdown of the ABC transporter.
Results:
The combinational effect of AS602801 on paclitaxel was less dependent on survivin than the effect on carboplatin. AS602801 reduced the expression of MDR1, an ABC transporter. Knockdown of MDR1 sensitized the cells to paclitaxel, but not to carboplatin or cisplatin.
Conclusion:
AS602801 chemosensitized ovarian CSCs to paclitaxel by reducing the expression of MDR1.
Insights
AS602801, an anti-cancer drug, enhances ovarian cancer stem cell sensitivity to paclitaxel by reducing multi-drug resistance protein 1 (MDR1) expression, independent of survivin.
Area of Science:
- Oncology
- Pharmacology
- Cancer Stem Cell Biology
Background:
- Ovarian cancer stem cells (CSCs) are resistant to conventional chemotherapy.
- AS602801 is an investigational drug targeting cancer stem cells.
- Survivin is an anti-apoptotic protein implicated in drug resistance.
Purpose of the Study:
- To investigate the effect of AS602801 on multi-drug resistance protein 1 (MDR1) expression in ovarian CSCs.
- To elucidate mechanisms of AS602801-mediated chemosensitization beyond survivin inhibition.
Main Methods:
- Utilized two ovarian CSC lines (A2780 CSLC, TOV-21G CSLC).
- Compared AS602801 with YM155 (survivin inhibitor).
- Screened ATP-binding cassette (ABC) transporter expression and assessed drug sensitivity after ABC transporter knockdown.
Main Results:
- AS602801 reduced MDR1 expression, an ABC transporter.
- MDR1 knockdown sensitized cells to paclitaxel but not carboplatin or cisplatin.
- AS602801's effect on paclitaxel was less survivin-dependent than its effect on carboplatin.
Conclusions:
- AS602801 chemosensitizes ovarian CSCs to paclitaxel.
- This sensitization is mediated, in part, by the downregulation of MDR1.
- AS602801 offers a potential therapeutic strategy to overcome chemoresistance in ovarian cancer.
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