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The Pyrazolo[3,4-d]pyrimidine Derivative, SCO-201, Reverses Multidrug Resistance Mediated by ABCG2/BCRP
Sophie E B Ambjørner1, Michael Wiese2, Sebastian Christoph Köhler2
1Department of Drug Design and Pharmacology, University of Copenhagen, 1165 Copenhagen, Denmark.
Abstract:
ATP-binding cassette (ABC) transporters, such as breast cancer resistance protein (BCRP), are key players in resistance to multiple anti-cancer drugs, leading to cancer treatment failure and cancer-related death. Currently, there are no clinically approved drugs for reversal of cancer drug resistance caused by ABC transporters. This study investigated if a novel drug candidate, SCO-201, could inhibit BCRP and reverse BCRP-mediated drug resistance. We applied in vitro cell viability assays in SN-38 (7-Ethyl-10-hydroxycamptothecin)-resistant colon cancer cells and in non-cancer cells with ectopic expression of BCRP. SCO-201 reversed resistance to SN-38 (active metabolite of irinotecan) in both model systems. Dye efflux assays, bidirectional transport assays, and ATPase assays demonstrated that SCO-201 inhibits BCRP. In silico interaction analyses supported the ATPase assay data and suggest that SCO-201 competes with SN-38 for the BCRP drug-binding site. To analyze for inhibition of other transporters or cytochrome P450 (CYP) enzymes, we performed enzyme and transporter assays by in vitro drug metabolism and pharmacokinetics studies, which demonstrated that SCO-201 selectively inhibited BCRP and neither inhibited nor induced CYPs. We conclude that SCO-201 is a specific, potent, and potentially non-toxic drug candidate for the reversal of BCRP-mediated resistance in cancer cells.
Insights
A new drug candidate, SCO-201, effectively reverses cancer drug resistance mediated by breast cancer resistance protein (BCRP). This discovery offers potential for overcoming treatment failures caused by BCRP in cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- ATP-binding cassette (ABC) transporters, like breast cancer resistance protein (BCRP), are crucial in multidrug resistance (MDR), leading to chemotherapy failure.
- Currently, no approved drugs effectively reverse BCRP-mediated drug resistance.
- Developing strategies to overcome MDR is critical for improving cancer treatment outcomes.
Purpose of the Study:
- To investigate the potential of a novel drug candidate, SCO-201, to inhibit BCRP.
- To determine if SCO-201 can reverse BCRP-mediated resistance to anti-cancer drugs.
- To assess the specificity and safety profile of SCO-201.
Main Methods:
- In vitro cell viability assays using SN-38 resistant colon cancer cells and BCRP-overexpressing non-cancer cells.
- Dye efflux assays, bidirectional transport assays, and ATPase assays to confirm BCRP inhibition.
- In silico interaction analyses to elucidate the mechanism of inhibition.
- In vitro drug metabolism and pharmacokinetic studies to evaluate off-target effects on cytochrome P450 (CYP) enzymes and other transporters.
Main Results:
- SCO-201 demonstrated significant reversal of SN-38 resistance in BCRP-mediated resistant cancer models.
- Functional assays confirmed that SCO-201 directly inhibits BCRP activity.
- In silico analysis suggested SCO-201 competes with SN-38 at the BCRP drug-binding site.
- SCO-201 exhibited high selectivity, inhibiting BCRP without affecting CYP enzymes or other transporters.
Conclusions:
- SCO-201 is a potent inhibitor of BCRP.
- SCO-201 effectively reverses BCRP-mediated drug resistance.
- SCO-201 shows potential as a specific and safe therapeutic agent for overcoming BCRP-driven chemoresistance.
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