A cell-based high-throughput screen identifies inhibitors that overcome P-glycoprotein (Pgp)-mediated multidrug

Rida Zahra1, Muhammad Furqan1, Rahim Ullah1

  • 1Department of Biology, Syed Babar Ali School of Science and Engineering, Lahore University of Management Sciences, Lahore, Pakistan.

Plos One
|June 3, 2020
PubMed

Insights

Researchers screened 1,127 compounds to overcome P-glycoprotein (Pgp)-mediated multidrug resistance in cancer. Four compounds were identified that inhibit cancer cell growth by either blocking Pgp or evading its efflux, offering new therapeutic strategies.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Multidrug resistance (MDR) is a major obstacle in cancer chemotherapy.
  • P-glycoprotein (Pgp) overexpression is a key mechanism driving MDR.
  • Developing drugs to overcome Pgp-mediated resistance is a critical challenge.

Purpose of the Study:

  • To screen a library of compounds for their ability to overcome Pgp-mediated MDR.
  • To identify novel compounds that can reverse or prevent multidrug resistance in cancer cell lines.
  • To elucidate the mechanisms by which identified compounds overcome Pgp-mediated resistance.

Main Methods:

  • Screening of 1,127 compounds against Pgp-overexpressing cancer cell lines.
  • Cell-based Pgp-efflux assays to determine Pgp activity.
  • Docking studies and biochemical assays to confirm compound binding and inhibition of Pgp.
  • Assessment of compound potency in parental versus resistant cell lines.

Main Results:

  • Four compounds (CHIR-124, Elesclomol, Tyrphostin-9, Brefeldin A) inhibited growth of resistant cells similarly to parental cells.
  • CHIR-124 directly inhibited Pgp activity.
  • Elesclomol, Tyrphostin-9, and Brefeldin A overcame resistance by avoiding Pgp efflux.
  • PIK-75 also inhibited Pgp activity, with strong predicted binding.
  • None of the compounds altered Pgp expression levels.

Conclusions:

  • Identified compounds with diverse cellular targets can overcome Pgp-mediated MDR.
  • Mechanisms include direct Pgp inhibition and Pgp efflux evasion.
  • These compounds may offer advantages over traditional Pgp inhibitors by avoiding co-administration toxicities and pharmacokinetic issues.

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