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Glycyrrhizin as a Nitric Oxide Regulator in Cancer Chemotherapy
Minsu Kim1, Seok Chan Park1, Dong Yun Lee1,2,3
1Department of Bioengineering, College of Engineering, Hanyang University, Seoul 04763, Korea.
Abstract:
Chemotherapy is used widely for cancer treatment; however, the evolution of multidrug resistance (MDR) in many patients limits the therapeutic benefits of chemotherapy. It is important to overcome MDR for enhanced chemotherapy. ATP-dependent efflux of drugs out of cells is the main mechanism of MDR. Recent studies have suggested that nitric oxide (NO) can be used to overcome MDR by inhibiting the ATPase function of ATP-dependent pumps. Several attempts have been made to deliver NO to the tumor microenvironment (TME), however there are limitations in delivery. Glycyrrhizin (GL), an active compound of licorice, has been reported to both reduce the MDR effect by inhibiting ATP-dependent pumps and function as a regulator of NO production in the TME. In this review, we describe the potential role of GL as an NO regulator and MDR inhibitor that efficiently reduces the MDR effect in cancer chemotherapy.
Insights
Glycyrrhizin (GL) may overcome multidrug resistance (MDR) in cancer chemotherapy by regulating nitric oxide (NO) and inhibiting ATP-dependent pumps, enhancing treatment efficacy.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Multidrug resistance (MDR) significantly limits chemotherapy effectiveness in cancer treatment.
- ATP-dependent drug efflux is a primary mechanism driving MDR.
- Nitric oxide (NO) has shown potential in overcoming MDR by inhibiting ATPase pumps.
Purpose of the Study:
- To explore the potential of Glycyrrhizin (GL) as a nitric oxide (NO) regulator and MDR inhibitor.
- To assess GL's efficacy in reducing MDR in the tumor microenvironment (TME).
Main Methods:
- Review of existing literature on Glycyrrhizin (GL), nitric oxide (NO), and multidrug resistance (MDR).
- Analysis of GL's reported mechanisms, including ATP-dependent pump inhibition and NO modulation.
Main Results:
- Glycyrrhizin (GL) demonstrates dual action: inhibiting ATP-dependent pumps and regulating NO production.
- GL shows promise in overcoming MDR by targeting key mechanisms within the TME.
Conclusions:
- Glycyrrhizin (GL) presents a promising therapeutic strategy to enhance cancer chemotherapy by combating MDR.
- Targeting NO production and ATPase activity with GL could improve patient outcomes in chemotherapy.
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