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Updated: Jul 5, 2025

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Natural small-molecules reverse Xeroderma Pigmentosum Complementation Group C (XPC) deficient-mediated
Ruihong Chen1, Hang Hong Lo2, Chenxu Yang2
1Guangdong Provincial Key Laboratory of Medical Molecular Diagnostics, The First Dongguan Affiliated Hospital, Guangdong Medical University, Dongguan, China; Dr. Neher's Biophysics Laboratory for Innovative Drug Discovery, State Key Laboratory of Quality Research in Chinese Medicine, Macau University of Science and Technology, Macau, China; Institute of Laboratory Medicine, School of Medical Technology, Guangdong Medical University, Dongguan, China.
Background:
Renal cancer is insensitive to radiotherapy or most chemotherapies. While the loss of the XPC gene was correlated with drug resistance in colon cancer, the expression of XPC and its role in the drug resistance of renal cancer have not yet been elucidated. With the fact that natural small-molecules have been adopted in combinational therapy with classical chemotherapeutic agents to increase the drug sensitivity and reduce adverse effects, the use of herbal compounds to tackle drug-resistance in renal cancer is advocated.
Purpose:
To correlate the role of XPC gene deficiency to drug-resistance in renal cancer, and to identify natural small-molecules that can reverse drug-resistance in renal cancer via up-regulation of XPC.
Methods:
IHC was adopted to analyze the XPC expression in human tumor and adjacent tissues. Clinical data extracted from The Cancer Genome Atlas (TCGA) database were further analysed to determine the relationship between XPC gene expression and tumor staging of renal cancer. Two types of XPC-KD renal cancer cell models were established to investigate the drug-resistant phenotype and screen XPC gene enhancers from 134 natural small-molecules derived from herbal plants. Furthermore, the identified XPC enhancers were verified in single or in combination with FDA-approved chemotherapy drugs for reversing drug-resistance in renal cancer using MTT cytotoxicity assay. Drug resistance gene profiling, ROS detection assay, immunocytochemistry and cell live-dead imaging assay were adopted to characterize the XPC-related drug resistant mechanism.
Results:
XPC gene expression was significantly reduced in renal cancer tissue compared with its adjacent tissue. Clinical analysis of TCGA database also identified the downregulated level of XPC gene in renal tumor tissue of stage IV patients with cancer metastasis, which was also correlated with their lower survival rate. 6 natural small-molecules derived from herbal plants including tectorigenin, pinostilbene, d-pinitol, polygalasaponin F, atractylenolide III and astragaloside II significantly enhanced XPC expression in two renal cancer cell types. Combinational treatment of the identified natural compound with the treatment of FDA-approved drug, further confirmed the up-regulation of XPC gene expression can sensitize the two types of XPC-KD drug-resistant renal cancer cells towards the FDA-approved drugs. Mechanistic study confirmed that GSTP1/ROS axis was activated in drug resistant XPC-KD renal cancer cells.
Conclusion:
XPC gene deficiency was identified in patient renal tumor samples, and knockdown of the XPC gene was correlated with a drug-resistant phenotype in renal cancer cells via activation of the GSTP1/ROS axis. The 6 identified natural small molecules were confirmed to have drug sensitizing effects via upregulation of the XPC gene. Therefore, the identified active natural small molecules may work as an adjuvant therapy for circumventing the drug-resistant phenotype in renal cancer via enhancement of XPC expression.
Insights
XPC gene deficiency contributes to drug resistance in renal cancer. Six natural compounds were found to reverse this resistance by upregulating the XPC gene, offering potential new therapies.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Renal cancer exhibits resistance to conventional therapies like radiotherapy and chemotherapy.
- The role of the XPC gene in renal cancer drug resistance was previously unknown, despite its association with drug resistance in other cancers.
- Natural small molecules are increasingly used in combination therapy to enhance drug sensitivity and reduce side effects in cancer treatment.
Purpose of the Study:
- To investigate the correlation between XPC gene deficiency and drug resistance in renal cancer.
- To identify natural small molecules capable of reversing renal cancer drug resistance by upregulating XPC expression.
Main Methods:
- Immunohistochemistry (IHC) and TCGA database analysis to assess XPC expression in renal tumors and its correlation with clinical data.
- Establishment of XPC-knockdown (XPC-KD) renal cancer cell models to screen for XPC gene enhancers from 134 natural compounds.
- Validation of identified enhancers using MTT cytotoxicity assays in combination with FDA-approved drugs.
- Mechanistic studies including gene profiling, ROS detection, and cell imaging to elucidate the drug resistance pathway.
Main Results:
- XPC gene expression was significantly lower in renal cancer tissues compared to adjacent tissues, particularly in advanced stages (Stage IV) with metastasis.
- Six natural small molecules (tectorigenin, pinostilbene, d-pinitol, polygalasaponin F, atractylenolide III, and astragaloside II) were identified as potent enhancers of XPC expression.
- Combination therapy with these natural compounds and FDA-approved drugs demonstrated increased sensitivity in XPC-KD renal cancer cells.
- The GSTP1/ROS axis was identified as a key mechanism activated in drug-resistant XPC-KD renal cancer cells.
Conclusions:
- XPC gene deficiency is linked to drug resistance in renal cancer, mediated by the GSTP1/ROS axis.
- The six identified natural small molecules effectively reverse drug resistance by upregulating XPC expression.
- These natural compounds hold promise as adjuvant therapies to overcome drug resistance in renal cancer.
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