Membrane-Fusing Vehicles for Re-Sensitizing Transporter-Mediated Multiple-Drug Resistance in Cancer

Sahel Vahdati1,2, Alf Lamprecht1

  • 1Departments of Pharmaceutics, Institute of Pharmacy, University of Bonn, 53121 Bonn, Germany.

Pharmaceutics
|April 27, 2024
PubMed

Insights

Membrane-fusing vehicles (MFVs) effectively deliver cyclosporine A (CsA) to reverse multidrug resistance (MDR) mediated by ABC transporters. This targeted delivery uses lower concentrations and reveals transporter binding site differences.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Multidrug resistance (MDR) poses a significant challenge in medicine, often stemming from the overexpression of ATP-binding cassette (ABC) transporters.
  • Current inhibitors of these efflux transporters frequently exhibit high toxicity or poor water solubility, limiting their therapeutic efficacy.
  • Developing effective strategies to overcome MDR requires novel drug delivery systems that can enhance inhibitor potency and reduce side effects.

Purpose of the Study:

  • To investigate the efficacy of delivering cyclosporine A (CsA), an inhibitor of ABCB1, ABCC1, and ABCG2 transporters, directly to the cell membrane using membrane-fusing vehicles (MFVs).
  • To compare the MDR-reversing capabilities of CsA delivered via MFVs versus CsA in solution.
  • To explore the potential of MFVs in elucidating transporter binding site specificities.

Main Methods:

  • Utilized three transfected MDCK II cell lines overexpressing ABCB1, ABCC1, and ABCG2, alongside parental cells.
  • Administered CsA loaded into MFVs directly to the cell membrane.
  • Compared the inhibitory concentrations (IC50) of CsA in solution versus MFVs for reversing MDR.
  • Investigated the effect of MFVs and CsA concentrations on Hoechst 33342 efflux.

Main Results:

  • CsA-loaded MFVs significantly reversed MDR mediated by all three tested ABC transporters at lower concentrations compared to CsA in solution.
  • Observed substantial reductions in IC50 values: 15-fold for ABCB1, 7-fold for ABCC1, and 11-fold for ABCG2.
  • Demonstrated binding site specificity for ABCB1 and ABCG2 transporters.
  • Identified that MFVs, beyond drug delivery, can modulate transporter activity and help differentiate binding sites.

Conclusions:

  • MFVs provide an effective delivery system for CsA, overcoming limitations of traditional administration and significantly enhancing its MDR-reversing potential.
  • The MFV delivery system allows for the use of lower, less toxic concentrations of CsA.
  • This approach offers insights into the distinct binding characteristics of ABC transporters, particularly ABCB1 and ABCG2.

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