Enhanced anticancer effect of thymidylate synthase dimer disrupters by promoting intracellular accumulation

Gaetano Marverti1, Maria Gaetana Moschella2,3, Alice Belardo1

  • 1Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.

Frontiers in Pharmacology
|November 29, 2024
PubMed
Abstract

Insights

Novel thymidylate synthase (TS) dimer disrupters show enhanced cancer cell killing when drug efflux is inhibited or cellular uptake is improved. This strategy overcomes resistance to TS-targeted cancer therapies.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cancer Research

Background:

  • Thymidylate synthase (TS) is vital for DNA synthesis and a target for cancer therapy.
  • Drug resistance, due to efflux or reduced influx, limits the efficacy of anti-TS drugs.
  • Understanding TS function and resistance mechanisms is key for developing effective cancer treatments.

Purpose of the Study:

  • To evaluate the cytotoxic efficacy of novel TS dimer disrupters (Ddis).
  • To investigate strategies for enhancing intracellular accumulation of Ddis to overcome drug resistance.
  • To assess the impact of Ddis on TS protein levels and cell cycle progression.

Main Methods:

  • Tested novel TS dimer disrupters (Ddis) in ovarian and colon cancer cells.
  • Utilized inhibitors of drug efflux pumps to block compound extrusion.
  • Employed the SAINT-Protein transfection agent for enhanced cellular uptake of Ddis.
  • Measured TS protein levels and cell cycle perturbation.

Main Results:

  • Ddis demonstrated increased cytotoxic efficacy when combined with drug efflux inhibitors.
  • Ddis were identified as substrates for cellular drug extruders.
  • SAINT-Protein mediated delivery enhanced intracellular accumulation and cell-killing effects.
  • Observed reduction in TS protein levels and cell cycle perturbation correlated with Ddis efficacy.

Conclusions:

  • Novel TS dimer disrupters show promise as targeted cancer therapeutics.
  • Strategies to increase intracellular accumulation, such as inhibiting efflux or enhancing uptake, are crucial for optimizing Ddis efficacy.
  • This approach offers a potential method to overcome resistance in TS-targeted cancer therapy.

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