Pitavastatin overcomes multi-drug resistance in CRC and NSCLC by targeting the NRP1-ZFX axis

Yuan-Yuan Zhai1, Qiang Wang1, Qi-Yao Nong1

  • 1Key Laboratory of Drug Quality Control and Pharmacovigilance (Ministry of Education), State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 210009, PR China.

PubMed

Insights

Pitavastatin inhibits Neuropilin-1 (NRP1) and reverses multidrug resistance (MDR) in cancer cells by disrupting the NRP1-ZFX pathway. This finding offers a new therapeutic strategy for overcoming drug resistance in cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Multidrug resistance (MDR) poses a major obstacle in cancer therapy.
  • Neuropilin-1 (NRP1) is a potential target for overcoming MDR, but its role and inhibitors need further study.

Purpose of the Study:

  • To investigate NRP1's role in MDR.
  • To identify potential NRP1 inhibitors for reversing MDR.

Main Methods:

  • Virtual screening and biological assays were used to identify inhibitors.
  • In vitro and in vivo experiments assessed pitavastatin's efficacy.
  • Mechanistic studies explored the NRP1-ZFX axis.

Main Results:

  • Elevated NRP1 expression was found in drug-resistant cancer cells.
  • Pitavastatin (Ptv) was identified as a potent NRP1 inhibitor.
  • Ptv restored chemosensitivity by degrading ZFX and disrupting the NRP1-ZFX axis.

Conclusions:

  • Targeting the NRP1-ZFX axis is a promising strategy for MDR.
  • Pitavastatin shows potential for clinical application in NRP1-related diseases.

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