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Functional modulation of multidrug resistance-related P-glycoprotein by Ca(2+)-calmodulin

S R Schlemmer1, C H Yang, F M Sirotnak

  • 1Program of Molecular Pharmacology and Experimental Therapeutics, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.

Insights

Calcium-calmodulin (CLM) down-regulates P-glycoprotein (P-gp) function in multidrug-resistant cells. CLM inhibits vinblastine efflux but not binding, with calcium ions modulating this effect, suggesting direct P-gp interaction.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Multidrug resistance (MDR) in cancer is often mediated by P-glycoprotein (P-gp) efflux pumps.
  • Understanding P-gp regulation is crucial for developing effective cancer therapies.

Purpose of the Study:

  • To investigate the role of calcium-calmodulin (CLM) in modulating P-gp function.
  • To elucidate the mechanism by which CLM affects P-gp-mediated drug transport.

Main Methods:

  • Utilized inside-out plasma membrane vesicles from multidrug-resistant murine erythroleukemia (MEL/VCR-6) cells.
  • Assessed [3H]vinblastine (VBL) binding and ATP-dependent VBL efflux in the presence of varying CLM and Ca2+ concentrations.
  • Employed CLM-Sepharose beads and 125I-CLM for demonstrating direct CLM-P-gp binding via SDS-PAGE and Western blotting.

Main Results:

  • CLM significantly inhibited ATP-dependent [3H]VBL efflux in a dose-dependent manner (IC50 = 0.15 nM).
  • Calcium ions modulated CLM's inhibitory effect, reducing potency and shifting the IC50 to the nM range (2.55 nM) at 1 µM Ca2+.
  • CLM binding to P-gp was confirmed, with reduced binding observed in the presence of 1 mM Ca2+.
  • CLM did not affect [3H]VBL binding to P-gp.

Conclusions:

  • P-glycoprotein is a direct calmodulin-binding protein.
  • Ca2+-calmodulin directly interacts with P-gp to down-modulate vinblastine translocation, independent of drug binding.
  • This interaction offers a potential target for overcoming P-gp-mediated multidrug resistance.

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