Related Experiment Video
Updated: Aug 17, 2026

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Reversal of multidrug resistance by the staurosporine derivatives CGP 41251 and CGP 42700
I Utz1, M Spitaler, M Rybczynska
1Institute of Medical Chemistry and Biochemistry, University of Innsbruck, Austria.
Abstract:
It has been shown previously that the staurosporine derivative CGP 41251, a specific inhibitor of protein kinase C (IC50 = 50 nM), exhibits antitumor activity and reverses mdr1 mediated multidrug resistance. At present, the compound is evaluated as an anticancer drug in clinical phase I trials. We compared the effects of CGP 41251 with CGP 42700, another staurosporine derivative, which exhibits low protein kinase C inhibiting activity (IC50 = > 100 microM). We found that in contrast to CGP 41251, CGP 42700 does not show antiproliferative activity in HeLa and KB cells in tissue culture (up to a concentration of 10 microM). We compared both compounds for their ability to reverse mdr1-mediated resistance in KB-C1 and in HeLa-MDR1 cells (transfected with the mdr1 gene). CGP 42700 is able to reverse mdr1-mediated resistance to a similar extent as CGP 41251. The intracellular accumulation of rhodamine 123 in KB-C1 cells following pretreatment with CGP 41251 for 30 min was higher than that following treatment with CGP 42700 if determined in medium without serum. However, quantitation of rhodamine efflux in an ex vivo assay using human CD8+ cells in serum showed that CGP 42700 is more effective in inhibiting the efflux of rhodamine 123 than CGP 41251. We conclude from our results that (1) CGP 42700 is more effective in reversal of multidrug resistance in serum than CGP 41251, indicating that the compound may be useful for treatment of patients, and (2) CGP 42700 does not inhibit protein kinase C and cell proliferation and, therefore, may be less toxic and elicit less side effects in humans than other chemosensitizers.
Insights
CGP 42700 effectively reverses multidrug resistance in serum, unlike CGP 41251. This staurosporine derivative shows potential as a less toxic anticancer agent with fewer side effects.
Area of Science:
- Pharmacology
- Cancer Biology
- Drug Discovery
Background:
- Staurosporine derivative CGP 41251 inhibits protein kinase C and multidrug resistance.
- CGP 41251 is currently in clinical trials as an anticancer drug.
- CGP 42700 is another staurosporine derivative with low protein kinase C inhibitory activity.
Purpose of the Study:
- Compare the effects of CGP 41251 and CGP 42700.
- Evaluate their efficacy in reversing multidrug resistance.
- Assess their potential as anticancer agents with reduced toxicity.
Main Methods:
- Cell-based assays using HeLa and KB cells.
- Assessment of multidrug resistance reversal in KB-C1 and HeLa-MDR1 cells.
- Rhodamine 123 accumulation and efflux assays using human CD8+ cells.
Main Results:
- CGP 42700 lacks antiproliferative activity against HeLa and KB cells.
- Both CGP 41251 and CGP 42700 reversed mdr1-mediated resistance.
- CGP 42700 demonstrated superior inhibition of rhodamine 123 efflux in serum.
Conclusions:
- CGP 42700 is more effective in reversing multidrug resistance in serum compared to CGP 41251.
- CGP 42700's lack of protein kinase C inhibition suggests lower toxicity and fewer side effects.
- CGP 42700 holds promise as a potential therapeutic agent for cancer patients.
Related Concept Videos
Drugs that Stabilize Microtubules
Treatment Resistant Cancers
Drugs that Destabilize Microtubules
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

