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Unshielding Multidrug Resistant Cancer through Selective Iron Depletion of P-Glycoprotein–Expressing Cells

Cserepes, Mihály and Türk, Dóra and Tóth, Szilárd and Pape, Veronika F. S. and Gaál, Anikó and Gera, Melinda and Szabó, Judit Eszter and Kucsma, Nóra and Várady, György and Vértessy, Beáta (Grolmuszné) and Streli, Christina and Szabó, T. Pál and Tóvári, József and Szoboszlai, Norbert and Szakács, Gergely (2019) Unshielding Multidrug Resistant Cancer through Selective Iron Depletion of P-Glycoprotein–Expressing Cells. CANCER RESEARCH, 80 (4). pp. 663-674. ISSN 0008-5472

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Abstract

Clinical evidence shows that following initial response to treatment, drug-resistant cancer cells frequently evolve and, eventually, most tumors become resistant to all available therapies. We compiled a focused library consisting of >500 commercially available or newly synthetized 8-hydroxyquinoline (8OHQ) derivatives whose toxicity is paradoxically increased rather than decreased by the activity of P-glycoprotein (Pgp), a transporter conferring multidrug resistance (MDR). Here, we deciphered the mechanism of action of NSC297366 that shows exceptionally strong Pgp-potentiated toxicity. Treatment of cells with NSC297366 resulted in changes associated with the activity of potent anticancer iron chelators. Strikingly, iron depletion was more pronounced in MDR cells due to the Pgp-mediated efflux of NSC297366-iron complexes. Our results indicate that iron homeostasis can be targeted by MDR-selective compounds for the selective elimination of multidrug resistant cancer cells, setting the stage for a therapeutic approach to fight transporter-mediated drug resistance. SIGNIFICANCE: Modulation of the MDR phenotype has the potential to increase the efficacy of anticancer therapies. These findings show that the MDR transporter is a "double-edged sword" that can be turned against resistant cancer.

Item Type: Article
Subjects: Q Science / természettudomány > Q1 Science (General) / természettudomány általában
R Medicine / orvostudomány > RM Therapeutics. Pharmacology / terápia, gyógyszertan
Depositing User: Dr. Judit Eszter Szabó
Date Deposited: 28 Sep 2020 09:26
Last Modified: 28 Sep 2020 09:26
URI: http://real.mtak.hu/id/eprint/115036

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