Issue
Ailanthone reverses multidrug resistance by inhibiting the P-glycoprotein-mediated efflux in resistant K562/A02 cells
Corresponding Author(s) : Jienan Wei
Cellular and Molecular Biology,
Vol. 64 No. 15: Issue 15
Abstract
Multidrug resistance (MDR) poses a great impediment to cancer treatment. Excessive expression of ATP-binding cassette transport protein AC-1 (P-glycoprotein, P-GLP) is usually involved in MDR. In this study, ailanthone (AIL), a natural compound extracted from the whole seedlings of Ailanthus altissima (Simaroubaceae) was shown to mediate the reversal of P-GLP-induced MDR and restore the susceptibility of K562/A02 cells to doxorubicin (DOX). Further mechanistic studies revealed that AIL increased intracellular DOX accumulation and interrupted Rh123 efflux through suppression of P-GLP, and also suppressed P-GLP ATPase activity. At the same time, it markedly inhibited MDR1 gene expression and P-GLP protein to sensitize the cytotoxic effect of DOX. Furthermore, AIL down-regulated P-GLP expression by inhibiting the PI3K/Akt pathway. Thus, AIL could be a potential therapeutic compound for reversing P-GLP-mediated drug resistant cancer.
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- Manjelievskaia J, Brown D, McGlynn KA, Anderson W, Shriver CD, Zhu K. Chemotherapy Use and Survival Among Young and Middle-Aged Patients With Colon Cancer. Jama Surg 2017; 152: 452-459.
- McCubrey JA, Abrams SL, Fitzgerald TL, Cocco L, Martelli AM, Montalto G. Roles of signaling pathways in drug resistance, cancer initiating cells and cancer progression and metastasis. Adv Biol Regul 2015; 57: 75-101.
- Wu Q, Yang Z, Nie Y, Shi Y, Fan D. Multi-drug resistance in cancer chemotherapeutics: Mechanisms and lab approaches. Cancer Lett 2014; 347: 159-166.
- Lee AJ, Endesfelder D, Rowan AJ, Walther A, Birkbak NJ, Futreal PA, et al. Chromosomal instability confers intrinsic multidrug resistance. Cancer Res 2011; 71: 1858-1870.
- Kathawala RJ, Gupta P, Ashby CR Jr, Chen ZS. The modulation of ABC transporter-mediated multidrug resistance in cancer: a review of the past decade. Drug Resist Updates 2015; 18: 1-17.
- Simon SM, Schindler M. Cell biological mechanism multidrug resistance in tumors. Proc Natl Acad Sci 1994; 91: 3497-3504.
- Li S, , Sun W, Wang H, Zuo D, Hua Y, Cai Z. Research progress on the multidrug resistance mechanisms of osteosarcoma chemotherapy and reversal. Tumour Biol 2015; 36: 1329-1338.
- Su Z, Zhu H, Liu Y, Yuan H, Yin J, Xu H. Multidrug Resistance Mechanism of Acute Lymphoblastic Leukemia. Novel Aspects Acute Lymphoblastic Leuk InTech 2011; 188-202.
- Gillet JP, Gottesman MM. Mechanisms of multidrug resistance in cancer. Methods Mol Biol 2010; 596: 47-76.
- Dean M, Rzhetsky A, Allikmets R. The human ATP-binding cassette (ABC) transporter superfamily. Genome Res 2001; 42: 1156-1166.
- Chen Z, Jonker JW. Mammalian drug efflux transporters of the ATP binding cassette (ABC) family in multidrug resistance: A review of the past decade. Cancer Lett 2016; 370: 153-164.
- Fromm MF. Importance of P-glycoprotein for drug disposition in humans. Eur J Clin Invest 2015; 33: 6-9.
- Abdallah HM, Alabd AM, Eldine RS, Elhalawany AM. P-glycoprotein inhibitors of natural origin as potential tumor chemo-sensitizers: A review. J Advanced Res 2015; 6: 45-62.
- Palmeira A, Sousa E, Vasconcelos MH, Pinto MM. Three decades of P-gp inhibitors: skimming through several generations and scaffolds. Curr Med Chem 2012; 19: 1946-2025.
- Inglese C, Perrone MG, Colabufo NA. CYP3A4/P-GP sinergistic activity modulates the absorption and delivery of xenobiotics. Pharmacologyonline 2009; 3.
- Xu H, Zhao X, Liu X, Xu P, Zhang K, Lin X. Antitumor effects of traditional Chinese medicine targeting the cellular apoptotic pathway. Drug Des Dev Ther 2015; 9: 2735-2744.
- Liu ZB, Yang JP, Xu LR. Effectiveness and safety of traditional Chinese medicine in treating acquired immune deficiency syndrome: 2004-2014. Infect Dis Poverty 2015; 4: 59.
- Tang JL, Liu BY, Ma KW. Traditional Chinese medicine. Lancet 2008; 372: 1938-1940.
- Xiu LJ, Sun DZ, Jiao JP, Yan B, Qin ZF, Liu X, et al. Anticancer effects of traditional Chinese herbs with phlegm-eliminating properties - An overview. J Ethnopharmacology 2015; 172: 155-161.
- Kim HM, Lee JS, Sezirahiga J, Kwon J, Jeong M, Lee D, et al. A New Canthinone-Type Alkaloid Isolated from Ailanthus altissima Swingle. Molecules 2016; 21.
- Zhuo Z, Hu J, Yang X, Chen M, Lei X, Deng L, et al. Ailanthone Inhibits Huh7 Cancer Cell Growth via Cell Cycle Arrest and Apoptosis In Vitro and In Vivo. Sci Rep 2015; 5: 16185.
- He Y, Peng S, Wang J, Chen H, Cong X, Chen A, et al. Ailanthone targets p23 to overcome MDV3100 resistance in castration-resistant prostate cancer. Nat Commun 2016; 7: 13122.
- Jabbar S, Twentyman PR, Watson JV. The MTT assay underestimates the growth inhibitory effects of interferons. Br J Cancer 1989; 60: 523-528.
- Qiu Q, Shi W, Li Z, Zhang B, Pan M, Cui J. Exploration of 2-((pyridin-4-ylmethyl)amino)nicotinamide derivatives as potent reversal agents against P-glycoprotein-mediated multidrug resistance. J Med Chem 2017; 60: 2930-2943.
- Ji BS, He L. CJY, an isoflavone, reverses P-glycoprotein-mediated multidrug-resistance in doxorubicin-resistant human myelogenous leukaemia (K562/DOX) cells. J Pharm Pharmacol 2007; 59: 1011-1015.
- Chan KF, Zhao Y, Burkett BA, Wong IL, Chow LM, Chan TH. Flavonoid dimers as bivalent modulators for P-glycoprotein-based multidrug resistance: synthetic apigenin homodimers linked with defined-length poly(ethylene glycol) spacers increase drug retention and enhance chemosensitivity in resistant cancer cells. J Med Chem 2006; 49: 6742-6759.
- Dai CL, Xiong HY, Tang LF, Zhang X, Liang YJ, Zeng MS. Tetrandrine achieved plasma concentrations capable of reversing MDR in vitro and had no apparent effect on doxorubicin pharmacokinetics in mice. Cancer Chemother Pharmacol 2007; 60: 741-750.
- Dai D, Tang J, Rose R, Hodgson E, Bienstock RJ, Mohrenweiser HW, et al. Identification of variants of CYP3A4 and characterization of their abilities to metabolize testosterone and chlorpyrifos. J Pharmacol Exp Ther 2001; 299: 825-831.
- Liu Y, Su L, Lin Q, Han Y, You P, Fan Q. Induction of C-Mip by IL-17 Plays an Important Role in Adriamycin-Induced Podocyte Damage. Cell Physiol Biochem 2015; 36: 1274-1290.
- Lingam S, Thonghin N, Ford RC. Investigation of the effects of the CFTR potentiator ivacaftor on human P-glycoprotein (ABCB1). Sci Rep 2017; 7: 17481.
- Wang S, Wang A, Shao M, Lin L, Li P, Wang Y. Schisandrin B reverses doxorubicin resistance through inhibiting P-glycoprotein and promoting proteasome-mediated degradation of survivin. Sci Rep 2017; 7: 8419.
- Chan KF, Wong IL, Kan JW, Yan CS, Chow LM, Chan TH. Amine Linked Flavonoid Dimers as Modulators for P-Glycoprotein-Based Multidrug Resistance: Structure–Activity Relationship and Mechanism of Modulation. J Med Chem 2012; 55: 1999-2014.
- Ludescher C, Thaler J, Drach D, Drach J, Spitaler M, Gattringer C, et al. Detection of activity of P"glycoprotein in human tumour samples using rhodamine 123. Br J Haematol 1992; 82: 161-168.
- Orlowski S, Mir LM, Jr BJ, Garrigos M. Effects of steroids and verapamil on P-glycoprotein ATPase activity: progesterone, desoxycorticosterone, corticosterone and verapamil are mutually non-exclusive modulators. Biochem J 1996; 317: 515-522.
- Li M, Graaf IA, Van dSE, Jager MH, Groothuis GM. The consequence of regional gradients of P-gp and CYP3A4 for drug-drug interactions by P-gp inhibitors and the P-gp/CYP3A4 interplay in the human intestine ex vivo. Toxicol in Vitro 2016; 40: 26-33.
- Holmstock N, Gonzalez FJ, Baes M, Annaert P, Augustijns P. PXR/CYP3A4-humanized mice for studying drug-drug interactions involving intestinal P-glycoprotein. Mol Pharmaceutics 2013; 10: 1056-1062.
- Cui H, Zhang AJ, Chen M, Liu JJ. ABC Transporter Inhibitors in Reversing Multidrug Resistance to Chemotherapy. Curr Drug Targets 2015; 16: 1356-1371.
- Karthikeyan S, Hoti SL. Development of Fourth Generation ABC Inhibitors from Natural Products: A Novel Approach to Overcome Cancer Multidrug Resistance. Anti-cancer agents med chem 2015; 15: 605-615.
- Tsuruo T, Iida H, Tsukagoshi S, Sakurai Y. Overcoming of vincristine resistance in P388 leukemia in vivo and in vitro through enhanced cytotoxicity of vincristine and vinblastine by verapamil. Cancer Res 1981; 41: 1967-1972.
- Binkhathlan Z, Lavasanifar A. P-glycoprotein inhibition as a therapeutic approach for overcoming multidrug resistance in cancer: current status and future perspectives. Curr Cancer Drug Targets 2013; 13: 326-346.
- Sharom FJ. Complex Interplay between the P-Glycoprotein Multidrug Efflux Pump and the Membrane: Its Role in Modulating Protein Function. Front Oncol 2014; 4: 41.
- Sharom FJ. ABC multidrug transporters: structure, function and role in chemoresistance. Pharmacogenomics 2008; 9: 105-127.
- Gottesman MM, Fojo T, Bates SE. Multidrug resistance in cancer: role of ATP–dependent transporters. Nat Rev Cancer 2002; 2: 48-58.
- Hegewischbecker S, Hanania EG, Fu S, Körbling M, Deisseroth AB, Andreeff M. Transduction of MDR1 into human and mouse haemopoietic progenitor cells: use of rhodamine (Rh123) to determine transduction frequency and in vivo selection. Br J Haematol 1995; 90: 876-883.
- Kimchi-Sarfaty C, Oh JM, Kim IW, Sauna ZE, Calcagno AM, Ambudkar SV, et al. A "silent" polymorphism in the MDR1 gene changes substrate specificity. Sci 2007; 315: 525-528.
- Satta T, Isobe KI, Yamauchi M, Nakashima I, Takagi H. Expression of MDR1 and glutatione S transferase"Ï€ genes and chemosensitivities in human gastrointestinal cancer. Cancer 2015; 69: 941-946.
- Barancík M, Bohácová V, Sedlák J, Sulová Z, Breier A. LY294, 002, a specific inhibitor of PI3K/Akt kinase pathway, antagonizes P-glycoprotein-mediated multidrug resistance. Eur J Pharm Sci 2006; 29: 426-434.
- Wang L, Wang C, Jia Y, Liu Z, Shu X, Liu K. Resveratrol Increases Anti-Proliferative Activity of Bestatin through Downregulating P-Glycoprotein Expression via Inhibiting PI3K/Akt/mTOR Pathway in K562/ADR Cells. J Cell Biochem 2015; 117: 1233-1239.
- Sui H, Pan SF, Feng Y, Jin BH, Liu X, Zhou LH. Zuo Jin Wan reverses P-gp-mediated drug-resistance by inhibiting activation of the PI3K/Akt/NF-κB pathway. BMC Complement Altern Med 2014; 14: 279.
References
Manjelievskaia J, Brown D, McGlynn KA, Anderson W, Shriver CD, Zhu K. Chemotherapy Use and Survival Among Young and Middle-Aged Patients With Colon Cancer. Jama Surg 2017; 152: 452-459.
McCubrey JA, Abrams SL, Fitzgerald TL, Cocco L, Martelli AM, Montalto G. Roles of signaling pathways in drug resistance, cancer initiating cells and cancer progression and metastasis. Adv Biol Regul 2015; 57: 75-101.
Wu Q, Yang Z, Nie Y, Shi Y, Fan D. Multi-drug resistance in cancer chemotherapeutics: Mechanisms and lab approaches. Cancer Lett 2014; 347: 159-166.
Lee AJ, Endesfelder D, Rowan AJ, Walther A, Birkbak NJ, Futreal PA, et al. Chromosomal instability confers intrinsic multidrug resistance. Cancer Res 2011; 71: 1858-1870.
Kathawala RJ, Gupta P, Ashby CR Jr, Chen ZS. The modulation of ABC transporter-mediated multidrug resistance in cancer: a review of the past decade. Drug Resist Updates 2015; 18: 1-17.
Simon SM, Schindler M. Cell biological mechanism multidrug resistance in tumors. Proc Natl Acad Sci 1994; 91: 3497-3504.
Li S, , Sun W, Wang H, Zuo D, Hua Y, Cai Z. Research progress on the multidrug resistance mechanisms of osteosarcoma chemotherapy and reversal. Tumour Biol 2015; 36: 1329-1338.
Su Z, Zhu H, Liu Y, Yuan H, Yin J, Xu H. Multidrug Resistance Mechanism of Acute Lymphoblastic Leukemia. Novel Aspects Acute Lymphoblastic Leuk InTech 2011; 188-202.
Gillet JP, Gottesman MM. Mechanisms of multidrug resistance in cancer. Methods Mol Biol 2010; 596: 47-76.
Dean M, Rzhetsky A, Allikmets R. The human ATP-binding cassette (ABC) transporter superfamily. Genome Res 2001; 42: 1156-1166.
Chen Z, Jonker JW. Mammalian drug efflux transporters of the ATP binding cassette (ABC) family in multidrug resistance: A review of the past decade. Cancer Lett 2016; 370: 153-164.
Fromm MF. Importance of P-glycoprotein for drug disposition in humans. Eur J Clin Invest 2015; 33: 6-9.
Abdallah HM, Alabd AM, Eldine RS, Elhalawany AM. P-glycoprotein inhibitors of natural origin as potential tumor chemo-sensitizers: A review. J Advanced Res 2015; 6: 45-62.
Palmeira A, Sousa E, Vasconcelos MH, Pinto MM. Three decades of P-gp inhibitors: skimming through several generations and scaffolds. Curr Med Chem 2012; 19: 1946-2025.
Inglese C, Perrone MG, Colabufo NA. CYP3A4/P-GP sinergistic activity modulates the absorption and delivery of xenobiotics. Pharmacologyonline 2009; 3.
Xu H, Zhao X, Liu X, Xu P, Zhang K, Lin X. Antitumor effects of traditional Chinese medicine targeting the cellular apoptotic pathway. Drug Des Dev Ther 2015; 9: 2735-2744.
Liu ZB, Yang JP, Xu LR. Effectiveness and safety of traditional Chinese medicine in treating acquired immune deficiency syndrome: 2004-2014. Infect Dis Poverty 2015; 4: 59.
Tang JL, Liu BY, Ma KW. Traditional Chinese medicine. Lancet 2008; 372: 1938-1940.
Xiu LJ, Sun DZ, Jiao JP, Yan B, Qin ZF, Liu X, et al. Anticancer effects of traditional Chinese herbs with phlegm-eliminating properties - An overview. J Ethnopharmacology 2015; 172: 155-161.
Kim HM, Lee JS, Sezirahiga J, Kwon J, Jeong M, Lee D, et al. A New Canthinone-Type Alkaloid Isolated from Ailanthus altissima Swingle. Molecules 2016; 21.
Zhuo Z, Hu J, Yang X, Chen M, Lei X, Deng L, et al. Ailanthone Inhibits Huh7 Cancer Cell Growth via Cell Cycle Arrest and Apoptosis In Vitro and In Vivo. Sci Rep 2015; 5: 16185.
He Y, Peng S, Wang J, Chen H, Cong X, Chen A, et al. Ailanthone targets p23 to overcome MDV3100 resistance in castration-resistant prostate cancer. Nat Commun 2016; 7: 13122.
Jabbar S, Twentyman PR, Watson JV. The MTT assay underestimates the growth inhibitory effects of interferons. Br J Cancer 1989; 60: 523-528.
Qiu Q, Shi W, Li Z, Zhang B, Pan M, Cui J. Exploration of 2-((pyridin-4-ylmethyl)amino)nicotinamide derivatives as potent reversal agents against P-glycoprotein-mediated multidrug resistance. J Med Chem 2017; 60: 2930-2943.
Ji BS, He L. CJY, an isoflavone, reverses P-glycoprotein-mediated multidrug-resistance in doxorubicin-resistant human myelogenous leukaemia (K562/DOX) cells. J Pharm Pharmacol 2007; 59: 1011-1015.
Chan KF, Zhao Y, Burkett BA, Wong IL, Chow LM, Chan TH. Flavonoid dimers as bivalent modulators for P-glycoprotein-based multidrug resistance: synthetic apigenin homodimers linked with defined-length poly(ethylene glycol) spacers increase drug retention and enhance chemosensitivity in resistant cancer cells. J Med Chem 2006; 49: 6742-6759.
Dai CL, Xiong HY, Tang LF, Zhang X, Liang YJ, Zeng MS. Tetrandrine achieved plasma concentrations capable of reversing MDR in vitro and had no apparent effect on doxorubicin pharmacokinetics in mice. Cancer Chemother Pharmacol 2007; 60: 741-750.
Dai D, Tang J, Rose R, Hodgson E, Bienstock RJ, Mohrenweiser HW, et al. Identification of variants of CYP3A4 and characterization of their abilities to metabolize testosterone and chlorpyrifos. J Pharmacol Exp Ther 2001; 299: 825-831.
Liu Y, Su L, Lin Q, Han Y, You P, Fan Q. Induction of C-Mip by IL-17 Plays an Important Role in Adriamycin-Induced Podocyte Damage. Cell Physiol Biochem 2015; 36: 1274-1290.
Lingam S, Thonghin N, Ford RC. Investigation of the effects of the CFTR potentiator ivacaftor on human P-glycoprotein (ABCB1). Sci Rep 2017; 7: 17481.
Wang S, Wang A, Shao M, Lin L, Li P, Wang Y. Schisandrin B reverses doxorubicin resistance through inhibiting P-glycoprotein and promoting proteasome-mediated degradation of survivin. Sci Rep 2017; 7: 8419.
Chan KF, Wong IL, Kan JW, Yan CS, Chow LM, Chan TH. Amine Linked Flavonoid Dimers as Modulators for P-Glycoprotein-Based Multidrug Resistance: Structure–Activity Relationship and Mechanism of Modulation. J Med Chem 2012; 55: 1999-2014.
Ludescher C, Thaler J, Drach D, Drach J, Spitaler M, Gattringer C, et al. Detection of activity of P"glycoprotein in human tumour samples using rhodamine 123. Br J Haematol 1992; 82: 161-168.
Orlowski S, Mir LM, Jr BJ, Garrigos M. Effects of steroids and verapamil on P-glycoprotein ATPase activity: progesterone, desoxycorticosterone, corticosterone and verapamil are mutually non-exclusive modulators. Biochem J 1996; 317: 515-522.
Li M, Graaf IA, Van dSE, Jager MH, Groothuis GM. The consequence of regional gradients of P-gp and CYP3A4 for drug-drug interactions by P-gp inhibitors and the P-gp/CYP3A4 interplay in the human intestine ex vivo. Toxicol in Vitro 2016; 40: 26-33.
Holmstock N, Gonzalez FJ, Baes M, Annaert P, Augustijns P. PXR/CYP3A4-humanized mice for studying drug-drug interactions involving intestinal P-glycoprotein. Mol Pharmaceutics 2013; 10: 1056-1062.
Cui H, Zhang AJ, Chen M, Liu JJ. ABC Transporter Inhibitors in Reversing Multidrug Resistance to Chemotherapy. Curr Drug Targets 2015; 16: 1356-1371.
Karthikeyan S, Hoti SL. Development of Fourth Generation ABC Inhibitors from Natural Products: A Novel Approach to Overcome Cancer Multidrug Resistance. Anti-cancer agents med chem 2015; 15: 605-615.
Tsuruo T, Iida H, Tsukagoshi S, Sakurai Y. Overcoming of vincristine resistance in P388 leukemia in vivo and in vitro through enhanced cytotoxicity of vincristine and vinblastine by verapamil. Cancer Res 1981; 41: 1967-1972.
Binkhathlan Z, Lavasanifar A. P-glycoprotein inhibition as a therapeutic approach for overcoming multidrug resistance in cancer: current status and future perspectives. Curr Cancer Drug Targets 2013; 13: 326-346.
Sharom FJ. Complex Interplay between the P-Glycoprotein Multidrug Efflux Pump and the Membrane: Its Role in Modulating Protein Function. Front Oncol 2014; 4: 41.
Sharom FJ. ABC multidrug transporters: structure, function and role in chemoresistance. Pharmacogenomics 2008; 9: 105-127.
Gottesman MM, Fojo T, Bates SE. Multidrug resistance in cancer: role of ATP–dependent transporters. Nat Rev Cancer 2002; 2: 48-58.
Hegewischbecker S, Hanania EG, Fu S, Körbling M, Deisseroth AB, Andreeff M. Transduction of MDR1 into human and mouse haemopoietic progenitor cells: use of rhodamine (Rh123) to determine transduction frequency and in vivo selection. Br J Haematol 1995; 90: 876-883.
Kimchi-Sarfaty C, Oh JM, Kim IW, Sauna ZE, Calcagno AM, Ambudkar SV, et al. A "silent" polymorphism in the MDR1 gene changes substrate specificity. Sci 2007; 315: 525-528.
Satta T, Isobe KI, Yamauchi M, Nakashima I, Takagi H. Expression of MDR1 and glutatione S transferase"Ï€ genes and chemosensitivities in human gastrointestinal cancer. Cancer 2015; 69: 941-946.
Barancík M, Bohácová V, Sedlák J, Sulová Z, Breier A. LY294, 002, a specific inhibitor of PI3K/Akt kinase pathway, antagonizes P-glycoprotein-mediated multidrug resistance. Eur J Pharm Sci 2006; 29: 426-434.
Wang L, Wang C, Jia Y, Liu Z, Shu X, Liu K. Resveratrol Increases Anti-Proliferative Activity of Bestatin through Downregulating P-Glycoprotein Expression via Inhibiting PI3K/Akt/mTOR Pathway in K562/ADR Cells. J Cell Biochem 2015; 117: 1233-1239.
Sui H, Pan SF, Feng Y, Jin BH, Liu X, Zhou LH. Zuo Jin Wan reverses P-gp-mediated drug-resistance by inhibiting activation of the PI3K/Akt/NF-κB pathway. BMC Complement Altern Med 2014; 14: 279.