Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)

Overexpression of breast cancer resistance transporter (BCRP/ABCG2) in cancers has been explained for the failure of chemotherapy in clinic. Inhibition of the transport activity of BCRP during chemotherapy should reverse multidrug resistance. In this study, a triazole-bridged flavonoid dimer <b&g...

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Main Authors: Tsz Cheung Chong, Iris L. K. Wong, Jiahua Cui, Man Chun Law, Xuezhen Zhu, Xuesen Hu, Jason W. Y. Kan, Clare S. W. Yan, Tak Hang Chan, Larry M. C. Chow
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/21/13261
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author Tsz Cheung Chong
Iris L. K. Wong
Jiahua Cui
Man Chun Law
Xuezhen Zhu
Xuesen Hu
Jason W. Y. Kan
Clare S. W. Yan
Tak Hang Chan
Larry M. C. Chow
author_facet Tsz Cheung Chong
Iris L. K. Wong
Jiahua Cui
Man Chun Law
Xuezhen Zhu
Xuesen Hu
Jason W. Y. Kan
Clare S. W. Yan
Tak Hang Chan
Larry M. C. Chow
author_sort Tsz Cheung Chong
collection DOAJ
description Overexpression of breast cancer resistance transporter (BCRP/ABCG2) in cancers has been explained for the failure of chemotherapy in clinic. Inhibition of the transport activity of BCRP during chemotherapy should reverse multidrug resistance. In this study, a triazole-bridged flavonoid dimer <b>Ac15(Az8)<sub>2</sub></b> was identified as a potent, nontoxic, and selective BCRP inhibitor. Using BCRP-overexpressing cell lines, its EC<sub>50</sub> for reversing BCRP-mediated topotecan resistance was 3 nM in MCF7/MX100 and 72 nM in S1M180 in vitro. Mechanistic studies revealed that <b>Ac15(Az8)<sub>2</sub></b> restored intracellular drug accumulation by inhibiting BCRP-ATPase activity and drug efflux. It did not down-regulate the cell surface BCRP level to enhance drug retention. It was not a transport substrate of BCRP and showed a non-competitive relationship with DOX in binding to BCRP. A pharmacokinetic study revealed that I.P. administration of 45 mg/kg of <b>Ac15(Az8)<sub>2</sub></b> resulted in plasma concentration above its EC<sub>50</sub> (72 nM) for longer than 24 h. It increased the AUC of topotecan by 2-fold. In an in vivo model of BCRP-overexpressing S1M180 xenograft in Balb/c nude mice, it significantly reversed BCRP-mediated topotecan resistance and inhibited tumor growth by 40% with no serious body weight loss or death incidence. Moreover, it also increased the topotecan level in the S1M180 xenograft by 2-fold. Our results suggest that <b>Ac15(Az8)<sub>2</sub></b> is a promising candidate for further investigation into combination therapy for treating BCRP-overexpressing cancers.
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spelling doaj.art-b470e512a9744189a7e3f58b7d2ec6a02023-11-24T05:05:03ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-10-0123211326110.3390/ijms232113261Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)Tsz Cheung Chong0Iris L. K. Wong1Jiahua Cui2Man Chun Law3Xuezhen Zhu4Xuesen Hu5Jason W. Y. Kan6Clare S. W. Yan7Tak Hang Chan8Larry M. C. Chow9Department of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Applied Biology and Chemical Technology and State Key Laboratory of Chemical Biology and Drug Discovery, Hong Kong Polytechnic University, Hong Kong, ChinaOverexpression of breast cancer resistance transporter (BCRP/ABCG2) in cancers has been explained for the failure of chemotherapy in clinic. Inhibition of the transport activity of BCRP during chemotherapy should reverse multidrug resistance. In this study, a triazole-bridged flavonoid dimer <b>Ac15(Az8)<sub>2</sub></b> was identified as a potent, nontoxic, and selective BCRP inhibitor. Using BCRP-overexpressing cell lines, its EC<sub>50</sub> for reversing BCRP-mediated topotecan resistance was 3 nM in MCF7/MX100 and 72 nM in S1M180 in vitro. Mechanistic studies revealed that <b>Ac15(Az8)<sub>2</sub></b> restored intracellular drug accumulation by inhibiting BCRP-ATPase activity and drug efflux. It did not down-regulate the cell surface BCRP level to enhance drug retention. It was not a transport substrate of BCRP and showed a non-competitive relationship with DOX in binding to BCRP. A pharmacokinetic study revealed that I.P. administration of 45 mg/kg of <b>Ac15(Az8)<sub>2</sub></b> resulted in plasma concentration above its EC<sub>50</sub> (72 nM) for longer than 24 h. It increased the AUC of topotecan by 2-fold. In an in vivo model of BCRP-overexpressing S1M180 xenograft in Balb/c nude mice, it significantly reversed BCRP-mediated topotecan resistance and inhibited tumor growth by 40% with no serious body weight loss or death incidence. Moreover, it also increased the topotecan level in the S1M180 xenograft by 2-fold. Our results suggest that <b>Ac15(Az8)<sub>2</sub></b> is a promising candidate for further investigation into combination therapy for treating BCRP-overexpressing cancers.https://www.mdpi.com/1422-0067/23/21/13261multidrug resistancebreast cancer resistance proteinBCRPABCG2flavonoid dimers
spellingShingle Tsz Cheung Chong
Iris L. K. Wong
Jiahua Cui
Man Chun Law
Xuezhen Zhu
Xuesen Hu
Jason W. Y. Kan
Clare S. W. Yan
Tak Hang Chan
Larry M. C. Chow
Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)
International Journal of Molecular Sciences
multidrug resistance
breast cancer resistance protein
BCRP
ABCG2
flavonoid dimers
title Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)
title_full Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)
title_fullStr Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)
title_full_unstemmed Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)
title_short Characterization of a Potent, Selective, and Safe Inhibitor, Ac15(Az8)<sub>2</sub>, in Reversing Multidrug Resistance Mediated by Breast Cancer Resistance Protein (BCRP/ABCG2)
title_sort characterization of a potent selective and safe inhibitor ac15 az8 sub 2 sub in reversing multidrug resistance mediated by breast cancer resistance protein bcrp abcg2
topic multidrug resistance
breast cancer resistance protein
BCRP
ABCG2
flavonoid dimers
url https://www.mdpi.com/1422-0067/23/21/13261
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