Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein

Multidrug-Resistant (MDR) cancers attenuate chemotherapeutic efficacy through drug efflux, a process that transports drugs from within a cell to the extracellular space via ABC (ATP-Binding Cassette) transporters, including P-glycoprotein 1 (P-gp or ABCB1/MDR1). Conversely, Toll-Like Receptor (TLR)...

Full description

Bibliographic Details
Main Authors: Anunay J. Pulukuri, Anthony J. Burt, Larissa K. Opp, Colin M. McDowell, Maryam Davaritouchaee, Amy E. Nielsen, Rock J. Mancini
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/14/12/1292
_version_ 1797501608914845696
author Anunay J. Pulukuri
Anthony J. Burt
Larissa K. Opp
Colin M. McDowell
Maryam Davaritouchaee
Amy E. Nielsen
Rock J. Mancini
author_facet Anunay J. Pulukuri
Anthony J. Burt
Larissa K. Opp
Colin M. McDowell
Maryam Davaritouchaee
Amy E. Nielsen
Rock J. Mancini
author_sort Anunay J. Pulukuri
collection DOAJ
description Multidrug-Resistant (MDR) cancers attenuate chemotherapeutic efficacy through drug efflux, a process that transports drugs from within a cell to the extracellular space via ABC (ATP-Binding Cassette) transporters, including P-glycoprotein 1 (P-gp or ABCB1/MDR1). Conversely, Toll-Like Receptor (TLR) agonist immunotherapies modulate activity of tumor-infiltrating immune cells in local proximity to cancer cells and could, therefore, benefit from the enhanced drug efflux in MDR cancers. However, the effect of acquired drug resistance on TLR agonist efflux is largely unknown. We begin to address this by investigating P-gp mediated efflux of TLR 7/8 agonists. First, we used functionalized liposomes to determine that imidazoquinoline TLR agonists Imiquimod, Resiquimod, and Gardiquimod are substrates for P-gp. Interestingly, the least potent imidazoquinoline (Imiquimod) was the best P-gp substrate. Next, we compared imidazoquinoline efflux in MDR cancer cell lines with enhanced P-gp expression relative to parent cancer cell lines. Using P-gp competitive substrates and inhibitors, we observed that imidazoquinoline efflux occurs through P-gp and, for Imiquimod, is enhanced as a consequence of acquired drug resistance. This suggests that enhancing efflux susceptibility could be an important consideration in the rational design of next generation immunotherapies that modulate activity of tumor-infiltrating immune cells.
first_indexed 2024-03-10T03:20:59Z
format Article
id doaj.art-e88ae5d7dce54698afd6230e636e2d85
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-10T03:20:59Z
publishDate 2021-12-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-e88ae5d7dce54698afd6230e636e2d852023-11-23T10:03:40ZengMDPI AGPharmaceuticals1424-82472021-12-011412129210.3390/ph14121292Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-GlycoproteinAnunay J. Pulukuri0Anthony J. Burt1Larissa K. Opp2Colin M. McDowell3Maryam Davaritouchaee4Amy E. Nielsen5Rock J. Mancini6Department of Chemistry, Washington State University, Pullman, WA 99164, USADepartment of Chemistry, Washington State University, Pullman, WA 99164, USADepartment of Chemistry, Washington State University, Pullman, WA 99164, USASchool of Molecular Biosciences, Washington State University, Pullman, WA 99164, USADepartment of Chemistry, Washington State University, Pullman, WA 99164, USADepartment of Chemistry, Washington State University, Pullman, WA 99164, USADepartment of Chemistry, Washington State University, Pullman, WA 99164, USAMultidrug-Resistant (MDR) cancers attenuate chemotherapeutic efficacy through drug efflux, a process that transports drugs from within a cell to the extracellular space via ABC (ATP-Binding Cassette) transporters, including P-glycoprotein 1 (P-gp or ABCB1/MDR1). Conversely, Toll-Like Receptor (TLR) agonist immunotherapies modulate activity of tumor-infiltrating immune cells in local proximity to cancer cells and could, therefore, benefit from the enhanced drug efflux in MDR cancers. However, the effect of acquired drug resistance on TLR agonist efflux is largely unknown. We begin to address this by investigating P-gp mediated efflux of TLR 7/8 agonists. First, we used functionalized liposomes to determine that imidazoquinoline TLR agonists Imiquimod, Resiquimod, and Gardiquimod are substrates for P-gp. Interestingly, the least potent imidazoquinoline (Imiquimod) was the best P-gp substrate. Next, we compared imidazoquinoline efflux in MDR cancer cell lines with enhanced P-gp expression relative to parent cancer cell lines. Using P-gp competitive substrates and inhibitors, we observed that imidazoquinoline efflux occurs through P-gp and, for Imiquimod, is enhanced as a consequence of acquired drug resistance. This suggests that enhancing efflux susceptibility could be an important consideration in the rational design of next generation immunotherapies that modulate activity of tumor-infiltrating immune cells.https://www.mdpi.com/1424-8247/14/12/1292Imiquimoddrug effluxmultidrug resistanceimmunotherapyToll-Like Receptor
spellingShingle Anunay J. Pulukuri
Anthony J. Burt
Larissa K. Opp
Colin M. McDowell
Maryam Davaritouchaee
Amy E. Nielsen
Rock J. Mancini
Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein
Pharmaceuticals
Imiquimod
drug efflux
multidrug resistance
immunotherapy
Toll-Like Receptor
title Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein
title_full Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein
title_fullStr Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein
title_full_unstemmed Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein
title_short Acquired Drug Resistance Enhances Imidazoquinoline Efflux by P-Glycoprotein
title_sort acquired drug resistance enhances imidazoquinoline efflux by p glycoprotein
topic Imiquimod
drug efflux
multidrug resistance
immunotherapy
Toll-Like Receptor
url https://www.mdpi.com/1424-8247/14/12/1292
work_keys_str_mv AT anunayjpulukuri acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein
AT anthonyjburt acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein
AT larissakopp acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein
AT colinmmcdowell acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein
AT maryamdavaritouchaee acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein
AT amyenielsen acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein
AT rockjmancini acquireddrugresistanceenhancesimidazoquinolineeffluxbypglycoprotein