洛匹那韦和伊维菌素作为乳腺癌耐药蛋白(BCRP/ABCG2)抑制剂的结构与分子特征
Structural and molecular characterization of lopinavir and ivermectin as breast cancer resistance protein (BCRP/ABCG2) inhibitors.
作者信息
Dutra Julia de Paula, Scheiffer Gustavo, Kronenberger Thales, Gomes Lucas Julian Cruz, Zanzarini Isadora, Dos Santos Kelly Karoline, Tonduru Arun K, Poso Antti, Rego Fabiane Gomes de Moraes, Picheth Geraldo, Valdameri Glaucio, Moure Vivian Rotuno
机构信息
Graduate Program in Pharmaceutical Sciences, Laboratory of Cancer Drug Resistance, Federal University of Parana, Curitiba, PR, Brazil.
School of Pharmacy, Faculty of Health Sciences, University of Eastern Finland, P.O. Box 1627, FI-70211 Kuopio, Finland.
出版信息
EXCLI J. 2023 Nov 14;22:1155-1172. doi: 10.17179/excli2023-6427. eCollection 2023.
A current clinical challenge in cancer is multidrug resistance (MDR) mediated by ABC transporters. Breast cancer resistance protein (BCRP) or ABCG2 transporter is one of the most important ABC transporters implicated in MDR and the use of inhibitors is a promising approach to overcome the resistance in cancer. This study aimed to characterize the molecular mechanism of ABCG2 inhibitors identified by a repurposing drug strategy using antiviral, anti-inflammatory and antiparasitic agents. Lopinavir and ivermectin can be considered as pan-inhibitors of ABC transporters, since both compounds inhibited ABCG2, P-glycoprotein and MRP1. They inhibited ABCG2 activity showing IC values of 25.5 and 23.4 µM, respectively. These drugs were highly cytotoxic and not transported by ABCG2. Additionally, these drugs increased the 5D3 antibody binding and did not affect the mRNA and protein expression levels. Cell-based analysis of the type of inhibition suggested a non-competitive inhibition, which was further corroborated by approaches of molecular docking and molecular dynamics simulations. These results showed an overlap of the lopinavir and ivermectin binding sites on ABCG2, mainly interacting with E446 residue. However, the substrate mitoxantrone occupies a different site, binding to the F436 region, closer to the L554/L555 plug. In conclusion, these results revealed the mechanistic basis of lopinavir and ivermectin interaction with ABCG2. See also the Graphical abstract(Fig. 1).
癌症当前面临的一个临床挑战是由ABC转运蛋白介导的多药耐药性(MDR)。乳腺癌耐药蛋白(BCRP)或ABCG2转运蛋白是与MDR相关的最重要的ABC转运蛋白之一,使用抑制剂是克服癌症耐药性的一种有前景的方法。本研究旨在表征通过使用抗病毒、抗炎和抗寄生虫药物的药物重新利用策略鉴定出的ABCG2抑制剂的分子机制。洛匹那韦和伊维菌素可被视为ABC转运蛋白的泛抑制剂,因为这两种化合物均抑制ABCG2、P-糖蛋白和MRP1。它们抑制ABCG2活性,IC值分别为25.5和23.4μM。这些药物具有高细胞毒性,且不被ABCG2转运。此外,这些药物增加了5D3抗体结合,且不影响mRNA和蛋白质表达水平。基于细胞的抑制类型分析表明为非竞争性抑制,分子对接和分子动力学模拟方法进一步证实了这一点。这些结果显示洛匹那韦和伊维菌素在ABCG2上的结合位点重叠,主要与E446残基相互作用。然而,底物米托蒽醌占据不同位点,与F436区域结合,更靠近L554/L555塞子。总之,这些结果揭示了洛匹那韦和伊维菌素与ABCG2相互作用的机制基础。另见图1(图形摘要)。