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New uses for old drugs: pharmacophore‐based screening for the discovery of P‐glycoprotein inhibitors

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P-glycoprotein (P-gp) is one of the best character ized transporters responsible for the multidrug resistance phenotype exhibited by cancer cells. Therefore, there is widespread interest in eluci dating whether existing drugs are candidate P-gp substrates or inhibitors. With this aim, a pharma cophore model was created based on known P-gp inhibitors and it was used to screen a database of existing drugs. The P-gp modulatory activity of the best hits was evaluated by several methods such as the rhodamine-123 accumulation assay using K562Dox cell line, and a P-gp ATPase activ ity assay. The ability of these compounds to enhance the cytotoxicity of doxorubicin was assessed with the sulphorhodamine-B assay. Of the 21 hit compounds selected in silico, 12 were found to significantly increase the intracellular accumulation of Rhodamine-123, a P-gp substrate. In addition, amoxapine and loxapine, two tetracy clic antidepressant drugs, were discovered to be potent non-competitive inhibitors of P-gp, causing a 3.5-fold decrease in the doxorubicin GI50 in K562Dox cell line. The overall results provide important clues for the non-label use of known drugs as inhibitors of P-gp. Potent inhibitors with a dibenzoxazepine scaffold emerged from this study and they will be further investigated in order to develop new P-gp inhibitors.

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Cancer Multidrug-resistance transporters Oxazepine P-glycoprotein inhibitors Pharmacophore Virtual screening . Faculdade de Ciências Exatas e da Engenharia

Citation

Palmeira, A., Rodrigues, F., Sousa, E., Pinto, M., Vasconcelos, M. H., & Fernandes, M. X. (2011). New uses for old drugs: pharmacophore‐based screening for the discovery of P‐glycoprotein inhibitors. Chemical biology & drug design, 78(1), 57-72.

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