2016
DOI: 10.3109/14756366.2016.1149476
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Advances in plant-based inhibitors of P-glycoprotein

Abstract: Multidrug resistance (MDR) has emerged as the main problem in anti-cancer therapy. Although MDR involves complex factors and processes, the main pivot is the expression of multidrug efflux pumps. P-glycoprotein (P-gp) belongs to the family of adenosine triphosphate (ATP)-binding cassette (ABC) transporters. It functions in cellular detoxification, pumping a wide range of xenobiotic compounds out of the cell. An attractive therapeutic strategy for overcoming MDR is to inhibit the transport function of P-gp and … Show more

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Cited by 55 publications
(27 citation statements)
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References 127 publications
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“…On the other hand, wogonin has the ability to suppress the P-glycoprotein, which is an ATP-binding cassette export protein with the function of transporting the drugs back into the blood. Nevertheless, the ability of this compound to penetrate the BBB is not confirmed by any direct evidence [205]. Interestingly, hesperetin and its glycoside hesperidin are other flavonoid compounds that can provide protection, through downregulation of the Aβ-activated autophagy, to neuronal cells against Aβ-stimulated impairment of glucose transport and glucose uptake [206].…”
Section: Role Of Flavonoids In Autophagymentioning
confidence: 99%
“…On the other hand, wogonin has the ability to suppress the P-glycoprotein, which is an ATP-binding cassette export protein with the function of transporting the drugs back into the blood. Nevertheless, the ability of this compound to penetrate the BBB is not confirmed by any direct evidence [205]. Interestingly, hesperetin and its glycoside hesperidin are other flavonoid compounds that can provide protection, through downregulation of the Aβ-activated autophagy, to neuronal cells against Aβ-stimulated impairment of glucose transport and glucose uptake [206].…”
Section: Role Of Flavonoids In Autophagymentioning
confidence: 99%
“…Therefore, due to their low toxicity level research on natural P-gp inhibitors is presently gaining interest. Challenges of using natural molecules in place of conventional synthetic molecules are stated as structural diversity, non-specific binding with the targets, unwanted pharmacokinetic changes may take place and extensive research is needed to establish the drug-like charecteristics of these molecules [ 259 ], but there are ceratain good aspects in using natural products like their variety of structures, less toxicity and the natural products would be helpful in designing and synthesizing new molecules with more selectivity towards P-gp transporters. Conventional P-gp inhibitors have some limitations and always produce toxic effects towards normal cells.…”
Section: P-glycoprotein Inhibitionmentioning
confidence: 99%
“…Among these, flavonoids (3,7-dihydroxyflavone; 2′,4′-dihydroxychalcone from Zuccagnia punctata , quercetin from Ginkgo biloba ; rutin from Ruta graveolens ; genistein from vegetables; kaempfero from Kaempferia galanga L. root; icaritin from Herba epimediu ; baicalein from the roots of Scutellaria ; biochanin A from the bark of Aesculus hippocastanum L., silymarin from the seeds of milk thistle, wogonin from the roots of Scutellaria baicalensi Georgi. ), alkaloids (glaucine from the stems of Corydalis yanhusuo , cepharanthine from the roots of Stephania cepharantha , pyrrolidine from Piper boehmeriifolium , tetrandrine and fangchinoline from the root of Stephania tetranda , indole-3-carbinol from Brassica, pervilleines B and C from Erythroxylum pervillei , stemocurtisine and oxystemokerrine from the roots of Stemona aphylla and Stemona burkillii ), coumarins (cnidiadin from Tordylium apulum , clausarin from Citrus sinensis , galbanic acid from the roots of Ferula szowitsiana , farnesiferol A from the roots of Ferula persica , GUT-70 from stem bark of Calophyllum brasiliense ), terpenoids ((R)-(+)-citronellal essential oil from Zanthoxyli fructus , abietic acid from pine and conifers, Glycyrrhetic acid from Glycyrrhizae radix , euphomelliferine and euphomelliferenes A from Euphorbia mellifera , Euphorbia factor L10 from Euphorbia lathyris , euphoportlandols A and B from Euphorbia portlandica ) and steroids (Paris saponin VII from Trillium tschonoskii , ginsenoside Rg 3 and protopanaxatriol ginsenosides from Panax ginseng , gracillin and polyphyllin D from Paris polyphylla ) were promising ( 31 ).…”
Section: Mechanism Of Actionmentioning
confidence: 99%