2014
DOI: 10.3390/molecules190913061
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Effects of P-Glycoprotein and Its Inhibitors on Apoptosis in K562 Cells

Abstract: P-glycoprotein (P-gp) is a major factor in multidrug resistance (MDR) which is a serious obstacle in chemotherapy. P-gp has also been implicated in causing apoptosis of tumor cells, which was shown to be another important mechanism of MDR recently. To study the influence of P-gp in tumor cell apoptosis, K562/A cells (P-gp+) and K562/S cells (P-gp−) were subjected to doxorubicin (Dox), serum withdrawal, or independent co-incubation with multiple P-gp inhibitors, including valspodar (PSC833), verapamil (Ver) and… Show more

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Cited by 30 publications
(28 citation statements)
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“…When expressed in neoplastic cells, P-gp could induce strong resistance (amounting several hundred times) against a large group of structurally unrelated chemicals belonging to a cluster of P-gp substrates [ 12 ]. However, several lines of evidence indicated that P-gp may depress the initiation and progression of apoptosis, independently of its drug-efflux activity, through different regulatory pathways [ 13 ].…”
Section: Introductionmentioning
confidence: 99%
“…When expressed in neoplastic cells, P-gp could induce strong resistance (amounting several hundred times) against a large group of structurally unrelated chemicals belonging to a cluster of P-gp substrates [ 12 ]. However, several lines of evidence indicated that P-gp may depress the initiation and progression of apoptosis, independently of its drug-efflux activity, through different regulatory pathways [ 13 ].…”
Section: Introductionmentioning
confidence: 99%
“…also have found that TcdA activates caspase-3, −6, −8, and −9 activity, caspase-3 activity increased more quickly than the other caspases, and demonstrated the involvement of caspase-activating cascades in toxin A-induced apoptosis. In addition, Zu et al (23) also found that P-gp related apoptosis was caspase-mediated.…”
Section: Discussionmentioning
confidence: 98%
“…The P-gp expression level of K562/A02 cells decreased significantly compared with the control group after treatment with TcdA (P<0.05), suggesting that TcdA could inhibit cell growth and reverse MDR of cells by reducing P-gp expression. Zu et al (23) found that expression of P-gp inhibits apoptosis in tumor cells, P-gp inhibitor leads to cell death and directly induces apoptosis. In addition, they pointed that inhibition of P-gp function is an effective way to induce apoptosis and overcome MDR.…”
Section: Discussionmentioning
confidence: 99%
“…P-gp transports neutral or cationic hydrophobic and unmodified compounds, and it is involved in the resistance of several important chemotherapy agents including anthracyclines (e.g., doxorubicin), taxanes (e.g., paclitaxel), vinca alkaloids (e.g., vinblastine), antibiotics (e.g., actinomycin D), tyrosine kinase inhibitors (TKIs) (e.g., imatinib), epidermal growth factor receptor TKIs (e.g., erlotinib) which shows why this transporter can modulate the efficiency of treatment regimens used in many cancer types [28]. Lastly, glycoprotein-P can participate in the apoptosis-related resistance either by its efflux activity or by regulating cell proliferation, differentiation and death [29]. For instance, the downregulation of P-gp expression can affect the downregulation of survivin expression-an anti-apoptotic protein-demonstrating that they might share same regulators and therefore, modulate apoptosis [29][30][31].…”
Section: Multidrug Resistance In Cancermentioning
confidence: 99%
“…Lastly, glycoprotein-P can participate in the apoptosis-related resistance either by its efflux activity or by regulating cell proliferation, differentiation and death [29]. For instance, the downregulation of P-gp expression can affect the downregulation of survivin expression-an anti-apoptotic protein-demonstrating that they might share same regulators and therefore, modulate apoptosis [29][30][31].…”
Section: Multidrug Resistance In Cancermentioning
confidence: 99%