Overexpression of P-glycoprotein (P-gp), a plasma membrane transporter which extrudes chemotherapeutic agents out of cells, has been associated with the multidrug resistance of cancer cells. Compounds such as verapamil, dihydropyridine analogs, quinidine and cyclosporin A reversed this P-gp-mediated multidrug resistance (MDR) due to their inhibition of transporter activity. 1,2) In addition to these compounds, it has been revealed that flavonoids and other polyphenols modulate P-gp activity. [3][4][5][6] Although the structure-activity relationships of flavonoids on P-gp functions have been studied, 5,7,8) they are still not clear, especially concerning their effects in whole cells. Recently, we revealed that tea catechins inhibited P-gp function dependent on their chemical structure in multidrug-resistant human epidermal carcinoma cell line KB-C2 cells, 9) which overexpress P-gp.
10)Among the tea catechins, we found the maximum activity in the (Ϫ)epigallocatechin gallate whose chemical structure is shown in Fig. 1. We clarified that the presence of the galloyl moiety in the C ring, and the presence of the trihydric pyrogallol group as the B ring instead of the dihydric catechol group, markedly increased its activity on P-gp, although their effects on the partition coefficients between n-octanol and phosphate-buffered saline (PBS) were opposite to each other.
9)In this study, we examined the structure-activity relationships of seven flavonoids, naringenin (flavanone), baicalein (flavone), kaempferol, quercetin, myricetin, morin, and fisetin (flavonols) (Fig. 1), which do not have large substituents like the galloyl group, as well as two glycosides of quercetin, for their effects on P-gp-mediated drug extrusion in KB-C2 cells. We analyzed the effects from the standpoints of chemical structure, conformation and hydrophobicity. We studied the importance of the 2,3-double bond in the C ring, in relation to the stereoscopic structure of flavonoids. Furthermore, we studied the effects of hydrophobicity of the flavonoids on the inhibitory activity to P-gp function. For this study, we used fluorescent rhodamine-123 and daunorubicin as the P-gp substrates; these substrates have often been used for the study of various P-gp transport modulators including flavonoids.3,6,11) Although daunorubicin has also been revealed to be a substrate of multidrug resistance-associated protein 1 (MRP1), 12) since MRP1 is rarely found in KB-C2 cells, 13) its involvement in substrate efflux is negligible. We studied the effects of flavonoids, naringenin (flavanone), baicalein (flavone), kaempferol, quercetin, myricetin, morin, and fisetin (flavonols) as well as two glycosides of quercetin on P-glycoprotein (P-gp) function in multidrug-resistant P-gp overexpressing KB-C2 cells. Flavonoids such as kaempferol and quercetin increased the accumulation of rhodamine-123 dependent on their chemical structure. Analysis by flow cytometry indicated that the increase in substrate accumulation was due to the inhibition of substrate efflux. Naringenin, w...