Implication of metabolomics and transporter modulation based strategies to minimize multidrug resistance and enhance site-specific bioavailability : a needful consideration toward modern anticancer drug discovery

Induction of drug-metabolizing enzymes and efflux transporters (DMET) through activation of pregnane x receptor (PXR) is the primary factor involved in almost all bioavailability and drug resistance-related problems of anticancer drugs. PXR is a transcriptional regulator of many metabolizing enzymes and efflux transporters proteins like p-glycoprotein (p-gp), multidrug resistant protein 1 and 2 (MRP 1 and 2), and breast cancer resistant protein (BCRP), etc. Several anticancer drugs are potent activators of PXR receptors and can modulate the gene expression of DMET proteins. Involvement of anticancer drugs in transcriptional regulation of DMET can prompt increased metabolism and efflux of their own or other co-administered drugs, which leads to poor site-specific bioavailability and increased drug resistance. In this review, we have discussed several novel strategies to evade drug-induced PXR activation and p-gp efflux including assessment of PXR ligand and p-gp substrate at early stages of drug discovery. Additionally, we have critically discussed the chemical structure and drug delivery-based approaches to avoid PXR binding and inhibit the p-gp activity of the drugs at their target sites.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:54

Enthalten in:

Drug metabolism reviews - 54(2022), 2 vom: 04. Mai, Seite 101-119

Sprache:

Englisch

Beteiligte Personen:

Rachmale, Megha [VerfasserIn]
Rajput, Niraj [VerfasserIn]
Jadav, Tarang [VerfasserIn]
Sahu, Amit Kumar [VerfasserIn]
Tekade, Rakesh K [VerfasserIn]
Sengupta, Pinaki [VerfasserIn]

Links:

Volltext

Themen:

ATP Binding Cassette Transporter, Subfamily G, Member 2
Anticancer drug development
Antineoplastic Agents
Drug-metabolizing enzymes and efflux transporters
Journal Article
Multi drug resistance
Nanocarrier drug cargo
Neoplasm Proteins
PXR receptor
Pharmaceutical Preparations
Receptors, Steroid
Review
Site-specific bioavailability

Anmerkungen:

Date Completed 19.05.2022

Date Revised 03.06.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/03602532.2022.2048007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337859817