Abstract
Protein synthesis is a powerful therapeutic target in leukemias and other cancers, but few pharmacologically viable agents are available that affect this process directly. The plant-derived agent silvestrol specifically inhibits translation initiation by interfering with eIF4A/mRNA assembly with eIF4F. Silvestrol has potent in vitro and in vivo activity in multiple cancer models including acute lymphoblastic leukemia (ALL) and is under pre-clinical development by the US National Cancer Institute, but no information is available about potential mechanisms of resistance. In a separate report, we showed that intraperitoneal silvestrol is approximately 100% bioavailable systemically, although oral doses were only 1% bioavailable despite an apparent lack of metabolism. To explore mechanisms of silvestrol resistance and the possible role of efflux transporters in silvestrol disposition, we characterized multi-drug resistance transporter expression and function in a silvestrol-resistant ALL cell line generated via culture of the 697 ALL cell line in gradually increasing silvestrol concentrations. This resistant cell line, 697-R, shows significant upregulation of ABCB1 mRNA and P-glycoprotein (Pgp) as well as cross-resistance to known Pgp substrates vincristine and romidepsin. Furthermore, 697-R cells readily efflux the fluorescent Pgp substrate rhodamine 123. This effect is prevented by Pgp inhibitors verapamil and cyclosporin A, as well as siRNA to ABCB1, with concomitant re-sensitization to silvestrol. Together, these data indicate that silvestrol is a substrate of Pgp, a potential obstacle that must be considered in the development of silvestrol for oral delivery or targeting to tumors protected by Pgp overexpression.
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ACKNOWLEDGMENTS
The authors thank Dr. Kapil Bhalla (University of Kansas Cancer Center), for providing the ABCB1-overexpressing HL60 cell line, and Dr. Charles Morrow (Wake Forest University School of Medicine) as well as the members of our laboratory for the many helpful comments. As to funding, silvestrol was provided through a National Cooperative Drug Discovery Group U19 [CA52956] and National Cancer Institute P01 [CA125066] to ADK. This work was supported by the National Cancer Institute [P01 CA081534 and P50 CA140158], The Samuel Waxman Cancer Research Foundation, and The Leukemia and Lymphoma Society.
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Gupta, S.V., Sass, E.J., Davis, M.E. et al. Resistance to the Translation Initiation Inhibitor Silvestrol is Mediated by ABCB1/P-Glycoprotein Overexpression in Acute Lymphoblastic Leukemia Cells. AAPS J 13, 357–364 (2011). https://doi.org/10.1208/s12248-011-9276-7
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DOI: https://doi.org/10.1208/s12248-011-9276-7