Reversal of Multiple Drug Resistance in Cholangiocarcinoma by the Glutathione<i>S</i>-Transferase-π-Specific Inhibitor<i>O</i><sup>1</sup>-Hexadecyl-γ-glutamyl-<i>S</i>-benzylcysteinyl-D-phenylglycine Ethylester
作者:Takaharu Nakajima、Tetsuji Takayama、Koji Miyanishi、Atsushi Nobuoka、Tsuyoshi Hayashi、Tomoyuki Abe、Junji Kato、Kiyoyuki Sakon、Yoshimitsu Naniwa、Hirohumi Tanabe、Yoshiro Niitsu
DOI:10.1124/jpet.103.052696
日期:2003.9
Cholangiocarcinoma is markedly resistant to chemotherapy and has a dismal prognosis, but its mechanism of drug resistance is unknown. This study examines whether glutathione S -transferase-π (GSTP1-1) is involved in resistance to anticancer drugs in cholangiocarcinoma and whether GSTP1-1-specific inhibitors can overcome this resistance. First, immunohistochemical examination disclosed strong staining of all our 17 cholangiocarcinoma specimens for GSTP1-1, irrespective of histological type. Transfection of the GSTP1-1 antisense expression vector into a human cholangiocarcinoma cell line (HuCCT1) apparently decreased its intracellular GSTP1-1 concentration, and the sensitivity of transfectants to adriamycin (ADR), cisplatin, and alkylating agents such as melphalan and 4-hydroxyperoxycyclophosphamide (4-HC) was increased significantly, compared with that of mock transfectants. We next synthesized GSTP1-1-specific inhibitors by elongating the carbon chain of the ethylester at the N -terminal of γ-glutamyl- S -benzylcysteinyl-phenylglycyl diethylester and performed a pharmacokinetic study on them. Of six GSTP1-1 inhibitors tested, O 1-hexadecyl-γ-glutamyl- S -benzylcysteinyl-d-phenylglycine ethylester (C16C2) showed the smallest volume of central compartment and smallest volume of distribution at steady state and the second smallest clearance, being the most effective inhibitor in vivo. The IC50 value of ADR or 4-HC for HuCCT1 cells decreased greater by treatment with C16C2 in a dose-dependent manner, paralleling the decrease in GSTP1-1 activity, than that of ADR or 4-HC alone. The antitumor activity of ADR or cyclophosphamide was clearly enhanced by combination therapy with C16C2 in a xenograft model. In conclusion, our results demonstrated that GSTP1-1 is a resistance factor for anticancer drugs in cholangiocarcinoma and that C16C2, a GSTP1-1-specific inhibitor, is a potent agent against the resistance.
胆管癌对化疗有明显的耐药性,预后不良,但其耐药机制尚不清楚。本研究探讨了谷胱甘肽 S-转移酶-π(GSTP1-1)是否参与了胆管癌对抗癌药物的耐药性,以及 GSTP1-1 特异性抑制剂能否克服这种耐药性。首先,免疫组化检查显示,17 例胆管癌标本中的 GSTP1-1 均呈强染色,与组织学类型无关。将GSTP1-1反义表达载体转染到人胆管癌细胞系(HuCCT1)后,细胞内的GSTP1-1浓度明显降低,与模拟转染者相比,转染者对阿霉素(ADR)、顺铂以及美法仑和4-羟基过氧环磷酰胺(4-HC)等烷化剂的敏感性明显增加。接下来,我们通过延长γ-谷氨酰-S-苄基半胱氨酰-苯基甘氨酰二乙基酯 N 端乙酯的碳链,合成了 GSTP1-1 特异性抑制剂,并对其进行了药代动力学研究。在测试的六种 GSTP1-1 抑制剂中,O 1- 十六烷基-γ-谷氨酰-S-苄基半胱氨酰-二苯甘氨酸乙酯(C16C2)的中心区容积和稳态分布容积最小,清除率次之,是体内最有效的抑制剂。用 C16C2 处理 HuCCT1 细胞时,ADR 或 4-HC 的 IC50 值会随着 GSTP1-1 活性的降低而降低,其降低程度与 GSTP1-1 活性的降低程度呈剂量依赖关系。在异种移植模型中,与 C16C2 联合治疗可明显增强 ADR 或环磷酰胺的抗肿瘤活性。总之,我们的研究结果表明,GSTP1-1 是胆管癌抗癌药物的耐药因子,而 C16C2 作为一种 GSTP1-1 特异性抑制剂,是一种有效的抗耐药药物。