Inhibition of pregnane X receptor pathway contributes to the cell growth inhibition and apoptosis of anticancer agents in ovarian cancer cells

Epithelial ovarian cancer remains the most devastating gynecologic cancer with drug resistance and rapid recurrence. Pregnane X receptor (PXR) is a nuclear receptor that affects drug metabolism/efflux and drug-drug interaction through control of multiple drug resistance 1 (MDR1), which implies a maj...

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Veröffentlicht in:International journal of oncology 2016-09, Vol.49 (3), p.1211-1220
Hauptverfasser: Masuyama, Hisashi, Nakamura, Keiichiro, Nobumoto, Etsuko, Hiramatsu, Yuji
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container_issue 3
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container_title International journal of oncology
container_volume 49
creator Masuyama, Hisashi
Nakamura, Keiichiro
Nobumoto, Etsuko
Hiramatsu, Yuji
description Epithelial ovarian cancer remains the most devastating gynecologic cancer with drug resistance and rapid recurrence. Pregnane X receptor (PXR) is a nuclear receptor that affects drug metabolism/efflux and drug-drug interaction through control of multiple drug resistance 1 (MDR1), which implies a major role in multidrug resistance, and other genes. We examined whether the inhibition of PXR-mediated pathway using siRNA interference and an antagonist for PXR could influence the paclitaxel and cisplatin cytotoxicity in ovarian cancer cells. PXR agonists, phthalate and pregnenolone had significant positive effects on cytochrome P450 (CYP) 3A4 expression and PXR-mediated transcription through the CYP3A4 promoter, whereas MDR1 expression and PXR-mediated transcription though the MDR1 promoter were significantly increased in the presence of paclitaxel or cisplatin. Downregulation of PXR suppressed the augmented MDR1 expression and PXR-mediated transcription by PXR ligands, and significantly enhanced cell growth inhibition and apoptosis in the presence of paclitaxel or cisplatin. Additionally, ketoconazole, a PXR antagonist, suppressed the augmented MDR1 expression and PXR-mediated transactivation by paclitaxel and cisplatin, and enhanced cell growth inhibition and apoptosis in their presence. In conclusion, inhibition of PXR-mediated pathways could be a novel means of augmenting sensitivity, or overcoming resistance to anticancer agents for ovarian cancer.
doi_str_mv 10.3892/ijo.2016.3611
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Pregnane X receptor (PXR) is a nuclear receptor that affects drug metabolism/efflux and drug-drug interaction through control of multiple drug resistance 1 (MDR1), which implies a major role in multidrug resistance, and other genes. We examined whether the inhibition of PXR-mediated pathway using siRNA interference and an antagonist for PXR could influence the paclitaxel and cisplatin cytotoxicity in ovarian cancer cells. PXR agonists, phthalate and pregnenolone had significant positive effects on cytochrome P450 (CYP) 3A4 expression and PXR-mediated transcription through the CYP3A4 promoter, whereas MDR1 expression and PXR-mediated transcription though the MDR1 promoter were significantly increased in the presence of paclitaxel or cisplatin. Downregulation of PXR suppressed the augmented MDR1 expression and PXR-mediated transcription by PXR ligands, and significantly enhanced cell growth inhibition and apoptosis in the presence of paclitaxel or cisplatin. 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Additionally, ketoconazole, a PXR antagonist, suppressed the augmented MDR1 expression and PXR-mediated transactivation by paclitaxel and cisplatin, and enhanced cell growth inhibition and apoptosis in their presence. In conclusion, inhibition of PXR-mediated pathways could be a novel means of augmenting sensitivity, or overcoming resistance to anticancer agents for ovarian cancer.</abstract><cop>Greece</cop><pub>D.A. Spandidos</pub><pmid>27572875</pmid><doi>10.3892/ijo.2016.3611</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source Spandidos Publications Journals; MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Antineoplastic Agents - pharmacology
Apoptosis
ATP Binding Cassette Transporter, Subfamily B - genetics
Cancer therapies
Carcinoma, Ovarian Epithelial
Cell cycle
Cell growth
Cell Line, Tumor
Cell Proliferation - drug effects
Cell receptors
Cell Survival - drug effects
Chemotherapy
Cisplatin
Cisplatin - pharmacology
Drug dosages
Drug metabolism
Drug resistance
Drug therapy
Female
Genes
Genetic aspects
Humans
Ketoconazole - pharmacology
Ligands
Metabolism
multiple drug resistance 1
Neoplasms, Glandular and Epithelial - drug therapy
Neoplasms, Glandular and Epithelial - genetics
Ovarian cancer
Ovarian Neoplasms - drug therapy
Ovarian Neoplasms - genetics
Paclitaxel
Paclitaxel - pharmacology
Patient outcomes
Patients
Phthalic Acids - pharmacology
Pregnane X Receptor
Pregnenolone - pharmacology
Prescription drugs
Properties
Receptors, Steroid - agonists
Receptors, Steroid - antagonists & inhibitors
RNA, Small Interfering - pharmacology
Signal Transduction - drug effects
title Inhibition of pregnane X receptor pathway contributes to the cell growth inhibition and apoptosis of anticancer agents in ovarian cancer cells
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