Multidrug resistance

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Identification of the metabolic alterations associated with the multidrug resistant phenotype
in cancer and their intercellular transfer mediated by extracellular vesicles

Cancer multidrug resistance (MDR) is a major cause of therapeutic failure in cancer. MDR is mainly due to the overexpression of drug efflux pumps, such as P-glycoprotein (P-gp). Besides overexpression of drug efflux pumps, other molecular mechanisms are involved in the MDR phenotype, including metabolic alterations. Indeed, recent studies showed that it is possible to revert the MDR phenotype by inhibition of glycolysis with specific modulators.

Dregamine and tabernaemontanine derivatives as ABCB1 modulators on resistant cancer cells


Angela Paterna1, Annamária Kincses2, Gabriella Spengler2, Silva Mulhovo3, Joseph Molnár2, Maria-José U. Ferreira1*

1 Research Institute for Medicines (iMed.ULisboa), Faculty of Pharmacy, Universidade de Lisboa, 1649-003 Lisbon, Portugal

2 Department of Medical Microbiology and Immunobiology, Faculty of Medicine, University of Szeged, Dóm tér 10, H-6720 Szeged, Hungary