1. Tackling drug resistance with efflux pump inhibitors: from bacteria to cancerous cells
- Author
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Venkatasubramanian Ulaganathan, Rene Christena Lowrence, Saisubramanian Nagarajan, and Selva Ganesan Subramaniapillai
- Subjects
0301 basic medicine ,030106 microbiology ,Antineoplastic Agents ,ATP-binding cassette transporter ,Drug resistance ,Applied Microbiology and Biotechnology ,Microbiology ,03 medical and health sciences ,Bacterial Proteins ,Neoplasms ,Drug Resistance, Bacterial ,Animals ,Humans ,Medicine ,Bacteria ,biology ,business.industry ,Bacterial Infections ,General Medicine ,biology.organism_classification ,Phenotype ,030104 developmental biology ,Drug Resistance, Neoplasm ,ATP-Binding Cassette Transporters ,Efflux ,business - Abstract
Drug resistance is a serious concern in a clinical setting jeopardizing treatment for both infectious agents and cancers alike. The wide-spread emergence of multi-drug resistant (MDR) phenotypes from bacteria to cancerous cells necessitates the need to target resistance mechanisms and prevent the emergence of resistant mutants. Drug efflux seems to be one of the preferred approaches embraced by both microbial and mammalian cells alike, to thwart the action of chemotherapeutic agents thereby leading to a drug resistant phenotype. Relative to microbes, which predominantly employs proton motive force (PMF) powered, Major Facilitator Superfamily (MFS)/Resistance Nodulation and Division (RND) classes of efflux pumps to efflux drugs, cancerous cells preferentially use ATP fuelled ATP binding cassette (ABC) transporters to extrude chemotherapeutic agents. The prevalence, evolutionary characteristics and overlapping functions of ABC transporters have been highlighted in this review. Additionally, we outline the role of ABC pumps in conferring MDR phenotype to both bacteria and cancerous cells and underscore the importance of efflux pump inhibitors (EPI) to mitigate drug resistance. Based on the literature reports and analysis, we reason out feasibility of employing bacteria as a tool to screen for EPI's targeting ABC pumps of cancerous cells.
- Published
- 2019
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