1. Alisertib shows negligible potential for perpetrating pharmacokinetic drug-drug interactions on ABCB1, ABCG2 and cytochromes P450, but acts as dual-activity resistance modulator through the inhibition of ABCC1 transporter.
- Author
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Vagiannis, Dimitrios, Zhang, Yu, Budagaga, Youssif, Novotna, Eva, Skarka, Adam, Kammerer, Sarah, Küpper, Jan-Heiner, and Hofman, Jakub
- Subjects
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DRUG interactions , *CYTOCHROMES , *AURORA kinases , *CYTOCHROME P-450 , *P-glycoprotein , *MULTIDRUG resistance - Abstract
Alisertib (MLN8237), a novel Aurora A kinase inhibitor, is currently being clinically tested in late-phase trials for the therapy of various malignancies. In the present work, we describe alisertib's potential to perpetrate pharmacokinetic drug-drug interactions (DDIs) and/or to act as an antagonist of multidrug resistance (MDR). In accumulation assays, alisertib potently inhibited ABCC1 transporter, but not ABCB1 or ABCG2. The results of molecular modeling suggested a bifunctional mechanism for interaction on ABCC1. In addition, alisertib was characterized as a low- to moderate-affinity inhibitor of recombinant CYP3A4, CYP2C8, CYP2C9, CYP2C19, and CYP2D6 isoenzymes, but without potential clinical relevance. Drug combination studies revealed the capability of alisertib to synergistically antagonize ABCC1-mediated resistance to daunorubicin. Although alisertib exhibited substrate characteristics toward ABCB1 transporter in monolayer transport assays, comparative proliferation studies showed lack of its MDR-victim behavior in cells overexpressing ABCB1 as well as ABCG2 and ABCC1. Lastly, alisertib did not affect the expression of ABCC1 , ABCG2 , ABCB1 transporters and CYP1A2, CYP3A4 , CYP2B6 isozymes on mRNA level in various systemic and tumoral models. In conclusion, our study suggests that alisertib is a drug candidate with negligible potential for perpetrating systemic pharmacokinetic DDIs on ABCB1, ABCG2 and cytochromes P450. In addition, we introduce alisertib as an effective dual-activity chemosensitizer whose MDR-antagonistic capacities are not impaired by efflux or effect on MDR phenotype. Our in vitro findings provide important pieces of information for clinicians when introducing alisertib into the clinical area. • Alisertib inhibits ABCC1, but not ABCB1 or ABCG2 drug efflux transporters. • Alisertib inhibits several cytochrome P450 isoforms but without clinical relevance. • Alisertib reverses ABCC1-mediated drug resistance. • ABC drug efflux transporters do not establish resistance to alisertib. • Alisertib does not affect the gene expression of examined enzymes or transporters. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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