About P-glycoprotein: a new drugable domain is emerging from structural data

作者:Ferreira Ricardo J; Bonito Catia A; Ferreira Maria Jose U*; dos Santos Daniel J V A*
来源:Wiley Interdisciplinary Reviews-Computational Molecular Science, 2017, 7(5): e1316.
DOI:10.1002/wcms.1316

摘要

P-glycoprotein (P-gp) has been considered an important molecular target in the reversal of multidrug resistance (MDR). As such, the development of P-gp modulators able to restore drug sensitivity in resistant cells is still considered one of the most promising strategies for overcoming MDR. Since the identification of the P-gp's role in MDR, several studies have been performed in order to develop effective P-gp modulators and understand the efflux mechanism. However, no efflux modulator is still clinically available for treating multidrug-resistant cancers. Nevertheless, recent experimental studies suggest that MDR can be surpassed by targeting a specific region within the ABC transporter structure rather than the polyspecific drug-binding pocket. This article will focus on the information available about this new target region and on a brief overview of which scaffolds would be suitable for modulating P-gp at this new location.