Molecules (Jul 2024)

Dual Inhibitors of P-gp and Carbonic Anhydrase XII (hCA XII) against Tumor Multidrug Resistance with Piperazine Scaffold

  • Laura Braconi,
  • Chiara Riganti,
  • Astrid Parenti,
  • Marta Cecchi,
  • Alessio Nocentini,
  • Gianluca Bartolucci,
  • Marta Menicatti,
  • Marialessandra Contino,
  • Nicola Antonio Colabufo,
  • Dina Manetti,
  • Maria Novella Romanelli,
  • Claudiu T. Supuran,
  • Elisabetta Teodori

DOI
https://doi.org/10.3390/molecules29143290
Journal volume & issue
Vol. 29, no. 14
p. 3290

Abstract

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A new series of piperazine derivatives were synthesized and studied with the aim of obtaining dual inhibitors of P-glycoprotein (P-gp) and carbonic anhydrase XII (hCA XII) to synergistically overcome the P-gp-mediated multidrug resistance (MDR) in cancer cells expressing the two proteins, P-gp and hCA XII. Indeed, these hybrid compounds contain both P-gp and hCA XII binding groups on the two nitrogen atoms of the heterocyclic ring. All compounds showed good inhibitory activity on each protein (P-gp and hCA XII) studied individually, and many of them showed a synergistic effect in the resistant HT29/DOX and A549/DOX cell lines which overexpress both the target proteins. In particular, compound 33 displayed the best activity by enhancing the cytotoxicity and intracellular accumulation of doxorubicin in HT29/DOX and A549/DOX cells, thus resulting as promising P-gp-mediated MDR reverser with a synergistic mechanism. Furthermore, compounds 13, 27 and 32 induced collateral sensitivity (CS) in MDR cells, as they were more cytotoxic in resistant cells than in the sensitive ones; their CS mechanisms were extensively investigated.

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