1. Academic Validation
  2. Improving Anticancer Activity of Doxorubicin by 4'- epi-Dehydroxyamination

Improving Anticancer Activity of Doxorubicin by 4'- epi-Dehydroxyamination

  • ACS Med Chem Lett. 2025 Dec 23;17(1):48-53. doi: 10.1021/acsmedchemlett.5c00681.
Anna A Griadunova 1 Nicholas L Petrone 2 Madeleine S Maker 1 Brian Pallares 3 Trevor Leung 1 Allison N Shim 1 Ömer H Yilmaz 4 5 Jacob M Goldberg 3 Jonathan Braverman 1 Fang Wang 2
Affiliations

Affiliations

  • 1 Innovative Genomics Institute, University of California, Berkeley, Berkeley, California 94720, United States.
  • 2 Department of Chemistry, University of Rhode Island, Kingston, Rhode Island 02881, United States.
  • 3 Department of Chemistry, Colgate University, Hamilton, New York 13346, United States.
  • 4 Department of Biology, The David H. Koch Institute for Integrative Cancer Research at MIT, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, United States.
  • 5 Department of Pathology, Beth Israel Deaconess Medical Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02215, United States.
Abstract

Efflux pump-mediated multidrug resistance is a common mechanism by which Cancer cells reduce the efficacy of a broad range of small-molecule therapeutics. We discovered that substituting the 4'-hydroxy group of doxorubicina known efflux pump substratewith an epi-amino group results in a new compound, doxorubamine, which exhibits substantially improved activity against drug-sensitive and -resistant Cancer cells and organoids. Mechanistic studies reveal that doxorubamine is a poor substrate of P-glycoprotein, and it thus retains high potency against multidrug-resistant Cancer. This synthetic modification provides a promising strategy for circumventing multidrug resistance beyond conventional approaches that rely on efflux pump inhibition.

Keywords

ABC transporters; P-glycoprotein; anthracyclines; anticancer; doxorubicin; drug efflux; multidrug resistance.

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