Effects of the CK2 inhibitors CX-4945 and CX-5011 on drug-resistant cells

PLoS One. 2012;7(11):e49193. doi: 10.1371/journal.pone.0049193. Epub 2012 Nov 8.

Abstract

CK2 is a pleiotropic protein kinase, which regulates many survival pathways and plays a global anti-apoptotic function. It is highly expressed in tumor cells, and is presently considered a promising therapeutic target. Among the many inhibitors available for this kinase, the recently developed CX-4945 and CX-5011 have proved to be very potent, selective and effective in inducing cell death in tumor cells; CX-4945 has recently entered clinical trials. However, no data are available on the efficacy of these compounds to overcome drug resistance, a major reasons of cancer therapy failure. Here we address this point, by studying their effects in several tumor cell lines, each available as variant R resistant to drug-induced apoptosis, and normal-sensitive variant S. We found that the inhibition of endogenous CK2 was very similar in S and R treated cells, with more than 50% CK2 activity reduction at sub-micromolar concentrations of CX-4945 and CX-5011. A consequent apoptotic response was induced both in S and R variants of each pairs. Moreover, the combined treatment of CX-4945 plus vinblastine was able to sensitize to vinblastine R cells that are otherwise almost insensitive to this conventional antitumor drug. Consistently, doxorubicin accumulation in multidrug resistant (MDR) cells was greatly increased by CX-4945.In summary, we demonstrated that all the R variants are sensitive to CX-4945 and CX-5011; since some of the treated R lines express the extrusion pump Pgp, often responsible of the MDR phenotype, we can also conclude that the two inhibitors can successfully overcome the MDR phenomenon.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Apoptosis / drug effects
  • Casein Kinase II* / antagonists & inhibitors
  • Casein Kinase II* / metabolism
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Doxorubicin / pharmacology
  • Drug Resistance, Neoplasm* / drug effects
  • Drug Resistance, Neoplasm* / genetics
  • Drug Synergism
  • Humans
  • Naphthyridines / pharmacology
  • Neoplasms* / drug therapy
  • Neoplasms* / genetics
  • Phenazines
  • Protein Kinase Inhibitors / pharmacology*
  • Pyrimidines / pharmacology*
  • Quinolines / pharmacology*
  • Vinblastine / pharmacology

Substances

  • 5-(3-ethynylphenylamino)pyrimido(4,5-c)quinoline-8-carboxylic acid
  • Naphthyridines
  • Phenazines
  • Protein Kinase Inhibitors
  • Pyrimidines
  • Quinolines
  • Vinblastine
  • Doxorubicin
  • silmitasertib
  • Casein Kinase II

Grants and funding

This work was supported by grants from University of Padova (Progetto Ateneo 2011) to MR, from Associazione Italiana per la Ricerca sul Cancro Project IG 10312 to LAP, and from Italian Miur PRIN 2008 to LAP. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.