RT Journal Article SR Electronic T1 Amurensin G, a potent natural SIRT1 inhibitor, rescues doxorubicin responsiveness via down-regulation of multidrug resistance 1 JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP mol.110.065961 DO 10.1124/mol.110.065961 A1 Won Keun Oh A1 Kyoung Bin Cho A1 Tran T Hien A1 Tae Hyung Kim A1 Hyung Sik Kim A1 Trong T Dao A1 Hyo-Kyung Han A1 Seong-Min Kwon A1 Sang-Gun Ahn A1 Jung-Hoon Yoon A1 Tae Hyun Kim A1 Yoon Gyoon Kim A1 Keon Wook Kang YR 2010 UL http://molpharm.aspetjournals.org/content/early/2010/08/16/mol.110.065961.abstract AB The transition from a chemotherapy-responsive cancer to a chemotherapy-resistant one is accompanied by increased expression of multi-drug resistance 1 (MDR1, p-glycoprotein), which plays an important role in the efflux from the target cell of many anti-cancer agents. We recently showed that a Forkhead box-containing protein of the O subfamily 1 (FoxO1) is a key regulator of MDR1 gene transcription. Because nuclear localization of FoxO1 is regulated by silent information regulator two ortholog 1 (SIRT1) deacetylase, we wondered whether SIRT1 dominates MDR1 gene expression in breast cancer cells. Overexpression of SIRT1 enhanced both FoxO reporter activity and nuclear levels of FoxO1. Protein expression of MDR1 and gene transcriptional activity were also up-regulated by SIRT1 overexpression. In addition, SIRT1 inhibition reduced both nuclear FoxO1 levels and MDR1 expression in adriamycin-resistant breast cancer cells (MCF-7/ADR) cells. A potent SIRT1 inhibitor, amurensin G (from Vitis amurensis), was identified by screening plant extracts and bioassay-guided fractionation. The compound suppressed FoxO1 activity and MDR1 expression in MCF-7/ADR cells. Moreover, pretreatment of MCF-7/ADR cells with 1 μg/ml amurensin G for 24 h increased cellular uptake of doxorubicin and restored the responsiveness of MCF-7/ADR cells to doxorubicin. In xenograft studies, intraperitoneal injection of 10 mg/kg amurensin G substantially restored the ability of doxorubicin to inhibit MCF-7/ADR induced tumor growth. These results suggest that SIRT1 is a potential therapeutic target of MDR1-mediated chemoresistance and it may be possible to develop amurensin G as a useful agent for chemoresistance reversal.