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.