CUDC-101 is the first small-molecule inhibitor designed to simultaneously inhibit
epidermal growth factor receptor (EGFR),
human epidermal growth factor receptor 2 (HER2) and
histone deacetylase (HDAC) in
cancer cells. Recently, in its first in human phase I study,
CUDC-101 showed promising single agent activity against advanced solid
tumors and favorable pharmacodynamic profile. However, the risk of developing drug resistance to
CUDC-101 can still present a significant therapeutic challenge to clinicians in the future. One of the most common mechanisms of developing multidrug resistance (MDR) in
cancer is associated with the overexpression of
ATP-binding cassette (ABC)
drug transporters ABCB1 and ABCG2. Together, they are able to reduce the efficacy and modify the pharmacological properties of anti-
cancer agents, including many small molecule
tyrosine kinase inhibitors (TKIs). Here, we have investigated the impact of ABCB1 and ABCG2 on the efficacy of
CUDC-101 in human
cancer cells. We revealed that although
CUDC-101 has potent antiproliferative and proapoptotic activities against most
cancer cell lines, the overexpression of ABCB1 or ABCG2 in
cancer cells significantly reduced the activity of
CUDC-101 against HDAC, EGFR and HER2, as well as its cytotoxicity and proapoptotic activity. Moreover, we showed that
CUDC-101 modulated the function of both transporters without affecting the
protein expression of either ABCB1 or ABCG2. More importantly, our study provides support for the rationale of combining
CUDC-101 with modulators of ABC
drug transporters to improve
drug efficacy and overcome multidrug resistance associated with the overexpression of ABCB1 and ABCG2.