2010
DOI: 10.1124/jpet.110.173179
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Naturally Occurring Variants of Human Aldo-Keto Reductases with Reduced In Vitro Metabolism of Daunorubicin and Doxorubicin

Abstract: Doxorubicin (DOX) and daunorubicin (DAUN) are effective anticancer drugs; however, considerable interpatient variability exists in their pharmacokinetics. This may be caused by altered metabolism by nonsynonymous single-nucleotide polymorphisms (ns-SNPs) in genes encoding aldo-keto reductases (AKRs) and carbonyl reductases. This study examined the effect of 27 ns-SNPs, in eight human genes, on the in vitro metabolism of both drugs to their major metabolites, doxorubicinol and daunorubicinol. Kinetic assays mea… Show more

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Cited by 90 publications
(77 citation statements)
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“…Tumors increase or acquire resistance to doxorubicin in several ways, including (i) increased expression of drug transporters (26), (ii) enhancement of doxorubicin metabolism (27), and (iii) alteration of intracellular localization of doxorubicin (28). Doxorubicin is deactivated by several carbonyl reducing enzymes, including carbonyl reductases (e.g., CBR1 and CBR3) (29,30) and aldo-keto reductases (e.g., AKR1A1, AKR1B10, AKR1C3, and AKR1C4) (31)(32)(33). CBR1 activities are increased in human lung and breast cancer tissues (21).…”
Section: Discussionmentioning
confidence: 99%
“…Tumors increase or acquire resistance to doxorubicin in several ways, including (i) increased expression of drug transporters (26), (ii) enhancement of doxorubicin metabolism (27), and (iii) alteration of intracellular localization of doxorubicin (28). Doxorubicin is deactivated by several carbonyl reducing enzymes, including carbonyl reductases (e.g., CBR1 and CBR3) (29,30) and aldo-keto reductases (e.g., AKR1A1, AKR1B10, AKR1C3, and AKR1C4) (31)(32)(33). CBR1 activities are increased in human lung and breast cancer tissues (21).…”
Section: Discussionmentioning
confidence: 99%
“…In addition, the k cat /K m value for ONE 13) is 110-fold higher than that for DOX. 38) The positive relationship between detoxification activity towards the reactive aldehydes (ONE and HNE) and chemoresistance development is consistent with that of colon cancer cells resistant to mitomycin-C and cisplatin, both of which generate ROS as their anticancer mechanism. 54,55) In addition, considering that progression of DOX resistance in gastric cancer cells is closely linked to manganese superoxide dismutase, 6) it is reasonable to assume that elevation of cytoprotective activities against ROS and the resultant reactive aldehydes such as ONE is one of the most crucial steps in the development of DOX resistance in gastrointestinal cancer cells.…”
Section: Discussionmentioning
confidence: 57%
“…CBR1 exhibits reductase activity toward DOX and is considered to be the predominant DOX reductase in human liver, 49) whereas its K m value for DOX (167 49) or 540 µM 38) ) is substantially higher than the blood concentration (0.1 to 1 µM) detected in patients who received the chemotherapy. 53) Under our assay conditions using DOX at the low concentration (10 µM), recombinant CBR1 (less than 100 µg) and the overexpression into LoVo cells hardly reduced DOX into its C-13 alcohol metabolite DOXol.…”
Section: Discussionmentioning
confidence: 99%
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