“…Three compounds, derived from three different classes of sigma-2 receptor ligands ( Figure 1: [41]; and F400 6,7-dime thoxy-2-[3-(5-methoxy-1,2,3,4-tetrahydronaphthalen-1-yl)propionyl]-1,2,3,4 tetrahydroisoquinoline) [42] emerged as MRP1 modulators in the preliminary screening and for this reason they were further evaluated in the appropriate MDR cell line models and in a preclinical in vivo model. affinity ligands have been developed during recent decades (and lately reviewed), revealing cytotoxic activity through pathways that appear to be molecule-dependent and cell-type-dependent, with mechanisms that span from caspase-dependent apoptosis, autophagy, increase in ROS, and mithocondrial superoxide production [36,37,40,44]. Some sigma-2 ligands were surprisingly found to be able to kill doxorubicin-resistant cells more than the non-resistant counterparts (breast cancer cells MCF7/DX over MCF7 cells, non-small cell lung cancer A549/DX over A549 cells, colon cancer HT29/DX over HT29 cells) [28,29,33].…”