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. 2021 Jul;73(3):1150–1171. doi: 10.1124/pharmrev.120.000122

TABLE 3.

Drug resistance to chemotherapeutic agents reversed by AKR inhibitors

Platinum-Based Drugs
AKR AKR Inhibitors Chemotherapeutic Drug Resistance Inhibited Cancer/Cell Line Reference
AKR1B1 1-Benzyl-3-hydroxy-2(5H)-oxopyrrole-4-carboxylate (EBPC) Cis-platin Cervical cancer
HeLa
(Lee et al., 2002)
AKR1C1, AKR1C2, AKR1C3, AKR1C4 Mefenamic acid + mouse xenograft (Shiiba et al., 2017)
AKR1C1
AKR1C3
3-Bromo-5-phenylsalicylic acid (AKR1C1)
Tolfenamic acid (AKR1C3)
Colon cancer
HCT15
(Matsunaga et al., 2013)
AKR1C1, AKR1C2, AKR1C3,
AKR1C4
Mefenamic acid Oral squamous cell carcinoma Sa3 (Shiiba et al., 2017)
AKR1C1 3-Bromo-5-phenylsalicylic acid (Ki = 4 nM) Head and neck squamous carcinoma
293 T, FaDu
Cal-27, HSC-2 and HSC-4
(Chang et al., 2019)
AKR1C1 Flufenamic acid Metastatic bladder cancer
UM-UC-3
(Matsunaga et al., 2016a)
AKR1C1,
AKR1C2,
AKR1C3
Phenolphthalein
α-methylcinnamic acid, Flufenamic acid
Oxaliplatin Gastro-intestinal tract cancer TSGH (Chen et al., 2013)
Anthracyclines
AKR1B1 1-Benzyl-3-hydroxy-2(5H)-oxopyrrole-4-carboxylate Doxorubicin Cervical cancer
HeLa
(Lee et al., 2002)
AKR1C2 5β-Cholanic acid-3α,7α-diol Breast cancer
MCF-7
(Veitch et al., 2009)
AKR1B10, AKR1C3, AKR1C2 5β-Cholanic acid-3α,7α-diol Breast cancer MCF-7 (Heibein et al., 2012)
AKR1B10 Oleanoic acid
3-(4-hydroxy-2-methoxyphenyl-1)acrylic acid 3-(3-hydroxyphenyl)propyl ester
Gastric cancer
MKN45
(Morikawa et al., 2015)
AKR1C1
AKR1C3
3-Bromo-5-phenylsalicylic acid,
Tolfenamic acid,
Daunorubicin Leukemia
(acute monocytic leukemia)
U937
(Matsunaga et al., 2014)
AKR1B10
AKR1C3
Emodin Lung cancer
A-549
Liver cancer
Hep-G2
(Hintzpeter et al., 2016)
AKR1C3 Purvalanol A Roscovine Colon cancer
HCT 116
(Novotná et al., 2018a)
Dinaciclib (Novotná et al., 2018a, 2018b)
AKR1C3 Irutinib
Acalabrutinib
Buparlisib
Colon cancer
HCT 116
(Morrell et al., 2020)
(Bukum et al. 2019)
AKR1B10 Epalrestat Daunorubicin,
Idarubicin
Lung cancer NCI-H460 (Zhong et al., 2011)
AKR1C3 2-Hydroxyflavanone Lung cancer
A-549
(Hofman et al., 2014)
Other drugs
AKR1B10 (Z)-2-(4-methoxyphenyl-imino)-7-hydroxy-N-(pyridin-2-yl)-»H-chromene-3-carbox-amide Mitomycin-c Colon cancer
HT-29
(Matsunaga et al., 2011)
AKR1C3 Baccharin derivatives Etoposide Leukemia
(acute myeloid leukemia)
HL-60, KG-1a
(Verma et al., 2016)
AKR1C1,
AKR1C2,
AKR1C3
6-Medroxy-progesterone acetate Vincristine Leukemia
(acute lymphoblastic leukemia)
CCRF-CEM, DND-41, Loucy
(Bortolozzi et al., 2018)
AKR1C1, AKR1C2, AKR1C3, AKR1C4 Mefenamic acid 5-Fluoro uracil Cervical cancer HeLa +
mouse xenograft
(Shiiba et al., 2017)
AKR1C3 1,3,5-Trisubstituted amido cinnamic acids
Compounds Kv-49a, Kv-49g
Cytarabine Leukemia
(acute myeloid leukemia)
HL-60, TMP-1, KG-1a
(T-cell acute lymphoblastic leukemia)
primary cells
(Verma et al., 2019)
AKR1C3 Tolfenamic acid Irinotecan Colon cancer cell lines DLD1, RKO, LoVo (Matsunaga et al., 2020)
Antihormone Therapy
AKR1C3 Indomethacin Enzalutamide
Abiraterone Acetate
Castration resistant prostate cancer (Liu et al., 2015; 2017)
AKR1C3 Kv-37 and related Baccharin analogs Enzalutamide Castration resistant prostate cancer (Verma et al., 2018)
1,3,5-Trisubstituted amido cinnamic acids
Compound Kv-49g
Apalutamide
Darolutamide
Castration resistant prostate cancer (Morsy & Trippier, 2020)