Thioxanthone-Mediated Cytoprotection Against Cisplatin Toxicity: Exploring the Potential Involvement of P-Glycoprotein Through Computational and Experimental Approaches
Jéssica Veiga-Matos, Daniel J. V. A. dos Santos, Andreia Palmeira, Emília Sousa, Ana I. Morales, Marta Prieto, Fernando Remião, Renata Silva

TL;DR
This study explores how thioxanthones may protect kidney cells from cisplatin toxicity by enhancing P-glycoprotein activity.
Contribution
The study combines computational and experimental methods to investigate thioxanthone effects on P-gp in renal cells.
Findings
TX2 significantly increased P-gp transport activity and expression in HK-2 cells.
TX2 provided strong protection against cisplatin-induced cytotoxicity in kidney cells.
Computational models identified specific binding sites for thioxanthones within P-gp.
Abstract
P-glycoprotein (P-gp), an efflux transporter highly expressed in renal tubules, plays a crucial role in the detoxification and protection of barrier/excretory tissues from harmful xenobiotics. Xanthones and thioxanthones (TXs) are known for their antimicrobial and antitumor activities and for their ability to modulate membrane transporters such as P-gp. Previous studies have reported that (thio)xanthonic derivatives enhance P-gp expression and/or activity in intestinal cells, reducing the intracellular accumulation of toxic substrates; however, their capacity to modulate P-gp in renal cells remains poorly explored. This study aimed to predict, in silico, TXs’ binding sites within P-gp and to evaluate, in vitro, in human kidney (HK)-2 cells, the effects of selected TXs (TX1–5) on P-gp activity and expression, and protection against cisplatin-induced cytotoxicity. Computational studies…
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Taxonomy
TopicsDrug Transport and Resistance Mechanisms · Natural Compound Pharmacology Studies · Chemotherapy-induced organ toxicity mitigation
