PMID- 34791996 OWN - NLM STAT- MEDLINE DCOM- 20220221 LR - 20220221 IS - 1875-5453 (Electronic) IS - 1389-2002 (Linking) VI - 22 IP - 13 DP - 2021 TI - How Antimalarials and Antineoplastic Drugs can Interact in Combination Therapies: A Perspective on the Role of PPT1 Enzyme. PG - 1009-1016 LID - 10.2174/1389200222666211118114057 [doi] AB - Antimalarial drugs from different classes have demonstrated anticancer effects in different types of cancer cells, but their complete mode of action in cancer remains unknown. Recently, several studies reported the important role of palmitoyl-protein thioesterase 1 (PPT1), a lysosomal enzyme, as the molecular target of chloroquine and its derivates in cancer. It was also found that PPT1 is overexpressed in different types of cancer, such as breast, colon, etc. Our group has found a synergistic interaction between antimalarial drugs, such as mefloquine, artesunate and chloroquine and antineoplastic drugs in breast cancer cells, but the mechanism of action was not determined. Here, we describe the importance of autophagy and lysosomal inhibitors in tumorigenesis and hypothesize that other antimalarial agents besides chloroquine could also interact with PPT1 and inhibit the mechanistic target of rapamycin (mTOR) signalling, an important pathway in cancer progression. We believe that PPT1 inhibition results in changes in the lysosomal metabolism that result in less accumulation of antineoplastic drugs in lysosomes, which increases the bioavailability of the antineoplastic agents. Taken together, these mechanisms help to explain the synergism of antimalarial and antineoplastic agents in cancer cells. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Duarte, Diana AU - Duarte D AD - OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Dr. Placido da Costa, 4200-450 Porto,Portugal. FAU - Vale, Nuno AU - Vale N AD - OncoPharma Research Group, Center for Health Technology and Services Research (CINTESIS), Rua Dr. Placido da Costa, 4200-450 Porto,Portugal. LA - eng GR - IF/00092/2014/CP1255/CT0004, UIDB/4255/2020, SFRH/BD/140734/2018/Fundacao para a Ciencia e a Tecnologia (FCT) National Funds/ PT - Journal Article PL - Netherlands TA - Curr Drug Metab JT - Current drug metabolism JID - 100960533 RN - 0 (Antimalarials) RN - 0 (Antineoplastic Agents) RN - 0 (Membrane Proteins) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.1.2.- (Thiolester Hydrolases) RN - EC 3.1.2.22 (PPT1 protein, human) SB - IM MH - Antimalarials/*pharmacology MH - Antineoplastic Agents/*pharmacology MH - Autophagy/drug effects MH - Biological Availability MH - Carcinogenesis/drug effects/metabolism MH - Drug Interactions MH - Drug Synergism MH - Drug Therapy, Combination MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - *Lysosomes/drug effects/enzymology MH - Membrane Proteins/*metabolism MH - Molecular Targeted Therapy/methods MH - *Neoplasms/drug therapy/metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/*metabolism MH - Thiolester Hydrolases/*metabolism OTO - NOTNLM OT - PPT1 OT - antimalarial drugs OT - antineoplastic drugs OT - autophagy OT - drug combination. OT - mTOR EDAT- 2021/11/19 06:00 MHDA- 2022/02/22 06:00 CRDT- 2021/11/18 08:45 PHST- 2021/06/16 00:00 [received] PHST- 2021/09/15 00:00 [revised] PHST- 2021/10/21 00:00 [accepted] PHST- 2021/11/19 06:00 [pubmed] PHST- 2022/02/22 06:00 [medline] PHST- 2021/11/18 08:45 [entrez] AID - CDM-EPUB-118924 [pii] AID - 10.2174/1389200222666211118114057 [doi] PST - ppublish SO - Curr Drug Metab. 2021;22(13):1009-1016. doi: 10.2174/1389200222666211118114057.