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“Cytotoxicity and P-glycoprotein inhibition by
cardiotonic steroids”
Dissertation
zur Erlangung des Grades
“Doktor der Naturwissenschaften”
im Promotionsfach Pharmazie
am Fachbereich Chemie, Pharmazie und
Geowissenschaften der Johannes Gutenberg-Universität in
Mainz
vorgelegt von Maen Zeino
geboren am 88.03.1988 in Damaskus, Syrien
Mainz, März 2015
Betreuer:
Prof. Dr. Thomas Efferth
Gutachter der Arbeit:
Prof. Dr. Thomas Efferth
Prof. Dr. Irene Krämer
Prof. Dr. Gert Fricker
Datum der mündlichen Prüfung:
29.04.2015
Prüfungskommission:
Prof. Dr. Irene Krämer (Vorsitzende)
Prof. Dr. Thomas Efferth
Prof. Dr. Gert Fricker
PD Dr. Rolf Postina
Dr. Joachim Arend (Protokoll)
D77 (Dissertation Universität Mainz)
Publications
Original publications as lead author
M. Zeino, M. Paulsen, M. Zehl, E. Urban, B. Kopp, T. Efferth, “Identification of New
P-Glycoprotein Inhibitors Derived from Cardiotonic Steroids”, Biochemical
Pharmacology, 93(1), 11-24, 2015.
M. Zeino, M. E. Saeed, O. Kadioglu, and T. Efferth, "The ability of molecular docking
to unravel the controversy and challenges related to P-glycoprotein-a well-known, yet
poorly understood drug transporter," Invest New Drugs, Apr 22 2014
M. Zeino, Q. Zhao, T. Eichhorn, J. Hermann, and R. Müller, "Molecular docking studies
of myxobacterial disorazoles and tubulysins to tubulin," Journal of Bioscience and
Medicine, vol. 3, pp. 31-43, 2013
Original publications as co-author
V. Kuete, L. P. Sandjo, J. A. Seukep, M. Zeino, A. T. Mbaveng, B. Ngadjui, et al.,
"Cytotoxic Compounds from the Fruits of Uapaca togoensis towards Multifactorial
Drug-Resistant Cancer Cells," Planta Med, vol. 81, pp. 32-8, Jan 2015.
Saeed, M., Zeino, M., Kadioglu, O., Volm, M., & Efferth, T, “Overcoming of P-
glycoprotein-mediated multidrug resistance of tumors in vivo by drug combinations,”
Synergy, 1(1), 44-58, Sep 2014
R. Hamm, M. Zeino, S. Frewert, and T. Efferth, "Up-regulation of cholesterol associated
genes as novel resistance mechanism in glioblastoma cells in response to archazolid B,"
Toxicol Appl Pharmacol, vol. 281, pp. 78-86, Sep 2014.
V. Kuete, L. P. Sandjo, D. E. Djeussi, M. Zeino, G. M. Kwamou, B. Ngadjui, et al.,
"Cytotoxic flavonoids and isoflavonoids from Erythrina sigmoidea towards multi-
factorial drug resistant cancer cells," Invest New Drugs, vol. 32, pp. 1053-62, Dec 2014.
R. Hamm, Y. R. Chen, E. J. Seo, M. Zeino, C. F. Wu, R. Müller, et al., "Induction of
cholesterol biosynthesis by archazolid B in T24 bladder cancer cells," Biochem
Pharmacol, vol. 91, pp. 18-30, Sep 2014.
C. Noysang, A. Mahringer, M. Zeino, M. Saeed, O. Luanratana, G. Fricker, et al.,
"Cytotoxicity and inhibition of P-glycoprotein by selected medicinal plants from
Thailand," J Ethnopharmacol, vol. 155, pp. 633-41, Aug 2014.
C. Reiter, A. Capcı Karagöz, T. Fröhlich, V. Klein, M. Zeino, K. Viertel, et al.,
"Synthesis and study of cytotoxic activity of 1,2,4-trioxane- and egonol-derived hybrid
molecules against Plasmodium falciparum and multidrug-resistant human leukemia
cells," Eur J Med Chem, vol. 75, pp. 403-12, Mar 2014.
T. AlSalim, M. E. Saeed, J. S. Hadi, M. Zeino, R. Gany, O. Kadioglu, et al.,
"Cytotoxicity of novel sulfanilamides towards sensitive and multidrug-resistant
leukemia cells," Curr Med Chem, vol. 21, pp. 2715-25, 2014.
A. Veerappan, T. Eichhorn, M. Zeino, T. Efferth, and D. Schneider, "Differential
interactions of the broad spectrum drugs artemisinin, dihydroartemisinin and artesunate
with serum albumin," Phytomedicine, vol. 20, pp. 969-74, Aug 2013.
A. M. Saab, A. Guerrini, G. Sacchetti, S. Maietti, M. Zeino, J. Arend, et al.,
"Phytochemical analysis and cytotoxicity towards multidrug-resistant leukemia cells of
essential oils derived from Lebanese medicinal plants," Planta Med, vol. 78, pp. 1927-
31, Dec 2012.
Submitted manuscripts (in revision: meanwhile accepted)
Zeino, M., Brenk, R., Gruber, L., Zehl, M., Urban, E., Kopp, B., & Efferth, T. (2015).
Cytotoxicity of cardiotonic steroids in sensitive and multidrug-resistant leukemia cells
and the link with Na+/K+-ATPase. The Journal of steroid biochemistry and molecular
biology, 150, 97-111.
Poster
M. Zeino, M. Paulsen, M. Zehl, E. Urban, B. Kopp, T. Efferth, “Identification of New
P-Glycoprotein Inhibitors Derived from Cardiotonic Steroids”, [Poster], 128th meeting
of the Gesellschaft Deutscher Naturforscher und Ärzte (GDNÄ) “Vorbild Natur:
Faszination Mensch und Technologie”, Mainz, 2014.
M. Zeino, M. E. Saeed, O. Kadioglu, and T. Efferth, "The ability of molecular docking
to unravel the controversy and challenges related to P-glycoprotein-a well-known, yet
poorly understood drug transporter," [Poster], 128th meeting of the Gesellschaft
Deutscher Naturforscher und Ärzte (GDNÄ) “Vorbild Natur: Faszination Mensch und
Technologie”, Mainz, 2014.
Erklärung
Hiermit erkläre ich an Eides statt, dass ich diese Arbeit selbständig verfasst und keine anderen
als die angegebenen Quellen und Hilfsmittel verwendet habe.
Mainz, 04.05.15 Keine Unterschift zwecks Datenschutz
_______________________ _______________________
Ort, Datum Maen Zeino
Acknowledgement I
Acknowledgement
My journey into exploring and applying the theoretical knowledge I have gained during my
studies has begun, as I received an acceptance letter from him to a PhD position in his
department while applying for a DAAD scholarship. Starting with that moment, my life was
filled with eagerness, challenges and enthusiasm to have the chance to practice science in a
leading country as Germany. Through the great scientific and internationally diverse
atmosphere at his lab, I was able to develop at both the personal and professional level. For that,
my deepest gratitude goes to Prof. Dr. Thomas Efferth with his great support and mentorship
that made it possible to finalize this dissertation.
I would like to also thank Prof. Dr. Irene Krämer, PD Dr. Rolf Postina and Prof. Dr. Gert Fricker
for revising this scientific work and taking part in the examination process.
Many thanks to Dr. Malte Paulsen, who helped me walk the first footsteps in the field of flow
cytometry and was always there when help was needed. I also thank the kind staff at the IMB,
specifically Ina Schäfer, Jens Hartwig and Katrin Kreisz for their technical and moral support,
which made my time at the IMB most joyful.
I would like to also take the chance to thank Prof. Dr. Birgitte Kopp, Dr. Martin Zehl and Prof.
Dr. Ernst Urban for providing us with the substances and for their valuable advice whenever
asked for.
I am also grateful for the group of Prof. Dr. Ruth Brenk for the access to MOE software and
their support in bioinformatics.
A special word has to go to the outstanding team at the Department of Pharmaceutical Biology.
Thanks to Christine Koeppel who showed me the various techniques in the cell culture lab with
great patience and joy. It has been always a blast to work with you. Furthermore, your spiritual
support along with that of Doris Rohr and Dr. Joachim Arend has always kept me going. Thank
you all three for the fruitful and lovely conversations that always contributed to my personality.
Many thanks to Mohammed Saeed and Ching-Fen Wu for their permanent encouragement and
strong belief in me. I also thank Dr. Ean-Jeong Seo, Onat Kadioglu and Qiaoli Zhao for their
readiness to help and support. Thanks to Ilona Zirbs, our secretary, for her help with university
registration and office work. The last team member I would like to specially thank is Rebecca
Hamm, first for critically reading and revising this thesis and second, because she has become
a true companion of my journey with all its ups and downs. An authentic, sincere friendship
has developed over the years, for which I can only be most grateful. Whenever in need, she was
always there with her words and deeds. Thank you for the limitless support, introducing me to
the German culture and showing me how a true friendship is.
Many thanks to the internship and diploma students Lisa Gruber, Johannes Kopp and Nada
Aldabbag, whom I had the chance to supervise at some point, for the support and good times in
the lab.
Much gratitude is entitled to the German Academic Exchange Organization (DAAD) for the
financial support throughout my PhD and to Birgit Klaes, my regional supervisor at DAAD for
her careful and patient guidance.
I have to mention my Syrian friends, who managed to maintain an everlasting friendship despite
the seas separating us. Their E-mails and voices via skype always added happin