DNA topoisomerase II has been shown to be an important therapeutic target in
cancer chemotherapy. Here, we describe studies on the antitumor activity of a novel
topoisomerase II inhibitor,
ER-37328 [12,13-dihydro-5-[2-(dimethylamino)ethyl]-4H-benzo[c]pyrimido[5,6,1- jk]
carbazole-4,6,10(5H,11H)-trione hydrochloride].
ER-37328 inhibited
topoisomerase II activity
at 10 times lower concentration than
etoposide in relaxation assay and induced double-strand DNA cleavage within 1 h in murine
leukemia P388 cells, in a bell-shaped manner with respect to
drug concentration. The maximum amount of DNA cleavage was obtained at 2 microM. Like
etoposide,
ER-37328 (2 microM) induced
topoisomerase II-
DNA cross-linking in P388 cells. A spectroscopic study of
ER-37328 mixed with
DNA demonstrated that
ER-37328 has apparent binding activity to
DNA.
ER-37328 showed potent growth-inhibitory activity against a panel of 21 human
cancer cell lines [mean (50% growth-inhibitory concentration) GI50 = 59 nM]. COMPARE analysis according to the National Cancer Institute screening protocol showed that the pattern of the growth-inhibitory effect of
ER-37328 was similar to that of
etoposide, but different from that of
doxorubicin. Studies on
etoposide-,
amsacrine [4'-(9-acridinylamino)methanesulfon-m-anisidide (
m-AMSA)]-, and
camptothecin-resistant P388 cell lines showed that: (a)
etoposide- and
m-AMSA-resistant P388 cell lines were partially resistant to
ER-37328 compared with the parental cell line; and (b) a
camptothecin-resistant cell line showed no cross-resistance to
ER-37328. In addition,
ER-37328 overcame
P-glycoprotein-mediated resistance. In vivo,
ER-37328 produced potent
tumor regression of Colon 38
carcinoma inoculated s.c., and its activity was superior to that of
etoposide or
doxorubicin. These results indicate that
ER-37328 inhibits
topoisomerase II activity through the formation of
topoisomerase II-
DNA cleavable complex and has potent antitumor activity both in vitro and in vivo.