A novel nonhydrolyzable
ether-linked
acetic acid analog of
vitamin E, 2,5,7,8-tetramethyl-2R-(4R,8R,12-trimethyltridecyl)-chroman-6-yloxyacetic
acid (alpha-
TEA) in combination with
cisplatin, reduces
tumor burden of A2780/cp70 (cp70)
cisplatin-resistant human
ovarian cancer cells xenografted into immune compromised nude mice. Two xenograft studies were conducted using cp70 cells stably expressing
green fluorescent protein (cp70-GFP) subcutaneously transplanted into NU/NU mice. For studies 1 and 2, alpha-
TEA was formulated in
liposomes and delivered by
aerosol such that approximately 36 microg and 72 microg of alpha-
TEA were deposited in the respiratory tract of each mouse each day, respectively.
Cisplatin at 5 mg/kg was administered by
intraperitoneal injections once weekly for the first 3 weeks in Study 1 and on the third and 10th days following treatment initiation in Study 2. The combination alpha-
TEA +
cisplatin treatment reduced
tumor burden and
metastasis of cp70-GFP cells in comparison to control mice or mice treated with alpha-
TEA or
cisplatin singly. A significant reduction (P < 0.001) in growth of subcutaneous transplanted
tumors was obtained with alpha-
TEA +
cisplatin for both studies. Visible
metastases were observed in the lungs of animals from control and
cisplatin-treated groups but not in animals from the alpha-
TEA- or alpha-
TEA +
cisplatin-treated groups. The alpha-
TEA +
cisplatin significantly reduced the total number of lung and axillary lymph node
micrometastasis (P < 0.03 and P < 0.0001, respectively). Analyses of
tumor sections showed the alpha-
TEA +
cisplatin treatment group, in comparison to control, to have a significantly lower level of cell proliferation (Ki-67 staining; P < 0.0001) and a significantly higher level of apoptosis (
terminal deoxynucleotidyl transferase-mediated nick end labeling [TUNEL]; P < 0.0001). In summary, combinations of alpha-
TEA +
cisplatin significantly reduced
tumor burden and
metastases in a xenograft model of
cisplatin-resistant human
ovarian cancer cells. These data show promise for combination alpha-
TEA +
cisplatin chemotherapy for
ovarian cancer.