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Flexible heteroarotinoids (Flex-Hets) exhibit improved therapeutic ratios as anti-cancer agents over retinoic acid receptor agonists.

Abstract
The anti-cancer activities and toxicities of retinoic acid (RA) and synthetic retinoids are mediated through nuclear RA receptors (RARs) and retinoid X receptors (RXRs) that act as transcription factors. Heteroarotinoids (Hets), which contain a heteroatom in the cyclic ring of an arotinoid structure, exhibit similar anti-cancer activities, but reduced toxicity in vivo, in comparison to parent retinoids and RA. A new class of Flexible Hets (Flex-Hets), which contain 3-atom urea or thiourea linkers, regulate growth and differentiation similar to RA, but do not activate RARs or RXRs. In addition, Flex-Hets induce potent apoptosis in ovarian cancer and in head and neck cancer cell lines through the intrinsic mitochondrial pathway. In this study, 4 cervical cancer cell lines were growth inhibited by micromolar concentrations of Flex-Hets to greater extents than RAR/RXR active retinoids. The most potent Flex-Het (SHetA2) inhibited each cell line of the National Cancer Institute's human tumor cell line panel at micromolar concentrations. Oral administration of Flex-Hets (SHetA2 and SHetA4) inhibited growth of OVCAR-3 ovarian cancer xenografts to similar extents as administration of a RAR/RXR-panagonist (SHet50) and Fenretinide (4-HPR) in vivo. None of these compounds induced evidence of skin, bone or liver toxicity, or increased levels of serum alanine aminotransferase (ALT) in the treated mice. Topical application of Flex-Hets did not induce skin irritation in vivo, whereas a RAR/RXR-panagonist (NHet17) and a RARgamma-selective agonist (SHet65) induced similar irritancy as RA. In conclusion, Flex-Hets exhibit improved therapeutic ratios for multiple cancer types over RAR and/or RXR agonists.
AuthorsDoris M Benbrook, Scott A Kamelle, Suresh B Guruswamy, Stan A Lightfoot, Teresa L Rutledge, Natalie S Gould, Bethany N Hannafon, S Terence Dunn, K Darrell Berlin
JournalInvestigational new drugs (Invest New Drugs) Vol. 23 Issue 5 Pg. 417-28 (Oct 2005) ISSN: 0167-6997 [Print] United States
PMID16133793 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • (((4-(ethoxycarbonyl)phenyl)amino)(2,2,4,4-tetramethyl thiochroman-6-yl)amino) methan-1-one
  • (((4-(ethoxycarbonyl)phenyl)amino)(2,2,4,4-tetramethyl thiochroman-6-yl)amino) methane-1-thione
  • (((4-nitrophenyl)amino)(2,2,4,4-tetramethyl thiochroman-6-yl)amino) methane-1-thione
  • Antineoplastic Agents
  • Chromans
  • Phenylurea Compounds
  • Receptors, Retinoic Acid
  • Retinoid X Receptors
  • Thiones
  • RNA
  • Alanine Transaminase
  • Thiourea
Topics
  • Alanine Transaminase (blood)
  • Animals
  • Antineoplastic Agents (pharmacology)
  • Apoptosis
  • Cell Differentiation (drug effects)
  • Cell Line, Tumor
  • Cell Proliferation (drug effects)
  • Chromans (pharmacology)
  • Female
  • Gene Expression Regulation, Neoplastic (drug effects)
  • Humans
  • Mice
  • Mice, Inbred Strains
  • Ovarian Neoplasms (drug therapy)
  • Phenylurea Compounds (pharmacology)
  • RNA (metabolism)
  • Receptors, Retinoic Acid (agonists, genetics, metabolism)
  • Retinoid X Receptors (agonists, genetics, metabolism)
  • Skin Irritancy Tests
  • Thiones (pharmacology)
  • Thiourea (analogs & derivatives, pharmacology)
  • Uterine Cervical Neoplasms (drug therapy, genetics, metabolism)
  • Xenograft Model Antitumor Assays

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