Chemopreventive agents in
colorectal cancer possess either antiproliferative or anti-inflammatory actions. Nonsteroidal anti-inflammatory drugs (
NSAID) and
cyclooxygenase-2 inhibitors have shown promise, but are compromised by side effects.
Nitric oxide donor NSAIDs are organic
nitrates conjugated via a labile linker to an
NSAID, originally designed for use in
pain relief, that have shown efficacy in
colorectal cancer chemoprevention. The NO chimera,
GT-094, is a novel
nitrate containing an
NSAID and
disulfide pharmacophores, a lead compound for the design of agents specifically for
colorectal cancer.
GT-094 is the first
nitrate reported to reduce
aberrant crypt foci (by 45%) when administered after
carcinogen in the standard
azoxymethane rat model of
colorectal cancer. Analysis of proximal and distal colon tissue from 8- and 28-week rat/
azoxymethane studies showed that
GT-094 treatment reduced colon crypt proliferation by 30% to 69%, reduced inducible
NO synthase (iNOS) levels by 33% to 67%, reduced poly(ADP-ribose)polymerase-1 expression and cleavage 2- to 4-fold, and elevated levels of p27 in the distal colon 3-fold. Studies in
cancer cell cultures recapitulated actions of
GT-094: antiproliferative activity and transient G(2)-M phase cell cycle block were measured in Caco-2 cells; apoptotic activity was examined but not observed; anti-inflammatory activity was seen in the inhibition of up-regulation of iNOS and endogenous NO production in
lipopolysaccharide (LPS)-induced RAW 264.7 cells. In summary, antiproliferative, anti-inflammatory, and cytoprotective activity observed in vivo and in vitro support
GT-094 as a lead compound for the design of NO chimeras for
colorectal cancer chemoprevention.