PURPOSE. To investigate the effectiveness of a novel
isoquinoline derivative,
EDL-155, in killing
retinoblastoma in vitro and in vivo. METHODS. Dose-response curves were generated in which Y79
retinoblastoma cells tagged with
luciferase (Y79-Luc) were treated with serial concentrations of
EDL-155. Electron microscopy was used to evaluate the ultrastructural morphology of EDL-155-treated Y79 cells. To determine whether autophagy was induced in EDL-155-treated Y79-Luc cells, staining with
acridine orange and LC-3 immunoblot analysis was performed. To evaluate the efficacy of
EDL-155 in vivo, Y79-Luc
retinoblastoma cells were injected into the vitreous cavity of newborn rats, followed by
periocular injections of
EDL-155 (20 mg/kg/day) or an equivalent dosage of saline. RESULTS.
EDL-155 appeared to destroy the
retinoblastoma cells in vitro with an EC(50) of 9.1 micriM. EDL-155-treated
retinoblastoma cells displayed a lack of viable mitochondria and the presence of autophagosomes wrapped in the characteristic double membranes.
Acridine orange staining of EDL-155-treated
retinoblastoma cells demonstrated the accumulation of vacuoles, and the immunoblots displayed a shift in molecular weight of LC-3, indicative of incorporation into autophagosome vesicles. In the
retinoblastoma animal model, four doses of
EDL-155 were delivered over 4 days, which was sufficient to see a significant decrease (P = 0.01) in viable intraocular
tumors. Seven of the 25 rats treated with
EDL-155 had no detectable living
tumor. No significant decrease in viable
tumor was observed in control animals. CONCLUSIONS.
EDL-155 appears to eliminate
retinoblastoma cells by disrupting mitochondria and inducing autophagy. Local delivery of
EDL-155 may be an effective
therapy for some types of ocular
cancers.