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Combretazet-3 a novel synthetic cis-stable combretastatin A-4-azetidinone hybrid with enhanced stability and therapeutic efficacy in colon cancer.

Abstract
In recent years an extensive series of synthetic combretastatin A-4 (CA-4)-azetidinone (β-lactam) hybrids were designed and synthesised with a view to improve the stability, therapeutic efficacy and aqueous solubility of CA-4. Lead compounds containing a 3,4,5-trimethoxy aromatic ring at position 1 and a variety of substitution patterns at positions 3 and 4 of the β-lactam ring were screened in three adenocarcinoma-derived colon cancer cell lines (CT-26, Caco-2 and the CA-4 resistant cell line, HT-29). In both CT-26 and Caco-2 cells all β-lactam analogues analysed displayed potent therapeutic efficacy within the nanomolar range. Substitution of the ethylene bridge of CA-4 with the β-lactam ring together with the aforementioned aryl substitutions improved the therapeutic efficacy of CA-4 up to 300‑fold in the combretastatin refractory HT-29 cells. The lead compound combretazet-3 (CAZ-3); chemical name [4-(3-hydroxy-4-methoxyphenyl)-3-(4-hydroxyphenyl)-1-(3,4,5-trimethoxyphenyl)azetidin-2-one] demonstrated improved chemical stability together with enhanced therapeutic efficacy as compared with CA-4 whilst maintaining the natural biological properties of CA-4. Furthermore, CAZ-3 demonstrated significant tumour inhibition in a murine model of colon cancer. Our results suggest that combretastatin-azetidinone hybrids represent an effective novel therapy for the treatment of combretastatin resistant carcinomas.
AuthorsLisa M Greene, Shu Wang, Niamh M O'Boyle, Sandra A Bright, Jane E Reid, Patrick Kelly, Mary J Meegan, Daniela M Zisterer
JournalOncology reports (Oncol Rep) Vol. 29 Issue 6 Pg. 2451-8 (Jun 2013) ISSN: 1791-2431 [Electronic] Greece
PMID23564200 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • 4-(3-hydroxy-4-methoxyphenyl)-3-(4-hydroxyphenyl)-1-(3,4,5-trimethoxyphenyl)azetidin-2-one
  • Antineoplastic Agents
  • Azetidines
  • Guaiacol
Topics
  • Animals
  • Antineoplastic Agents (administration & dosage, metabolism, pharmacology)
  • Autophagy (drug effects)
  • Azetidines (administration & dosage, metabolism, pharmacology)
  • Cell Line, Tumor
  • Cell Survival (drug effects)
  • Colonic Neoplasms (drug therapy, pathology)
  • Drug Stability
  • Female
  • G2 Phase Cell Cycle Checkpoints (drug effects)
  • Guaiacol (administration & dosage, analogs & derivatives, metabolism, pharmacology)
  • Humans
  • Hydrogen-Ion Concentration
  • Inhibitory Concentration 50
  • Injections, Intraperitoneal
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Microsomes, Liver (metabolism)
  • Tumor Burden (drug effects)
  • Xenograft Model Antitumor Assays

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