Abstract |
Metastatic pheochromocytoma continues to be an incurable disease, and treatment with conventional cytotoxic chemotherapy offers limited efficacy. In the present study, we evaluated a novel topoisomerase I inhibitor, LMP-400, as a potential treatment for this devastating disease. We found a high expression of topoisomerase I in human metastatic pheochromocytoma, providing a basis for the evaluation of a topoisomerase 1 inhibitor as a therapeutic strategy. LMP-400 inhibited the cell growth of established mouse pheochromocytoma cell lines and primary human tumor tissue cultures. In a study performed in athymic female mice, LMP-400 demonstrated a significant inhibitory effect on tumor growth with two drug administration regimens. Furthermore, low doses of LMP-400 decreased the protein levels of hypoxia-inducible factor 1 (HIF-1α), one of a family of factors studied as potential metastatic drivers in these tumors. The HIF-1α decrease resulted in changes in the mRNA levels of HIF-1 transcriptional targets. In vitro, LMP-400 showed an increase in the growth-inhibitory effects in combination with other chemotherapeutic drugs that are currently used for the treatment of pheochromocytoma. We conclude that LMP-400 has promising antitumor activity in preclinical models of metastatic pheochromocytoma and its use should be considered in future clinical trials.
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Authors | Jan Schovanek, Petra Bullova, Yasin Tayem, Alessio Giubellino, Robert Wesley, Nikoletta Lendvai, Svenja Nölting, Juraj Kopacek, Zdenek Frysak, Yves Pommier, Shivaani Kummar, Karel Pacak |
Journal | Endocrinology
(Endocrinology)
Vol. 156
Issue 11
Pg. 4094-104
(Nov 2015)
ISSN: 1945-7170 [Electronic] United States |
PMID | 26267380
(Publication Type: Journal Article, Research Support, N.I.H., Intramural)
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Chemical References |
- Antineoplastic Agents
- Benzodioxoles
- HIF1A protein, human
- Hypoxia-Inducible Factor 1, alpha Subunit
- Isoquinolines
- NSC 724998
- Topoisomerase I Inhibitors
- DNA Topoisomerases, Type I
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Topics |
- Adrenal Gland Neoplasms
(drug therapy, enzymology, pathology)
- Animals
- Antineoplastic Agents
(pharmacology)
- Benzodioxoles
(administration & dosage, pharmacology)
- Blotting, Western
- Cell Hypoxia
- Cell Line, Tumor
- Cell Proliferation
(drug effects)
- DNA Topoisomerases, Type I
(metabolism)
- Disease Models, Animal
- Dose-Response Relationship, Drug
- Drug Synergism
- Female
- Gene Expression Regulation, Neoplastic
(drug effects)
- Humans
- Hypoxia-Inducible Factor 1, alpha Subunit
(genetics, metabolism)
- Isoquinolines
(administration & dosage, pharmacology)
- Liver Neoplasms
(drug therapy, enzymology, secondary)
- Lung Neoplasms
(drug therapy, enzymology, secondary)
- Mice, Nude
- PC12 Cells
- Pheochromocytoma
(drug therapy, enzymology, pathology)
- Rats
- Reverse Transcriptase Polymerase Chain Reaction
- Topoisomerase I Inhibitors
(administration & dosage, pharmacology)
- Tumor Cells, Cultured
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