We have previously reported that the
cholecystokinin antagonist
MK-329 (also known as
L-364,718 or
devazepide) synergistically enhances sensitivity to
cisplatin (DDP) in MIA-PaCa2 human
pancreatic cancer cells in tissue culture. In this study, we examined the ability of
MK-329 to modulate DDP sensitivity in vivo using MIA-PaCa2
pancreatic cancer xenografts growing subcutaneously in athymic nude mice. Twenty-four hours after
tumor inoculation, mice received either DDP intraperitoneally,
MK-329 subcutaneously, both DDP and
MK-329 or
drug vehicles alone. Both DDP and
MK-329 alone caused a reduction in the rate of
tumor growth. The combination of DDP and
MK-329 resulted in enhanced
tumor growth delay compared to DDP or
MK-329 treated mice. Although
MK-329 alone was not nephrotoxic, the addition of
MK-329 to DDP treatment resulted in a significant increase in
weight loss and nephrotoxicity compared to mice treated with DDP alone; this was reflected by an increase in the plasma BUN levels. Although we believe that the enhanced anti-
tumor effect of DDP/
MK-329 combination
therapy may be independent MK-329's capability to block
CCK receptors, the role of
CCK receptor blockade in potentiating DDP-induced nephrotoxicity less clear.