THNLA-1 is a recently synthesized
2-nitroimidazole based,
DNA-affinic bioreductive agent. It features a tetrahydroacridinic chromophore, which allows loose binding to
DNA and therefore greater mobility along its backbone.
THNLA-1 was proved to be a very good radiosensitizer and
cytotoxin of hypoxic cells in vitro with an improved therapeutic index compared to the fully aromatic analog
NLA-1. In this report we investigated the interaction of
THNLA-1 with cis-DDP or
L-PAM in the sensitive V79 and resistant OVCAR cells, using various schedule protocols. Also, the THNLA-1/cis-DDP interaction in balb/c mice has been investigated, using the EMT-6 mouse
tumors. Isobologramic as well as fractional product concept analysis, clearly showed that synergistic interaction occurs between
THNLA-1 and each chemotherapeutic agent, under hypoxic pretreatment conditions of the cells with
THNLA-1 in vitro. The dose modification factor (DMF) values obtained in the resistant OVCAR-3 cells are similar to those obtained for the approximately 4 times more sensitive V79 cells. Therefore, the DMF value for e.g.
L-PAM at 0.1 survival fraction, is approximately 2.76 when 15 microM
THNLA-1 was used in OVCAR-3 cells, and approximately 2.50, when 10 microM
THNLA-1 was used in V79. The supra-additive effect is dependent on the
hypoxia-pretreatment time with
THNLA-1, on
THNLA-1 concentration and on the concentration of the chemotherapeutic
drug. The limited in vivo study showed that
THNLA-1, at doses significantly lower than its MTD, strongly potentiates the killing effect of cis-DDP and that the optimum effect during the combination treatment was observed when
THNLA-1 was administered i.p., 2.5-3.0 h before cis-DDP. Toxicity studies in balb/c mice (without
tumors) showed that
THNLA-1 is well tolerated up to at least 70 mg/kg for more than 40 days while no toxicity was observed with the combined drugs used in our experimental protocol. These results are promising for the potential clinical use of
THNLA-1 as an adjuvant in
chemotherapy.