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Antiestrogen binding site and estrogen receptor mediate uptake and distribution of 4-hydroxytamoxifen-targeted doxorubicin-formaldehyde conjugate in breast cancer cells.

Abstract
The anthracycline antitumor drug, doxorubicin (DOX), has long been used as a broad spectrum chemotherapeutic. The literature now documents the role of formaldehyde in the cytotoxic mechanism, and anthracycline-formaldehyde conjugates possess substantially enhanced activity in vitro and in vivo. We have recently reported the design, synthesis, and preliminary evaluation of a doxorubicin-formaldehyde conjugate targeted, via 4-hydroxytamoxifen, to the estrogen receptor (ER) and antiestrogen binding site (AEBS), which are commonly present in breast cancer cells. The lead targeted doxorubicin-formaldehyde conjugate, called DOX-TEG-TAM, was found to possess superior cell growth inhibition characteristics relative to clinical doxorubicin and an untargeted control conjugate, especially in ER-negative, multidrug resistant MCF-7/Adr cells. The enhanced activity in the absence of estrogen receptor raised the possibility that targeting was also mediated via AEBS. Fluorescence microscopy of an ER-negative, AEBS-positive cell line as a function of time showed initial DOX-TEG-TAM localization in cytosol, in contrast to initial DOX and untargeted doxorubicin-formaldehyde conjugate localization in the nucleus. DOX-TEG-TAM was taken up by four AEBS-positive cell lines to a greater extent than doxorubicin and an untargeted doxorubicin-formaldehyde conjugate. Of the four cell lines, three were ER negative. DOX-TEG-TAM uptake was inhibited in a dose-dependent manner by the presence of a competing AEBS ligand. DOX-TEG-TAM retains 60% of the affinity of 4-hydroxytamoxifen for AEBS. DOX-TEG-TAM was also taken up by the AEBS-negative, ER-positive cancer cell line Rtx-6; with these cells uptake was inhibited in a dose-dependent manner by the ER ligand, estradiol. The data support the hypothesis that uptake of 4-hydroxytamoxifen targeted doxorubicin-formaldehyde conjugate is mediated by both the antiestrogen binding site and estrogen receptor.
AuthorsPatrick J Burke, Brian T Kalet, Tad H Koch
JournalJournal of medicinal chemistry (J Med Chem) Vol. 47 Issue 26 Pg. 6509-18 (Dec 16 2004) ISSN: 0022-2623 [Print] United States
PMID15588086 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antineoplastic Agents
  • Receptors, Drug
  • Receptors, Estrogen
  • Tamoxifen
  • afimoxifene
  • Formaldehyde
  • Doxorubicin
Topics
  • Antineoplastic Agents (chemical synthesis, metabolism, pharmacokinetics)
  • Binding Sites
  • Breast Neoplasms
  • Cell Line, Tumor
  • Cell Proliferation (drug effects)
  • Doxorubicin (analogs & derivatives, chemical synthesis, metabolism, pharmacokinetics)
  • Female
  • Formaldehyde (analogs & derivatives, chemical synthesis, metabolism, pharmacokinetics)
  • Humans
  • Microscopy, Fluorescence
  • Receptors, Drug (metabolism)
  • Receptors, Estrogen (metabolism)
  • Structure-Activity Relationship
  • Tamoxifen (analogs & derivatives, chemical synthesis, metabolism, pharmacokinetics)

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