Resistance to
chemotherapy remains a significant obstacle in the treatment of
hormone- independent
breast cancer. Recent evidence suggests that altered
sphingolipid signaling through increased
sphingosine kinase activity may be an important mediator of
breast cancer drug resistance.
Sphingosine kinase-1 (Sphk1) is a proposed key regulator of
breast cancer tumorigenesis, proliferation and resistance. There is, however, conflicting data on the role of
sphingosine kinase-2 (Sphk2) in
cancer biology and resistance, with some suggesting that Sphk2 has an opposing role to that of Sphk1. Here, we studied the effects of the novel selective Sphk2 inhibitor,
ABC294640 (3-(4-chlorophenyl)-adamantane-1-carboxylic acid (pyridin-4-ylmethyl) amide), on human
breast cancer.
ABC294640 blocked both viability and survival at low micromolar IC(50) concentrations in the endocrine
therapy-resistant MDA-MB-231 and chemoresistant MCF-7TN-R cell systems. Treatment with the inhibitor significantly reduced proliferation, as seen in immunofluorescence staining of Ki-67 in vitro. Interestingly, pharmacological inhibition of Sphk2 induced apoptosis through the intrinsic programmed cell death pathway. Furthermore,
ABC294640 also diminished NF-ĸB survival signaling, through decreased activation of the Ser536 phosphorylation site on the p65 subunit. Xenografts of MCF-7TN-R cells growing in immunocompromised mice were utilized to validate the therapeutic efficacy of the
sphingosine kinase-2 inhibitor. Treatment with 50 mg of
ABC294640/kg completely blocked
tumor volume in this model. These results indicate that pharmacological inhibition of Sphk2 with the orally bioavailable selective inhibitor,
ABC294640, has therapeutic potential in the treatment of chemo- and endocrine
therapy- resistant
breast cancer.