Despite dramatic improvements in outcomes arising from the introduction of targeted
therapies and
immunotherapies, metastatic
melanoma is a highly resistant form of
cancer with 5 year survival rates of <35%. Drug resistance is frequently reported to be associated with changes in oxidative metabolism that lead to
malignancy that is non-responsive to current treatments. The current report demonstrates that
triphenylphosphonium(TPP)-based lipophilic
cations can be utilized to induce cytotoxicity in pre-clinical models of
malignant melanoma by disrupting mitochondrial metabolism. In vitro experiments demonstrated that TPP-derivatives modified with aliphatic side chains accumulated in
melanoma cell mitochondria; disrupted mitochondrial metabolism; led to increases in steady-state levels of
reactive oxygen species; decreased total
glutathione; increased the fraction of
glutathione disulfide; and caused cell killing by a
thiol-dependent process that could be rescued by
N-acetylcysteine. Furthermore, TPP-derivative-induced
melanoma toxicity was enhanced by
glutathione depletion (using
buthionine sulfoximine) as well as inhibition of
thioredoxin reductase (using
auranofin). In addition, there was a structure-activity relationship between the aliphatic side-chain length of TPP-derivatives (5-16 carbons), where longer
carbon chains increased
melanoma cell metabolic disruption and cell killing. In vivo bio-distribution experiments showed that intratumoral administration of a C14-TPP-derivative (12-
carbon aliphatic chain), using a slow-release thermosensitive
hydrogel as a delivery vehicle, localized the drug at the
melanoma tumor site. There, it was observed to persist and decrease the growth rate of
melanoma tumors. These results demonstrate that TPP-derivatives selectively induce
thiol-dependent metabolic oxidative stress and cell killing in
malignant melanoma and support the hypothesis that a
hydrogel-based TPP-derivative delivery system could represent a therapeutic drug-delivery strategy for
melanoma.