STA-8666, a novel HSP90 inhibitor/SN-38 drug conjugate, causes complete tumor regression in preclinical mouse models of pediatric sarcoma

Autor: Arnulfo Mendoza, Christine M. Heske, Joshua T. Baumgart, Len Neckers, David A. Proia, Leah D. Edessa, Jane B. Trepel, Sunmin Lee, Lee J. Helman
Jazyk: angličtina
Rok vydání: 2016
Předmět:
0301 basic medicine
Oncology
Pathology
sarcoma
Drug Evaluation
Preclinical

Mice
SCID

Hsp90 inhibitor
chemistry.chemical_compound
Mice
0302 clinical medicine
Rhabdomyosarcoma
Recurrent Ewing Sarcoma
drug conjugate
Child
Mice
Knockout

biology
Tumor Burden
030220 oncology & carcinogenesis
Female
Sarcoma
medicine.drug
Research Paper
medicine.medical_specialty
SN-38
Antineoplastic Agents
Sarcoma
Ewing

Irinotecan
03 medical and health sciences
topoisomerase 1 inhibitor
Internal medicine
Cell Line
Tumor

medicine
Animals
Humans
HSP90 Heat-Shock Proteins
neoplasms
business.industry
Topoisomerase
Cancer
Resorcinols
medicine.disease
Xenograft Model Antitumor Assays
Disease Models
Animal

030104 developmental biology
pediatric
chemistry
biology.protein
Camptothecin
Topoisomerase I Inhibitors
business
DNA Damage
Zdroj: Oncotarget
ISSN: 1949-2553
Popis: // Christine M. Heske 1 , Arnulfo Mendoza 1 , Leah D. Edessa 1 , Joshua T. Baumgart 1 , Sunmin Lee 2 , Jane Trepel 2 , David A. Proia 3 , Len Neckers 4 , Lee J. Helman 1 1 Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA 2 Developmental Therapeutics Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA 3 Synta Pharmaceuticals, Lexington, MA, USA 4 Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA Correspondence to: Christine M. Heske, email: christine.heske@nih.gov Keywords: sarcoma, SN-38, drug conjugate, topoisomerase 1 inhibitor, pediatric Received: July 22, 2016 Accepted: August 30, 2016 Published: September 06, 2016 ABSTRACT Long-term survival in patients with metastatic, relapsed, or recurrent Ewing sarcoma and rhabdomyosarcoma is dismal. Irinotecan, a topoisomerase 1 inhibitor, has activity in these sarcomas, but due to poor bioavailability of its active metabolite (SN-38) has had limited clinical efficacy. In this study we have evaluated the efficacy and toxicity of STA-8666, a novel drug conjugate which uses an HSP90 inhibitor to facilitate intracellular, tumor-targeted delivery of the topoisomerase 1 inhibitor SN-38, thus preferentially delivering and concentrating SN-38 within tumor tissue. We present in vivo evidence from mouse xenograft models that STA-8666 results in more persistent inhibition of topoisomerase 1 and prolonged DNA damage compared to irinotecan. This translates into superior antitumor efficacy and survival in multiple aggressive models of both diseases in mouse xenografts, as well as in an irinotecan-resistant model of pediatric osteosarcoma, demonstrated by dramatic tumor shrinkage, durable remission and prolonged complete regressions following short-term treatment, compared to conventional irinotecan. Gene expression analysis performed on xenograft tumors treated with either irinotecan or STA-8666 showed that STA-8666 affected expression of DNA damage and repair genes more robustly than irinotecan. These results suggest that STA-8666 may be a promising new agent for patients with pediatric-type sarcoma.
Databáze: OpenAIRE