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Clinical Cancer Research Vol. 10, 4185-4191, June 15, 2004
© 2004 American Association for Cancer Research


Experimental Therapeutics, Preclinical Pharmacology

Mcl-1 Is a Novel Therapeutic Target for Human Sarcoma

Synergistic Inhibition of Human Sarcoma Xenotransplants by a Combination of Mcl-1 Antisense Oligonucleotides with Low-Dose Cyclophosphamide

Christiane Thallinger1,2, Markus F. Wolschek1, Helmut Maierhofer1, Hans Skvara3, Hubert Pehamberger2,5, Brett P. Monia4, Burkhard Jansen1,2,6, Volker Wacheck1 and Edgar Selzer1,3,5

1 Department of Clinical Pharmacology, Section of Experimental Oncology/Molecular Pharmacology, 2 Department of Dermatology, Division of General Dermatology, 3 Department of Radiotherapy and Radiobiology, and 5 Center of Excellence in Clinical and Experimental Oncology (CLEXO), University of Vienna, Vienna, Austria; 4 ISIS Pharmaceuticals, Inc., Carlsbad, California; and 6 Prostate Centre and Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada

Purpose: Little is known about the role that Mcl-1, an antiapoptotic Bcl-2 family member, plays in solid tumor biology and susceptibility to anticancer therapy. We observed that the Mcl-1 protein is widely expressed in human sarcoma cell lines of different histological origin (n = 7). Because the expression of antiapoptotic Bcl-2 family proteins can significantly contribute to the chemoresistance of human malignancies, we used an antisense strategy to address this issue in sarcoma.

Experimental Design: SCID mice (n = 6/group) received s.c. injections of SW872 liposarcoma cells. After development of palpable tumors, mice were treated by s.c.-implanted miniosmotic pumps prefilled with saline or antisense or universal control oligonucleotides (20 mg/kg/day for 2 weeks). On days 2, 6, and 10, mice were treated with low-dose cyclophosphamide (35 mg/kg i.p) or saline control. During the experiments, tumor weight was assessed twice weekly by caliper measurements. On day 14, animals were sacrificed. Tumors were weighed and fixed in formalin for immunohistochemistry and terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling analysis.

Results: Mcl-1 antisense oligonucleotides specifically reduced Mcl-1 protein expression but produced no reduction in tumor weight compared with saline-treated control animals. Cyclophosphamide monotreatment caused only modest tumor weight reduction compared with saline control. However, use of Mcl-1 antisense oligonucleotides combined with cyclophosphamide clearly enhanced tumor cell apoptosis and significantly reduced tumor weight by more than two-thirds compared with respective control treatments.

Conclusion: A combination of Mcl-1 antisense oligonucleotides with low-dose cyclophosphamide provides a synergistic antitumor effect and might qualify as a promising strategy to overcome chemoresistance in human sarcoma.




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