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Experimental Therapeutics, Preclinical Pharmacology |
Dana-Farber Cancer Institute and Joint Center for Radiation Therapy, Boston, Massachusetts 02115 [B. A. T., G. A., R. H.], and ProScript Inc., Cambridge, Massachusetts 02139 [V. J. P., J. A.]
| ABSTRACT |
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| INTRODUCTION |
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The ubiquitin-proteasome pathway may be critical to regulation of the amount of activated signal transduction proteins and protein activators of transcription (STAT proteins) in cells (9)
. Rock et al. (10)
showed that the ubiquitin-proteasome pathway has a role in the processing and presentation of MHC class I-restricted antigens. Palombella et al. (6)
and several subsequent studies (4
, 11)
established a role for the ubiquitin-proteasome pathway in the processing of the p105 nuclear factor-
B precursor into the active p50 subunit of the transcriptional activator. There is evidence that the ubiquitin-proteasome pathway may be critical in cell cycle regulation by degrading cyclins that act in different phases of the cell cycle (1
, 12, 13, 14, 15)
and in maintaining p53 levels (2)
. The ubiquitin-proteasome pathway has been implicated in the degradation of abnormal proteins such as the progressive multifocal leukoencephalopathy-retinoic acid receptor, an oncoprotein in acute promyelocytic leukemia (3)
, as well as in the degradation of the platelet-derived growth factor ß-receptor complex (5)
.
Both naturally occurring and synthetic inhibitors of the ubiquitin-proteasome pathway have been identified (8 , 16, 17, 18, 19, 20, 21, 22) . The most widely studied inhibitors are: (a) lactacystin, a streptomyces metabolite, which is metabolized to lactacystin ß-lactone, the active proteasome inhibitor (8 , 16, 17, 18, 19, 20, 21, 22) ; (b) peptide aldehydes, such as carbobenzoxyl-leucinyl-leucinyl-leucinal-H (MG-132) and others (23 , 24) ; and (c) boronic acid peptides (8 , 23) . Dipeptide boronate derivatives, which are potent proteasome inhibitors and are suitable for administration in vivo being p.o. bioavailable and relatively stable under physiological conditions, have been prepared (8 , 25) .
PS-341 is a boronic acid dipeptide derivative (Fig. 1)
. Boronic acid peptides have been shown to inhibit serine proteases (e.g., thrombin, elastase, dipeptidyl protease IV; Refs. 26, 27, 28, 29, 30, 31)
. Dipeptide boronate derivatives are potent proteasome inhibitors presumably through the stability of the boron- ThrOg dative bond that forms at the active site of the proteasome. The Ki for PS-341 is 0.6 nM (8)
. The dipeptide boronates have a high degree of selectivity for the proteasome and are not inhibitors of many common proteases.
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| MATERIALS AND METHODS |
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PS-341 was prepared as a stock solution in DMSO. For administration to the animals, solutions were prepared fresh daily by diluting the stock with 0.9% saline so that the final vehicle contained <0.5% DMSO.
Cytotoxicity Experiment.
MCF-7 is a human adenocarcinoma of the breast, developed by Dr. M. Rich of the Michigan Cancer Foundation (Detroit, MI). This line is estrogen receptor positive and retains certain characteristics of breast adenocarcinoma. MCF-7 has been used as a model for in vitro studies of breast carcinoma (32)
. MCF-7 human breast carcinoma cells grow as monolayers in DMEM supplemented with antibiotics, L-glutamine, and 10% FBS. This cell line has a plating efficacy of 2540%.
Cells in exponential growth were exposed to concentrations of PS-341 ranging from 0.0150 µM for 24 or 48 h. After exposure to the agent, the cells were washed three times with 0.9% PBS, then plated in duplicate at three dilutions in monolayer for colony formation, as described above. Results were expressed as the surviving fraction of treated cells, as compared with vehicle-treated control cells (32, 33, 34) .
Tumor System.
The EMT-6/Parent mouse mammary carcinoma grown as a solid tumor s.c. in the flanks of female Balb/C mice (Taconic Farms, Germantown, NY) has been used widely in radiobiology and chemotherapy studies. The alkylating agent-resistant EMT-6 tumor lines were established by repeated treatment of tumor-bearing animals with CDDP (20 mg/kg) or CTX (300 mg/kg) injected i.p. 24 h before passage of each tumor line into fresh host animals 10 times (35)
. The parent tumor line was passaged in the same manner in the absence of drug treatment. The alkylating agent sublines designated EMT-6/CDDP (resistant to CDDP) and EMT-6/CTX (resistant to CTX) were maintained as frozen tumor brei in liquid nitrogen and used for experiments during the second and third tumor passages (35, 36, 37)
.
Tumor Cell Survival Assay.
The EMT-6 murine mammary carcinoma is an in vivo-in vitro tumor system (35)
. The EMT-6/Parent and alkylating agent-resistant tumors were grown in female Balb/C mice. For the experiments, 2 x 106 tumor cells prepared from a brei of several stock tumors were implanted s.c. into the hind legs of BALB/c mice, 810 weeks of age. Tumor cell survival was performed when the tumors had reached a volume of
150 mm3 (day 9 after tumor implantation). Animals bearing the EMT-6/Parent tumor were untreated, treated with PS-341 (0.3, 0.6, 1, 2, or 5 mg/kg) p.o. or by i.p. injection on day 8, or were treated with PS-341 (1 mg/kg) by i.p. injection, followed by radiation therapy (5, 10, 15, or 20 Gy), on day 8. Other animals bearing the EMT-6/Parent, EMT-6/CTX or EMT-6/CDDP tumors were untreated, treated with cyclophosphamide (100, 300, or 500 mg/kg) or with CDDP (10, 20, or 30 mg/kg) by i.p. injection on day 8, or treated with PS-341 (0.1 mg/kg) p.o. twice/day on days 08, along with cyclophosphamide (100, 300, or 500 mg/kg) or with CDDP (10, 20, or 30 mg/kg) by i.p. injection on day 8.
A 24-h interval was incorporated before the mice were killed to allow for the full expression of drug cytotoxicity and repair of potentially lethal damage. Mice were immersed briefly in 95% ethanol, and the tumors were excised under sterile conditions in a laminar flow hood and minced to a fine brei with two scalpels. Four tumors were pooled to make each treatment group. Approximately 400 mg of tumor brei were used to make each single cell suspension. All reagents were sterilized with 0.22-µm Millipore filters and were added aseptically to the tumor cells.
Each sample was washed in 20 ml of Waymouths medium (Mediatech, Pittsburgh, PA), after which the liquid was gently decanted and discarded. The samples were resuspended in 450 units of collagenase/ml (Sigma Chemical Co.) and 0.1 DNase/ml (Sigma Chemical Co.) and incubated for 10 min at 37°C in a shaking water bath. The samples were resuspended, as described above, and incubated for another 15 min at 37°C. Next, 1 ml of l mg/ml DNase was added, and incubation was continued for 5 min at 37°C. The samples were then filtered through a 70-µm cell strainer (Fisher, Pittsburgh, PA). The samples were washed twice, then resuspended in Waymouths medium supplemented with 15% newborn calf serum. These single-cell suspensions were counted and plated at six different cell concentrations for the colony-forming assay. No significant difference was observed in the total cell yield from the pooled tumors in any treatment group. After 1 week, the plates were stained with crystal violet and colonies of >50 cells were counted. The untreated tumor cell suspensions had a plating efficacy of 814%. The results were expressed as the surviving fraction (± SE) of cells from the untreated groups as compared with untreated controls.
Bone Marrow Toxicity.
Bone marrow was taken from the same animals used for the tumor excision assay. A pool of marrow from the femurs of two animals was obtained by gently flushing the marrow through a 23-gauge needle, and the CFU-GM assay was carried out as described previously (38)
. Bone marrow cells were suspended in supplemented McCoys 5A medium containing 15% FBS, 0.3% agar (Difco, Detroit, MI), and 10% conditioned medium as a source of colony-stimulating activity. The colony-stimulating activity supplement was prepared by incubating L-929 mouse fibroblasts (2500 cells/ml; Microbiological Associates, Bethesda, MD) with 30% FBS in McCoys 5A medium for 7 days at 37°C in a humidified atmosphere containing 5% CO2. The supernatant containing the colony-stimulating activity was obtained by centrifugation of the medium at 10,000 x g for 10 min at 4°C, followed by filtration under sterile conditions. The bone marrow cell cultures were incubated for 7 days at 37°C and were fixed with 10% glutaraldehyde. Colonies of at least 50 cells were scored. The results of three experiments, in which each group was measured at six-cell concentrations, were averaged. The results were expressed as the surviving fraction (± SE) of treated groups as compared with untreated controls.
Tumor Growth Delay.
The Lewis lung tumor was carried in male C57BL mice (Taconic Farms, Germantown, NY). For the experiments, 2 x 106 tumor cells prepared from a brei of several stock tumors were implanted s.c. into the hind legs of male mice, 810 weeks of age.
By day 4 after tumor-cell implantation, Lewis lung tumors had begun neovascularization. Animals bearing Lewis lung tumors were treated with PS-341 (0.1, 0.3, or 1 mg/kg) p.o. on days 018, 418, or 718 after tumor-cell implantation or with PS-341 (0.3 mg/kg) p.o. twice daily on days 018, 418, or 718 or with PS-341 (1 mg/kg) p.o. alternate days on days 018, 418, or 718. Other groups of animals bearing Lewis lung tumors were treated with PS-341 (0.1 or 0.03 mg/kg) p.o. on days 418 alone or along with cytotoxic therapy. When the tumors were
100 mm3 in volume, day 7 after tumor cell implantation, cytotoxic therapy was initiated. CDDP (10 mg/kg) was administered i.p. on day 7 after tumor implantation. 5-Fluorouracil (30 mg/kg) was administered i.p. on days 711 after tumor implantation. Taxol (24 mg/kg) was administered i.v. on days 711 after tumor implantation. Adriamycin (1.75 mg/kg) was administered i.p. on days 711 after tumor implantation. Radiation was delivered locally to the tumor-bearing limb as 3-Gy fractions daily on days 711 using a Gamma Cell 40 (Atomic Energy of Canada, Ltd.)
Other groups of Lewis lung carcinoma-bearing animals were treated with 5-fluorouracil (20, 25, or 30 mg/kg) by i.p. injection on days 711 after tumor cell implantation alone or along with PS-341 (0.01, 0.03, or 0.1 mg/kg) administered by i.p. injection on days 418 after tumor cell implantation.
The progress of each tumor was measured thrice weekly until it reached a volume of 500 mm3. Tumor growth delay was calculated as the days taken by each individual tumor to reach 500 mm3 compared with untreated controls. Each treatment group had five animals. Days of tumor growth delay are the mean ± SE for the treatment group compared with the control (39 , 40) .
Lung Metastases.
External lung metastases from animals treated as described above on day 20 after tumor implantation were counted manually and scored as
3 mm in diameter. The numbers in parentheses in Tables 1
and 2
indicate the percentages of the lung metastases that were large (>3 mm in diameter) enough to be angiogenic (39
, 40) .
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| RESULTS |
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PS-341 administration was highly effective in decreasing the number of lung metastases present in the animals on day 20 after tumor implantation (Table 1)
. Beginning PS-341 treatment on day 0 decreased the number of lung metastases to 2235% of the number found in the control animals. Greater numbers of lung metastases were present on day 20 in animals in whom PS-341 was started later; however, the number of lung metastases found in animals treated with PS-341 beginning on day 7 were still significantly less than in the control animals, ranging from 3367% of the control number (P < 0.05). There was a trend toward a lower percentage of large (vascularized) lung metastases in the PS-341-treated animals, indicating that PS-341 slowed the growth of the lung metastases that formed.
For initial combination therapy regimens, PS-341 (0.1 or 0.03 mg/kg) was administered p.o. to animals bearing the Lewis lung carcinoma on days 418 after tumor implantation (Table 2)
. The cytotoxic therapies 5-fluorouracil, cisplatin, Taxol, adriamycin, and fractionated radiation therapy, were administered beginning on day 7 after tumor implantation. Each of the cytotoxic therapies and PS-341 were effective in producing a measurable growth delay in the Lewis lung carcinoma. The tumor growth delay produced by combination regimens indicated that PS-341 produced primarily additive antitumor activity with each of the cytotoxic therapies. PS-341 was effective against the metastatic disease in these animals, as were the cytotoxic therapies to varying degrees. Administering PS-341 along with the cytotoxic therapies reduced the number of lung metastases on day 20 further such that, in animals treated with 5-fluorouracil and PS-341, there were 1.52.5 (0% large) lung metastases on day 20 compared with 33 (45% large) lung metastases in the control animals.
To assess direct systemic administration of PS-341 and chemotherapy, lower doses of PS-341 were administered by i.p. injection, along with a range of doses of 5-fluorouracil to animals bearing Lewis lung carcinoma (Table 3)
. PS-341 (0.1 mg/kg) administered by i.p. injection on days 418 after tumor cell implantation was somewhat less effective against both the primary and metastatic disease than the same dose and schedule of PS-341 administered p.o. The combinations of PS-341 and 5-fluorouracil resulted primarily in additive tumor growth delay in the s.c. tumor and were highly effective against the metastatic disease.
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| DISCUSSION |
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Administered p.o., PS-341 had antitumor activity against the Lewis lung carcinoma and was highly effective against lung metastatic disease, when administered i.p. PS-341 seemed to be somewhat less effective than when administered p.o., although only one dose level was administered by both routes. In tumor growth delay studies, PS-341 did not seem to add to the toxicity of the chemotherapeutic agents administered in combination with it and seemed to produce additive tumor growth delay with the other drugs in combination. There was no evidence of dose modification when PS-341 was administered with 5-fluorouracil over a dosage range reinforcing the notion that these two drugs operate by completely independent noninteractive mechanisms. PS-341 alone and in combination was highly effective against disease metastatic to the lungs. This effect may be a result of tumor burden or may result from a specific tissue effect in the lungs.
The proteasome represents an interesting new target for cancer chemotherapy. PS-341 was chosen as the first representative of this new class of agents to enter the clinic and is currently under Phase I clinical evaluation (24) . Further exploration of the proteasome inhibitor PS-341 in this setting is clearly warranted.
| FOOTNOTES |
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1 To whom requests for reprints should be addressed, at Lilly Research Laboratories, Lilly Corporate Center, DC 0540, Indianapolis, IN 46285. Phone: (317) 277-7808; Fax: (317) 277-3652; E-mail: TEICHER-BEVERLY-A{at}LILLY.COM ![]()
2 The abbreviation used is: CDDP, cisplatin; FBS, fetal bovine serum; CFU-GM, colony-forming unit-granulocyte macrophage. ![]()
Received 6/18/97; revised 6/ 4/99; accepted 6/22/99.
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