Targeting hypoxia in combination with paclitaxel to enhance therapeutic efficacy in breast and ovarian cancer - 08/11/24
, Ivan Ranđelović a, Sára Eszter Surguta a, Marcell Baranyi c, Mihály Cserepes a, b, 1, József Tóvári a, b, 1Abstract |
The poor vascularization of solid tumors results in oxygen-deprived areas within the tumor mass. This phenomenon is defined as tumor hypoxia and is considered to be a major contributor to tumor progression in breast and ovarian cancers due to hypoxia-cascade-promoted increased metastasizing capacity. Hence, targeting hypoxia is a strategic cancer treatment approach, however, the hypoxia-modulating drugs face several limitations in monotherapies. Here, we investigated the impact of the potent hypoxia-inducible factor inhibitory compound acriflavine on tumor cell proliferation, migration, and metabolism under hypoxic conditions. We identified that acriflavine inhibited the proliferation of breast and ovarian tumor cells. To model the potential benefits of additional hypoxia response inhibition next to standard chemotherapy, we combined acriflavine with a frequently used chemotherapeutic agent, paclitaxel. In most breast and ovarian cancer cell lines used, we identified additive effects between the two drugs. The most significant findings were detected in triple-negative breast cancer cell lines, where we observed synergism. The drug combination effectively impeded tumor growth and metastasis formation in an in vivo orthotopic triple-negative breast cancer model as well. Additionally, we demonstrated that an epithelial-mesenchymal transition inhibitory drug, rolipram, combined with acriflavine and paclitaxel, notably reduced the motility of hypoxic triple-negative breast cancer cells. In conclusion, we identified novel drug combinations that can potentially combat triple-negative breast cancer by inhibiting hypoxia signaling and hindering cell migration and metastasis formation.
El texto completo de este artículo está disponible en PDF.Graphical Abstract |
Highlights |
• | Hypoxia-targeting drug, acriflavine enhances paclitaxel efficiency in BC and OC. |
• | Acriflavine acts hypoxia-selectively in triple-negative breast cancer. |
• | In vivo TNBC tumor growth is reduced by acriflavine-paclitaxel combination therapy. |
• | Combined therapy suppresses metastasis formation. |
• | EMT inhibition with acriflavine-paclitaxel therapy decreases TNBC cell migration. |
Chemical compounds studied in this article : Acriflavine (PubChem CID: 443101), Paclitaxel (PubChem CID: 36314), Rolipram (PubChem CID: 5092), Cobalt (II) chloride (CoCl2, PubChem CID: 24288)
Abbreviations : ACF, CoCl2, ECAD, EMT, ER, GLUT1, HIF, HER2, HRE, IC50, LOX, MAPK/ERK, NCAD, NDRG1, p-AKT, PDK1, PI3K, PR, PTX, qPCR, R, RPLP0, SRB, TNBC, VHL
Keywords : Tumor hypoxia, Migration, Metastasis, Hypoxia targeted therapy, Combination therapy
Esquema
Vol 180
Artículo 117601- novembre 2024 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.
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