Preston Robert Tisch Brain Tumor Center at Duke, Duke University, Durham, NC 27710, USA.
Anticancer Agents Med Chem. 2011 Feb;11(2):202-12. doi: 10.2174/187152011795255957.
Despite intensive efforts to improve multimodal treatment of brain tumor, survival remains limited. Current therapy consists of a combination of surgery, irradiation and chemotherapy with predisposition to long-term complications. Identifying novel targeted therapies is therefore at the forefront of brain tumor research. This study explores the utility of a manganese porphyrin in a brain tumor model. The compound used is ortho isomer, mangnese(III) meso-tetrakis(N-n-hexylpyridinium-2-yl)porphyrin, MnTnHex-2-PyP(5+). It is a powerful SOD mimic and peroxynitrite scavenger and a potent modulator of redox-based cellular transcriptional activity, able to suppress excessive immune and inflammatory responses and in turn proliferative pathways. It is further one of the most lipophilic compound among cationic Mn(III) N-alkylpyridylporphyrins, and thus accumulates predominantly in mitochondria relative to cytosol. In mitochondria, MnTnHex-2-PyP(5+) mimics our key antioxidant system, mitochondrial superoxide dismutase, MnSOD, whose overexpression has been widely shown to suppress tumor growth. Importantly, MnTnHex-2-PyP(5+) crosses blood brain barrier in sufficient amounts to demonstrate efficacy in treating CNS injuries. For those reasons we elected to test its effects in inhibiting brain tumor growth. This study is the first report of the antitumor properties of MnTnHex-2-PyP(5+) as a single agent in adult and pediatric glioblastoma multiforme (D-54 MG, D-245 MG, D-256 MG, D-456 MG) and pediatric medulloblastoma (D-341 MED), and is the first case where a redox-able metal complex has been used in glioma therapy. When given subcutaneously to mice bearing subcutaneous and intracranial xenografts, MnTnHex-2-PyP(5+) caused a significant (P ≤ 0.001) growth delay in D 245 MG, D-256 MG, D-341 MED, and D-456 MG tumors. Growth delay for mice bearing subcutaneous xenografts ranged from 3 days in D-54 MG to 34 days in D-341 MED. With mice bearing intracranial xenografts, MnTnHex-2-PyP(5+) increases median survival by 33% in adult glioblastoma multiforme (D-256 MG; p≤ 0.001) and 173% in pediatric medulloblastoma (D-341 MED, <0.001). The beneficial effects of MnTnHex-2-PyP(5+) are presumably achieved either (1) indirectly via elimination of signaling reactive oxygen and nitrogen species (in particular superoxide and peroxynitrite) which in turn would prevent activation of transcription factors; or (2) directly by coupling with cellular reductants and redox-sensitive signaling proteins. The former action is antioxidative while the latter action is presumably pro-oxidative in nature. Our findings suggest that the use of Mn porphyrin-based SOD mimics, and in particular lipophilic analogues such as MnTnHex-2-PyP(5+), is a promising approach for brain tumor therapy.
尽管人们努力改善脑肿瘤的多模式治疗,但生存仍然受到限制。目前的治疗包括手术、放疗和化疗的联合应用,存在长期并发症的倾向。因此,寻找新的靶向治疗方法是脑肿瘤研究的前沿。本研究探讨了锰卟啉在脑肿瘤模型中的应用。所用的化合物是邻位异构体,锰(III) 中四( N-正己基吡啶-2-基)卟啉,MnTnHex-2-PyP(5+)。它是一种强大的 SOD 模拟物和过氧亚硝酸盐清除剂,也是一种有效的基于氧化还原的细胞转录活性调节剂,能够抑制过度的免疫和炎症反应,从而抑制增殖途径。此外,它还是阳离子 Mn(III) N- 烷基吡啶卟啉中最亲脂的化合物之一,因此主要积聚在线粒体中,而不是细胞质中。在线粒体中,MnTnHex-2-PyP(5+)模拟我们的关键抗氧化系统,线粒体超氧化物歧化酶,MnSOD,其过表达已被广泛证明可抑制肿瘤生长。重要的是,MnTnHex-2-PyP(5+)可以穿过血脑屏障,足以在治疗中枢神经系统损伤方面发挥作用。基于这些原因,我们选择测试其抑制脑肿瘤生长的效果。本研究首次报道了 MnTnHex-2-PyP(5+)作为单一药物在成人和儿科多形性胶质母细胞瘤(D-54 MG、D-245 MG、D-256 MG、D-456 MG)和儿科髓母细胞瘤(D-341 MED)中的抗肿瘤特性,也是首例使用氧化还原金属配合物治疗神经胶质瘤的报告。当皮下给予携带皮下和颅内异种移植物的小鼠时,MnTnHex-2-PyP(5+)导致 D-245 MG、D-256 MG、D-341 MED 和 D-456 MG 肿瘤的生长明显延迟(P≤0.001)。携带皮下异种移植物的小鼠的生长延迟时间从 D-54 MG 的 3 天到 D-341 MED 的 34 天不等。对于携带颅内异种移植物的小鼠,MnTnHex-2-PyP(5+)使成人多形性胶质母细胞瘤(D-256 MG;p≤0.001)的中位生存期延长 33%,使小儿髓母细胞瘤(D-341 MED,<0.001)的中位生存期延长 173%。MnTnHex-2-PyP(5+)的有益作用可能是通过(1)间接消除信号活性氧和氮物种(特别是超氧阴离子和过氧亚硝酸盐),从而防止转录因子的激活;或(2)通过与细胞还原剂和氧化还原敏感的信号蛋白直接偶联。前者是抗氧化的,而后者的作用则可能是促氧化的。我们的研究结果表明,使用锰卟啉类 SOD 模拟物,特别是亲脂性类似物如 MnTnHex-2-PyP(5+),是治疗脑肿瘤的一种很有前途的方法。