Kojouharov Bojidar M, Brackett Craig M, Veith Jean M, Johnson Christopher P, Gitlin Ilya I, Toshkov Ilia A, Gleiberman Anatoli S, Gudkov Andrei V, Burdelya Lyudmila G
Department of Cell Stress Biology, Roswell Park Cancer Institute, Buffalo, NY.
Oncotarget. 2014 Feb 15;5(3):802-14. doi: 10.18632/oncotarget.1773.
Myelosuppression and gastrointestinal damage are common side effects of cancer treatment limiting efficacy of DNA-damaging chemotherapeutic drugs. The Toll-like receptor 5 (TLR5) agonist Entolimod has demonstrated efficacy in mitigating damage to hematopoietic and gastrointestinal tissues caused by radiation. Here, using 5-Fluorouracil (5-FU) treated mice as a model of chemotherapy-induced side effects, we demonstrated significant reduction in the severity of 5-FU-induced morbidity and increased survival accompanied by the improved integrity of intestinal tissue and stimulated the restoration of hematopoiesis. Entolimod-stimulated IL-6 production was essential for Entolimod's ability to rescue mice from death caused by doses of 5-FU associated with hematopoietic failure. In contrast, IL-6 induction was not necessary for protection and restoration of drug-damaged gastrointestinal tissue by Entolimod. In a syngeneic mouse CT26 colon adenocarcinoma model, Entolimod reduced the systemic toxicity of 5-FU, but did not reduce its antitumor efficacy indicating that the protective effect of Entolimod was selective for normal, non-tumor, tissues. These results suggest that Entolimod has clinical potential to broaden the therapeutic window of genotoxic anticancer drugs by reducing their associated hematopoietic and gastrointestinal toxicities.
骨髓抑制和胃肠道损伤是癌症治疗的常见副作用,限制了DNA损伤化疗药物的疗效。Toll样受体5(TLR5)激动剂Entolimod已证明在减轻辐射对造血组织和胃肠道组织的损伤方面具有疗效。在此,我们以5-氟尿嘧啶(5-FU)处理的小鼠作为化疗诱导副作用的模型,证明5-FU诱导的发病率严重程度显著降低,生存率提高,同时肠道组织完整性得到改善,并刺激了造血功能的恢复。Entolimod刺激的IL-6产生对于Entolimod将小鼠从与造血功能衰竭相关的5-FU剂量导致的死亡中拯救出来的能力至关重要。相比之下,IL-6诱导对于Entolimod对药物损伤的胃肠道组织的保护和恢复并非必要。在同基因小鼠CT26结肠腺癌模型中,Entolimod降低了5-FU的全身毒性,但并未降低其抗肿瘤疗效,这表明Entolimod的保护作用对正常的非肿瘤组织具有选择性。这些结果表明,Entolimod具有通过降低其相关的造血和胃肠道毒性来拓宽基因毒性抗癌药物治疗窗口的临床潜力。
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