Kapuvári Bence, Hegedüs Rózsa, Schulcz Ákos, Manea Marilena, Tóvári József, Gacs Alexandra, Vincze Borbála, Mező Gábor
National Institute of Oncology, Budapest, 1122, Hungary.
MTA-ELTE, Research Group of Peptide Chemistry, Pázmány P. stny. 1/A, Budapest, 1117, Hungary.
Invest New Drugs. 2016 Aug;34(4):416-23. doi: 10.1007/s10637-016-0354-7. Epub 2016 May 5.
Compared to classical chemotherapy, peptide-based drug targeting is a promising therapeutic approach for cancer, which can provide increased selectivity and decreased side effects to anticancer drugs. Among various homing devices, gonadotropin-releasing hormone-III (GnRH-III) peptide represents a suitable targeting moiety, in particular in the treatment of hormone independent tumors that highly express GnRH receptors (e.g. colon carcinoma). We have previously shown that GnRH-III[(4)Lys(Ac),(8)Lys(Dau = Aoa)] bioconjugate, in which daunorubicin was attached via oxime linkage to the (8)Lys of a GnRH-III derivative, exerted significant in vivo antitumor effect on subcutaneously developed HT-29 colon tumor. In contrast, results of the study reported here indicated that this compound was not active on an orthotopically developed tumor. However, if Lys in position 4 was acylated with butyric acid instead of acetic acid, the resulting bioconjugate GnRH-III[(4)Lys(Bu),(8)Lys(Dau = Aoa)] had significant tumor growth inhibitory effect. Furthermore, it prevented tumor neovascularization, without detectable side effects. Nevertheless, the development of metastases could not be inhibited by the bioconjugate; therefore, its application in combination with a metastasis preventive agent might be necessary in order to achieve complete tumor remission. In spite of this result, the treatment with GnRH-III[(4)Lys(Bu),(8)Lys(Dau = Aoa)] bioconjugate proved to have significant benefits over the administration of free daunorubicin, which was used at the maximum tolerated dose.
与传统化疗相比,基于肽的药物靶向治疗是一种很有前景的癌症治疗方法,它可以提高抗癌药物的选择性并减少副作用。在各种归巢装置中,促性腺激素释放激素III(GnRH-III)肽是一种合适的靶向部分,特别是在治疗高表达GnRH受体的激素非依赖性肿瘤(如结肠癌)方面。我们之前已经表明,GnRH-III[(4)Lys(Ac),(8)Lys(Dau = Aoa)]生物共轭物,其中柔红霉素通过肟键连接到GnRH-III衍生物的(8)Lys上,对皮下形成的HT-29结肠肿瘤具有显著的体内抗肿瘤作用。相比之下,本文报道的研究结果表明该化合物对原位形成的肿瘤没有活性。然而,如果4位的Lys用丁酸而不是乙酸进行酰化,得到的生物共轭物GnRH-III[(4)Lys(Bu),(8)Lys(Dau = Aoa)]具有显著的肿瘤生长抑制作用。此外,它可以防止肿瘤新生血管形成,且没有可检测到的副作用。然而,该生物共轭物不能抑制转移的发生;因此,为了实现肿瘤的完全缓解,可能需要将其与转移预防剂联合应用。尽管有这个结果,但事实证明,用GnRH-III[(4)Lys(Bu),(8)Lys(Dau = Aoa)]生物共轭物治疗比给予最大耐受剂量的游离柔红霉素有显著优势。