Section of Gynecologic Oncology, Department of Obstetrics and Gynecology, College of Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 975 NE 10th St., BRC 1217A, Oklahoma City, OK, 73104, USA.
Center for Cancer Prevention and Drug Development, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, 975 NE 10th St., Oklahoma City, OK, 73104, USA.
Invest New Drugs. 2018 Aug;36(4):561-570. doi: 10.1007/s10637-017-0550-0. Epub 2017 Dec 22.
Development of cancer chemoprevention compounds requires enhanced consideration for toxicity and route of administration because the target population is healthy. The small molecule drug, SHetA2 (NSC 726189), exhibited in vivo chemoprevention activity and lack of toxicity when administered by oral gavage. Our objective was to determine if a dietary formulation of SHetA2 could achieve effective tissue drug levels without toxicity. C57bl/6 J mice were monitored on modified American Institute of Nutrition (AIN)76A diet mixed with SHetA2 in a 3:1 ratio with Kolliphor HS15, a self-emulsifying drug delivery system (SEDDS) to deliver 37.5, 62.5, 125, 187 or 250 mg SHetA2/kg/day. Blood and tissues were evaluated after 1, 3 and 6 weeks. The 187 mg/kg/day dose was identified as optimal based on achievement of maximum blood and tissue drug levels in the effective micromolar range without evidence of toxicity. The 250 mg/kg/day group exhibited lower drug levels and the highest intestinal drug content suggesting that an upper limit of intestinal absorption had been surpassed. Only this highest dose resulted in liver and kidney function tests that were outside of the normal range, and significant reduction of cyclin D1 protein in normal cervical tissue. SHetA2 reduced cyclin D1 to greater extents in cancer compared to non-cancer cell cultures. Given this differential effect, optimal chemoprevention without toxicity would be expected to occur at doses that reduced cyclin D1 in neoplastic, but not in normal tissues. These findings support further development of SHetA2 as a chemoprevention agent and potential food additive.
开发癌症化学预防化合物需要更加强化对毒性和给药途径的考虑,因为目标人群是健康的。小分子药物 SHetA2(NSC 726189)在口服灌胃时表现出体内化学预防活性和无毒副作用。我们的目的是确定 SHetA2 的饮食配方是否可以在没有毒性的情况下达到有效的组织药物水平。用 3:1 的比例将 SHetA2 与 Kolliphor HS15(一种自乳化药物递送系统[SEDDS])混合到改良的美国营养学会(AIN)76A 饮食中,制成 C57bl/6J 小鼠监测饮食,以 37.5、62.5、125、187 或 250mg SHetA2/kg/天的剂量给药。在第 1、3 和 6 周后评估血液和组织。根据在有效微摩尔范围内达到最大血液和组织药物水平且无毒性证据,确定 187mg/kg/天剂量为最佳剂量。250mg/kg/天组的药物水平较低,肠道药物含量最高,表明肠道吸收上限已超过。只有最高剂量导致肝肾功能测试超出正常范围,并且正常宫颈组织中细胞周期蛋白 D1 蛋白显著减少。与非癌细胞培养物相比,SHetA2 在癌症中使细胞周期蛋白 D1 减少的程度更大。鉴于这种差异效应,预计在降低肿瘤组织而非正常组织中细胞周期蛋白 D1 的剂量下,可实现最佳的化学预防而无毒性。这些发现支持进一步将 SHetA2 开发为化学预防剂和潜在的食品添加剂。