哌立福新是一种可生物利用的烷基磷脂Akt抑制剂,通过良好的肿瘤暴露在脑转移癌小鼠模型中展现出抗肿瘤活性。
Perifosine, a Bioavailable Alkylphospholipid Akt Inhibitor, Exhibits Antitumor Activity in Murine Models of Cancer Brain Metastasis Through Favorable Tumor Exposure.
作者信息
Taniguchi Keisuke, Suzuki Tomo, Okamura Tomomi, Kurita Akinobu, Nohara Gou, Ishii Satoru, Kado Shoichi, Takagi Akimitsu, Tsugane Momomi, Shishido Yoshiyuki
机构信息
Yakult Central Institute, Yakult Honsha Co., Ltd., Tokyo, Japan.
Pharmaceutical Research & Development Department, Yakult Honsha Co., Ltd., Tokyo, Japan.
出版信息
Front Oncol. 2021 Nov 4;11:754365. doi: 10.3389/fonc.2021.754365. eCollection 2021.
Metastatic brain tumors are regarded as the most advanced stage of certain types of cancer; however, chemotherapy has played a limited role in the treatment of brain metastases. Here, we established murine models of brain metastasis using cell lines derived from human brain metastatic tumors, and aimed to explore the antitumor efficacy of perifosine, an orally active allosteric Akt inhibitor. We evaluated the effectiveness of perifosine by using it as a single agent in ectopic and orthotopic models created by injecting the DU 145 and NCI-H1915 cell lines into mice. Initially, the injected cells formed distant multifocal lesions in the brains of NCI-H1915 mice, making surgical resection impractical in clinical settings. We determined that perifosine could distribute into the brain and remain localized in that region for a long period. Perifosine significantly prolonged the survival of DU 145 and NCI-H1915 orthotopic brain tumor mice; additionally, complete tumor regression was observed in the NCI-H1915 model. Perifosine also elicited much stronger antitumor responses against subcutaneous NCI-H1915 growth; a similar trend of sensitivity to perifosine was also observed in the orthotopic models. Moreover, the degree of suppression of NCI-H1915 tumor growth was associated with long-term exposure to a high level of perifosine at the tumor site and the resultant blockage of the PI3K/Akt signaling pathway, a decrease in tumor cell proliferation, and increased apoptosis. The results presented here provide a promising approach for the future treatment of patients with metastatic brain cancers and emphasize the importance of enriching a patient population that has a higher probability of responding to perifosine.
转移性脑肿瘤被认为是某些类型癌症的最晚期阶段;然而,化疗在脑转移瘤的治疗中作用有限。在此,我们使用源自人脑转移性肿瘤的细胞系建立了脑转移的小鼠模型,旨在探索一种口服活性变构Akt抑制剂哌立福新的抗肿瘤疗效。我们通过在将DU 145和NCI-H1915细胞系注射到小鼠体内创建的异位和原位模型中单独使用哌立福新,来评估其有效性。最初,注射的细胞在NCI-H1915小鼠的大脑中形成远处多灶性病变,这使得在临床环境中进行手术切除不切实际。我们确定哌立福新可以分布到大脑中并在该区域长期定位。哌立福新显著延长了DU 145和NCI-H1915原位脑肿瘤小鼠的生存期;此外,在NCI-H1915模型中观察到肿瘤完全消退。哌立福新对皮下NCI-H1915生长也引发了更强的抗肿瘤反应;在原位模型中也观察到了对哌立福新类似的敏感性趋势。此外,NCI-H1915肿瘤生长的抑制程度与在肿瘤部位长期暴露于高水平的哌立福新以及由此导致的PI3K/Akt信号通路阻断、肿瘤细胞增殖减少和细胞凋亡增加有关。本文给出的结果为未来治疗转移性脑癌患者提供了一种有前景的方法,并强调了富集对哌立福新有较高反应概率的患者群体的重要性。
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