Van Renterghem Britt, Wozniak Agnieszka, Tarantola Ludovica, Casazza Andrea, Wellens Jasmien, Nysen Madita, Vanleeuw Ulla, Lee Che-Jui, Reyns Geert, Sciot Raf, Kindt Nele, Schöffski Patrick
Laboratory of Experimental Oncology, Catholic University of Leuven, 3000 Leuven, Belgium.
CoBioRes, Campus Gasthuisberg, Catholic University of Leuven, 3000 Leuven, Belgium.
Biomedicines. 2022 Apr 6;10(4):862. doi: 10.3390/biomedicines10040862.
Despite poor response rates and dose-limiting cardiotoxicity, doxorubicin (doxo) remains the standard-of-care for patients with advanced soft tissue sarcoma. We evaluated the efficacy of two tetrapeptidic doxo prodrugs (PhAc-ALGP-Dox or CBR-049 and CBR-050) that are locally activated by enzymes expressed in the tumor environment, in ten sarcoma patient-derived xenografts. Xenograft models were selected based on expression of the main activating enzyme, i.e., thimet oligopeptidase (THOP1). Mice were either randomized to vehicle, doxo, CBR-049 and CBR-050 or control, doxo, aldoxorubicin (aldoxo) and CBR-049. Treatment efficacy was assessed by tumor volume measurement and histological assessment of ex-mouse tumors. CBR-049 showed significant tumor growth delay compared to control in all xenografts investigated and was superior compared to doxo in all but one. At the same time, CBR-049 showed comparable efficacy to aldoxo but the latter was found to have a complex safety profile in mice. CBR-050 demonstrated tumor growth delay compared to control in one xenograft but was not superior to doxo. For both experimental prodrugs, strong immunostaining for THOP1 was found to predict better antitumor efficacy. The prodrugs were well tolerated without any adverse events, even though molar doses were 17-fold higher than those administered and tolerated for doxo.
尽管阿霉素(多柔比星,doxo)的缓解率较低且存在剂量限制性心脏毒性,但它仍然是晚期软组织肉瘤患者的标准治疗药物。我们评估了两种四肽阿霉素前药(PhAc-ALGP-Dox或CBR-049和CBR-050)的疗效,这两种前药在肿瘤环境中表达的酶的作用下可被局部激活,我们在10个肉瘤患者来源的异种移植模型中进行了研究。异种移植模型是根据主要激活酶即硫醇寡肽酶(THOP1)的表达情况选择的。将小鼠随机分为接受赋形剂、阿霉素、CBR-049和CBR-050组,或对照组、阿霉素、醛基阿霉素(aldoxo)和CBR-049组。通过测量肿瘤体积和对小鼠肿瘤进行组织学评估来评估治疗效果。在所有研究的异种移植模型中,与对照组相比,CBR-049显示出显著的肿瘤生长延迟,除一个模型外,在所有模型中CBR-049均优于阿霉素。同时,CBR-049显示出与醛基阿霉素相当的疗效,但发现后者在小鼠中具有复杂的安全性。在一个异种移植模型中,与对照组相比,CBR-050显示出肿瘤生长延迟,但并不优于阿霉素。对于这两种实验性前药,发现THOP1的强免疫染色可预测更好的抗肿瘤疗效。尽管前药的摩尔剂量比阿霉素给药和耐受的剂量高17倍,但它们耐受性良好,没有任何不良事件。