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ATR抑制剂西拉司他、依利司他和贝佐司他单独及与电离辐射联合使用的体内比较毒理学

Comparative in vivo toxicology of ATR inhibitors ceralasertib, elimusertib, and berzosertib alone and in combination with ionizing radiation.

作者信息

Deppas Joshua J, Kiesel Brian F, Guo Jianxia, Rigatti Lora H, Latoche Joseph D, Green Anthony, Knizner Paul, Clump D Andy, Pandya Pinakin, Vendetti Frank P, Bakkenist Christopher J, Beumer Jan H

机构信息

Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, PA, United States of America; Department of Pharmaceutical Sciences, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, United States of America.

Cancer Therapeutics Program, University of Pittsburgh Cancer Institute, Pittsburgh, PA, United States of America.

出版信息

Toxicol Appl Pharmacol. 2025 Jul;500:117375. doi: 10.1016/j.taap.2025.117375. Epub 2025 May 6.

Abstract

Ionizing radiation (IR) induces damage in the form of DNA strand breaks. As an apical initiator of the DNA damage response, Ataxia telangiectasia and Rad3-related (ATR) mitigates DNA damage, limiting therapeutic efficacy. Small molecule ATR inhibitors (ATRi) restrict this effect and sensitize cancer cells to radiation-induced damage. However, the impact of ATR inhibition in non-malignant tissues following IR is currently unknown. Here, we document the impact of ATRi on murine toxicity profiles following total body irradiation (TBI). Mice were stratified to receive single-dose ATRi (ceralasertib, elimusertib, or berzosertib), 6 Gy TBI, or the combination. Mice were euthanized 48 h post TBI. Blood and tissues were collected for analysis of complete blood counts and histopathology. To further distinguish toxicity profiles, IC values were compared between ATRi. Pharmacokinetics (PK) and pharmacodynamics (PD) were considered as potential explanatory factors of differences in toxicity profiles. Elimusertib was determined to be the most potent ATRi, and ceralasertib the least. We observed neutrophilia with all ATRi. We found that ATRi did not exacerbate any TBI-induced toxicities in mice. Berzosertib presented a unique profile among all ATRi across several toxicity endpoints, including modest amelioration of TBI-associated effects on spleen and lymphocyte and white blood cell counts. Cardiotoxicity was observed following single-dose ceralasertib, but no other ATRi, possibly due to high unbound plasma drug concentrations. Our results further support and guide clinical development of ATRi in clinic.

摘要

电离辐射(IR)会导致DNA链断裂形式的损伤。共济失调毛细血管扩张症和Rad3相关蛋白(ATR)作为DNA损伤反应的顶端启动因子,可减轻DNA损伤,从而限制治疗效果。小分子ATR抑制剂(ATRi)可抑制这种作用,使癌细胞对辐射诱导的损伤敏感。然而,目前尚不清楚IR后ATR抑制对非恶性组织的影响。在此,我们记录了ATRi对全身照射(TBI)后小鼠毒性特征的影响。将小鼠分层接受单剂量ATRi(西拉司他、依利司他或贝佐司他)、6 Gy TBI或联合治疗。TBI后48小时对小鼠实施安乐死。采集血液和组织用于全血细胞计数分析和组织病理学检查。为进一步区分毒性特征,比较了不同ATRi之间的半数抑制浓度(IC)值。药代动力学(PK)和药效学(PD)被视为毒性特征差异的潜在解释因素。确定依利司他是最有效的ATRi,而西拉司他最无效。我们观察到所有ATRi均导致中性粒细胞增多。我们发现ATRi并未加重小鼠的任何TBI诱导的毒性。在多个毒性终点方面,贝佐司他在所有ATRi中表现出独特的特征,包括对TBI相关的脾脏、淋巴细胞和白细胞计数影响的适度改善。单剂量西拉司他后观察到心脏毒性,但其他ATRi未观察到,这可能是由于血浆中游离药物浓度过高所致。我们的结果进一步支持并指导了ATRi在临床上的开发。

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