de Vos S, Holden S, Heber D, Elstner E, Binderup L, Uskokovic M, Rude B, Chen D L, Le J, Cho S K, Koeffler H P
Department of Medicine, Cedars-Sinai Research Institute, UCLA School of Medicine 90048, USA.
Prostate. 1997 May 1;31(2):77-83. doi: 10.1002/(sici)1097-0045(19970501)31:2<77::aid-pros1>3.0.co;2-e.
Management of prostate cancer that has spread outside of the prostate capsule is a difficult problem. Innovative, non-toxic approaches to the disease are required. New, relatively non-toxic vitamin D3 analogs have recently been synthesized. We report that several of these compounds have marked antiproliferative effects on prostate cells.
The clonal antiproliferative activity of five novel analogs of 1,25 dihydroxyvitamin D3 [1,25(OH)2D3, (cmpd C)] as well as 1,25(OH)2D3 itself was tested on three human prostate cancer cell lines (PC-3, LNCaP, and DU-145). The analogs were 20-epi-22oxa-24a,26a,27a-tri-homo-1 alpha,25(OH)2D3 (code name: KH 1060); 24a26a27a-tri-homo-22,24-diene-1 alpha,25(OH)2D3 (code name: EB 1089); 1,25(OH)2-16ene-D3 (code name: HM); 1,25(OH)2-16ene-23yne-D3 (code name: V); 1,25(OH)2-20-epi-D3 (code name: MC 1288)].
With the parent compound [1,25(OH)2D3], the effective dose that inhibited 50% clonogenic growth of PC-3 and LNCaP was 10(-8)M and 7 x 10(-9)M, respectively. For these prostate cancer cell lines, KH 1060 was the most potent analog by an order of 25- to 35-fold as compared to cmpd C. The second and third most potent analogs were HM and MC 1288. DU-145 was resistant to all the vitamin D3 analogs. The major side-effect of 1,25(OH)2D3 is the production of hypercalcemia. The relative inhibitory index (RII) was determined by comparing the antiproliferative activity of the analog to its ability to produce hypercalcemia in mice injected intraperitoneally every other day. The KH 1060 had the best RTI: 50- to 70-fold greater than 1,25(OH)2D3 for PC-3 and LNCaP, respectively.
A trial of one or more of these innovative compounds should be considered for treatment of minimal residual disease of prostate cancer.
前列腺癌已扩散至前列腺包膜外的管理是一个难题。需要创新的、无毒的治疗方法。最近合成了新的、相对无毒的维生素D3类似物。我们报告这些化合物中的几种对前列腺细胞有显著的抗增殖作用。
测试了1,25-二羟基维生素D3[1,25(OH)2D3,化合物C]的五种新型类似物以及1,25(OH)2D3本身对三种人前列腺癌细胞系(PC-3、LNCaP和DU-145)的克隆抗增殖活性。这些类似物分别是20-表-22-氧杂-24α,26α,27α-三高-1α,25(OH)2D3(代号:KH 1060);24α,26α,27α-三高-22,24-二烯-1α,25(OH)2D3(代号:EB 1089);1,25(OH)2-16-烯-D3(代号:HM);1,25(OH)2-16-烯-23-炔-D3(代号:V);1,25(OH)2-20-表-D3(代号:MC 1288)。
对于母体化合物[1,25(OH)2D3],抑制PC-3和LNCaP克隆生长50%的有效剂量分别为10(-8)M和7×10(-9)M。对于这些前列腺癌细胞系,与化合物C相比,KH 1060是最有效的类似物,效力高出25至35倍。第二和第三有效的类似物是HM和MC 1288。DU-145对所有维生素D3类似物均耐药。1,25(OH)2D3的主要副作用是导致高钙血症。通过比较类似物的抗增殖活性与其每隔一天腹腔注射给小鼠后产生高钙血症的能力来确定相对抑制指数(RII)。KH 1060的RII最佳:对于PC-3和LNCaP,分别比1,25(OH)2D3高50至70倍。
对于前列腺癌微小残留病的治疗,应考虑对这些创新化合物中的一种或多种进行试验。