Preclinical leads for innovative uses for etoposide

D D Von Hoff1, J McGill, K Davidson

  • 1Department of Medicine, University of Texas Health Science Center, San Antonio 78284.

Seminars in Oncology
|December 1, 1992
PubMed

Insights

The cancer drug etoposide significantly reduced double minutes (DMs) carrying amplified oncogenes in tumor cells. This finding suggests a potential strategy to decrease tumor aggressiveness by eliminating these amplified oncogenes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Amplification of oncogenes in human tumors correlates with poor prognosis.
  • Amplified oncogenes can reside in chromosomal homogeneously staining regions or extrachromosomal double minutes (DMs).
  • Extrachromosomal amplified oncogenes in DMs are susceptible to cellular loss.

Purpose of the Study:

  • To investigate the effect of the topoisomerase II inhibitor etoposide on DM-containing amplified oncogenes.
  • To determine if etoposide can reduce the number of amplified oncogenes located in DMs.
  • To explore the potential therapeutic implications of eliminating amplified oncogenes.

Main Methods:

  • Treatment of three human tumor cell lines with clinically achievable concentrations of etoposide.
  • Quantification of the number of double minutes (DMs) containing amplified oncogenes before and after treatment.
  • Assessment of changes in amplified oncogene copy number and cellular localization.

Main Results:

  • Etoposide treatment led to a significant decrease in the number of DMs in all tested tumor cell lines.
  • The reduction in DMs suggests a loss of extrachromosomal amplified oncogenes.
  • The observed effect was achieved with clinically relevant concentrations of etoposide.

Conclusions:

  • Etoposide effectively reduces extrachromosomal amplified oncogenes located in double minutes (DMs).
  • Elimination of amplified oncogenes may lead to less aggressive tumor behavior.
  • Targeting DMs with etoposide represents a potential therapeutic strategy in oncology.