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Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment
Published on: January 7, 2015
Exploiting oxidative stress and signaling in chemotherapy of resistant neoplasms
N F Schor1, V E Kagan, Ye Liang
1Department of Pediatrics, University of Pittsburgh, Pittsburgh, USA. nfschor@pitt.edu
Abstract:
Neural crest tumors of childhood are particularly resistant to apoptosis induction by chemotherapeutic agents. Mechanisms of resistance include altered glutathione handling that accompanies up-regulation of Bcl-2 and its relatives. We have designed and tested in preclinical model systems approaches to this problem. These approaches include adjunctive use of oxygen radical-generating neurotransmitter analogs taken up by these neural crest tumor cells with scavenging (i.e., "rescue") agents that are selective for normal neural crest and the use of reduction-dependent prodrugs of apoptosis-inducing agents. Promising prototypes for these conceptual approaches include, respectively, adjunctive use of the oxygen radical generator, 6-hydroxydopamine, with the normal cell-selective antioxidant, Tempol (4-hydroxy-2,2,6,6-tetramethylpiperidine-N-oxyl), and use of the reduction-dependent chemotherapeutic prodrug neocarzinostatin.
Insights
Childhood neural crest tumors resist chemotherapy due to altered glutathione handling. Novel strategies combine targeted oxygen radicals with antioxidants and reduction-dependent prodrugs to overcome this resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Childhood neural crest tumors exhibit significant resistance to apoptosis induction by conventional chemotherapeutic agents.
- This resistance is often linked to altered glutathione metabolism and the overexpression of Bcl-2 family proteins.
Purpose of the Study:
- To design and evaluate novel therapeutic strategies to overcome chemoresistance in neural crest tumors.
- To investigate the efficacy of combining oxygen radical generators with selective scavenging agents and reduction-dependent prodrugs.
Main Methods:
- Utilized preclinical model systems to test novel therapeutic approaches.
- Investigated the adjunctive use of 6-hydroxydopamine (oxygen radical generator) with Tempol (antioxidant selective for normal neural crest cells).
- Examined the application of reduction-dependent chemotherapeutic prodrugs, such as neocarzinostatin.
Main Results:
- Demonstrated promising preclinical efficacy for the designed therapeutic strategies.
- Showcased the potential of targeting altered glutathione handling and apoptosis pathways.
Conclusions:
- The developed strategies, including the combination of targeted oxygen radical generation and selective antioxidant rescue, offer a promising avenue for treating chemoresistant neural crest tumors.
- Reduction-dependent prodrugs represent a viable approach to enhance therapeutic outcomes in these challenging pediatric malignancies.
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