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Discovery and pharmacologic characterization of CP-724,714, a selective ErbB2 tyrosine kinase inhibitor
Jitesh P Jani1, Richard S Finn, Mary Campbell
1Department of Cancer Discovery, Pfizer Global Research and Development, Groton, Connecticut 06340, USA.
Abstract:
Amplification and overexpression of erbB2 (Her-2/neu) proto-oncogene has been linked to human malignancies including tumors of the breast, ovary, and stomach. It has been implicated in tumor growth, sensitivity to standard chemotherapy, prognosis of patients, and disease-free survival. Although the clinical use of trastuzumab (Herceptin) has prolonged the survival of breast cancer patients with erbB2-overexpressing tumors, there is an urgent need for more potent and orally bioavailable small-molecule inhibitors. CP-724,714 is a potent inhibitor of erbB2 receptor autophosphorylation in intact cells and is currently undergoing phase I clinical trials. Here, we describe the effects of CP-724,714 in vitro and in vivo in human breast cancer models. CP-724,714 is selective for inhibiting growth of HER2-driven cell lines. In addition, we show that it induces G1 cell cycle block in erbB2-overexpressing BT-474 human breast carcinoma cells and inhibits erbB2 autophosphorylation in xenografts when administered p.o. to athymic mice. It induces a marked reduction of extracellular signal-regulated kinase and Akt phosphorylation, tumor cell apoptosis, and release of caspase-3. P.o. administration (q.d. or b.i.d.) of CP-724,714 inhibits the growth of erbB2-overexpressing tumors in athymic mice without overt adverse effects.
Insights
CP-724,714 effectively inhibits HER2-driven breast cancer growth by blocking erbB2 autophosphorylation and inducing apoptosis. This orally available small-molecule inhibitor shows promise in preclinical models with minimal adverse effects.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Amplification and overexpression of the erbB2 (Her-2/neu) proto-oncogene are implicated in various human cancers, including breast, ovarian, and stomach tumors.
- Overexpression of erbB2 affects tumor growth, chemotherapy sensitivity, patient prognosis, and disease-free survival.
- While trastuzumab (Herceptin) improves survival in HER2-positive breast cancer, there's a need for potent, orally bioavailable small-molecule inhibitors.
Purpose of the Study:
- To investigate the in vitro and in vivo effects of CP-724,714, a novel erbB2 inhibitor, in human breast cancer models.
- To evaluate the selectivity and mechanism of action of CP-724,714 in HER2-driven cancer cells.
- To assess the efficacy and safety of orally administered CP-724,714 in preclinical breast cancer xenograft models.
Main Methods:
- In vitro studies using HER2-driven and non-HER2-driven cell lines to assess growth inhibition and cell cycle effects.
- In vivo studies involving oral administration of CP-724,714 to athymic mice bearing erbB2-overexpressing human breast cancer xenografts.
- Analysis of molecular markers including erbB2 autophosphorylation, extracellular signal-regulated kinase (ERK) and Akt phosphorylation, and caspase-3 activation.
Main Results:
- CP-724,714 demonstrated selectivity, inhibiting the growth of HER2-driven cell lines.
- The compound induced a G1 cell cycle block in BT-474 human breast carcinoma cells and inhibited erbB2 autophosphorylation in vivo.
- Oral administration of CP-724,714 led to reduced ERK and Akt phosphorylation, increased tumor cell apoptosis, and caspase-3 release, inhibiting tumor growth without significant adverse effects.
Conclusions:
- CP-724,714 is a potent and selective inhibitor of erbB2 signaling with promising anti-cancer activity in preclinical breast cancer models.
- The drug's ability to inhibit erbB2 autophosphorylation, induce cell cycle arrest, promote apoptosis, and its oral bioavailability make it a potential therapeutic candidate.
- CP-724,714 warrants further clinical investigation as a targeted therapy for HER2-overexpressing cancers.
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