An agonist of toll-like receptor 5 has radioprotective activity in mouse and primate models

Lyudmila G Burdelya1, Vadim I Krivokrysenko, Thomas C Tallant

  • 1Department of Cell Stress Biology, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.

Science (New York, N.Y.)
|April 12, 2008
PubMed

Insights

A novel drug, CBLB502, activates Toll-like receptor 5 (TLR5) signaling to protect healthy cells from radiation toxicity. This radioprotective agent improved survival in mice and monkeys without reducing tumor radiosensitivity.

Area of Science:

  • Radiation biology
  • Immunology
  • Pharmacology

Background:

  • Ionizing radiation causes severe toxicity via apoptosis in radiosensitive organs.
  • Tumor cells utilize signaling mechanisms to suppress apoptosis, a process that can be targeted.
  • CBLB502 is a drug derived from Salmonella flagellin that activates nuclear factor-kappaB signaling through Toll-like receptor 5 (TLR5).

Purpose of the Study:

  • To investigate the radioprotective potential of CBLB502 in healthy cells.
  • To determine if CBLB502 can mitigate the harmful effects of radiation exposure.
  • To assess the impact of CBLB502 on tumor radiosensitivity.

Main Methods:

  • Administration of CBLB502 to mice and rhesus monkeys before or after lethal total-body irradiation.
  • Evaluation of gastrointestinal and hematopoietic acute radiation syndromes.
  • Assessment of survival rates and tumor radiosensitivity in mouse models.

Main Results:

  • A single CBLB502 injection before irradiation significantly improved survival in mice by protecting against acute radiation syndromes.
  • Post-irradiation CBLB502 administration also enhanced survival, particularly at lower radiation doses.
  • CBLB502 demonstrated radioprotective effects in lethally irradiated rhesus monkeys.
  • The drug did not reduce tumor radiosensitivity in preclinical models.

Conclusions:

  • Toll-like receptor 5 (TLR5) agonists like CBLB502 show promise as radioprotective agents.
  • CBLB502 could potentially enhance the therapeutic index of cancer radiotherapy.
  • TLR5 agonists may serve as effective biological protectants in radiation emergencies.

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