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Updated: Jun 12, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Evaluation of toxicity and antitumor activity of cycloviolacin O2 in mice
Robert Burman1, Erika Svedlund, Jenny Felth
1Division of Pharmacognosy, Department of Medicinal Chemistry, Biomedical Centre, Uppsala University, Box 574, SE-751 23 Uppsala, Sweden.
Abstract:
Cycloviolacin O2 is a small cyclic cysteine-rich protein belonging to the group of plant proteins called cyclotides. This cyclotide has been previously shown to exert cytotoxic activity against a variety of human tumor cell lines as well as primary cultures of human tumor cells in vitro. This study is the first evaluation of its tolerability and antitumor activity in vivo. Maximal-tolerated doses were estimated to 1.5 mg/kg for single intravenous (i.v.) dosing and 0.5 mg/kg for daily repeated dosing, respectively. Two different in vivo methods were used: the hollow fiber method with single dosing (i.v., 1.0 mg/kg) and traditional xenografts with repeated dosing over 2 weeks (i.v., 0.5 mg/kg daily, 5 days a week). The human tumor cell lines used displayed dose-dependent in vitro sensitivity (including growth in hollow fibers to confirm passage of cycloviolacin O2 through the polyvinylidene fluoride fibers), with IC5o values in the micromolar range. Despite this sensitivity in vitro, no significant antitumor effects were detected in vivo, neither with single dosing in the hollow fiber method nor with repeated dosing in xenografts. In summary, the results indicate that antitumor effects are minor or absent at tolerable (sublethal) doses, and cycloviolacin O2 has a very abrupt in vivo toxicity profile, with lethality after single injection at 2 mg/kg, but no signs of discomfort to the animals at 1.5 mg/kg. Repeated dosing of 1 mg/kg gave a local-inflammatory reaction at the site of injection after 2-3 days; lower doses were without complications.
Insights
Cycloviolacin O2, a plant cyclotide, showed promising in vitro cytotoxicity against tumors. However, in vivo studies revealed minimal antitumor effects at tolerable doses, despite a narrow therapeutic window and abrupt toxicity.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Cycloviolacin O2 is a cyclotide with demonstrated in vitro cytotoxic activity against human tumor cells.
- This study investigates the in vivo tolerability and antitumor potential of cycloviolacin O2 for the first time.
Purpose of the Study:
- To evaluate the maximal tolerated dose (MTD) and antitumor efficacy of cycloviolacin O2 in vivo.
- To assess the toxicity profile and therapeutic window of cycloviolacin O2 in preclinical cancer models.
Main Methods:
- Maximal tolerated doses were determined for single and repeated intravenous (i.v.) administration.
- In vivo efficacy was tested using the hollow fiber method (single dose) and traditional xenografts (repeated dose).
- In vitro sensitivity of human tumor cell lines was confirmed with IC50 values in the micromolar range.
Main Results:
- The MTD was established at 1.5 mg/kg for single i.v. dosing and 0.5 mg/kg for daily repeated dosing.
- No significant antitumor effects were observed in vivo using either the hollow fiber method or xenograft models at tolerable doses.
- Cycloviolacin O2 exhibits an abrupt toxicity profile, with lethality at 2 mg/kg but no adverse effects at 1.5 mg/kg single dose.
Conclusions:
- Antitumor effects of cycloviolacin O2 are negligible or absent at sublethal in vivo doses.
- The narrow therapeutic window and limited efficacy in vivo suggest challenges for its clinical application as an anticancer agent.
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