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Published on: June 18, 2015
CDB-4124, a progesterone receptor modulator, inhibits mammary carcinogenesis by suppressing cell proliferation and
Ronald Wiehle1, Daniel Lantvit, Tohru Yamada
1Repros Therapeutics, Inc., The Woodlands, TX 77380, USA. rwiehle@reprosrx.com
Abstract:
CDB-4124 (Proellex or telapristone acetate) is a modulator of progesterone receptor (PR) signaling, which is currently employed in preclinical studies for prevention and treatment of breast cancer and has been used in clinical studies for treatment of uterine fibroids and endometriosis. Here we provide evidence for its action on steroid hormone-signaling, cell cycle-regulated genes and in vivo on mammary carcinogenesis. When CDB-4124 is given to rats at 200 mg/kg for 24 months, it prevents the development of spontaneous mammary hyperplastic and premalignant lesions. Also, CDB-4124 given as subcutaneous pellets at two different doses suppressed, dose dependently, N-methyl-N-nitrosourea (MNU)-induced mammary carcinogenesis. The high dose (30 mg, over 84 days) increased tumor latency from 66 ± 24 days to 87 ± 20 days (P < 0.02), decreased incidence from 85% to 35% (P < 0.001), and reduced multiplicity from 3.0 to 1.1 tumors/animal (P < 0.001). Tumor burden decreased from 2.6 g/animal to 0.26 g/animal (P < 0.01). CDB-4124 inhibited cell proliferation and induced apoptosis in MNU-induced mammary tumors, which correlated with a decreased proportion of PR(+) tumor cells and with decreased serum progesterone. CDB-4124 did not affect serum estradiol. In a mechanistic study employing T47D cells we found that CDB-4124 suppressed G(1)/G(0)-S transition by inhibiting CDK2 and CDK4 expressions, which correlated with inhibition of estrogen receptor (ER) expression. Taken together, these data indicate that CDB-4124 can suppress the development of precancerous lesions and carcinogen-induced ER(+) mammary tumors in rats, and may have implications for prevention and treatment of human breast cancer.
Insights
CDB-4124, a progesterone receptor modulator, prevents mammary lesions and suppresses carcinogen-induced mammary tumors in rats. This suggests potential for breast cancer prevention and treatment.
Area of Science:
- Endocrinology
- Oncology
- Cell Biology
Background:
- CDB-4124 (telapristone acetate) is a progesterone receptor (PR) modulator.
- It is investigated for breast cancer prevention and treatment, and has been used for uterine fibroids and endometriosis.
Purpose of the Study:
- To investigate CDB-4124's effects on steroid hormone signaling, cell cycle genes, and mammary carcinogenesis in vivo.
- To evaluate its potential for breast cancer prevention and treatment.
Main Methods:
- Rats were administered CDB-4124 orally for 24 months or via subcutaneous pellets to suppress N-methyl-N-nitrosourea (MNU)-induced mammary carcinogenesis.
- Effects on tumor latency, incidence, multiplicity, and burden were assessed.
- Cell proliferation, apoptosis, PR, ER, and serum hormone levels were analyzed.
- Mechanistic studies were performed in T47D cells.
Main Results:
- CDB-4124 prevented spontaneous mammary lesions and dose-dependently suppressed MNU-induced mammary carcinogenesis.
- It increased tumor latency, decreased incidence and multiplicity, and reduced tumor burden.
- CDB-4124 inhibited cell proliferation and induced apoptosis in tumors, correlating with decreased PR(+) cells and serum progesterone.
- It suppressed G(1)/G(0)-S transition by inhibiting CDK2 and CDK4, correlating with ER expression inhibition.
Conclusions:
- CDB-4124 suppresses precancerous mammary lesions and carcinogen-induced ER(+) mammary tumors in rats.
- These findings support its potential role in the prevention and treatment of human breast cancer.
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