MBL-II-141, a chromone derivative, enhances irinotecan (CPT-11) anticancer efficiency in ABCG2-positive xenografts
Léa Payen1, Mylène Honorat2, Jérôme Guitton3
1Institut des Sciences Pharmaceutiques et Biologiques (ISPB), Université Lyon 1, Lyon 69373, France. INSERM UMR-S1052, CNRS UMR 5286, Université Lyon 1, Centre de Recherche en Cancérologie de Lyon (CRCL), LabEx DEVweCAN, Centre Léon Bérard, Lyon 69373, France. Hospices Civils of Lyon, Laboratoire de Biochimie de Lyon Sud (CBS), Lyon, France.
Abstract:
ABCG2 is responsible for the multidrug resistance (MDR) phenotype, and strongly modulates cancer outcomes. Its high expression at a number of physiological barriers, including blood-brain and intestinal barriers, impacts on drug pharmacokinetics parameters. We characterized MBL-II-141, a specific and potent ABCG2 inhibitor. Combination of 10 mg/kg MBL-II-141 with the anticancer agent CPT-11 completely blocked the growth of 90% freshly implanted ABCG2-positive tumors. Moreover, the same combination slowed the growth of already established tumors. As required for preclinical development, we defined the main pharmacokinetics parameters of MBL-II-141 and its influence on the kinetics of CPT-11 and its active metabolite SN-38 in mice. MBL-II-141 distribution into the brain occurred at a low, but detectable, level. Interestingly, preliminary data suggested that MBL-II-141 is well tolerated (at 50 mg/kg) and absorbed upon force-feeding. MBL-II-141 induced a potent sensitization of ABCG2-positive xenografts to CPT-11 through in vivo ABCG2 inhibition. MBL-II-141 strongly increased CPT-11 levels in the brain, and therefore would be a valuable agent to improve drug distribution into the brain to efficiently treat aggressive gliomas. Safety and other pharmacological data strongly support the reglementary preclinical development of MBL-II-141.
Insights
MBL-II-141, an ABCG2 inhibitor, combined with CPT-11, blocked 90% of new ABCG2-positive tumors and slowed established ones. This combination enhances CPT-11 brain delivery for aggressive glioma treatment.
Area of Science:
- Pharmacology
- Oncology
- Drug Discovery
Background:
- ABCG2 transporter mediates multidrug resistance (MDR) and affects cancer patient outcomes.
- High ABCG2 expression at physiological barriers impacts drug pharmacokinetics.
- ABCG2 inhibition is a potential strategy to overcome MDR and improve cancer therapy.
Purpose of the Study:
- To characterize MBL-II-141, a novel ABCG2 inhibitor.
- To evaluate the efficacy of MBL-II-141 in combination with CPT-11 against ABCG2-positive tumors.
- To determine the pharmacokinetic profile of MBL-II-141 and its effect on CPT-11/SN-38 kinetics.
Main Methods:
- In vivo efficacy studies using ABCG2-positive tumor models.
- Pharmacokinetic analysis of MBL-II-141, CPT-11, and SN-38 in mice.
- Assessment of MBL-II-141 tolerability and absorption.
Main Results:
- Combination of MBL-II-141 (10 mg/kg) and CPT-11 completely blocked 90% of freshly implanted ABCG2-positive tumors.
- The combination also slowed the growth of established tumors.
- MBL-II-141 increased CPT-11 levels in the brain, indicating improved drug distribution.
- Preliminary data showed MBL-II-141 is well-tolerated and absorbed upon force-feeding.
Conclusions:
- MBL-II-141 effectively inhibits ABCG2 in vivo, sensitizing tumors to CPT-11.
- MBL-II-141 demonstrates potential for enhancing CPT-11 brain penetration.
- MBL-II-141 warrants further preclinical development for treating aggressive gliomas and other ABCG2-related cancers.
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