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Published on: July 10, 2019
Supramolecular alleviation of cardiotoxicity of a small-molecule kinase inhibitor
Xue Yang1, Qiaoxian Huang, David Bardelang
1State Key Laboratory of Quality Research in Chinese Medicine, and Institute of Chinese Medical Sciences, University of Macau, Taipa, Macau, China. rwang@umac.mo.
Abstract:
Small-molecule kinase inhibitors (SMKIs) have been widely used in the treatment of a variety of cancers due to their clinically demonstrated efficacy. However, the use of some SMKIs, such as sorafenib (SO), has been plagued by their cardiotoxicity that has been frequently observed in treated patients. Herein we report that the encapsulation of SO by a synthetic receptor cucurbit[7]uril (CB[7]) alleviated the inherent cardiotoxicity of SO, as demonstrated in an in vivo zebrafish model. Moreover, the anti-cancer activity of SO was well preserved, upon its encapsulation by CB[7], as demonstrated by both in vitro and in vivo cancer/angiogenesis models. This discovery may provide new insights into a novel supramolecular formulation of SMKIs for the management of their side-effects.
Insights
Small-molecule kinase inhibitors (SMKIs) like sorafenib can cause cardiotoxicity. Encapsulating sorafenib with cucurbit[7]uril (CB[7]) reduced toxicity in zebrafish while maintaining anti-cancer efficacy.
Area of Science:
- Oncology
- Supramolecular Chemistry
- Pharmacology
Background:
- Small-molecule kinase inhibitors (SMKIs) are vital cancer therapeutics.
- Sorafenib (SO), a widely used SMKI, exhibits significant cardiotoxicity.
- Managing SMKI-induced side effects is crucial for patient outcomes.
Purpose of the Study:
- To investigate the potential of cucurbit[7]uril (CB[7]) encapsulation to mitigate sorafenib's cardiotoxicity.
- To evaluate if CB[7] encapsulation preserves the anti-cancer efficacy of sorafenib.
- To explore a novel supramolecular strategy for improving SMKI safety.
Main Methods:
- In vivo zebrafish model for assessing cardiotoxicity.
- In vitro and in vivo cancer and angiogenesis models for evaluating anti-cancer activity.
- Supramolecular complex formation between sorafenib and cucurbit[7]uril.
Main Results:
- Encapsulation of sorafenib with CB[7] significantly alleviated cardiotoxicity in a zebrafish model.
- The anti-cancer and anti-angiogenesis activities of sorafenib were retained after CB[7] encapsulation.
- Demonstrated preserved therapeutic efficacy alongside reduced toxicity.
Conclusions:
- Cucurbit[7]uril encapsulation offers a promising strategy to reduce the cardiotoxicity of sorafenib.
- Supramolecular complexation can enhance the safety profile of small-molecule kinase inhibitors.
- This approach may lead to improved therapeutic options for cancer patients.
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