Galeterone and The Next Generation Galeterone Analogs, VNPP414 and VNPP433-3β Exert Potent Therapeutic Effects in

Andrew K Kwegyir-Afful1,2, Senthilmurugan Ramalingam3,4, Vidya P Ramamurthy5,6

  • 1Department of Pharmacology, University of Maryland School of Medicine, 685 West Baltimore Street, Baltimore, MD 21201, USA. Andrew.kwegyir-Afful@fda.hhs.gov.

Cancers
|October 27, 2019
PubMed

Insights

New galeterone analogs (NGGAs) show potent anti-prostate cancer activity by degrading AR/AR-V7 and Mnk1/2. VNPP433-3β demonstrated significant tumor suppression in vivo with minimal toxicity, outperforming enzalutamide.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Prostate cancer (PC) remains a significant health challenge, with resistance to current therapies like enzalutamide (ENZ) being a major concern.
  • Androgen receptor (AR) signaling and its splice variants (AR-V7) are key drivers of PC progression.
  • The Mnk1/2 pathway is implicated in cancer cell proliferation and survival.

Purpose of the Study:

  • To compare the efficacy of galeterone (Gal) and enzalutamide (ENZ) with novel next-generation galeterone analogs (NGGAs) in preclinical prostate cancer models.
  • To evaluate the antitumor activity and pharmacokinetic profiles of NGGAs.
  • To investigate the therapeutic potential of targeting AR/AR-V7 and Mnk1/2 in prostate cancer.

Main Methods:

  • In vitro and in vivo studies using prostate cancer cell lines and xenograft models (CWR22Rv1).
  • Assessment of antitumor activity, including cell cycle progression, apoptosis, migration, invasion, and stem cell markers.
  • Pharmacokinetic profiling of Gal and NGGAs in mice.
  • Evaluation of drug resistance mechanisms.

Main Results:

  • Gal and NGGAs degraded AR/AR-V7 and Mnk1/2, inhibiting PC cell proliferation and inducing apoptosis.
  • NGGAs reversed epithelial-to-mesenchymal transition (EMT) and inhibited stem cell markers.
  • Gal/NGGAs demonstrated efficacy against enzalutamide-, docetaxel-, and mitoxantrone-resistant cell lines.
  • VNPP433-3β showed superior in vivo efficacy in castration-resistant PC xenografts compared to Gal, with no observed toxicity.
  • Enzalutamide was ineffective in the castration-resistant PC xenograft model.

Conclusions:

  • Targeting AR/AR-V7 and Mnk1/2 for degradation is a viable therapeutic strategy for prostate cancer, including castration-resistant forms.
  • NGGAs, particularly VNPP433-3β, exhibit promising preclinical efficacy and improved pharmacokinetic profiles.
  • VNPP433-3β warrants further clinical development for prostate cancer treatment.

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