Anticancer Melatplatin Prodrugs: High Effect and Low Toxicity, MT1-ER-Target and Immune Response In Vivo

Xue-Qing Song1, Rui-Ping Liu1, Shu-Qing Wang1

  • 1Tianjin Key Laboratory on Technologies Enabling Development of Clinical Therapeutics and Diagnostics (Theranostics), School of Pharmacy, Tianjin Medical University, Tianjin 300070, China.

Insights

This study introduces Melatplatin, a novel platinum(IV) prodrug that combines chemotherapy with melatonin to target cancer cells. Melatplatin shows enhanced efficacy against estrogen receptor-positive tumors and modulates the immune response, offering a promising multitargeted cancer therapy.

Area of Science:

  • Oncology
  • Pharmacology
  • Immunology

Background:

  • Multitargeted therapies offer a strategy to overcome tumor progression by simultaneously inhibiting multiple oncogenic pathways.
  • Combining endocrine, immune, and chemotherapy may yield synergistic effects against various cancers.
  • Platinum(IV) prodrugs conjugated with melatonin (Melatplatin) were designed for multitargeted cancer treatment.

Purpose of the Study:

  • To design and synthesize novel platinum(IV) prodrugs (Melatplatin) for multitargeted therapy.
  • To evaluate the efficacy of Melatplatin against estrogen receptor-positive (ER+) tumors and its mechanism of action.
  • To assess the immunomodulatory effects and in vivo performance of Melatplatin compared to cisplatin.

Main Methods:

  • Synthesis and characterization of platinum(IV) prodrugs (Melatplatin 3-6).
  • In vitro cytotoxicity assays on ER+ MCF-7 cells and molecular docking with melatonin receptor 1 (MT1).
  • Assessment of intracellular accumulation, DNA damage markers (γH2AX, P53), apoptosis induction (NF-κB silencing), and in vivo tumor growth inhibition and toxicity studies.

Main Results:

  • Melatplatin demonstrated significantly enhanced efficacy in ER+ cells, with compound 3 showing 100-fold lower IC50 values than cisplatin.
  • Molecular docking confirmed Melatplatin's binding affinity to MT1.
  • Compound 3 increased intracellular drug accumulation, DNA damage, upregulated tumor suppressor proteins, silenced NF-κB, induced apoptosis, inhibited tumor growth in vivo, and promoted lymphocyte proliferation.

Conclusions:

  • Melatplatin represents a smart multitargeted therapy approach, effectively inhibiting ER+ tumor growth via DNA damage and apoptosis induction.
  • The drug exhibits potent cytotoxicity and favorable in vivo efficacy with reduced systemic toxicity compared to cisplatin.
  • Melatplatin's ability to modulate immune response suggests its potential as an immunochemotherapy agent.