Potent inhibition of tumour cell proliferation and immunoregulatory function by mitochondria-targeted atovaquone
Gang Cheng1,2, Micael Hardy3, Paytsar Topchyan4,5
1Department of Biophysics, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI, 53226, USA.
Abstract:
The FDA-approved prophylactic antimalarial drug atovaquone (ATO) recently was repurposed as an antitumor drug. Studies show that ATO exerts a profound antiproliferative effect in several cancer cells, including breast, ovarian, and glioma. Analogous to the mechanism of action proposed in parasites, ATO inhibits mitochondrial complex III and cell respiration. To enhance the chemotherapeutic efficacy and oxidative phosphorylation inhibition, we developed a mitochondria-targeted triphenylphosphonium-conjugated ATO with varying alkyl side chains (Mito4-ATO, Mito10-ATO, Mito12-ATO, and Mito16-ATO). Results show, for the first time, that triphenylphosphonium-conjugated ATO potently enhanced the antiproliferative effect of ATO in cancer cells and, depending upon the alkyl chain length, the molecular target of inhibition changes from mitochondrial complex III to complex I. Mito4-ATO and Mito10-ATO inhibit both pyruvate/malate-dependent complex I and duroquinol-dependent complex III-induced oxygen consumption whereas Mito12-ATO and Mito16-ATO inhibit only complex I-induced oxygen consumption. Mitochondrial target shifting may have immunoregulatory implications.
Insights
Antimalarial atovaquone (ATO) shows antitumor effects. Conjugating ATO to mitochondria enhanced its antiproliferative activity, altering its inhibition target from complex III to complex I in cancer cells.
Area of Science:
- Biochemistry
- Pharmacology
- Cancer Research
Background:
- Atovaquone (ATO), an FDA-approved antimalarial, exhibits significant antiproliferative effects in various cancer cells.
- ATO's antitumor mechanism involves inhibiting mitochondrial complex III and cellular respiration.
Purpose of the Study:
- To enhance the chemotherapeutic efficacy of ATO by developing mitochondria-targeted conjugates.
- To investigate the effect of varying alkyl chain lengths on ATO's antiproliferative activity and mitochondrial target.
Main Methods:
- Synthesis of triphenylphosphonium-conjugated ATO derivatives (Mito4-ATO, Mito10-ATO, Mito12-ATO, Mito16-ATO).
- Assessment of antiproliferative effects in cancer cells.
- Evaluation of mitochondrial respiration inhibition using oxygen consumption assays.
Main Results:
- Triphenylphosphonium-conjugated ATO significantly enhanced the antiproliferative effect of ATO in cancer cells.
- The alkyl chain length determined the molecular target: Mito4-ATO and Mito10-ATO inhibited both Complex I and Complex III, while Mito12-ATO and Mito16-ATO selectively inhibited Complex I.
- Mitochondrial target shifting was observed, with implications for immunomodulation.
Conclusions:
- Mitochondria-targeted ATO conjugates represent a promising strategy to enhance antitumor efficacy.
- The ability to modulate the inhibition target (Complex I vs. Complex III) offers a novel approach to cancer therapy.
- Potential immunoregulatory roles of mitochondrial target shifting warrant further investigation.
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