OKlahoma Nitrone-007: novel treatment for diffuse intrinsic pontine glioma

Lincy Thomas1,2,3, Nataliya Smith1, Debra Saunders1

  • 1Advanced Magnetic Resonance Center, Oklahoma Medical Research Foundation, 825 NE 13th Street, Oklahoma City, OK, 73104, USA.

Abstract

Insights

The anti-cancer agent OKlahoma Nitrone-007 (OKN-007) shows promise in treating diffuse intrinsic pontine glioma (DIPG). In a mouse model, OKN-007 significantly reduced tumor growth and improved survival, warranting further investigation.

Area of Science:

  • Oncology
  • Pediatric Neuro-oncology
  • Cancer Therapeutics

Background:

  • Diffuse intrinsic pontine glioma (DIPG) is the most prevalent pediatric brainstem cancer.
  • DIPG has a poor prognosis with limited therapeutic options and median survival under one year.
  • Significant advancements in DIPG treatment remain elusive despite extensive research.

Purpose of the Study:

  • To evaluate the efficacy of OKlahoma Nitrone-007 (OKN-007) as a potential anti-cancer agent for DIPG.
  • To compare the effects of OKN-007 with LDN-193189, a known ACVR1 inhibitor, in a pediatric DIPG mouse model.
  • To assess tumor growth inhibition and molecular changes induced by OKN-007 treatment.

Main Methods:

  • An orthotopic xenograft pediatric DIPG (HSJD-DIPG-007) mouse model was utilized.
  • Magnetic resonance imaging (MRI) was employed to monitor tumor burden and apparent diffusion coefficient (ADC).
  • Histological analysis assessed markers of angiogenesis (CD34), cell proliferation (HNA), signaling pathways (ACVR1, c-MET), apoptosis (cleaved caspase 3), and epigenetic modifications (H3K27me3).

Main Results:

  • OKN-007 treatment significantly decreased tumor volumes (p < 0.01) and ADC (p < 0.0001) after 28 days.
  • Histological analysis revealed decreased CD34 expression (p < 0.05) in OKN-007 treated mice compared to LDN-193189.
  • OKN-007 significantly reduced HNA, ACVR1, and c-MET protein expression while increasing cleaved caspase 3 and H3K27me3 expression.

Conclusions:

  • OKN-007 demonstrated significant anti-tumor effects in a pediatric DIPG mouse model.
  • The drug's efficacy in reducing tumor burden and altering key molecular markers suggests therapeutic potential.
  • OKN-007 warrants further investigation as a novel therapeutic agent for DIPG, given the current limitations in treatment options.

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