Synthesis and Preclinical Evaluation of Small-Molecule Prostate-Specific Membrane Antigen-Targeted Abiraterone

Aleksei E Machulkin1, Ekaterina A Nimenko1, Nikolay U Zyk1

  • 1Chemistry Department, Lomonosov Moscow State University, Leninskie Gory, Building 1/3, GSP-1, 119991 Moscow, Russia.

Insights

A novel PSMA-targeted abiraterone conjugate (PSMA-Abi) shows preferential efficacy against prostate cancer cells with reduced toxicity compared to standard treatment. This targeted approach offers a promising alternative for androgen deprivation therapy side effects.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Pharmacology

Background:

  • Prostate cancer is a leading cancer in men, often treated with androgen deprivation therapy (ADT).
  • ADT causes significant side effects, necessitating improved treatment strategies.
  • Targeted drug delivery to prostate cancer cells offers a potential solution to enhance efficacy and minimize toxicity.

Purpose of the Study:

  • To synthesize and evaluate a novel small-molecule PSMA-targeted conjugate based on abiraterone.
  • To assess the cytotoxicity, reactive oxygen species induction, and P450-cytochrome inhibition of the PSMA-abiraterone conjugate.
  • To determine the in vivo efficacy and toxicity profile of the conjugate in prostate cancer models.

Main Methods:

  • Synthesis of a novel PSMA-targeted abiraterone conjugate (PSMA-Abi).
  • In vitro assessment of cytotoxicity on prostate cancer and fibroblast cell lines.
  • Evaluation of intracellular reactive oxygen species and P450-cytochrome inhibition.
  • In vivo efficacy study using PSMA-expressing 22Rv1 xenografts in mice with oral administration of PSMA-Abi.

Main Results:

  • The PSMA-abiraterone conjugate demonstrated preferential cytotoxicity towards prostate tumor cells, with no activity in human fibroblasts up to 100 µM.
  • Significant tumor growth inhibition (65%) was observed in PSMA-positive 22Rv1 xenografts after repeated oral administration of PSMA-Abi.
  • The novel conjugate exhibited comparable efficacy to AbiAc but with significantly reduced acute toxicity.

Conclusions:

  • PSMA-targeted abiraterone conjugate (PSMA-Abi) is a promising therapeutic agent for prostate cancer.
  • Targeted delivery enhances efficacy and reduces systemic toxicity compared to conventional abiraterone acetate (AbiAc).
  • This conjugate represents a potential advancement in managing prostate cancer by overcoming ADT-related side effects.

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