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RIDR-PI-103, ROS-activated prodrug PI3K inhibitor inhibits cell growth and impairs the PI3K/Akt pathway in BRAF and
Hima Patel1, Rosalin Mishra2, Adam Wier3
1UT Southwestern Medical Center, Harold C. Simmons Cancer Center, Dallas.
Abstract:
Reactive oxygen species (ROS) levels are elevated after acquisition of resistance to v-raf murine sarcoma viral oncogene homolog B1 (BRAF) inhibitors including dabrafenib and MEK inhibitors such as trametinib in BRAF-mutant melanoma. To circumvent toxicity to PI-103 (a pan PI3K inhibitor), we utilized a novel ROS-induced drug release (RIDR)-PI-103, with a self-cyclizing moiety linked to PI-103. Under high ROS conditions, RIDR-PI-103 releases PI-103, which inhibits conversion of phosphatidylinositol 4,5-bisphosphate (PIP 2 ) to phosphatidylinositol 3,4,5-triphosphate (PIP 3 ). Previous findings demonstrate that trametinib and dabrafenib-resistant (TDR) cells maintain p-Akt levels compared to parental counterparts and have significantly higher ROS. This is a rationale to explore the efficacy RIDR-PI-103 in TDR cells. We tested the effect of RIDR-PI-103 on melanocytes and TDR cells. RIDR-PI-103 exhibited less toxicity compared to PI-103 at 5 µM in melanocytes. RIDR-PI-103 significantly inhibited TDR cell proliferation at 5 and 10 µM. Twenty-four hour treatment with RIDR-PI-103 inhibited p-Akt, p-S6 (Ser240/244) and p-S6 (Ser235/236). We assessed the mechanism of activation of RIDR-PI-103, using glutathione or t-butyl hydrogen peroxide (TBHP) on the TDR cells in the presence or absence of RIDR-PI-103. Addition of the ROS scavenger glutathione to RIDR-PI-103 significantly rescued the cell proliferation in TDR cell lines while addition of the ROS inducer TBHP and RIDR-PI-103 inhibited cell proliferation in WM115 and WM983B TDR cell lines. Examining the efficacy of RIDR-PI-103 on BRAF and MEK inhibitor-resistant cells will expand possible treatment options and open avenues for the development of new ROS-based treatment therapies for BRAF-mutant melanoma patients.
Insights
Reactive oxygen species (ROS) levels increase in BRAF-mutant melanoma resistant to dabrafenib and trametinib. A novel ROS-induced drug release (RIDR)-PI-103 shows reduced toxicity and inhibits resistant cell proliferation, offering new therapeutic avenues.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Elevated reactive oxygen species (ROS) levels are observed in BRAF-mutant melanoma following resistance to BRAF inhibitors (e.g., dabrafenib) and MEK inhibitors (e.g., trametinib).
- Trametinib and dabrafenib-resistant (TDR) melanoma cells exhibit sustained p-Akt levels and significantly higher ROS compared to parental cells.
- Conventional PI3K inhibitors like PI-103 can cause toxicity, necessitating targeted delivery strategies.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel ROS-induced drug release (RIDR)-PI-103 in BRAF-mutant melanoma cells resistant to BRAF and MEK inhibitors.
- To investigate the mechanism of action of RIDR-PI-103 in TDR cells, focusing on ROS-mediated drug release and downstream signaling.
- To explore the potential of RIDR-PI-103 as a targeted therapeutic strategy for overcoming resistance in melanoma.
Main Methods:
- Development and characterization of RIDR-PI-103, a PI-103 prodrug designed for ROS-triggered release.
- Assessment of RIDR-PI-103 toxicity in melanocytes compared to PI-103.
- Inhibition of TDR cell proliferation and Western blot analysis of key signaling proteins (p-Akt, p-S6) following RIDR-PI-103 treatment.
- Mechanism of action studies using ROS scavengers (glutathione) and inducers (t-butyl hydrogen peroxide) in combination with RIDR-PI-103.
Main Results:
- RIDR-PI-103 demonstrated reduced toxicity in melanocytes compared to PI-103 at 5 µM.
- RIDR-PI-103 significantly inhibited TDR cell proliferation at concentrations of 5 and 10 µM.
- Treatment with RIDR-PI-103 led to the inhibition of p-Akt, p-S6 (Ser240/244), and p-S6 (Ser235/236) in TDR cells.
- ROS scavenging with glutathione rescued TDR cell proliferation, while ROS induction with t-butyl hydrogen peroxide enhanced RIDR-PI-103's inhibitory effect.
Conclusions:
- RIDR-PI-103 effectively targets and inhibits the proliferation of BRAF and MEK inhibitor-resistant melanoma cells.
- The drug's efficacy is mediated by ROS-dependent release of PI-103, leading to the suppression of key pro-survival signaling pathways.
- RIDR-PI-103 represents a promising novel therapeutic approach for treating resistant melanoma, warranting further investigation for clinical application.
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