Assessment of an Anticancer Effect of the Simultaneous Administration of MM-129 and Indoximod in the Colorectal

Iwona Kwiatkowska1, Justyna Magdalena Hermanowicz1,2, Robert Czarnomysy3

  • 1Department of Pharmacodynamics, Medical University of Bialystok, Mickiewicza 2C, 15-222 Bialystok, Poland.

Cancers
|January 11, 2024
PubMed

Insights

Combining MM-129, a triazine derivative, and indoximod (IND), a kynurenine pathway inhibitor, significantly enhances antitumor activity against colon cancer by promoting apoptosis and disrupting key signaling pathways.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Colon cancer remains a significant global health challenge.
  • Targeting tumor progression and immune evasion pathways offers therapeutic potential.
  • Indoleamine 2,3-dioxygenase (IDO1) is implicated in tumor immune evasion.

Purpose of the Study:

  • To evaluate the combined antitumor efficacy of MM-129 and indoximod (IND) in colon cancer.
  • To investigate the impact of this combination on cellular processes and signaling pathways.
  • To assess the synergistic effects in preclinical colon cancer models.

Main Methods:

  • In vivo studies using xenografted zebrafish embryos to assess tumor growth inhibition.
  • In vitro evaluation of cell viability, apoptosis, and intracellular signaling in DLD-1 and HT-29 colon cancer cell lines.
  • Analysis of mitochondrial potential, phosphatidylserine externalization, and caspase activation.

Main Results:

  • Simultaneous administration of MM-129 and indoximod demonstrated superior tumor growth inhibition in zebrafish xenografts.
  • The combination therapy significantly enhanced apoptosis induction, evidenced by decreased mitochondrial potential and increased PS externalization and caspase activation.
  • Disruption of protein kinase B (AKT) and indoleamine 2,3-dioxygenase (IDO1) expression was observed.

Conclusions:

  • Combined targeting of tumor progression signaling and IDO1 inhibition potentiates the antitumor effects against colon cancer.
  • The synergistic action enhances apoptosis, suggesting a promising therapeutic strategy.
  • This combination therapy warrants further investigation for colon cancer treatment.

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