Mechanism and rational combinations with GP-2250, a novel oxathiazine derivative, in ovarian cancer

Mark S Kim1, Deanna Glassman1, Katelyn F Handley1,2,3

  • 1Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Cancer Medicine
|August 8, 2024
PubMed
Abstract

Insights

GP-2250, a novel anti-neoplastic drug, effectively targets tumor metabolism by inhibiting key pathways like AKT and mTOR. Combination therapy with PARP inhibitors or bevacizumab demonstrates significant anti-tumor efficacy in preclinical models.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • GP-2250 is a novel analog of taurultam (TRLT) with potent anti-neoplastic properties.
  • The precise mechanisms of action for GP-2250 remain largely uncharacterized.
  • This study aimed to elucidate the biological effects and mechanism of action of GP-2250.

Purpose of the Study:

  • To investigate the anti-cancer mechanism of GP-2250.
  • To evaluate the synergistic effects of GP-2250 in combination with standard therapies.
  • To assess the in vitro and in vivo efficacy of GP-2250.

Main Methods:

  • In vitro assays included MTT, Annexin V/PI, colony formation, RPPA, and HRLC/IC analysis.
  • In vivo studies evaluated therapeutic efficacy alone and in combination with paclitaxel, cisplatin, topotecan, and PARP inhibitors.
  • Pharmacodynamic and tumor efficacy studies were conducted in ovarian cancer models.

Main Results:

  • GP-2250 demonstrated synergistic effects with PARP inhibitors in ovarian cancer cell lines.
  • GP-2250 inhibited hypoxia-inducible factor-1α, AKT, and mTOR signaling pathways.
  • GP-2250 reduced glycolysis, ATP synthesis, and hexokinase2 activity, leading to significant tumor reduction in vivo when combined with PARP inhibitors or bevacizumab.

Conclusions:

  • GP-2250 significantly impacts tumor metabolism and demonstrates potent anti-tumor activity.
  • Combination therapy of GP-2250 with PARP inhibitors or bevacizumab shows promising therapeutic potential.
  • These findings support the clinical development of GP-2250 for cancer treatment.