Synthesis and Anti-Cancer Activity of the Novel Selective Glucocorticoid Receptor Agonists of the Phenylethanolamine

Ekaterina M Zhidkova1, Leyla R Tilova2, Timur I Fetisov1

  • 1Department of Chemical Carcinogenesis, Institute of Carcinogenesis, N.N. Blokhin National Medical Research Center for Oncology, Kashirskoe Shosse 24-15, Moscow 115478, Russia.

Insights

A new selective glucocorticoid receptor agonist (SEGRA), CpdA-03, shows promise for treating lymphoma. It effectively reduces tumor volume in mice with fewer side effects than current treatments.

Area of Science:

  • Pharmacology
  • Oncology
  • Medicinal Chemistry

Background:

  • Glucocorticoids (GCs) treat hematological malignancies but cause adverse effects.
  • GCs' effects stem from glucocorticoid receptor (GR) transrepression (anticancer) and transactivation (side effects).
  • Selective GR agonists (SEGRAs) target GR transrepression for better cancer therapy.

Purpose of the Study:

  • Develop novel SEGRAs with improved chemical stability and anticancer efficacy.
  • Evaluate CpdA-03, a novel SEGRA derivative, for its therapeutic potential in lymphoma.

Main Methods:

  • Synthesized CpdA derivatives (CpdA-01-CpdA-08) using two strategies.
  • Assessed GR affinity, stability, and SEGRA properties (TR without TA) of CpdA-03 in cell lines.
  • Evaluated CpdA-03's in vivo anti-lymphoma activity in a P388 murine model.

Main Results:

  • CpdA-03 demonstrated superior GR affinity and stability compared to CpdA.
  • CpdA-03 selectively induced GR transrepression (TR) without transactivation (TA) in lymphoma and leukemia cells.
  • In vivo, CpdA-03 reduced lymphoma tumor volume threefold, outperforming dexamethasone and CpdA.

Conclusions:

  • CpdA-03 is a novel, stable SEGRA with potent anti-lymphoma activity.
  • CpdA-03 exhibits selective GR modulation, suggesting a reduced side effect profile.
  • CpdA-03 represents a promising therapeutic candidate for lymphoma treatment.

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