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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.
Abstract:
Glucocorticoids (GCs) are widely used for treating hematological malignancies despite their multiple adverse effects. The biological response to GCs relies on glucocorticoid receptor (GR) transrepression (TR) that mediates the anticancer effects and transactivation (TA) associated with the side effects. Selective GR agonists (SEGRAs) preferentially activating GR TR could offer greater benefits in cancer treatment. One of the well-characterized SEGRAs, 2-(4-acetoxyphenyl)-2-chloro-N-methylethylammonium-chloride (CpdA), exhibited anticancer activity; however, its translational potential is limited due to chemical instability. To overcome this limitation, we obtained CpdA derivatives, CpdA-01-CpdA-08, employing two synthetic strategies and studied their anti-tumor activity: 4-(1-hydroxy-2-(piperidin-1-yl)ethyl)phenol or CpdA-03 demonstrated superior GR affinity and stability compared to CpdA. In lymphoma Granta and leukemia CEM cell lines, CpdA-03 ligand exhibited typical SEGRA properties, inducing GR TR without triggering GR TA. CpdA-03 effects on cell viability, growth, and apoptosis were similar to the reference GR ligand, dexamethasone (Dex), and the source compound CpdA. In vivo testing of CpdA-03 activity against lymphoma on the transplantable P388 murine lymphoma model showed that CpdA-03 reduced tumor volume threefold, outperforming Dex and CpdA. In conclusion, in this work, we introduce a novel SEGRA CpdA-03 as a promising agent for lymphoma treatment with fewer side effects.
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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