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Selective inhibition of ALDH1A3 impedes breast cancer growth and metastasis by blocking ALDH1A3-driven
Maya R MacLean1, Bianca Laura Bernardoni1,2, Wasundara Fernando1,3,4
1Department of Pathology, Dalhousie University, Halifax, NS, Canada.
Abstract:
Aldehyde dehydrogenase 1A3 (ALDH1A3) promotes tumor growth, metastasis, and chemoresistance in multiple cancers, including triple-negative breast cancer (TNBC), yet no clinically approved, isoform-selective inhibitors exist. Here, we present CLM296, a novel, rationally designed, highly potent ALDH1A3 inhibitor. CLM296 exhibits nanomolar inhibition of ALDH1A3 in TNBC cells (half-maximal inhibitory concentration = 2 nM) with no off-target effects on ALDH1A1. Transcriptomic analysis shows that CLM296 selectively suppresses ALDH1A3-driven gene expression, confirming on-target activity. Functionally, CLM296 impedes ALDH1A3-mediated cell invasion in vitro and, with daily dosing in vivo, significantly reduces only ALDH1A3-dependent tumor growth and lung metastasis in TNBC xenografts. These effects are accompanied by selective inhibition of ALDH1A3 target genes in tumors, while pharmacokinetic studies demonstrate broad tissue distribution to metastatic sites, sustained target engagement, and favorable oral bioavailability. CLM296 shows no observable toxicity in preclinical models, supporting its potential as a first-in-class ALDH1A3 inhibitor for ALDH1A3-positive cancers.
Insights
A new drug, CLM296, effectively inhibits Aldehyde dehydrogenase 1A3 (ALDH1A3) in triple-negative breast cancer (TNBC) models. This novel inhibitor reduces tumor growth and metastasis without toxicity, offering a potential new therapy for ALDH1A3-positive cancers.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Aldehyde dehydrogenase 1A3 (ALDH1A3) is implicated in tumor progression and chemoresistance in various cancers, notably triple-negative breast cancer (TNBC).
- Currently, there are no clinically approved inhibitors that selectively target ALDH1A3, representing a significant unmet need.
Purpose of the Study:
- To develop and characterize a novel, potent, and isoform-selective inhibitor of ALDH1A3.
- To evaluate the efficacy and safety of the ALDH1A3 inhibitor CLM296 in preclinical models of TNBC.
Main Methods:
- Development of CLM296, a rationally designed ALDH1A3 inhibitor.
- In vitro assays to determine ALDH1A3 inhibition and off-target effects.
- Transcriptomic analysis to confirm on-target activity.
- In vitro invasion assays and in vivo xenograft studies in TNBC models.
- Pharmacokinetic and toxicity assessments in preclinical models.
Main Results:
- CLM296 demonstrated nanomolar inhibition of ALDH1A3 in TNBC cells with high selectivity over ALDH1A1.
- Transcriptomic analysis confirmed CLM296 selectively suppressed ALDH1A3-driven gene expression.
- CLM296 significantly reduced ALDH1A3-dependent tumor growth and lung metastasis in vivo without observable toxicity.
- Pharmacokinetic studies showed favorable oral bioavailability and sustained target engagement in tissues.
Conclusions:
- CLM296 is a potent and selective ALDH1A3 inhibitor with promising preclinical efficacy against TNBC.
- The drug effectively targets ALDH1A3-driven tumor growth and metastasis.
- CLM296 exhibits favorable pharmacokinetic properties and a good safety profile, supporting its potential as a first-in-class therapeutic for ALDH1A3-positive cancers.
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