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Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
QW-5-70 targets the colchicine site and demonstrates antitumor activity in P-gp-overexpressing cancer models
Yang Xie1, Ruida Hou1, Najah Albadari1
1University of Tennessee Health Science Center Memphis, TN United States.
Abstract:
Drug resistance driven by efflux transporters and altered tubulin dynamics limits the clinical efficacy of taxanes and vincristine in high-risk neuroblastoma (NB) and castration-resistant prostate cancer (CRPC). We developed QW-5-70, a colchicine-binding-site inhibitor (CBSI), engineered to retain low-nanomolar potency in both parental and drug-resistant cancer cells by showing minimal dependence on P-glycoprotein (P-gp)-mediated efflux. QW-5-70 binds to the colchicine site on tubulin, inhibits tubulin polymerization, disrupts microtubule networks, and induces mitotic arrest. Across a panel of NB and prostate cancer lines, QW-5-70 maintained low-nanomolar activity and remained effective in vincristine-resistant BE2C/VCR and paclitaxel-resistant PC-3/TxR cells. Unlike vincristine and paclitaxel, QW-5-70's activity and intracellular accumulation were unaffected by pharmacologic or genetic inhibition of P-gp, indicating effective circumvention of efflux-mediated resistance. In vitro, QW-5-70 significantly reduced colony formation and impaired migration in both parental and resistant cancer cells, and induced G2/M cell cycle arrest and mitochondrial apoptosis. In vivo, QW-5-70 significantly suppressed tumor growth in drug-resistant PC-3/TxR and BE2C/VCR xenografts, with modest weight loss and no evident histopathology in the major organs. Combination studies revealed a combination index (CI)-defined synergistic interactions at selected dose pairs with the ornithine decarboxylase inhibitor DFMO, and enhanced apoptotic and clonogenic suppression when combined with the Aurora A kinase inhibitor MLN8237. Collectively, QW-5-70 is a potent CBSI that circumvents P-gp-associated resistance, triggers mitotic arrest and apoptosis, and achieves significant antitumor activity in multidrug-resistant tumor models with acceptable tolerability, supporting its further preclinical development alone and in combination with other drugs.
Insights
A new drug, QW-5-70, effectively treats drug-resistant neuroblastoma and prostate cancer by targeting tubulin. This colchicine-binding-site inhibitor overcomes P-glycoprotein efflux, showing potent activity in preclinical models.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Drug resistance in neuroblastoma (NB) and castration-resistant prostate cancer (CRPC) is a major clinical challenge, often driven by efflux transporters like P-glycoprotein (P-gp) and altered tubulin dynamics.
- Existing therapies like taxanes and vincristine face limitations due to these resistance mechanisms.
Purpose of the Study:
- To develop and evaluate QW-5-70, a novel colchicine-binding-site inhibitor (CBSI), designed to overcome P-gp-mediated efflux and maintain potency against drug-resistant cancers.
- To assess the efficacy of QW-5-70 in preclinical models of NB and CRPC, including multidrug-resistant cell lines and xenografts.
Main Methods:
- QW-5-70 was tested in vitro and in vivo against various NB and prostate cancer cell lines, including vincristine-resistant (BE2C/VCR) and paclitaxel-resistant (PC-3/TxR) lines.
- The study evaluated QW-5-70's mechanism of action, including tubulin polymerization inhibition, cell cycle arrest (G2/M), apoptosis induction, and effects on colony formation and migration.
- In vivo efficacy was assessed in xenograft models, and combination studies were performed with DFMO and MLN8237.
Main Results:
- QW-5-70 demonstrated low-nanomolar potency against both parental and drug-resistant cancer cells, unaffected by P-gp inhibition.
- The compound effectively inhibited tumor growth in vivo in resistant xenograft models with acceptable tolerability.
- Synergistic interactions were observed when QW-5-70 was combined with DFMO and MLN8237, enhancing anti-cancer effects.
Conclusions:
- QW-5-70 is a potent CBSI that effectively circumvents P-gp-mediated drug resistance in NB and CRPC models.
- It induces mitotic arrest and apoptosis, leading to significant antitumor activity in multidrug-resistant cancers.
- QW-5-70 shows promise for further preclinical development as a monotherapy or in combination regimens.
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