Bioreductive GDEPT using cytochrome P450 3A4 in combination with AQ4N

The bioreductive drug, AQ4N, is metabolized under hypoxic conditions and has been shown to enhance the antitumor effects of radiation and chemotherapy drugs. We have investigated the role of cytochrome P 450 3A4 (CYP3A4) in increasing the metabolism of AQ4N using a gene-directed enzyme prodrug thera...

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Veröffentlicht in:Cancer gene therapy 2003-01, Vol.10 (1), p.40-48
Hauptverfasser: McCarthy, Helen O, Yakkundi, Anita, McErlane, Verna, Hughes, Ciara M, Keilty, Gillian, Murray, Margaret, Patterson, Laurence H, Hirst, David G, McKeown, Stephanie R, Robson, Tracy
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container_end_page 48
container_issue 1
container_start_page 40
container_title Cancer gene therapy
container_volume 10
creator McCarthy, Helen O
Yakkundi, Anita
McErlane, Verna
Hughes, Ciara M
Keilty, Gillian
Murray, Margaret
Patterson, Laurence H
Hirst, David G
McKeown, Stephanie R
Robson, Tracy
description The bioreductive drug, AQ4N, is metabolized under hypoxic conditions and has been shown to enhance the antitumor effects of radiation and chemotherapy drugs. We have investigated the role of cytochrome P 450 3A4 (CYP3A4) in increasing the metabolism of AQ4N using a gene-directed enzyme prodrug therapy (GDEPT) strategy. RIF-1 murine tumor cells were transfected with a mammalian expression vector containing CYP3A4 cDNA. In vitro AQ4N metabolism, DNA damage, and clonogenic cell kill were assessed following exposure of transfected and parental control cells to AQ4N. The presence of exogenous CYP3A4 increased the metabolism of AQ4N and significantly enhanced the ability of the drug to cause DNA strand breaks and clonogenic cell death. Cotransfection of CYP reductase with CYP3A4 showed a small enhancement of the effect in the DNA damage assay only. A single injection of CYP3A4 into established RIF-1 murine tumors increased the metabolism of AQ4N, and when used in combination with radiation, three of nine tumors were locally controlled for >60 days. This is the first demonstration that CYPs alone can be used in a GDEPT strategy for bioreduction of the cytotoxic prodrug, AQ4N. AQ4N is the only CYP-activated bioreductive agent in clinical trials. Combination with a GDEPT strategy may offer a further opportunity for targeting radiation-resistant and chemo-resistant hypoxic tumor cells.
doi_str_mv 10.1038/sj.cgt.7700522
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subjects Animals
Anthraquinones - metabolism
Anthraquinones - pharmacology
Antineoplastic Agents - metabolism
Antineoplastic Agents - pharmacology
Biomedical and Life Sciences
Biomedicine
Biotransformation
Blotting, Western
Cancer
Care and treatment
Cell Hypoxia
Combined Modality Therapy
Comet Assay
Cytochrome P-450
Cytochrome P-450 CYP3A
Cytochrome P-450 Enzyme System - genetics
DNA Damage - drug effects
DNA Damage - radiation effects
DNA, Neoplasm - drug effects
Dosage and administration
Drug therapy, Combination
Fibrosarcoma - enzymology
Fibrosarcoma - therapy
Gene Expression
Gene Therapy
Genetic Therapy - methods
Health aspects
Humans
Methods
Mice
Mice, Inbred C3H
NADPH-Ferrihemoprotein Reductase - genetics
original-article
Prodrugs
Prodrugs - metabolism
Prodrugs - pharmacology
Radiation Dosage
Transfection
Tumor Stem Cell Assay
title Bioreductive GDEPT using cytochrome P450 3A4 in combination with AQ4N
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