In Vitro Evaluation of Histone Deacetylase Inhibitors as Combination Agents for Colorectal Cancer

Background: Our primary aim was to evaluate the additive efficacy of histone deacetylase inhibitors (HDACIs) in established treatment regimens for colorectal cancer in concurrence with identifying the clinicopathological markers significantly associated with tumor responsiveness. Patients and Method...

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Veröffentlicht in:Anticancer research 2009-08, Vol.29 (8), p.3027-3034
Hauptverfasser: KIM, Jin C, SHIN, Eui S, KIM, Seon Y, KIM, Yong S, KIM, Chan W, ROH, Seon A, CHO, Dong H, NA, Young S, KIM, Tae W, KIM, Moon B, HYUN, Young L, RO, Seonggu
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container_end_page 3034
container_issue 8
container_start_page 3027
container_title Anticancer research
container_volume 29
creator KIM, Jin C
SHIN, Eui S
KIM, Seon Y
KIM, Yong S
KIM, Chan W
ROH, Seon A
CHO, Dong H
NA, Young S
KIM, Tae W
KIM, Moon B
HYUN, Young L
RO, Seonggu
description Background: Our primary aim was to evaluate the additive efficacy of histone deacetylase inhibitors (HDACIs) in established treatment regimens for colorectal cancer in concurrence with identifying the clinicopathological markers significantly associated with tumor responsiveness. Patients and Methods: The chemosensitivities of 125 colorectal carcinomas to established regimens [FLOX (5-FU + leucovorin + oxaliplatin) and FLIRI (5-FU + leucovorin + irinotecan)], two biologically targeted drugs (avastin and erbitux), and two hydroxamic acid derivatives (vorinostat, SAHA®, and a novel candidate, CG2) were comparatively evaluated using an in vitro tumor response assay. Results: The response rates of tumors (inhibition rate ≥30%) were significantly greater for FLOX and combinations (55.2-68%) compared to FLIRI and combinations (44-63.2%) (p=0.001 to 0.048), except in the case of the CG2 combination. The additive effects of HDACIs on the respective established regimens were considerably greater for non-responsive tumors (64.3-80%) than responsive tumors (32.7-45%) (p≤0.0001 to 0.008). A number of biological parameters, including less advanced tumors and p53 overexpression, were significantly associated with additive chemosensitivity to HDACIs in combination with FLOX and FLIRI in multivariate analyses (p≤0.001 to 0.023). Expanding tumor growth, diffuse cytoplasmic carcinoembryonic antigen (CEA) expression and synchronous adenoma were associated with combination regimens with targeted drugs (p=0.013 to 0.032). Conclusion: Our findings show additive chemoresponsiveness of colorectal tumors to HDAC inhibitors in combination with established regimens. The significant parameters associated with combination regimens of targeted drugs and HDACIs may be applied as effective chemosensitive markers in future clinical trials.
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Patients and Methods: The chemosensitivities of 125 colorectal carcinomas to established regimens [FLOX (5-FU + leucovorin + oxaliplatin) and FLIRI (5-FU + leucovorin + irinotecan)], two biologically targeted drugs (avastin and erbitux), and two hydroxamic acid derivatives (vorinostat, SAHA®, and a novel candidate, CG2) were comparatively evaluated using an in vitro tumor response assay. Results: The response rates of tumors (inhibition rate ≥30%) were significantly greater for FLOX and combinations (55.2-68%) compared to FLIRI and combinations (44-63.2%) (p=0.001 to 0.048), except in the case of the CG2 combination. The additive effects of HDACIs on the respective established regimens were considerably greater for non-responsive tumors (64.3-80%) than responsive tumors (32.7-45%) (p≤0.0001 to 0.008). A number of biological parameters, including less advanced tumors and p53 overexpression, were significantly associated with additive chemosensitivity to HDACIs in combination with FLOX and FLIRI in multivariate analyses (p≤0.001 to 0.023). Expanding tumor growth, diffuse cytoplasmic carcinoembryonic antigen (CEA) expression and synchronous adenoma were associated with combination regimens with targeted drugs (p=0.013 to 0.032). Conclusion: Our findings show additive chemoresponsiveness of colorectal tumors to HDAC inhibitors in combination with established regimens. The significant parameters associated with combination regimens of targeted drugs and HDACIs may be applied as effective chemosensitive markers in future clinical trials.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>PMID: 19661311</identifier><language>eng</language><publisher>Attiki: International Institute of Anticancer Research</publisher><subject>Adenocarcinoma - drug therapy ; Adenocarcinoma - enzymology ; Adenocarcinoma - secondary ; Adenocarcinoma, Mucinous - drug therapy ; Adenocarcinoma, Mucinous - enzymology ; Adenocarcinoma, Mucinous - secondary ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biological and medical sciences ; Cell Proliferation - drug effects ; Colorectal Neoplasms - drug therapy ; Colorectal Neoplasms - enzymology ; Colorectal Neoplasms - pathology ; Dose-Response Relationship, Drug ; Drug Synergism ; Drug Therapy, Combination ; Enzyme Inhibitors - therapeutic use ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Histone Deacetylase Inhibitors ; Humans ; In Vitro Techniques ; Male ; Medical sciences ; Middle Aged ; Neoplasm Staging ; Prognosis ; Prospective Studies ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Treatment Outcome ; Tumors</subject><ispartof>Anticancer research, 2009-08, Vol.29 (8), p.3027-3034</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21797582$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19661311$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KIM, Jin C</creatorcontrib><creatorcontrib>SHIN, Eui S</creatorcontrib><creatorcontrib>KIM, Seon Y</creatorcontrib><creatorcontrib>KIM, Yong S</creatorcontrib><creatorcontrib>KIM, Chan W</creatorcontrib><creatorcontrib>ROH, Seon A</creatorcontrib><creatorcontrib>CHO, Dong H</creatorcontrib><creatorcontrib>NA, Young S</creatorcontrib><creatorcontrib>KIM, Tae W</creatorcontrib><creatorcontrib>KIM, Moon B</creatorcontrib><creatorcontrib>HYUN, Young L</creatorcontrib><creatorcontrib>RO, Seonggu</creatorcontrib><title>In Vitro Evaluation of Histone Deacetylase Inhibitors as Combination Agents for Colorectal Cancer</title><title>Anticancer research</title><addtitle>Anticancer Res</addtitle><description>Background: Our primary aim was to evaluate the additive efficacy of histone deacetylase inhibitors (HDACIs) in established treatment regimens for colorectal cancer in concurrence with identifying the clinicopathological markers significantly associated with tumor responsiveness. Patients and Methods: The chemosensitivities of 125 colorectal carcinomas to established regimens [FLOX (5-FU + leucovorin + oxaliplatin) and FLIRI (5-FU + leucovorin + irinotecan)], two biologically targeted drugs (avastin and erbitux), and two hydroxamic acid derivatives (vorinostat, SAHA®, and a novel candidate, CG2) were comparatively evaluated using an in vitro tumor response assay. Results: The response rates of tumors (inhibition rate ≥30%) were significantly greater for FLOX and combinations (55.2-68%) compared to FLIRI and combinations (44-63.2%) (p=0.001 to 0.048), except in the case of the CG2 combination. The additive effects of HDACIs on the respective established regimens were considerably greater for non-responsive tumors (64.3-80%) than responsive tumors (32.7-45%) (p≤0.0001 to 0.008). A number of biological parameters, including less advanced tumors and p53 overexpression, were significantly associated with additive chemosensitivity to HDACIs in combination with FLOX and FLIRI in multivariate analyses (p≤0.001 to 0.023). Expanding tumor growth, diffuse cytoplasmic carcinoembryonic antigen (CEA) expression and synchronous adenoma were associated with combination regimens with targeted drugs (p=0.013 to 0.032). Conclusion: Our findings show additive chemoresponsiveness of colorectal tumors to HDAC inhibitors in combination with established regimens. The significant parameters associated with combination regimens of targeted drugs and HDACIs may be applied as effective chemosensitive markers in future clinical trials.</description><subject>Adenocarcinoma - drug therapy</subject><subject>Adenocarcinoma - enzymology</subject><subject>Adenocarcinoma - secondary</subject><subject>Adenocarcinoma, Mucinous - drug therapy</subject><subject>Adenocarcinoma, Mucinous - enzymology</subject><subject>Adenocarcinoma, Mucinous - secondary</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cell Proliferation - drug effects</subject><subject>Colorectal Neoplasms - drug therapy</subject><subject>Colorectal Neoplasms - enzymology</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Dose-Response Relationship, Drug</subject><subject>Drug Synergism</subject><subject>Drug Therapy, Combination</subject><subject>Enzyme Inhibitors - therapeutic use</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Histone Deacetylase Inhibitors</subject><subject>Humans</subject><subject>In Vitro Techniques</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Liver. Pancreas. Abdomen</topic><topic>Histone Deacetylase Inhibitors</topic><topic>Humans</topic><topic>In Vitro Techniques</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Patients and Methods: The chemosensitivities of 125 colorectal carcinomas to established regimens [FLOX (5-FU + leucovorin + oxaliplatin) and FLIRI (5-FU + leucovorin + irinotecan)], two biologically targeted drugs (avastin and erbitux), and two hydroxamic acid derivatives (vorinostat, SAHA®, and a novel candidate, CG2) were comparatively evaluated using an in vitro tumor response assay. Results: The response rates of tumors (inhibition rate ≥30%) were significantly greater for FLOX and combinations (55.2-68%) compared to FLIRI and combinations (44-63.2%) (p=0.001 to 0.048), except in the case of the CG2 combination. The additive effects of HDACIs on the respective established regimens were considerably greater for non-responsive tumors (64.3-80%) than responsive tumors (32.7-45%) (p≤0.0001 to 0.008). A number of biological parameters, including less advanced tumors and p53 overexpression, were significantly associated with additive chemosensitivity to HDACIs in combination with FLOX and FLIRI in multivariate analyses (p≤0.001 to 0.023). Expanding tumor growth, diffuse cytoplasmic carcinoembryonic antigen (CEA) expression and synchronous adenoma were associated with combination regimens with targeted drugs (p=0.013 to 0.032). Conclusion: Our findings show additive chemoresponsiveness of colorectal tumors to HDAC inhibitors in combination with established regimens. The significant parameters associated with combination regimens of targeted drugs and HDACIs may be applied as effective chemosensitive markers in future clinical trials.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>19661311</pmid><tpages>8</tpages></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adenocarcinoma - drug therapy
Adenocarcinoma - enzymology
Adenocarcinoma - secondary
Adenocarcinoma, Mucinous - drug therapy
Adenocarcinoma, Mucinous - enzymology
Adenocarcinoma, Mucinous - secondary
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Cell Proliferation - drug effects
Colorectal Neoplasms - drug therapy
Colorectal Neoplasms - enzymology
Colorectal Neoplasms - pathology
Dose-Response Relationship, Drug
Drug Synergism
Drug Therapy, Combination
Enzyme Inhibitors - therapeutic use
Female
Gastroenterology. Liver. Pancreas. Abdomen
Histone Deacetylase Inhibitors
Humans
In Vitro Techniques
Male
Medical sciences
Middle Aged
Neoplasm Staging
Prognosis
Prospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Treatment Outcome
Tumors
title In Vitro Evaluation of Histone Deacetylase Inhibitors as Combination Agents for Colorectal Cancer
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