PMID- 16133793 OWN - NLM STAT- MEDLINE DCOM- 20060302 LR - 20220317 IS - 0167-6997 (Print) IS - 0167-6997 (Linking) VI - 23 IP - 5 DP - 2005 Oct TI - Flexible heteroarotinoids (Flex-Hets) exhibit improved therapeutic ratios as anti-cancer agents over retinoic acid receptor agonists. PG - 417-28 AB - The anti-cancer activities and toxicities of retinoic acid (RA) and synthetic retinoids are mediated through nuclear RA receptors (RARs) and retinoid X receptors (RXRs) that act as transcription factors. Heteroarotinoids (Hets), which contain a heteroatom in the cyclic ring of an arotinoid structure, exhibit similar anti-cancer activities, but reduced toxicity in vivo, in comparison to parent retinoids and RA. A new class of Flexible Hets (Flex-Hets), which contain 3-atom urea or thiourea linkers, regulate growth and differentiation similar to RA, but do not activate RARs or RXRs. In addition, Flex-Hets induce potent apoptosis in ovarian cancer and in head and neck cancer cell lines through the intrinsic mitochondrial pathway. In this study, 4 cervical cancer cell lines were growth inhibited by micromolar concentrations of Flex-Hets to greater extents than RAR/RXR active retinoids. The most potent Flex-Het (SHetA2) inhibited each cell line of the National Cancer Institute's human tumor cell line panel at micromolar concentrations. Oral administration of Flex-Hets (SHetA2 and SHetA4) inhibited growth of OVCAR-3 ovarian cancer xenografts to similar extents as administration of a RAR/RXR-panagonist (SHet50) and Fenretinide (4-HPR) in vivo. None of these compounds induced evidence of skin, bone or liver toxicity, or increased levels of serum alanine aminotransferase (ALT) in the treated mice. Topical application of Flex-Hets did not induce skin irritation in vivo, whereas a RAR/RXR-panagonist (NHet17) and a RARgamma-selective agonist (SHet65) induced similar irritancy as RA. In conclusion, Flex-Hets exhibit improved therapeutic ratios for multiple cancer types over RAR and/or RXR agonists. FAU - Benbrook, Doris M AU - Benbrook DM AD - Departments of Obstetrics and Gynecology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190, USA. Doris-Benbrook@ouhsc.edu FAU - Kamelle, Scott A AU - Kamelle SA FAU - Guruswamy, Suresh B AU - Guruswamy SB FAU - Lightfoot, Stan A AU - Lightfoot SA FAU - Rutledge, Teresa L AU - Rutledge TL FAU - Gould, Natalie S AU - Gould NS FAU - Hannafon, Bethany N AU - Hannafon BN FAU - Dunn, S Terence AU - Dunn ST FAU - Berlin, K Darrell AU - Berlin KD LA - eng GR - CA73639/CA/NCI NIH HHS/United States GR - CA7771/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Invest New Drugs JT - Investigational new drugs JID - 8309330 RN - 0 ((((4-(ethoxycarbonyl)phenyl)amino)(2,2,4,4-tetramethyl thiochroman-6-yl)amino) methan-1-one) RN - 0 ((((4-(ethoxycarbonyl)phenyl)amino)(2,2,4,4-tetramethyl thiochroman-6-yl)amino) methane-1-thione) RN - 0 ((((4-nitrophenyl)amino)(2,2,4,4-tetramethyl thiochroman-6-yl)amino) methane-1-thione) RN - 0 (Antineoplastic Agents) RN - 0 (Chromans) RN - 0 (Phenylurea Compounds) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoid X Receptors) RN - 0 (Thiones) RN - 63231-63-0 (RNA) RN - EC 2.6.1.2 (Alanine Transaminase) RN - GYV9AM2QAG (Thiourea) SB - IM MH - Alanine Transaminase/blood MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Apoptosis MH - Cell Differentiation/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Chromans/*pharmacology MH - Female MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Mice MH - Mice, Inbred Strains MH - Ovarian Neoplasms/drug therapy MH - Phenylurea Compounds/*pharmacology MH - RNA/metabolism MH - Receptors, Retinoic Acid/agonists/genetics/metabolism MH - Retinoid X Receptors/agonists/genetics/metabolism MH - Skin Irritancy Tests MH - Thiones/*pharmacology MH - Thiourea/*analogs & derivatives/pharmacology MH - Uterine Cervical Neoplasms/drug therapy/genetics/metabolism MH - Xenograft Model Antitumor Assays EDAT- 2005/09/01 09:00 MHDA- 2006/03/03 09:00 CRDT- 2005/09/01 09:00 PHST- 2005/09/01 09:00 [pubmed] PHST- 2006/03/03 09:00 [medline] PHST- 2005/09/01 09:00 [entrez] AID - 10.1007/s10637-005-2901-5 [doi] PST - ppublish SO - Invest New Drugs. 2005 Oct;23(5):417-28. doi: 10.1007/s10637-005-2901-5.