PMID- 17178898 OWN - NLM STAT- MEDLINE DCOM- 20070125 LR - 20181201 IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 66 IP - 24 DP - 2006 Dec 15 TI - Antitumor effect of 2-methoxyestradiol in a rat orthotopic brain tumor model. PG - 11991-7 AB - Grade 4 malignant glioma (GBM) is a fatal disease despite aggressive surgical and adjuvant therapies. The hallmark of GBM tumors is the presence of pseudopalisading necrosis and microvascular proliferation. These tumor cells are hypoxic and express hypoxia-inducible factor-1 (HIF-1), a prosurvival transcription factor that promotes formation of neovasculature through activation of target genes, such as vascular endothelial growth factor. Here, we evaluated whether 2-methoxyestradiol, a microtubule and HIF-1 inhibitor, would have therapeutic potential for this disease in a 9L rat orthotopic gliosarcoma model using a combination of noninvasive imaging methods: magnetic resonance imaging to measure the tumor volume and bioluminescence imaging for HIF-1 activity. After imaging, histologic data were subsequently evaluated to elucidate the drug action mechanism in vivo. Treatment with 2-methoxyestradiol (60-600 mg/kg/d) resulted in a dose-dependent inhibition of tumor growth. This effect was also associated with improved tumor oxygenation as assessed by pimonidazole staining, decreased HIF-1alpha protein levels, and microtubule destabilization as assessed by deacetylation. Our results indicate that 2-methoxyestradiol may be a promising chemotherapeutic agent for the treatment of malignant gliomas, with significant growth inhibition. Further studies are needed to assess the effect of low or intermediate doses of 2-methoxyestradiol in combination with chemotherapeutic agents in clinical studies focused on malignant gliomas. In addition to showing tumor growth inhibition, we identified three potential surrogate biomarkers to determine the efficacy of 2-methoxyestradiol therapy: decreased HIF-1alpha levels, alpha-tubulin acetylation, and degree of hypoxia as determined by pimonidazole staining. FAU - Kang, Seung-Hee AU - Kang SH AD - Department of Hematology/Oncology,Emory University, School of Medicine, Atlanta, Georgia 30322, USA. FAU - Cho, Heidi T AU - Cho HT FAU - Devi, Sarojini AU - Devi S FAU - Zhang, Zhaobin AU - Zhang Z FAU - Escuin, Daniel AU - Escuin D FAU - Liang, Zhongxing AU - Liang Z FAU - Mao, Hui AU - Mao H FAU - Brat, Daniel J AU - Brat DJ FAU - Olson, Jeffrey J AU - Olson JJ FAU - Simons, Jonathan W AU - Simons JW FAU - Lavallee, Theresa M AU - Lavallee TM FAU - Giannakakou, Paraskevi AU - Giannakakou P FAU - Van Meir, Erwin G AU - Van Meir EG FAU - Shim, Hyunsuk AU - Shim H LA - eng GR - 1R01CA114335-01/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antineoplastic Agents) RN - 0 (Tubulin Modulators) RN - 4TI98Z838E (Estradiol) RN - 6I2QW73SR5 (2-Methoxyestradiol) SB - IM MH - 2-Methoxyestradiol MH - Animals MH - Antineoplastic Agents/*therapeutic use MH - Brain Neoplasms/*drug therapy/pathology MH - Cell Division/drug effects MH - Cell Line, Tumor MH - Disease Models, Animal MH - Estradiol/*analogs & derivatives/therapeutic use MH - Glioma/*drug therapy/pathology MH - Magnetic Resonance Imaging MH - Rats MH - Rats, Inbred F344 MH - Tubulin Modulators/*therapeutic use EDAT- 2006/12/21 09:00 MHDA- 2007/01/26 09:00 CRDT- 2006/12/21 09:00 PHST- 2006/12/21 09:00 [pubmed] PHST- 2007/01/26 09:00 [medline] PHST- 2006/12/21 09:00 [entrez] AID - 66/24/11991 [pii] AID - 10.1158/0008-5472.CAN-06-1320 [doi] PST - ppublish SO - Cancer Res. 2006 Dec 15;66(24):11991-7. doi: 10.1158/0008-5472.CAN-06-1320.