PMID- 25234922 OWN - NLM STAT- MEDLINE DCOM- 20150511 LR - 20211021 IS - 1748-717X (Electronic) IS - 1748-717X (Linking) VI - 9 DP - 2014 Sep 19 TI - BAY 87-2243, a novel inhibitor of hypoxia-induced gene activation, improves local tumor control after fractionated irradiation in a schedule-dependent manner in head and neck human xenografts. PG - 207 LID - 10.1186/1748-717X-9-207 [doi] LID - 207 AB - BACKGROUND: The transcription factor hypoxia-inducible factor-1 (HIF-1) pathway plays an important role in tumor response to cytotoxic treatments. We investigated the effects of a novel small molecule inhibitor of mitochondrial complex I and hypoxia-induced HIF-1 activity BAY-87-2243, on tumor microenvironment and response of human squamous cell carcinoma (hSCC) to clinically relevant fractionated radiotherapy (RT) with and without concomitant chemotherapy. METHODS: When UT-SCC-5 hSCC xenografts in nude mice reached 6 mm in diameter BAY-87-2243 or carrier was administered before and/or during RT or radiochemotherapy with concomitant cisplatin (RCT). Local tumor control was evaluated 150 days after irradiation and the doses to control 50% of tumors (TCD50) were compared between treatment arms. Tumors were excised at different time points during BAY-87-2243 or carrier treatment for western blot and immunohistological investigations. RESULTS: BAY-87-2243 markedly decreased nuclear HIF-1alpha expression and pimonidazole hypoxic fraction already after 3 days of drug treatment. BAY-87-2243 prior to RT significantly reduced TCD50 from 123 to 100 Gy (p=0.037). Additional BAY-87-2243 application during RT did not decrease TCD50. BAY-87-2243 before and during radiochemotherapy did not improve local tumor control. CONCLUSIONS: Pronounced reduction of tumor hypoxia by application of BAY-87-2243 prior to RT improved local tumor control. The results demonstrate that radiosensitizing effect importantly depends on treatment schedule. The data support further investigations of HIF-1 pathway inhibitors for radiotherapy and of predictive tests to select patients who will benefit from this combined treatment. FAU - Helbig, Linda AU - Helbig L FAU - Koi, Lydia AU - Koi L FAU - Bruchner, Kerstin AU - Bruchner K FAU - Gurtner, Kristin AU - Gurtner K FAU - Hess-Stumpp, Holger AU - Hess-Stumpp H FAU - Unterschemmann, Kerstin AU - Unterschemmann K FAU - Baumann, Michael AU - Baumann M FAU - Zips, Daniel AU - Zips D FAU - Yaromina, Ala AU - Yaromina A AD - OncoRay - National Center for Radiation Research in Oncology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany. ala.yaromina@maastrichtuniversity.nl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140919 PL - England TA - Radiat Oncol JT - Radiation oncology (London, England) JID - 101265111 RN - 0 (1-cyclopropyl-4-(4-((5-methyl-3-(3-(4-(trifluoromethoxy)phenyl)-1,2,4-oxadiazol-5-yl)-1H-pyrazol-1-yl)methyl)pyridin-2-yl)piperazine) RN - 0 (Antineoplastic Agents) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Oxadiazoles) RN - 0 (Pyrazoles) RN - 0 (Radiation-Sensitizing Agents) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology MH - Blotting, Western MH - Carcinoma, Squamous Cell/*pathology MH - Cell Hypoxia/drug effects MH - Chemoradiotherapy/methods MH - Dose Fractionation, Radiation MH - Head and Neck Neoplasms/*pathology MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*antagonists & inhibitors MH - Mice MH - Mice, Nude MH - Oxadiazoles/*pharmacology MH - Pyrazoles/*pharmacology MH - Radiation-Sensitizing Agents/*pharmacology MH - Squamous Cell Carcinoma of Head and Neck MH - Xenograft Model Antitumor Assays PMC - PMC4262387 EDAT- 2014/09/23 06:00 MHDA- 2015/05/12 06:00 PMCR- 2014/09/19 CRDT- 2014/09/20 06:00 PHST- 2014/07/01 00:00 [received] PHST- 2014/09/09 00:00 [accepted] PHST- 2014/09/20 06:00 [entrez] PHST- 2014/09/23 06:00 [pubmed] PHST- 2015/05/12 06:00 [medline] PHST- 2014/09/19 00:00 [pmc-release] AID - 1748-717X-9-207 [pii] AID - 1174 [pii] AID - 10.1186/1748-717X-9-207 [doi] PST - epublish SO - Radiat Oncol. 2014 Sep 19;9:207. doi: 10.1186/1748-717X-9-207.