PMID- 25720766 OWN - NLM STAT- MEDLINE DCOM- 20150526 LR - 20181113 IS - 1521-0103 (Electronic) IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 353 IP - 2 DP - 2015 May TI - A small molecule with anticancer and antimetastatic activities induces rapid mitochondrial-associated necrosis in breast cancer. PG - 392-404 LID - 10.1124/jpet.114.220335 [doi] AB - Therapy for treatment-resistant breast cancer provides limited options and the response rates are low. Therefore, the development of therapies with alternative chemotherapeutic strategies is necessary. AG311 (5-[(4-methylphenyl)thio]-9H-pyrimido[4,5-b]indole-2,4-diamine), a small molecule, is being investigated in preclinical and mechanistic studies for treatment of resistant breast cancer through necrosis, an alternative cell death mechanism. In vitro, AG311 induces rapid necrosis in numerous cancer cell lines as evidenced by loss of membrane integrity, ATP depletion, HMGB1 (high-mobility group protein B1) translocation, nuclear swelling, and stable membrane blebbing in breast cancer cells. Within minutes, exposure to AG311 also results in mitochondrial depolarization, superoxide production, and increased intracellular calcium levels. Additionally, upregulation of mitochondrial oxidative phosphorylation results in sensitization to AG311. This AG311-induced cell death can be partially prevented by treatment with the mitochondrial calcium uniporter inhibitor, Ru360 [(mu)[(HCO2)(NH3)4Ru]2OCl3], or an antioxidant, lipoic acid. Additionally, AG311 does not increase apoptotic markers such as cleavage of poly (ADP-ribose) polymerase (PARP) or caspase-3 and -7 activity. Importantly, in vivo studies in two orthotopic breast cancer mouse models (xenograft and allograft) demonstrate that AG311 retards tumor growth and reduces lung metastases better than clinically used agents and has no gross or histopathological toxicity. Together, these data suggest that AG311 is a first-in-class antitumor and antimetastatic agent inducing necrosis in breast cancer tumors, likely through the mitochondria. CI - Copyright (c) 2015 by The American Society for Pharmacology and Experimental Therapeutics. FAU - Bastian, Anja AU - Bastian A AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Thorpe, Jessica E AU - Thorpe JE AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Disch, Bryan C AU - Disch BC AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Bailey-Downs, Lora C AU - Bailey-Downs LC AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Gangjee, Aleem AU - Gangjee A AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Devambatla, Ravi K V AU - Devambatla RK AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Henthorn, Jim AU - Henthorn J AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Humphries, Kenneth M AU - Humphries KM AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Vadvalkar, Shraddha S AU - Vadvalkar SS AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.). FAU - Ihnat, Michael A AU - Ihnat MA AD - Department of Pharmaceutical Sciences (A.B., J.E.T., B.C.D., M.A.I.), Department of Physiology (A.B.), Flow Cytometry and Imaging Laboratory (J.H.), University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma; DormaTarg, Inc., Oklahoma City, Oklahoma (B.C.D., L.C.B.D., M.A.I.); Division of Medicinal Chemistry, Graduate School of Pharmaceutical Sciences, Duquesne University, Pittsburgh, Pennsylvania (A.G., R.K.V.D.); and Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma (K.M.H., S.S.V.) michael-ihnat@ouhsc.edu. LA - eng GR - P20 GM103639/GM/NIGMS NIH HHS/United States GR - R01-CA136944/CA/NCI NIH HHS/United States GR - R01 CA136944/CA/NCI NIH HHS/United States GR - P20 GM104934/GM/NIGMS NIH HHS/United States GR - P20-GM103639/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20150226 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (5-((4-methylphenyl)thio)-9H-pyrimido(4,5-b)indole-2,4-diamine) RN - 0 (Antineoplastic Agents) RN - 0 (Indoles) RN - 0 (Pyrimidines) RN - 11062-77-4 (Superoxides) RN - SY7Q814VUP (Calcium) SB - IM EIN - J Pharmacol Exp Ther. 2017 Jan;360(1):225. PMID: 27994003 MH - Animals MH - Antineoplastic Agents/*pharmacology/toxicity MH - Apoptosis/drug effects MH - Calcium/metabolism MH - Cell Line, Tumor MH - Cell Membrane Permeability/drug effects MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - Female MH - Homeostasis/drug effects MH - Humans MH - Indoles/*pharmacology/toxicity MH - Male MH - Membrane Potential, Mitochondrial/drug effects MH - Mice MH - Mitochondria/*drug effects/metabolism MH - Necrosis/*chemically induced MH - Neoplasm Metastasis MH - Pyrimidines/*pharmacology/toxicity MH - Rats MH - Superoxides/metabolism MH - Time Factors MH - Triple Negative Breast Neoplasms/*pathology MH - Xenograft Model Antitumor Assays PMC - PMC4407723 EDAT- 2015/02/28 06:00 MHDA- 2015/05/27 06:00 PMCR- 2016/05/01 CRDT- 2015/02/28 06:00 PHST- 2015/02/28 06:00 [entrez] PHST- 2015/02/28 06:00 [pubmed] PHST- 2015/05/27 06:00 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - jpet.114.220335 [pii] AID - JPET_220335 [pii] AID - 10.1124/jpet.114.220335 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2015 May;353(2):392-404. doi: 10.1124/jpet.114.220335. Epub 2015 Feb 26.