PMID- 35155195 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220501 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 11 DP - 2021 TI - Targeting Thyrointegrin alphavbeta3 Using Fluorobenzyl Polyethylene Glycol Conjugated Tetraiodothyroacetic Acid (NP751) in Acute Myeloid Leukemia. PG - 793810 LID - 10.3389/fonc.2021.793810 [doi] LID - 793810 AB - BACKGROUND: Acute myeloid leukemia (AML) is associated with poor long-term survival, even with newer therapeutic agents. Here, we show the results of our preclinical study, in which we evaluated the efficacy of a new thyrointegrin alphavbeta3 antagonist, named fluorobenzyl polyethylene glycol conjugated tetraiodothyroacetic acid (fb-PMT). METHODS AND RESULTS: fb-PMT (NP751) is a potent alphavbeta3 antagonist of molecular weight of 2,478.9 Da. it represents a conjugate of tetraiodothyroacetic acid (tetrac) and monodisperse polyethylene glycol (PEG36), with a 4-fluorobenzyl group capping the other end of the PEG. fb-PMT effectively suppresses the malignant growth of human acute myeloid leukemia (AML) after successful engraftment in transgenic NSG-S xenograft mouse models of either established human AML cell line or primary AML cells. Daily treatment with fb-PMT (1-10 mg/kg body weight) subcutaneously (s.c.) for 3-4 weeks was associated with marked regression of leukemogenesis and extended survival in both models. The efficiency of the fb-PMT therapy was verified using in vivo imaging system (IVIS) imaging, flow cytometry, and histopathological examination to monitor the engraftment of leukemic cells in the bone marrow and other organs. fb-PMT therapy for 3-4 weeks at 3 and 10 mg/kg daily doses exhibited significant reduction (p < 0.0001) of leukemic cell burden of 74% and >95%, respectively. All fb-PMT-treated mice in the 10 mg/kg treatment arm successfully maintained remission after discontinuing the daily treatment. Comprehensive fb-PMT safety assessments demonstrated excellent safety and tolerability at multiple folds above the anticipated human therapeutic doses. Lastly, our genome-wide microarray screens demonstrated that fb-PMT works through the molecular interference mechanism with multiple signaling pathways contributing to growth and survival of leukemic cells. CONCLUSION: Our preclinical findings of the potent anticancer activities of fb-PMT and its favorable safety profiles warrant its clinical investigation for the effective and safe management of AML. CI - Copyright (c) 2022 Darwish, Glinsky, Sudha and Mousa. FAU - Darwish, Noureldien H E AU - Darwish NHE AD - Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences, Rensselaer, NY, United States. AD - Hematology Unit, Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. FAU - Glinsky, Gennadi V AU - Glinsky GV AD - Institute of Engineering in Medicine, University of California San Diego, San Diego, CA, United States. FAU - Sudha, Thangirala AU - Sudha T AD - Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences, Rensselaer, NY, United States. FAU - Mousa, Shaker A AU - Mousa SA AD - Pharmaceutical Research Institute, Albany College of Pharmacy and Health Sciences, Rensselaer, NY, United States. LA - eng PT - Journal Article DEP - 20220127 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8828484 OTO - NOTNLM OT - AML OT - AML management OT - acute myeloid leukemia OT - molecular mechanism OT - thyrointegrin alphavbeta3 COIS- SM holds several patents on anticancer compounds assigned to NanoPharmaceuticals LLC and founder of the company. GG is a consultant to NanoPharmaceuticals LLC. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/02/15 06:00 MHDA- 2022/02/15 06:01 PMCR- 2021/01/01 CRDT- 2022/02/14 05:34 PHST- 2021/10/12 00:00 [received] PHST- 2021/12/14 00:00 [accepted] PHST- 2022/02/14 05:34 [entrez] PHST- 2022/02/15 06:00 [pubmed] PHST- 2022/02/15 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2021.793810 [doi] PST - epublish SO - Front Oncol. 2022 Jan 27;11:793810. doi: 10.3389/fonc.2021.793810. eCollection 2021.