PMID- 21555367 OWN - NLM STAT- MEDLINE DCOM- 20110818 LR - 20211020 IS - 1538-7445 (Electronic) IS - 0008-5472 (Print) IS - 0008-5472 (Linking) VI - 71 IP - 12 DP - 2011 Jun 15 TI - Targeting hyaluronidase for cancer therapy: antitumor activity of sulfated hyaluronic acid in prostate cancer cells. PG - 4085-95 LID - 10.1158/0008-5472.CAN-10-4610 [doi] AB - The tumor cell-derived hyaluronidase (HAase) HYAL-1 degrades hyaluronic acid (HA) into proangiogenic fragments that support tumor progression. Although HYAL-1 is a critical determinant of tumor progression and a marker for cancer diagnosis and metastasis prediction, it has not been evaluated as a target for cancer therapy. Similarly, sulfated hyaluronic acid (sHA) has not been evaluated for biological activity, although it is an HAase inhibitor. In this study, we show that sHA is a potent inhibitor of prostate cancer. sHA blocked the proliferation, motility, and invasion of LNCaP, LNCaP-AI, DU145, and LAPC-4 prostate cancer cells, and induced caspase-8-dependent apoptosis associated with downregulation of Bcl-2 and phospho-Bad. sHA inhibited Akt signaling including androgen receptor (AR) phosphorylation, AR activity, nuclear factor kappaB (NFkappaB) activation, and VEGF expression. These effects were traced to a blockade in complex formation between phosphoinositide 3-kinase (PI3K) and HA receptors and to a transcriptional downregulation of HA receptors, CD44, and RHAMM, along with PI3K inhibition. Angiogenic HA fragments or overexpression of myristoylated Akt or HA receptors blunted these effects of sHA, implicating a feedback loop between HA receptors and PI3K/Akt signaling in the mechanism of action. In an animal model, sHA strongly inhibited LNCaP-AI prostate tumor growth without causing weight loss or apparent serum-organ toxicity. Inhibition of tumor growth was accompanied by a significant decrease in tumor angiogenesis and an increase in apoptosis index. Taken together, our findings offer mechanistic insights into the tumor-associated HA-HAase system and a preclinical proof-of-concept of the safety and efficacy of sHA to control prostate cancer growth and progression. FAU - Benitez, Anaid AU - Benitez A AD - Department of Urology, University of Miami Miller School of Medicine, Miami, Florida 33101, USA. FAU - Yates, Travis J AU - Yates TJ FAU - Lopez, Luis E AU - Lopez LE FAU - Cerwinka, Wolfgang H AU - Cerwinka WH FAU - Bakkar, Ashraf AU - Bakkar A FAU - Lokeshwar, Vinata B AU - Lokeshwar VB LA - eng GR - R01 CA 123063-04/CA/NCI NIH HHS/United States GR - R01 CA072821-09/CA/NCI NIH HHS/United States GR - R01 CA123063-02/CA/NCI NIH HHS/United States GR - R01 CA072821-10A2/CA/NCI NIH HHS/United States GR - R01 CA123063-04/CA/NCI NIH HHS/United States GR - R01 CA072821-11/CA/NCI NIH HHS/United States GR - R01 CA123063-03/CA/NCI NIH HHS/United States GR - R01CA72821-10/CA/NCI NIH HHS/United States GR - R01 CA123063/CA/NCI NIH HHS/United States GR - R01 CA072821/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110509 PL - United States TA - Cancer Res JT - Cancer research JID - 2984705R RN - 0 (Antineoplastic Agents) RN - 0 (CD44 protein, human) RN - 0 (Hyaluronan Receptors) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Vascular Endothelial Growth Factor A) RN - 9004-61-9 (Hyaluronic Acid) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.2.1.35 (Hyaluronoglucosaminidase) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Humans MH - Hyaluronan Receptors/genetics MH - Hyaluronic Acid/*pharmacology MH - Hyaluronoglucosaminidase/*antagonists & inhibitors MH - Male MH - Mice MH - Neoplasm Invasiveness MH - Neovascularization, Pathologic/drug therapy MH - Phosphoinositide-3 Kinase Inhibitors MH - Prostatic Neoplasms/blood/*drug therapy/pathology MH - Proto-Oncogene Proteins c-akt/antagonists & inhibitors MH - Vascular Endothelial Growth Factor A/genetics PMC - PMC3117105 MID - NIHMS293761 EDAT- 2011/05/11 06:00 MHDA- 2011/08/19 06:00 PMCR- 2012/06/15 CRDT- 2011/05/11 06:00 PHST- 2011/05/11 06:00 [entrez] PHST- 2011/05/11 06:00 [pubmed] PHST- 2011/08/19 06:00 [medline] PHST- 2012/06/15 00:00 [pmc-release] AID - 0008-5472.CAN-10-4610 [pii] AID - 10.1158/0008-5472.CAN-10-4610 [doi] PST - ppublish SO - Cancer Res. 2011 Jun 15;71(12):4085-95. doi: 10.1158/0008-5472.CAN-10-4610. Epub 2011 May 9.