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2017 ; 8
(15
): 24506-24517
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Pirfenidone normalizes the tumor microenvironment to improve chemotherapy
#MMPMID28445938
Polydorou C
; Mpekris F
; Papageorgis P
; Voutouri C
; Stylianopoulos T
Oncotarget
2017[Apr]; 8
(15
): 24506-24517
PMID28445938
show ga
Normalization of the tumor microenvironment by selectively targeting components
of the tumor extracellular matrix has been recently proposed to have the
potential to decompress tumor blood vessels, increase vessel perfusion and thus,
improve drug delivery and the efficacy of cancer therapy. Therefore, we now need
to identify safe and well tolerated pharmaceutical agents that are able to
remodel the microenvironment of solid tumors and enhance chemotherapy. In this
study, we repurposed Pirfenidone, a clinically approved anti-fibrotic drug for
the treatment of idiopathic pulmonary fibrosis, to investigate its possible role
on tumor microenvironment normalization. Using two orthotopic mammary tumor
models we demonstrate that Pirfenidone reduces collagen and hyaluronan levels
and, as a result, significantly increases blood vessel functionality and
perfusion and improves the anti-tumor efficacy of doxorubicin. Reduction of
extracellular matrix components were mediated via TGF? signaling pathway
inhibition due to downregulation of TGF?1, COL1A1, COL3A1, HAS2, HAS3 expression
levels. Our findings provide evidence that repurposing Pirfenidone could be used
as a promising strategy to enhance drug delivery to solid tumors by normalizing
the tumor microenvironment.
|Antineoplastic Agents/pharmacology/*therapeutic use
[MESH]