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2017 ; 5
(ä): 45-59
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KEMTUB012-NI2, a novel potent tubulysin analog that selectively targets hypoxic
cancer cells and is potentiated by cytochrome p450 reductase downregulation
#MMPMID28580362
Lazzari P
; Spiga M
; Sani M
; Zanda M
; Fleming IN
Hypoxia (Auckl)
2017[]; 5
(ä): 45-59
PMID28580362
show ga
PURPOSE: There is an urgent need to develop effective therapies and treatment
strategies to treat hypoxic tumors, which have a very poor prognosis and do not
respond well to existing therapies. METHODS: A novel hypoxia-targeting agent,
KEMTUB012-NI2, was synthesized by conjugating a 2-nitroimidazole
hypoxia-targeting moiety to a synthetic tubulysin, a very potent antimitotic. Its
hypoxic selectivity and mode of action were studied in breast cancer cell lines.
RESULTS: KEMTUB012-NI2 exhibited a similar selectivity for hypoxic cells to that
of tirapazamine, a well-established hypoxia-targeting agent, but was >1,000 times
more potent in cell cytotoxicity assays. The hypoxia-targeting mechanism for both
KEMTUB012-NI2 and tirapazamine was selective and mediated by one-electron
reductases. However, while cytochrome p450 reductase (POR) downregulation could
inhibit tirapazamine cytotoxicity, it actually sensitized hypoxic cells to
KEMTUB012-NI2. CONCLUSION: KEMTUB012-NI2 is a potent new agent that can
selectively target hypoxic cancer cells. The hypoxia selectivity of KEMTUB012-NI2
and tirapazamine appears to be differentially activated by reductases. Since
reductases are heterogeneously expressed in tumors, the different activation
mechanisms will allow these agents to complement each other. Combining POR
downregulation with KEMTUB012-NI2 treatment could be a new treatment strategy
that maximizes efficacy toward hypoxic tumor cells while limiting systemic
toxicity.