Abstract

BackgroundWe previously described a sub-population of epithelial ovarian cancer (EOC) cells with a functional TLR-4/MyD88/NF-κB pathway (Type I EOC cells), which confers the capacity to respond to Paclitaxel, a known TLR-4 ligand, by enhancing NF-κB activity and upregulating cytokine secretion – events that are known to promote tumor progression. It is therefore important to distinguish those patients that should not receive Paclitaxel; it is also important to identify alternative chemotherapy options that would benefit this sub-group of patients. The objective of this study is to determine if the KSP inhibitor, ARRY-520, can be a substitute for Paclitaxel in patients with Type I EOC.MethodsEOC cells isolated from either ascites or tumor tissue were treated with increasing concentrations of ARRY-520 or Paclitaxel and cell viability determined. Activation of the apoptotic pathway was determined using Western blot analysis. Mitochondrial integrity was quantified using JC1 dye. Cytokine profiling was performed from supernatants using xMAP technology. NF-κB activity was measured using a Luciferase reporter system. In vivo activity was determined using a subcutaneous xenograft mouse model.ResultsARRY-520 and Paclitaxel exhibited the same cytotoxic effect on Type I and II cells. The GI50 at 48 h for Type II EOC cells was 0.0015 μM and 0.2 μM for ARRY-520 and Paclitaxel, respectively. For Type I EOC cells, the GI50 at 48 h was > 3 μM and >20 μM for ARRY-520 and Paclitaxel, respectively. Decrease in the number of viable cells was accompanied by mitochondrial depolarization and caspase activation. Unlike Paclitaxel, ARRY-520 did not induce NF-κB activation, did not enhance cytokine secretion, nor induce ERK phosphorylation in Type I EOC cells.ConclusionAdministration of Paclitaxel to patients with high percentage Type I cancer cells could have detrimental effects due to Paclitaxel-induced enhancement of NF-κB and ERK activities, and cytokine production (e.g. IL-6), which promote chemoresistance and tumor progression. ARRY-520 has similar anti-tumor activity in EOC cells as that of Paclitaxel. However, unlike Paclitaxel, it does not induce these pro-tumor effects in Type I cells. Therefore, the KSP inhibitor ARRY-520 may represent an alternative to Paclitaxel in this subgroup of EOC patients.

Highlights

  • We previously described a sub-population of epithelial ovarian cancer (EOC) cells with a functional TLR-4/MyD88/nuclear factor κB (NF-κB) pathway (Type I EOC cells), which confers the capacity to respond to Paclitaxel, a known TLR-4 ligand, by enhancing NF-κB activity and upregulating cytokine secretion – events that are known to promote tumor progression

  • ARRY-520 is cytotoxic in Type II EOC cells Our first objective was to determine the effect of ARRY520 on EOC cells

  • We demonstrate in this study that the kinesin spindle protein (KSP) inhibitor, ARRY-520, has similar anti-tumor activity in EOC cells compared to Paclitaxel

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Summary

Introduction

We previously described a sub-population of epithelial ovarian cancer (EOC) cells with a functional TLR-4/MyD88/NF-κB pathway (Type I EOC cells), which confers the capacity to respond to Paclitaxel, a known TLR-4 ligand, by enhancing NF-κB activity and upregulating cytokine secretion – events that are known to promote tumor progression. We described the identification of a sub-population of EOC cells that are resistant to this agent This sub-group of cells (Type I EOC cells) has a functional Toll Like Receptor-4-Myeloid Differentiation Protein 88Nuclear factor κB (TLR-4/MyD88/NF-κB) pathway, and the ligation of TLR-4 by Paclitaxel (a known TLR-4 ligand) is able to induce NF-κB activation and secretion of proinflammatory and pro-tumor cytokines IL-6, IL-8, MCP-1, and GRO-α [4,5]. This response confers resistance to apoptosis, and more importantly, enhances tumor growth [4]. These events were not observed in the group of EOC cells that did not have a functional TLR4MyD88 pathway (Type II EOC cells) and are sensitive to Paclitaxel

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