Abstract

Drug repurposing and drug combination are two strategies that have been widely used to overcome the traditional development of new anticancer drugs. Several FDA-approved drugs for other indications have been tested and have demonstrated beneficial anticancer effects. In this connection, our research group recently reported that Tacrine, used to treat Alzheimer’s Disease, inhibits the growth of breast cancer MCF-7 cells both alone and in combination with a reference drug. In this view, we have now coupled Tacrine with the model amphipathic cell-penetrating peptide (CPP) MAP, to ascertain whether coupling of the CPP might enhance the drug’s antiproliferative properties. To this end, we synthesized MAP through solid-phase peptide synthesis, coupled it with Tacrine, and made a comparative evaluation of the parent drug, peptide, and the conjugate regarding their permeability across the blood-brain barrier (BBB), ability to inhibit acetylcholinesterase (AChE) in vitro, and antiproliferative activity on cancer cells. Both MAP and its Tacrine conjugate were highly toxic to MCF-7 and SH-SY5Y cells. In turn, BBB-permeability studies were inconclusive, and conjugation to the CPP led to a considerable loss of Tacrine function as an AChE inhibitor. Nonetheless, this work reinforces the potential of repurposing Tacrine for cancer and enhances the antiproliferative activity of this drug through its conjugation to a CPP.

Highlights

  • In 2018, cancer accounted for 9.6 million deaths worldwide and remains considered the second-leading cause of death [1]

  • The results demonstrated that Tacrine had antiproliferative activity at 50 μM, and duce therapeutic dose

  • The results demonstrated that Tacrine had antiproliferative acits combination showed very promising resultsvery as itpromising increased the cytotoxicity tivity at 50 μM, with and its combination with

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Summary

Introduction

In 2018, cancer accounted for 9.6 million deaths worldwide and remains considered the second-leading cause of death [1]. There has been an increased investment in the development of new compounds for cancer therapy. Increased investment in the development of new compounds for cancer therapy. New strategies are required required to efficiently develop more effective anti-cancer compounds. To efficiently develop more effective anti-cancer compounds. Repurposed repurposed drugs drugs have have already already been been well well characterized characterized rere® ), garding theirtoxicity, toxicity, dose efficacy, and plausible mechanism action Tacrine garding their dose efficacy, and plausible mechanism of action.ofTacrine Our group investigated the activity of repurposing to oncological pharmacotherapy [4,5,6,7,8]. The results demonstrated that Tacrine had antiproliferative activity at 50 μM, and duce therapeutic dose.

Results
Chemical Synthesis of MAP and Its Tacrine Conjugate
Representation
Permeability Assays
AChE In Vitro
Toxicity of Tacrine
Cell countcoupling through Lionheart
Determination of IC50 cell and count
Drug Interactions between Tacrine and MAP in the Conjugate
Dose-effect
Concluding
General Peptide Synthesis Procedure
General Analysis Procedure
Materials
Cell Culture Conditions
Permeability Studies
Cytotoxicity Assays
Ellman’s Method
Cell Morphology Visualization and Cell Count Analysis
Analysis of Drug Interactions
Statistical Analysis
Full Text
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