Abstract

BackgroundThe orally active quinoline-3-carboxamide tasquinimod [ABR-215050; CAS number 254964-60-8), which currently is in a phase II-clinical trial in patients against metastatic prostate cancer, exhibits anti-tumor activity via inhibition of tumor angiogenesis in human and rodent tumors. To further explore the mode of action of tasquinimod, in vitro and in vivo experiments with gene microarray analysis were performed using LNCaP prostate tumor cells. The array data were validated by real-time semiquantitative reversed transcriptase polymerase chain reaction (sqRT-PCR) and protein expression techniques.ResultsOne of the most significant differentially expressed genes both in vitro and in vivo after exposure to tasquinimod, was thrombospondin-1 (TSP1). The up-regulation of TSP1 mRNA in LNCaP tumor cells both in vitro and in vivo correlated with an increased expression and extra cellular secretion of TSP1 protein. When nude mice bearing CWR-22RH human prostate tumors were treated with oral tasquinimod, there was a profound growth inhibition, associated with an up-regulation of TSP1 and a down- regulation of HIF-1 alpha protein, androgen receptor protein (AR) and glucose transporter-1 protein within the tumor tissue. Changes in TSP1 expression were paralleled by an anti-angiogenic response, as documented by decreased or unchanged tumor tissue levels of VEGF (a HIF-1 alpha down stream target) in the tumors from tasquinimod treated mice.ConclusionsWe conclude that tasquinimod-induced up-regulation of TSP1 is part of a mechanism involving down-regulation of HIF1α and VEGF, which in turn leads to reduced angiogenesis via inhibition of the "angiogenic switch", that could explain tasquinimods therapeutic potential.

Highlights

  • The orally active quinoline-3-carboxamide tasquinimod [ABR-215050; CAS number 254964-60-8), which currently is in a phase II-clinical trial in patients against metastatic prostate cancer, exhibits anti-tumor activity via inhibition of tumor angiogenesis in human and rodent tumors

  • In the present study we investigated the molecular changes that underlie the anti-tumor effects of tasquinimod in human prostate cancer cells (LNCaP)

  • Tasquinimods effects on gene expression in LNCaP cells analyzed with DNA microarray Tasquinimod has been documented to have a robust and consistent anti-angiogenic activity in vitro at doses between 10-50 μM and in vivo at 1-10 mg/kg/day resulting in a potent anti-tumor effect in rodent and human prostate cancer xenografts tested in the same dose ranges [4,5]

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Summary

Introduction

The orally active quinoline-3-carboxamide tasquinimod [ABR-215050; CAS number 254964-60-8), which currently is in a phase II-clinical trial in patients against metastatic prostate cancer, exhibits anti-tumor activity via inhibition of tumor angiogenesis in human and rodent tumors. Tissue level expressions of TSP1 are repressed by androgens in normal and cancer prostate tissue [16,17], and are down-regulated by several oncogenes including c-fos, c-jun, and Ras [18]. Tumor suppressors such as PTEN, p53 and angiotensin II, and PI3-kinase, β1C integrin, histone deacetylase (HDAC) inhibitors, and anti-cancer agents like dexrazoxane, up-regulate TSP1 levels [18,19,20,21,22,23]. TSP1 inhibits inflammation [25] and promotes the recruitment of M1-polarized macrophages (TAM:s) [26] that express high levels of iNOS (inducible NO synthetase) [27]

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