Abstract Ewing sarcoma is characterized by multiple deregulated pathways that mediate cell survival and proliferation. Heat shock protein-90 (HSP90) is a critical component of the multi-chaperone complexes that regulate the disposition and activity of a large number of proteins responsible for the assembly and regulation of cell-signaling systems. We tested the efficacy of PU-H71, a novel purine scaffold HSP90 inhibitor developed at Memorial Sloan-Kettering Cancer Center in several Ewing sarcoma cell lines and primary cultures established from patient samples. We investigated its effect on cell proliferation and cell viability on multiple Ewing cell lines, benign epithelial, endothelial and mesenchymal stromal cells and its effect on colony forming assay using CD34 hematopoietic stem cells . We performed cell cycle analysis, clonogenic assay, immunoblot analysis and in vivo experiments in NOD scid gamma (NSG) mice using A673 cell line transduced with GFP luciferase for bioimaging. We also established a metastatic model by calculating the mean fluorescence intensity (MFI) in various organs. Our results show that there is a significant therapeutic window in its activity against Ewing cell lines and benign cells. PU-H71 treatment resulted in arrest in G2 phase and diminished S phase in Ewing cell lines. We also noted that many of the deregulated pathway proteins including IGF1R, AKT, ERK, MYC, hTERT and EWS-FLI1 are stabilized by HSP90 and exposure to PU-H71 resulted in depletion of the above proteins. We also noted an increase in cleaved PARP and proapoptotic proteins and a decrease in antiapoptotic proteins on immunoblot analysis. Based on earlier PK and MTD studies, we treated mice at a dose of 75mg/kg by intraperitoneal injection, three times a week for 4 weeks. Our results indicated that Ewing's sarcoma tumor growth was significantly inhibited and metastatic burden was significantly decreased in the mice injected with PU-H71 compared to the mice injected with vehicle, based on MFI, weight and size of the tumors. Immunohistochemical staining showed that CD31 expression was significantly reduced in PU-H71 treated mice tumors. Our results suggest that PU-H71 has the ability to affect multiple critical oncogenic pathways simultaneously resulting in decreased tumor growth and metastases and has a strong rationale for clinical evaluation in Ewing sarcoma. Citation Format: Srikanth R. Ambati, Eloisi Caldas Lopes, Ullas Mony, Kohji Kosugi, Andre Moreira, Paul Meyers, Gabriela Chiosis, Malcolm Moore. Novel inhibitor of HSP90- PU-H71 exhibits significant activity in Ewing sarcoma pre-clinical models. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 2752. doi:10.1158/1538-7445.AM2013-2752
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