3 resultados para cancer treatment
em Duke University
Resumo:
Histone deacetylases (HDACs) have been shown to play key roles in tumorigenesis, and
have been validated as effective enzyme target for cancer treatment. Largazole, a marine natural
product isolated from the cyanobacterium Symploca, is an extremely potent HDAC inhibitor that
has been shown to possess high differential cytotoxicity towards cancer cells along with excellent
HDAC class-selectivity. However, improvements can be made in the isoform-selectivity and
pharmacokinetic properties of largazole.
In attempts to make these improvements and furnish a more efficient biochemical probe
as well as a potential therapeutic, several largazole analogues have been designed, synthesized,
and tested for their biological activity. Three different types of analogues were prepared. First,
different chemical functionalities were introduced at the C2 position to probe the class Iselectivity profile of largazole. Additionally, docking studies led to the design of a potential
HDAC8-selective analogue. Secondly, the thiol moiety in largazole was replaced with a wide
variety of othe zinc-binding group in order to probe the effect of Zn2+ affinity on HDAC
inhibition. Lastly, three disulfide analogues of largazole were prepared in order to utilize a
different prodrug strategy to modulate the pharmacokinetic properties of largazole.
Through these analogues it was shown that C2 position can be modified significantly
without a major loss in activity while also eliciting minimal changes in isoform-selectivity. While
the Zn2+-binding group plays a major role in HDAC inhibition, it was also shown that the thiol
can be replaced by other functionalities while still retaining inhibitory activity. Lastly, the use of
a disulfide prodrug strategy was shown to affect pharmacokinetic properties resulting in varying
functional responses in vitro and in vivo.
v
Largazole is already an impressive HDAC inhibitor that shows incredible promise.
However, in order to further develop this natural product into an anti-cancer therapeutic as well as
a chemical probe, improvements in the areas of pharmacokinetics as well as isoform-selectivity
are required. Through these studies we plan on building upon existing structure–activity
relationships to further our understanding of largazole’s mechanism of inhibition so that we may
improve these properties and ultimately develop largazole into an efficient HDAC inhibitor that
may be used as an anti-cancer therapeutic as well as a chemical probe for the studying of
biochemical systems.
Resumo:
The design and application of effective drug carriers is a fundamental concern in the delivery of therapeutics for the treatment of cancer and other vexing health problems. Traditionally utilized chemotherapeutics are limited in efficacy due to poor bioavailability as a result of their size and solubility as well as significant deleterious effects to healthy tissue through their inability to preferentially target pathological cells and tissues, especially in treatment of cancer. Thus, a major effort in the development of nanoscopic drug delivery vehicles for cancer treatment has focused on exploiting the inherent differences in tumor physiology and limiting the exposure of drugs to non-tumorous tissue, which is commonly achieved by encapsulation of chemotherapeutics within macromolecular or supramolecular carriers that incorporate targeting ligands and that enable controlled release. The overall aim of this work is to engineer a hybrid nanomaterial system comprised of protein and silica and to characterize its potential as an encapsulating drug carrier. The synthesis of silica, an attractive nanomaterial component because it is both biocompatible as well as structurally and chemically stable, within this system is catalyzed by self-assembled elastin-like polypeptide (ELP) micelles that incorporate of a class of biologically-inspired, silica-promoting peptides, silaffins. Furthermore, this methodology produces near-monodisperse, hybrid inorganic/micellar materials under mild reaction conditions such as temperature, pH and solvent. This work studies this material system along three avenues: 1) proof-of-concept silicification (i.e. the formation and deposition of silica upon organic materials) of ELP micellar templates, 2) encapsulation and pH-triggered release of small, hydrophobic chemotherapeutics, and 3) selective silicification of templates to potentiate retention of peptide targeting ability.
Resumo:
Radiotherapy is commonly used to treat lung cancer. However, radiation induced damage to lung tissue is a major limiting factor to its use. To minimize normal tissue lung toxicity from conformal radiotherapy treatment planning, we investigated the use of Perfluoropropane(PFP)-enhanced MR imaging to assess and guide the sparing of functioning lung. Fluorine Enhanced MRI using Perfluoropropane(PFP) is a dynamic multi-breath steady state technique enabling quantitative and qualitative assessments of lung function(1).
Imaging data was obtained from studies previously acquired in the Duke Image Analysis Laboratory. All studies were approved by the Duke IRB. The data was de-identified for this project, which was also approved by the Duke IRB. Subjects performed several breath-holds at total lung capacity(TLC) interspersed with multiple tidal breaths(TB) of Perfluoropropane(PFP)/oxygen mixture. Additive wash-in intensity images were created through the summation of the wash-in phase breath-holds. Additionally, model based fitting was utilized to create parametric images of lung function(1).
Varian Eclipse treatment planning software was used for putative treatment planning. For each subject two plans were made, a standard plan, with no regional functional lung information considered other than current standard models. Another was created using functional information to spare functional lung while maintaining dose to the target lesion. Plans were optimized to a prescription dose of 60 Gy to the target over the course of 30 fractions.
A decrease in dose to functioning lung was observed when utilizing this functional information compared to the standard plan for all five subjects. PFP-enhanced MR imaging is a feasible method to assess ventilatory lung function and we have shown how this can be incorporated into treatment planning to potentially decrease the dose to normal tissue.