T. Utsugi et al., ANTITUMOR-ACTIVITY OF A NOVEL PODOPHYLLOTOXIN DERIVATIVE (TOP-53) AGAINST LUNG-CANCER AND LUNG METASTATIC CANCER, Cancer research, 56(12), 1996, pp. 2809-2814
We synthesized a potent new antitumor podophyllotoxin derivative (4 -a
minoalkyl-4'-O-demethyl-4-desoxypodophyllotoxin; TOP-53) in our search
for a drug that has strong activity against lung cancer and lung meta
static cancer. TOP-53 exhibited twice the inhibitory activity of etopo
side (VP-16) against topoisomerase II and induced DNA strand breaks bu
t showed no inhibitory activity against tubulin polymerization. The in
vitro cytotoxic activity of TOP-53 assessed as IC50 was 0.016-0.37 mu
g/ml and 0.26-8.9 mu g/ml against murine tumor and human non-small ce
ll lung cancer (NSCLC) cell lines, respectively. TOP-53 exerted signif
icant efficacy equivalent to that of VP-16 on s.c-implanted murine sol
id tumors (Colon 26, B16;BL6, and Lewis lung carcinoma) at doses 3-5 t
imes lower than that of VP-16. In human tumor xenografts using NSCLC,
TOP-53 was active for four of five tumors, whereas VP-16 was active fo
r two of five tumors. Potent inhibitory activity of TOP-53 was also fo
und against a lung tumor (Lewis lung carcinoma) and four lung metastat
ic tumors (NL-22 and NL-17 colon cancer, UV2237M fibrosarcoma, and K17
35M2 melanoma). TOP-53 appeared to be more active against four of them
than VP-16. Thus, TOP-53 is not only active against s.c.-implanted lu
ng cancers but also strongly active against lung localized tumor and m
etastatic tumors in the lungs. The high selectivity of TOP-53 was attr
ibuted to its high distribution into the lung and its persistence. TOP
-53 is expected to be highly effective against lung cancer including N
SCLC and various lung metastatic tumors in the clinical field.