Pa. Bunn et al., EFFECTS OF RECOMBINANT NEUTRAL ENDOPEPTIDASE (EC 3.4.24.11) ON THE GROWTH OF LUNG-CANCER CELL-LINES IN-VITRO AND IN-VIVO, Clinical cancer research, 4(11), 1998, pp. 2849-2858
Many lung cancers are stimulated by an autocrine/paracrine system of n
euroendocrine peptide hormones. Attempts to block this autocrine growt
h pathway by interactions with specific ligand-receptor binding using
monoclonal antibodies and peptide-specific antagonists have been large
ly unsuccessful because of the heterogeneity of hormone production and
receptor expression. In the normal lung, neutral endopeptidase (NEP;
CD10, CALLA, enkephalinase, and EC 3.4.24.11) plays a physiological ro
le in degrading biologically active peptides, including all peptides i
mplicated in autocrine growth stimulation of lung cancer. Cigarette sm
oke decreases the activity of NEP, indicating that the lack of NEP con
tributes to the dysregulation of the peptide autocrine system. The clo
ning of the human NEP gene allowed for production of sufficient quanti
ties of recombinant NEP (rNEP) to evaluate its role in inhibiting the
growth of lung cancer cells. In this study, we evaluated the ability o
f rNEP to inactivate the peptides involved in lung cancer signal trans
duction and to inhibit the growth of lung cancer cells as well as norm
al lung cells in vitro and in vivo in athymic nude mice. We showed tha
t the growth inhibition of lung cancer cells by rNEP was related to th
e dose and schedule. Continuous exposure to high doses was required fo
r growth inhibition. These studies confirm the importance of NEP in th
is autocrine pathway.