Abstract
Purpose: Fatty acid synthase (FASN) is overexpressed in human breast carcinoma. The natural polyphenol (−)-epigallocatechin-3-gallate blocks in vitro FASN activity and leads to apoptosis in breast cancer cells without any effects on carnitine palmitoyltransferase-1 (CPT-1) activity, and in vivo, does not decrease body weight. We synthesized a panel of new polyphenolic compounds and tested their effects on breast cancer models.
Experimental Design: We evaluated the in vitro effects of the compounds on breast cancer cell growth (SK-Br3, MCF-7, and MDA-MB-231), apoptosis [as assessed by cleavage of poly(ADP-ribose) polymerase], cell signaling (HER2, ERK1/2, and AKT), and fatty acid metabolism enzymes (FASN and CPT-1). In vivo, we have evaluated their antitumor activity and their effect on body weight in a mice model of BT474 breast cancer cells.
Results: Two compounds potently inhibited FASN activity and showed high cytotoxicity. Moreover, the compounds induced apoptosis and caused a marked decrease in the active forms of HER2, AKT, and ERK1/2 proteins. Interestingly, the compounds did not stimulate CPT-1 activity in vitro. We show evidence that one of the FASN inhibitors blocked the growth of BT474 breast cancer xenografts and did not induce weight loss in vivo.
Conclusions: The synthesized polyphenolic compounds represent a novel class of FASN inhibitors, with in vitro and in vivo anticancer activity, that do not exhibit cross-activation of β-oxidation and do not induce weight loss in animals. One of the compounds blocked the growth of breast cancer xenografts. These FASN inhibitors may represent new agents for breast cancer treatment. (Clin Cancer Res 2009;15(24):7608–15)
The enzyme fatty acid synthase (FASN) has been shown to be a key therapeutic target in cancer given its importance in tumor biology. The present study evaluated novel anticancer compounds that inhibited FASN activity and did not have effects on fatty acid oxidation or caused weight loss in experimental animals. These compounds also represent promising agents in preliminary in vivo studies. Here, we open a new therapeutic perspective providing preliminary in vitro and in vivo proof of evidence of a new generation of synthetic FASN inhibitors with low toxicity profile.
Fatty acid synthase (E.C.2.3.1.85; FASN) is a lipogenic enzyme which catalyzes the de novo synthesis of long-chain fatty acids from acetyl-CoA, malonyl-CoA, and NADPH precursors (1). FASN expression is generally low or undetectable in human tissues other than the liver and adipose tissue, and nonmalignant cells preferentially use circulating dietary fatty acids for the synthesis of new structural lipids. In contrast, high levels of FASN expression have been observed in breast cancer (2) and other human carcinomas (reviewed in ref. 3). Importantly, several reports have shown that FASN expression levels correlate with tumor progression, aggressiveness, and metastasis, and are found elevated in the serum of patients with cancer (4–6). The widespread expression of FASN in human cancer and its association with poor prognosis suggest that fatty acid synthesis provides an advantage for tumor growth, and could be a promising target for antitumor drug development (7). Pharmacologic inhibition of FASN has been used to study the loss of FASN function in tumor cells. Among the characterized inhibitors of FASN, cerulenin, C75, and (−)-epigallocatechin-3-gallate (EGCG) deserve special attention (Fig. 1). Cerulenin, a natural antibiotic product of the fungus Cephalosporium ceruleans (8), inhibits FASN activity leading to apoptotic cancer cell death in vitro (9, 10). C75, a synthetic analogue of cerulenin, is also a potent FASN inhibitor (11), which is cytotoxic for various tumor cell lines in vitro (12, 13), and shows significant in vivo antitumor activity against human cancer cell xenografts (14, 15). The use of C75 in vivo is limited by anorexia and body weight loss, which we and others have associated with the stimulation of carnitine palmitoyltransferase-1 (CPT-1; refs. 16–18), the enzyme responsible for the regulation of mitochondrial fatty acid oxidation. Recent studies have reported that EGCG, the main polyphenolic catechin of green tea, and other naturally occurring flavonoids (such as luteolin, quercetin, and kaempferol) inhibit FASN, induce apoptosis of several tumor cell lines in vitro (18–24), and reduce the size of mammary tumors in animal models (25). We have recently reported a simultaneous comparison of the cellular, molecular, and functional effects on the key fatty acid metabolism enzymes FASN and CPT-1 of C75 versus EGCG, in breast cancer cells (18). We showed that EGCG achieves all cellular, functional, and molecular antitumor effects of known FASN inhibitors but, unlike C75, it did not increase CPT-1 activity (18). However, the in vivo effect of EGCG might be limited by its IC50 value, as well as its relative instability under the slightly neutral or alkaline physiologic conditions (24), which may be illustrated by the limited activity of green tea in prostate cancer clinical trials (25, 26). We now report the synthesis and biological evaluation of a new series of polyphenolic derivatives related to EGCG, which has resulted in the identification of two potent FASN inhibitors with high antitumor activity in vitro. Their antitumor effects occurred without stimulating CPT-1 activity, and most importantly, without inducing weight loss in vivo. Interestingly, one of the novel compounds blocked tumor growth in an in vivo breast cancer xenograft model. Therefore, these novel compounds might represent suitable new agents for the treatment of cancer.
Materials and Methods
Synthesis of polyphenolic compounds I(1-8)
Target compounds 1-8 were synthesized via standard chemical procedures starting from conveniently protected gallic acid 17 (27), as described in Fig. 2 and in the Supplementary Data. Spectroscopic data of all synthesized compounds were consistent with the proposed structures. For series 1-8 and 9-16, we include the data of compounds 4, 6, 12, and 14. The rest of the compounds are described in the Supplementary Data.
1,3-Bis([3,4,5-tris(benzyloxy)benzoyl]oxy)benzene (12) was prepared following the general procedure, using gallic acid and resorcinol as starting materials. Chromatography: dichloromethane/hexane 9:1; yield: 70%; mp 194–196°C; IR ν 1734, 1593, 1500, 1128; 1H-NMR (CDCl3) δ 5.19 (s, 12H), 7.13–7.45 (m, 34H), 7.55 (s, 4H); 13C-NMR (CDCl3) δ 71.3, 75.2, 109.7, 115.9, 119.3, 124.2, 127.6, 128.0, 128.1, 128.2, 128.5, 128.6, 136.5, 137.3, 143.2, 151.9, 152.7, 164.4.
1,3-Bis[(3,4,5-trihydroxybenzoyl)oxy]benzene (4) was prepared following the general procedure, starting from intermediate 12. Yield: 60%; mp 194–195°C; IR ν 3370, 1718, 1618, 1200; 1H-NMR (CD3OD) δ 7.06–7.14 (m, 3H), 7.20 (s, 4H), 7.48 (t, J = 8.4, 1H); 13C-NMR (CD3OD) δ 110.7, 117.1, 120.3, 130.8, 140.8, 146.8, 153.3, 166.7; ESI-MS 412.8 (M − H).
2,3-Bis([3,4,5-tris(benzyloxy)benzoyl]oxy)naphthalene (14) was prepared following the above described general procedure, using gallic acid and naphthalene-2,3-diol as starting materials. Chromatography: dichloromethane/hexane 6:4; yield: 58%; mp 130–131°C; IR ν 1740, 1589, 1500, 1194; 1H-NMR (CDCl3) δ 4.83 (s, 8H), 4.91 (s, 4H), 7.05–7.28 (m, 30H), 7.38 (s, 4H), 7.44–7.49 (m, 2H), 7.78–7.83 (m, 4H); 13C-NMR (CDCl3) δ 71.2, 75.1, 109.5, 121.2, 123.7, 126.5, 127.6, 127.9, 128.1, 128.2, 128.3, 128.5, 131.7, 136.3, 137.4, 141.4, 143.3, 152.7, 164.2.
2,3-Bis[(3,4,5-trihydroxybenzoyl)oxy]naphthalene (6) was prepared following the general procedure, starting from intermediate 14. Yield: 60%; mp 182–183°C; IR ν 3308, 1743, 1618, 1194; 1H-NMR (CD3OD) δ 7.12 (s, 4H), 7.51–7.56 (m, 2H), 7.79 (s, 2H), 7.89–7.92 (m, 2H); 13C-NMR (CD3OD) δ 109.3, 118.4, 120.6, 125.9, 126.9, 131.7, 139.2, 141.9, 145.1, 165.0; ESI-MS 487.0 (M + Na).
Cell lines and cell culture
Cells were routinely incubated at 37°C with 5% CO2. BT474, MCF-7, and MDA-MB-231 breast cancer cells were obtained from the American Type Culture Collection, and were routinely grown in DMEM (Life Technologies) containing 10% fetal bovine serum (Bio Whittaker), 1% l-glutamine, 1% sodium pyruvate, 50 units/mL penicillin, and 50 μg/mL streptomycin. SK-Br3 breast cancer cells were obtained from Eucellbank, and were passaged in McCoy's 5A medium containing 10% fetal bovine serum, 1% l-glutamine,1% sodium pyruvate, 50 units/mL of penicillin, and 50 μg/mL of streptomycin.
Cytotoxicity assay
EGCG and 3,4,5-dimethylthiazol-2-yl-2,5-diphenyltetrazolium bromide (MTT) were purchased from Sigma. Drug sensitivity was determined using a standard colorimetric MTT assay. Briefly, cells were plated out at a density of 7 × 103 cells/100 μL/well in 96-well microtiter plates, and allowed an overnight period for attachment. Then the medium was removed and cells were incubated for 48 h with fresh medium containing different concentrations of EGCG or the novel polyphenolic compound 1-8. Following treatment, drug-free medium (100 μL/well) and 10 μL of a 5 mg/mL MTT solution were added and cells were incubated for 3 h at 37°C. After careful removal of the supernatants, the MTT-formazan crystals formed by metabolically viable cells were dissolved in DMSO (100 μL/well) and absorbance was measured at 570 nm in a multi-well plate reader (Model Anthos Labtec 2010 1.7).
FASN activity assay
EDTA, dithiotreitol, acetyl-CoA, malonyl-CoA, and NADPH were purchased from Sigma. After 6, 12, or 24 h of exposure to drug, cells were harvested by treatment with trypsin-EDTA solution, pelleted by centrifugation, washed twice, and resuspended in cold PBS. Cells were sonicated for 30 min at 4°C (PSelecta Ultrasons) and centrifuged for 15 min at 4°C to obtain particle-free supernatants. A supernatant sample was taken to measure protein content by a Lowry-based Bio-Rad assay (Bio-Rad Laboratories) and the adequate volume was diluted to a concentration of 1 μg/μL. One-hundred and twenty microliters of this particle-free supernatant were preincubated for 15 min at 37°C for temperature equilibration. The sample was then added to 150 μL of the reaction buffer followed by 30 μL of 500 μmol/L malonyl-CoA (FASN substrate), and the final volume of 0.3 mL of reaction mixture [200 mmol/L potassium phosphate buffer (pH 7.0), 1 mmol/L EDTA, 1 mmol/L DTT, 30 μmol/L acetyl-CoA, 0.24 mmol/L NADPH, and 50 μmol/L malonyl-CoA] was assayed for 10 min to determine FASN-dependent oxidation of NADPH. Before the addition of malonyl-CoA, the background rate of NADPH oxidation in the presence of acetyl-CoA was monitored at 340 nm for 3 min. FASN activity was expressed in nmol NADPH oxidized × min−1 × mg protein−1.
Immunoblot analysis of FASN, p185HER2/neu, phosphorylated p185HER2/neu, ERK1/2, phosphorylated ERK1/2, AKT, phosphorylated AKTSer473, and poly(ADP-ribose) polymerase
The primary antibody for FASN immunoblotting was a mouse IgG1 FASN monoclonal antibody from BD Biosciences PharMingen. Monoclonal anti–β-actin mouse antibody (clone AC-15) was from Sigma. Rabbit polyclonal antibodies against poly(ADP-ribose) polymerase (PARP), AKT, phosphorylated AKTSer473, and mouse monoclonal antibodies against p185HER-2/neu (clone Ab-3) and phosphorylated p185HER-2/neu were from Cell Signaling Technology. Following treatment of SK-Br3 cells with EGCG or novel polyphenolic compounds at corresponding concentrations and time intervals, cells were harvested by treatment with trypsin-EDTA, washed twice with PBS, and stored at −80°C. Cells were lysed in lysis buffer [1 mmol/L EDTA, 150 mmol/L NaCl, 100 μg/mL phenylmethylsulfonyl fluoride, 50 mmol/L Tris-HCl (pH 7.5)] and kept at 4°C while they were routinely mixed every 2 min on the vortex for 30 min. A sample was taken for measurement of protein content by the Lowry-based Bio-Rad assay. Equal amounts of protein were heated in SDS sample buffer (Laemmli) for 5 min at 95°C, separated on a 3% to 8% SDS-polyacrylamide gel (FASN, p185HER2/neu, phosphorylated p185HER2/neu) or 4% to 12% SDS-polyacrylamide gel (AKT, phosphorylated AKT, ERK1/2, phosphorylated ERK1/2, and PARP), and transferred onto nitrocellulose membranes. Membranes were incubated for 1 h at room temperature in blocking buffer (2.5% powdered skim milk in tris-buffered solution with 0.05% Tween 20; TBS-T [10 mmol/L Tris-HCl (pH 8.0), 150 mmol/L NaCl, and 0.05% Tween 20]) to prevent nonspecific antibody binding, and incubated with the corresponding primary antibody diluted in blocking buffer overnight at 4°C. After three 5-min washes in TBS-T, blots were incubated for 1 h with corresponding peroxidase-conjugated secondary antibody and developed using a commercial kit (West Pico chemiluminescent substrate). Blots were reprobed with an antibody against β-actin as control of protein loading and transfer.
Measurement of CPT-1 activity
CPT-1 activity assay was done using palmitoyl-CoA lithium salt from Sigma, fatty acid–free bovine serum albumin from Roche, l-carnitine hydrochloride from Sigma, and l-[methyl-3H]carnitine hydrochloride (82 Ci/mmol) from Amersham Biosciences. CPT-1 activity was assayed by the forward exchange method using l-[3H]carnitine as we previously described (17, 18). Briefly, reactions (total volume of 0.5 mL) consisted of the standard enzyme assay mixture with 200 μmol/L of the corresponding FASN inhibitor, 2 mmol/L of l-[3H]carnitine (∼5,000 dpm/nmol), 80 μmol/L of palmitoyl-CoA, 20 mmol/L of HEPES (pH 7.0), 1% fatty acid–free albumin, and 40 to 75 mmol/L of KCl. Reactions were initiated by the addition of isolated intact yeast mitochondria. The reaction was linear up to 4 min and all incubations were done at 30°C for 3 min. Reactions were stopped by the addition of 6% perchloric acid and were then centrifuged at 2,500 rpm for 5 min. The resulting pellet was suspended in water and the product [3H]palmitoylcarnitine was extracted with butanol at low pH. After centrifugation at 2,300 rpm for 3 min, an aliquot of the butanol phase was transferred to a vial and counted by liquid scintillation.
Animal short-term weight loss experiments
Male mice C57BL/6J (12 wk, 23-25 g) were purchased from Harlan Laboratories (France), fed ad libitum with a standard rodent chow and housed in a light/dark 12 h/12 h cycle at 22°C for 1 wk. C75 was from Alexis Biochemicals. Animals were randomized into five groups of four animals each: control, C75-treated, EGCG-treated, and compounds 7- and 8-treated. All experiments were done in accordance with guidelines on animal care and use established by the University of Barcelona School of Pharmacy Institutional Ethic and Scientific Committee (Barcelona, Spain). Treatments were done as previously described (16, 28). Briefly, mice were fasted for 12 h during the dark cycle before treatment. Each group received a single i.p. injection (0.5 mL) of FASN inhibitor (30 mg/kg) or vehicle alone (DMSO), dissolved in RPMI 1640. After i.p. injections, mice were given free access to rodent chow for 24 h. At this time, the experiment finished and body weight was registered.
Human breast tumor xenograft experiments
Female athymic nude BALB/c mice (4-5 wk old) were purchased from Harlan Laboratories (France) and housed in a pathogen-free facility. Tumor xenograft was established by s.c. injection of 10 × 106 BT474 cells mixed in Matrigel (BD Bioscience) into the female's flank. Tumors were allowed to increase 150 to 250 mm3 size, and the mice were randomized into groups of six animals each. Mice were treated by i.p injection daily with 40 mg/kg of compound 7 for 45 days. Tumors were measured daily with electronic calipers, and tumor volumes were calculated by the formula: π/6 × (v1 × v2 × v2), where v1 represents the largest tumor diameter, and v2 the smallest one. Weight from control and treatment groups was registered daily. At the end of the experiment, all mice were euthanized, and tumors were stored at −80°C. All experiments were conducted in accordance with guidelines on animal care and use established by Biomedical Research Institute of Bellvitge (IDIBELL) Institutional Animal Care and Scientific Committee.
Statistical analysis
Results were analyzed by Student's t test or by one-way ANOVA using a Tukey test as a post-test. P < 0.05 was considered statistically significant.
Further details
For details concerning apoptosis, and malignant and nonmalignant cell proliferating assays, see Supplementary Data.
Results
Design and synthesis of polyphenolic compounds
Eight new polyphenolic compounds of general structure I (Fig. 2; Table 1) were designed containing two galloyl moieties linked by a cyclic system (29). The new compounds were obtained according to the general synthetic route represented in Fig. 2. In the first step, two molecules of conveniently protected gallic acid 17 were coupled with the appropriate cyclic diol, using N,N′-dicyclohexylcarbodiimide and catalytic amounts of 4-dimethylaminopyridine as a condensing system, in tetrahydrofuran as the reaction solvent. Subsequent removal of the benzyl protecting groups in the resulting intermediates 9-16 by catalytic hydrogenation afforded desired compounds I(1-8). Intermediate 17 was prepared starting from commercial methyl gallate by perbenzylation of the hydroxyl groups followed by saponification of the ester (27).
Compound . | Cyclic system . | Cancer cell cytotoxicity, IC50 (μmol/L) [FASN expression levels] . | Inhibition of FASN activity (% of control) . | ||
---|---|---|---|---|---|
SK-Br3 (+++) . | MCF-7 (+) . | MDA-MB-231 (+/−) . | |||
EGCG | — | 149 ± 20 | 205 ± 7 | 197 ± 15 | 20 |
1 | 186 ± 34 | >250 | >250 | ns* | |
2 | 179 ± 49 | >250 | >250 | ns | |
3 | 125 ± 5 | 165 ± 8 | 163 ± 5 | 21 | |
4 | 42 ± 7 | 162 ± 18 | 173 ± 40 | ns | |
5 | 25 ± 4 | >250 | >250 | ns | |
6 | 76 ± 9 | 89 ± 29 | 136 ± 27 | 31 | |
7 | 21 ± 7 | 46 ± 18 | 79 ± 4 | 90 | |
8 | 29 ± 0.3 | 44 ± 16 | 63 ± 11 | 69 |
Compound . | Cyclic system . | Cancer cell cytotoxicity, IC50 (μmol/L) [FASN expression levels] . | Inhibition of FASN activity (% of control) . | ||
---|---|---|---|---|---|
SK-Br3 (+++) . | MCF-7 (+) . | MDA-MB-231 (+/−) . | |||
EGCG | — | 149 ± 20 | 205 ± 7 | 197 ± 15 | 20 |
1 | 186 ± 34 | >250 | >250 | ns* | |
2 | 179 ± 49 | >250 | >250 | ns | |
3 | 125 ± 5 | 165 ± 8 | 163 ± 5 | 21 | |
4 | 42 ± 7 | 162 ± 18 | 173 ± 40 | ns | |
5 | 25 ± 4 | >250 | >250 | ns | |
6 | 76 ± 9 | 89 ± 29 | 136 ± 27 | 31 | |
7 | 21 ± 7 | 46 ± 18 | 79 ± 4 | 90 | |
8 | 29 ± 0.3 | 44 ± 16 | 63 ± 11 | 69 |
*ns, no significant inhibition of FASN activity at a concentration equal to the cytotoxicity IC50 value of the compound in SK-Br3 cells.
Compounds inhibit the proliferation of human breast cancer cell lines
Compounds 1-8 were screened for selective growth inhibition of a panel of human breast cancer cell lines composed by SK-Br3, MCF-7, and MDA-MB-231, as in vitro models of high (+++), moderate (+), and low (+/−) levels of FASN expression, respectively. Table 1 summarizes the structures, growth inhibition values, and inhibition of FASN activity of compounds 1-8 and EGCG, included for comparative purposes. Remarkably, five of the novel polyphenolic compounds (4-8) are quite superior to EGCG in terms of cytotoxicity, with IC50(EGCG) / IC50(compound) ratios between 2-fold and 7-fold in SK-Br3 cells. Among them, compound 7 deserves special attention as the most potent derivative with an IC50 value of 21 μmol/L. In this series of compounds, some structure-activity relationships in SK-Br3 cells could be drawn: (a) the cyclic system linking both galloyl moieties must be aromatic because cyclohexane derivatives 1 and 2 are poorly cytotoxic (IC50 > 150 μmol/L) whereas all the aromatic analogues (3-8) exhibit moderate to high cytotoxic activity (21-125 μmol/L); (b) in general, compounds with a naphthalene ring in the aromatic system were more potent than analogues containing a benzene ring. This effect is specially notable when we observe that compound 7 (IC50 = 21 μmol/L) is twice more potent than analogue 4 (IC50 = 42 μmol/L); and (c) with respect to the relative position of the galloyl moieties, the general trend is the increase in cytotoxicity as one is farther from the other within the cyclic system. Thus, a progressive decrease in IC50 values is observed when we compare 1,2-, 1,3-, and 1,4-disubstituted benzene derivatives (179, 125, and 42 μmol/L, respectively). In addition, the presence of hydroxyl groups in the molecule seems to be a key feature for the inhibition of cell proliferation, as concluded from the inactivity of all the assayed benzyl precursors (data not shown).
One important observation drawn from this set of data is the strong correlation between FASN expression and cell growth inhibition. In general, compounds are less potent as FASN levels decrease in the studied cell lines. This trend is particularly important in the case of compound 7, the most potent compound within the series, with IC50 values for SK-Br3, MCF-7, and MDA-MB-231 of 21, 46, and 79 μmol/L, respectively (Table 1). Taken together, these data suggest that direct FASN inhibition plays a predominant role in the cytotoxicity of the compounds. To further characterize the compounds, we determined the cytotoxic effects of compounds 7 and 8 in two types of nonmalignant cells (fibroblasts and adipocytes), and we observed no significant effects in cell death or morphology using doses up to 60 μmol/L. Under the same conditions, EGCG caused massive cell death in the nonmalignant cells that we studied (Supplementary Fig. S1). Moreover, we also evaluated the cytotoxicity of compounds 7 and 8 in a panel of additional cell lines (Supplementary Table S1), and observed that cytotoxicity was not correlated with the organ of origin, but rather with the expression levels of FASN.
Compounds inhibit FASN activity
We next evaluated the capacity of the new compounds to block FASN activity in intact cells. SK-Br3 cells were incubated in the presence of a concentration of the compound equal to its cytotoxic IC50 value in these cells for 6, 12, and 24 hours. FASN activity decreased in a time-dependent manner, and maximal inhibition at 24 hours were 90 ± 4% and 69 ± 16% for compounds 7 and 8, respectively (Table 1). We showed that this effect was not related to downregulation of FASN expression levels by immunoblot analysis (Fig. 3B). Because compounds 7 and 8 fulfill the sought profile of FASN inhibition and breast cancer cell cytotoxicity, they were selected for further studies with the objective of gaining additional insights into the molecular mechanisms underlying the observed cytotoxicity.
Compounds 7 and 8 induce apoptosis and downregulate the phosphorylation of HER2, AKT, and ERK1/2
Study of cell death and signaling mechanisms were carried out using SK-Br3 as the optimal breast cancer cell line model due to its high constitutive FASN expression and activity. First, we studied the cell death mechanism. Apoptosis and induction of caspase activity were confirmed by Western blotting analysis showing cleavage of PARP. Treatment of SK-Br3 cells for 48 hours with 30 μmol/L of compounds 7 and 8 induced a marked increase in the levels of the PARP cleavage product (89 kDa band) in a time-dependent manner (Fig. 3A). To validate these results, the apoptotic effects of compounds 7 and 8 were also analyzed and quantified by flow cytometry using the Annexin V-Alexa Fluor 488 staining (Supplementary Fig. S2). We previously reported that FASN inhibitors (cerulenin, C75, and EGCG) induced apoptosis, and blocked the activation of the oncogene HER2 and their downstream signal transduction pathways ERK1/2 and PI3K/AKT in breast cancer cells (13, 18). Therefore, here we sought to examine the effects of FASN inhibitors 7 and 8 on HER2, AKT, and ERK1/2 activation. Incubation of cells with 30 μmol/L of compounds 7 and 8 dramatically decreased the levels of the phosphorylated form of HER2 (p-HER2), that occurred as soon as 2 hours after treatment (data not shown), and became basically complete at 6 hours after treatment (Fig. 3B). During this period, there was no significant change in the total level of HER2 protein, as assessed by either Western blotting analysis (Fig. 3B) or HER2-specific ELISA (data not shown). Phosphorylated forms of ERK1/2 (p-ERK1/2) and AKT (p-AKT) were also noticeably decreased after 6 hours of exposure to compounds 7 and 8 (Fig. 3B). Overall, the two compounds induce a sustained blockade of the HER2 signaling pathway, at least throughout the whole time interval analyzed (24 hours). During this period, no significant change neither in the total level of the corresponding proteins (HER2, AKT, and ERK1/2) nor in FASN level was detected (Fig. 3B). Remarkably, under the same culture conditions, EGCG did not induce apoptosis (Fig. 3A) and did not block the activation of HER2 oncogene and its downstream signal transduction pathways, ERK1/2 and PI3K/AKT (Fig. 3B). Only significantly higher concentrations of EGCG (150 μmol/L) reached effects comparable to those observed with compounds 7 and 8 (18).
Compounds 7 and 8 do not stimulate CPT-1 activity in vitro and do not induce short-term weight loss in vivo
To evaluate the specificity of compounds 7 and 8 for FASN, we analyzed their effects on CPT-1 activity (Fig. 4A). Intact yeast mitochondria were assayed and neither EGCG, nor compounds 7 and 8 exerted any significant effect on CPT-1 (88%, 89%, and 90% CPT-1 activity of control, respectively) in sharp contrast to C75 (included for comparative purposes) which, as previously reported, produced a substantial activation of CPT-1 activity (129 ± 6%, with respect to controls). Consistently with the in vitro results, healthy mice treated with a single dose of 30 mg/kg administered i.p. of compounds 7 or 8 for 24 hours did not show any significant weight loss (97% and 95% of the control group, respectively). Food intake was similar to controls and altered behavior or signs of suffering or distress were not observed (data not shown). These effects are especially significant when compared with animals treated with the same i.p. dose of C75, in which a 21% weight loss (Fig. 4B), as well as signs of suffering, were observed. Altogether, our findings indicate that the new synthetic FASN inhibitors do not induce weight loss in vivo.
Compound 7 inhibits the growth of human breast cancer xenografts without causing long-term animal weight loss
We next explored the potential effectiveness of compound 7 for breast cancer treatment in vivo. Figure 5 illustrates the antitumor effect of compound 7 on subcutaneous xenografts of BT474 human breast cancer cells in athymic mice. The BT474 cell line was selected for in vivo experiments of this study due to its high constitutive FASN expression (30). In the BT474 xenograft-bearing mice, the six informative compound 7–treated animals substantially reduced tumor growth compared with the vehicle-treated control animals (Fig. 5A). One of the compound-treated animals had no identifiable residual tumor and one of them died due to traumatic i.p. injections. Importantly, no significant weight loss or anorexia was identified after 45 days of treatment in the experimental animals (Fig. 5B). At the conclusion of the study, control animals weighed 6.69 ± 2.01% of pretreatment weight compared with 4.90 ± 1.26% for the compound 7–treated animals. Furthermore, histologic examination of liver, heart, kidney, lung, and brain showed no microscopic evidence of drug-induced toxicity (data not shown).
Discussion
In this study, we characterize the in vitro biochemical, enzymatic, and anticancer effects of novel synthetic FASN inhibitors related to green tea epigallocatechin. FASN has been suggested as a valuable molecular target for anticancer drug development (7, 11, 18, 22, 31, 32), although cross-activation of β-oxidation and in vivo body weight loss (16, 17, 33, 34) have limited its development in oncology. We describe in our report that the new compounds do not decrease weight loss in experimental animals, although it does have in vivo anticancer effects, thereby highlighting their potential applicability.
Two of the new polyphenolic compounds showed marked cytotoxicity (IC50 < 30 μmol/L) on the tested cancer cell lines, and were simultaneously FASN inhibitors (compounds 7 and 8). This effect was not due to a downregulation of the FASN protein levels because protein expression did not vary in immunoblot analyses from equally treated samples. There was a correlation between the cytotoxic effects and the cellular protein levels of FASN, observing more pronounced effects on the SK-Br3 cell line which expresses high levels of FASN. Compound 5, which had a cytotoxic potency in SK-Br3 cells comparable to compounds 7 or 8, but did not inhibit FASN, suggests that additional mechanisms apart from inhibition of FASN activity may be responsible for the cytotoxicity. Compounds 7 and 8 were characterized as potent FASN inhibitors with cytotoxic activity against breast cancer cell lines and therefore were selected for in-depth molecular studies. The novel FASN inhibitors induced apoptosis in cancer cells, and a time-response analysis revealed the appearance of PARP cleavage as early as 12 hours. The inhibition of FASN enzymatic activity by the new compounds was accompanied by changes in cell growth and proliferation signaling pathways. The active phosphorylated form of HER2 (p-HER2) decreased as soon as 2 hours after exposure, and was completely abolished after 6 hours of exposure. Similarly, phosphorylated forms of ERK1/2 (p-ERK1/2) and AKT (p-AKT) were also markedly decreased. It is remarkable that comparable concentrations of EGCG, even with prolonged exposure (24, 48, and 72 hours), had no detectable effect on apoptosis or on inhibition of pHER2, pERK, or pAKT. We have reported that 5-fold higher concentrations of EGCG (150 μmol/L) are needed to detect apoptosis or p-HER2 inhibition (18), indicating that the novel compounds are more active than the parent molecule.
An important result of our study concerns the specificity of the new compounds. A key feature of the novel synthetic compounds is that they do not act on CPT-1 activity in vitro and, consistently with this, they do not induce weight loss in experimental animals. The FASN inhibitors cerulenin and C75, in contrast, stimulate CPT-1 and accelerate fatty acid β-oxidation, which has been related to the severe decrease of food intake and induction of weight loss in rodents (16–18, 33, 34). In this first set of experiments, which follow the reports of Thupari et al. (16) and Hu et al. (28), we conducted a short-term weight evaluation. We have reported that EGCG does not modulate CPT-1 activity (18), indicating that the chemical structure of EGCG and the novel polyphenolic compounds is more specific of the lipogenic pathway than cerulenin and its derivatives (34).
To determine the anticancer efficacy and longer-term toxicity of the compounds in vivo, we treated BT474 xenograft-bearing athymic mice with compound 7. In this xenograft model, daily treatment (40 mg/kg) blocked tumor growth compared with control, and one of the experimental animals had no detectable tumor at the injection site. Furthermore, no effect on body weight was observed for up to 45 days. We will need to expand the in vivo evidence of activity test of compound 7 by treating other mice bearing xenografts that, similar to BT474, overexpress FASN and HER2.
Finally, from a chemical perspective, our new molecules are structurally uncomplicated and their synthesis is straightforward in few steps. We are currently exploring their full potential with the synthesis of a larger structural field to carry out an in-depth structure-activity relationship study, as well as assessing their in vivo therapeutic potential in different cancer animal models. These results will enable the definitive validation of FASN as a therapeutically useful option for cancer treatment.
In summary, we have developed a new class of polyphenolic compounds that induce apoptotic cancer cell death, inhibit FASN without showing concomitant adverse effects on body weight, and display antitumor activity in vivo, therefore, holding promise for further target-directed anticancer drug studies either alone or coadministered with other antitumoral drugs.
Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.
Acknowledgments
We thank Prof. M. Vilanova and Prof. M. Ribó for critically reviewing the manuscript and for their support with the spectrophotometric analyses. We are also grateful to Drs. Joan Brunet and Rut Porta for their review of the manuscript.
References
Competing Interests
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