Liver-Targeting Class I Selective Histone Deacetylase Inhibitors Potently Suppress Hepatocellular Tumor Growth as Standalone Agents

Simple Summary Liver cancers are among the leading causes of global cancer deaths. The current therapy options for liver cancers, including hepatocellular carcinoma (HCC), which accounts for over 80% of all cases, have afforded limited benefit to patients with an advanced disease state. HCC results from genetic and epigenetic alterations, including gene-silencing chromatin histone hypoacetylation. The aim of this study was to investigate the potential utility of liver tissue-targeting HDAC inhibitors (HDACi) as a new class of anti-HCC agents. We showed that a class of macrolide-based HDACi, which are selective for sub-class I HDACs, preferentially accumulated in the liver tissue and robustly suppressed tumor growths in an orthotopic model of HCC. The liver tissue-selective accumulation property of these compounds gives them a unique advantage over most of the current HDACi, including those currently in clinical use. Abstract Dysfunctions in epigenetic regulation play critical roles in tumor development and progression. Histone deacetylases (HDACs) and histone acetyl transferase (HAT) are functionally opposing epigenetic regulators, which control the expression status of tumor suppressor genes. Upregulation of HDAC activities, which results in silencing of tumor suppressor genes and uncontrolled proliferation, predominates in malignant tumors. Inhibition of the deacetylase activity of HDACs is a clinically validated cancer therapy strategy. However, current HDAC inhibitors (HDACi) have elicited limited therapeutic benefit against solid tumors. Here, we disclosed a class of HDACi that are selective for sub-class I HDACs and preferentially accumulate within the normal liver tissue and orthotopically implanted liver tumors. We observed that these compounds possess exquisite on-target effects evidenced by their induction of dose-dependent histone H4 hyperacetylation without perturbation of tubulin acetylation status and G0/G1 cell cycle arrest. Representative compounds 2 and 3a are relatively non-toxic to mice and robustly suppressed tumor growths in an orthotopic model of HCC as standalone agents. Collectively, our results suggest that these compounds may have therapeutic advantage against HCC relative to the current systemic HDACi. This prospect merits further comprehensive preclinical investigations.

[1]  Young C. Jang,et al.  Pyrimethamine conjugated histone deacetylase inhibitors: Design, synthesis and evidence for triple negative breast cancer selective cytotoxicity. , 2020, Bioorganic & medicinal chemistry.

[2]  J. Pawlotsky,et al.  Angiogenesis and immune checkpoint inhibitors as therapies for hepatocellular carcinoma: current knowledge and future research directions , 2019, Journal of Immunotherapy for Cancer.

[3]  A. Bosserhoff,et al.  Histone Deacetylase Expressions in Hepatocellular Carcinoma and Functional Effects of Histone Deacetylase Inhibitors on Liver Cancer Cells In Vitro , 2019, Cancers.

[4]  D. Mahalingam,et al.  Current State of Liver-Directed Therapies and Combinatory Approaches with Systemic Therapy in Hepatocellular Carcinoma (HCC) , 2019, Cancers.

[5]  M. G. Finn,et al.  Lung Tissue Delivery of Virus-Like Particles Mediated by Macrolide Antibiotics. , 2019, Molecular pharmaceutics.

[6]  Jhin Jieh Lim,et al.  Epigenetics of hepatocellular carcinoma , 2019, Clinical and Translational Medicine.

[7]  T. Pawlik,et al.  Histone deacetylase inhibitors in hepatocellular carcinoma: A therapeutic perspective. , 2018, Surgical oncology.

[8]  D. Christianson,et al.  Unusual zinc-binding mode of HDAC6-selective hydroxamate inhibitors , 2017, Proceedings of the National Academy of Sciences.

[9]  J. Yen,et al.  Design and Synthesis of Ligand Efficient Dual Inhibitors of Janus Kinase (JAK) and Histone Deacetylase (HDAC) Based on Ruxolitinib and Vorinostat. , 2017, Journal of medicinal chemistry.

[10]  Lindsey C. Szymczak,et al.  Bifunctional conjugates with potent inhibitory activity towards cyclooxygenase and histone deacetylase. , 2017, Bioorganic & medicinal chemistry.

[11]  L. Cantley,et al.  Obesity and Cancer Mechanisms: Cancer Metabolism. , 2016, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[12]  B. Wagner,et al.  An Isochemogenic Set of Inhibitors To Define the Therapeutic Potential of Histone Deacetylases in β-Cell Protection. , 2016, ACS chemical biology.

[13]  M. Mrksich,et al.  A structure-activity relationship of non-peptide macrocyclic histone deacetylase inhibitors and their anti-proliferative and anti-inflammatory activities. , 2015, Bioorganic & medicinal chemistry.

[14]  Chia-Ron Yang,et al.  Novel histone deacetylase inhibitor MPT0G009 induces cell apoptosis and synergistic anticancer activity with tumor necrosis factor-related apoptosis-inducing ligand against human hepatocellular carcinoma , 2015, Oncotarget.

[15]  R. Jain,et al.  An orthotopic mouse model of hepatocellular carcinoma with underlying liver cirrhosis , 2015, Nature Protocols.

[16]  M. Mrksich,et al.  Design and structure activity relationship of tumor-homing histone deacetylase inhibitors conjugated to folic and pteroic acids. , 2015, European journal of medicinal chemistry.

[17]  Young Jun Seo,et al.  Image-guided synthesis reveals potent blood-brain barrier permeable histone deacetylase inhibitors. , 2014, ACS chemical neuroscience.

[18]  J. Bao,et al.  Loss of histone deacetylases 1 and 2 in hepatocytes impairs murine liver regeneration through Ki67 depletion , 2013, Hepatology.

[19]  B. Gryder,et al.  Selectively targeting prostate cancer with antiandrogen equipped histone deacetylase inhibitors. , 2013, ACS chemical biology.

[20]  B. Gryder,et al.  Histone deacetylase inhibitors equipped with estrogen receptor modulation activity. , 2013, Journal of medicinal chemistry.

[21]  A. Oyelere,et al.  Dual-acting histone deacetylase-topoisomerase I inhibitors. , 2013, Bioorganic & medicinal chemistry letters.

[22]  Lauren A Austin,et al.  Small molecule-gold nanorod conjugates selectively target and induce macrophage cytotoxicity towards breast cancer cells. , 2012, Small.

[23]  B. Goh,et al.  Epigenetic therapy using belinostat for patients with unresectable hepatocellular carcinoma: a multicenter phase I/II study with biomarker and pharmacokinetic analysis of tumors from patients in the Mayo Phase II Consortium and the Cancer Therapeutics Research Group. , 2012, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[24]  S. Friedman,et al.  Combination therapy for hepatocellular carcinoma: additive preclinical efficacy of the HDAC inhibitor panobinostat with sorafenib. , 2012, Journal of hepatology.

[25]  J. Eun,et al.  HDAC1 Inactivation Induces Mitotic Defect and Caspase-Independent Autophagic Cell Death in Liver Cancer , 2012, PloS one.

[26]  B. Gryder,et al.  Targeted cancer therapy: giving histone deacetylase inhibitors all they need to succeed. , 2012, Future medicinal chemistry.

[27]  A. Oyelere,et al.  Dual targeting of histone deacetylase and topoisomerase II with novel bifunctional inhibitors. , 2012, Journal of medicinal chemistry.

[28]  D. Christianson,et al.  Structure, mechanism, and inhibition of histone deacetylases and related metalloenzymes. , 2011, Current opinion in structural biology.

[29]  Sandra C. Mwakwari,et al.  Macrocyclic histone deacetylase inhibitors. , 2010, Current topics in medicinal chemistry.

[30]  B. Tekwani,et al.  Non-peptide macrocyclic histone deacetylase inhibitors derived from tricyclic ketolide skeleton. , 2010, Journal of medicinal chemistry.

[31]  M. Navre,et al.  Exploration of the HDAC2 foot pocket: Synthesis and SAR of substituted N-(2-aminophenyl)benzamides. , 2010, Bioorganic & medicinal chemistry letters.

[32]  W. Yeo,et al.  The preclinical activity of the histone deacetylase inhibitor PXD101 (belinostat) in hepatocellular carcinoma cell lines , 2010, Investigational New Drugs.

[33]  A. Olson,et al.  AutoDock Vina: Improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading , 2009, J. Comput. Chem..

[34]  Sandra C. Mwakwari,et al.  Non-peptide macrocyclic histone deacetylase inhibitors. , 2009, Journal of medicinal chemistry.

[35]  Dieter Häussinger,et al.  Sorafenib in advanced hepatocellular carcinoma. , 2008, The New England journal of medicine.

[36]  Melissa Chenard,et al.  Optimization of biaryl Selective HDAC1&2 Inhibitors (SHI-1:2). , 2008, Bioorganic & medicinal chemistry letters.

[37]  Y. Maehara,et al.  Clinical Significance of Histone Deacetylase 1 Expression in Patients with Hepatocellular Carcinoma , 2007, Oncology.

[38]  O. Moradei,et al.  Novel aminophenyl benzamide-type histone deacetylase inhibitors with enhanced potency and selectivity. , 2007, Journal of medicinal chemistry.

[39]  S. Kulp,et al.  Efficacy of a novel histone deacetylase inhibitor in murine models of hepatocellular carcinoma , 2007, Hepatology.

[40]  P. Marín,et al.  Tissue disposition of azithromycin after intravenous and intramuscular administration to rabbits. , 2007, Veterinary journal.

[41]  H. Scher,et al.  Suberoylanilide hydroxamic acid (vorinostat) represses androgen receptor expression and acts synergistically with an androgen receptor antagonist to inhibit prostate cancer cell proliferation , 2007, Molecular Cancer Therapeutics.

[42]  R. Morphy,et al.  Designed multiple ligands. An emerging drug discovery paradigm. , 2005, Journal of medicinal chemistry.

[43]  D. Coradini,et al.  Inhibition of Hepatocellular Carcinomas in vitro and Hepatic Metastases in vivo in Mice by the Histone Deacetylase Inhibitor HA-But , 2004, Clinical Cancer Research.

[44]  A. Chella,et al.  Comparative distribution of azithromycin in lung tissue of patients given oral daily doses of 500 and 1000 mg. , 2003, The Journal of antimicrobial chemotherapy.

[45]  T. Ekström,et al.  Apoptosis and tumor remission in liver tumor xenografts by 4-phenylbutyrate. , 2003, International journal of oncology.

[46]  E. Ghelardi,et al.  Distribution of Azithromycin in Plasma and Tonsil Tissue after Repeated Oral Administration of 10 or 20 Milligrams per Kilogram in Pediatric Patients , 2002, Antimicrobial Agents and Chemotherapy.

[47]  S. Friedman,et al.  Expression and role of Bcl‐xL in human hepatocellular carcinomas , 2001, Hepatology.

[48]  J. Bruix,et al.  Intention‐to‐treat analysis of surgical treatment for early hepatocellular carcinoma: Resection versus transplantation , 1999, Hepatology.

[49]  M. Ishiyama,et al.  A combined assay of cell viability and in vitro cytotoxicity with a highly water-soluble tetrazolium salt, neutral red and crystal violet. , 1996, Biological & pharmaceutical bulletin.

[50]  ndrea,et al.  Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis. , 1996, The New England journal of medicine.

[51]  I. Hoepelman,et al.  Azithromycin: the first of the tissue-selective azalides. , 1995, International journal of antimicrobial agents.

[52]  J. McGee,et al.  Macrophages in human breast disease: a quantitative immunohistochemical study. , 1988, British Journal of Cancer.

[53]  A. Jemal,et al.  Cancer statistics, 2018 , 2018, CA: a cancer journal for clinicians.

[54]  Tingyi Sun,et al.  Analysis of miRNAs related to abnormal HDAC 1 expression in hepatocellular carcinoma , 2016 .

[55]  Cancer Facts & Figures 2021 , 2010 .

[56]  R. Vento,et al.  Histone deacetylase inhibitors induce in human hepatoma HepG2 cells acetylation of p53 and histones in correlation with apoptotic effects. , 2008, International journal of oncology.

[57]  Á. Pascual,et al.  Factors affecting the intracellular accumulation and activity of azithromycin. , 1995, The Journal of antimicrobial chemotherapy.

[58]  N. Dubrawsky Cancer statistics , 1989, CA: a cancer journal for clinicians.