A novel combretastatin A-4 derivative, AC7700, strongly stanches tumour blood flow and inhibits growth of tumours developing in various tissues and organs

In a previous study, we used subcutaneous LY80 tumours (a subline of Yoshida sarcoma), Sato lung carcinoma, and methylcholanthrene-induced primary tumours, to demonstrate that a novel water-soluble combretastatin A-4 derivative, AC7700, abruptly and irreversibly stopped tumour blood flow. As a result of this interrupted supply of nutrients, extensive necrosis was induced within the tumour. In the present study, we investigated whether AC7700 acts in the same way against solid tumours growing in the liver, stomach, kidney, muscle, and lymph nodes. Tumour blood flow and the change in tumour blood flow induced by AC7700 were measured by the hydrogen clearance method. In a model of cancer chemotherapy against metastases, LY80 cells (2 × 106) were injected into the lateral tail vein, and AC7700 at 10 mg kg−1 was injected i.v. five times at intervals of 2 days, starting on day 7 after tumour cell injection. The number and size of tumours were compared with those in the control group. The change in tumour blood flow and the therapeutic effect of AC7700 on microtumours were observed directly by using Sato lung carcinoma implanted in a rat transparent chamber. AC7700 caused a marked decrease in the tumour blood flow of all LY80 tumours developing in various tissues and organs and growth of all tumours including lymph node metastases and microtumours was inhibited. In every tumour, tumour blood flow began to decrease immediately after AC7700 administration and reached a minimum at approximately 30 min after injection. In many tumour capillaries, blood flow completely stopped within 3 min after AC7700 administration. These results demonstrate that AC7700 is effective for tumours growing in various tissues and organs and for metastases. We conclude that tumour blood flow stanching induced by AC7700 may become an effective therapeutic strategy for all cancers, including refractory cancers because the therapeutic effect is independent of tumour site and specific type of cancer.

[1]  G. H. Algire,et al.  Vascular reactions of normal and malignant tissues in Vivo. VI. The role of hypotension in the action of components of podophyllin on transplanted sarcomas. , 1954, Journal of the National Cancer Institute.

[2]  Yasufumi Sato,et al.  Antitumor Effects due to Irreversible Stoppage of Tumor Tissue Blood Flow: Evaluation of a Novel Combretastatin A‐4 Derivative, AC7700 , 1999, Japanese journal of cancer research : Gann.

[3]  J. Folkman Tumor angiogenesis: therapeutic implications. , 1971, The New England journal of medicine.

[4]  C. Rose,et al.  Lack of prognostic significance of epidermal growth factor receptor and the oncoprotein p185HER-2 in patients with systemically untreated non-small-cell lung cancer: an immunohistochemical study on cryosections. , 1996, British Journal of Cancer.

[5]  J. Gavin,et al.  Blood flow failure as a major determinant in the antitumor action of flavone acetic acid. , 1989, Journal of the National Cancer Institute.

[6]  J. Denekamp,et al.  Vinca alkaloids: anti-vascular effects in a murine tumour. , 1993, European journal of cancer.

[7]  D. Chaplin,et al.  Antivascular approaches to solid tumour therapy: evaluation of tubulin binding agents. , 1996, The British journal of cancer. Supplement.

[8]  K. Hori,et al.  In vivo Analysis of Tumor Vascularization in the Rat , 1990, Japanese journal of cancer research : Gann.

[9]  K. Hori,et al.  Fluctuations in Tumor Blood Flow under Normotension and the Effect of Angiotensin II‐induced Hypertension , 1991, Japanese journal of cancer research : Gann.

[10]  K. Hori,et al.  Stoppage of blood flow in 3-methylcholanthrene-induced autochthonous primary tumor due to a novel combretastatin A-4 derivative, AC7700, and its antitumor effect. , 2001, Medical science monitor : international medical journal of experimental and clinical research.

[11]  R. Nakagawa,et al.  Novel B-ring modified combretastatin analogues: syntheses and antineoplastic activity. , 1998, Bioorganic & medicinal chemistry letters.

[12]  K. Hori,et al.  Variation of growth rate of a rat tumour during a light-dark cycle: correlation with circadian fluctuations in tumour blood flow. , 1995, British Journal of Cancer.

[13]  T. Tsuruo,et al.  A Novel Combretastatin A‐4 Derivative, AC‐7700, Shows Marked Antitumor Activity against Advanced Solid Tumors and Orthotopically Transplanted Tumors , 1999, Japanese journal of cancer research : Gann.

[14]  R. Berliner,et al.  Measurement of Local Blood Flow with Hydrogen Gas , 1964, Circulation research.

[15]  P. Lambin,et al.  Vascular targeting of solid tumours: a major 'inverse' volume-response relationship following combretastatin A-4 phosphate treatment of rat rhabdomyosarcomas. , 2000, European journal of cancer.

[16]  E. De Clercq,et al.  Angiogenesis: regulators and clinical applications. , 2001, Biochemical pharmacology.

[17]  B. Baguley,et al.  Induction of tumor necrosis factor-alpha messenger RNA in human and murine cells by the flavone acetic acid analogue 5,6-dimethylxanthenone-4-acetic acid (NSC 640488). , 1994, Cancer research.

[18]  J. Papadimitriou,et al.  Structural and functional characteristics of the microcirculation in neoplasms , 1975, The Journal of pathology.

[19]  Yasufumi Sato,et al.  Timing of cancer chemotherapy based on circadian variations in tumor tissue blood flow , 1996, International journal of cancer.

[20]  J Folkman,et al.  Transplacental carcinogenesis by stilbestrol. , 1971, The New England journal of medicine.

[21]  T. Tsuruo,et al.  Evaluation of Antivascular and Antimitotic Effects of Tubulin Binding Agents in Solid Tumor Therapy , 1999, Japanese journal of cancer research : Gann.

[22]  J. Double,et al.  Reduction of tumor blood flow by flavone acetic acid: a possible component of therapy. , 1989, Journal of the National Cancer Institute.

[23]  J. Denekamp,et al.  Vascular collapse after flavone acetic acid: a possible mechanism of its anti-tumour action. , 1989, European journal of cancer & clinical oncology.

[24]  G. Tozer,et al.  Combretastatin A-4, an agent that displays potent and selective toxicity toward tumor vasculature. , 1997, Cancer research.

[25]  J. Overgaard,et al.  The effect of combretastatin A-4 disodium phosphate in a C3H mouse mammary carcinoma and a variety of murine spontaneous tumors. , 1998, International journal of radiation oncology, biology, physics.

[26]  L. Thomsen,et al.  Inhibition of growth of colon 38 adenocarcinoma by vinblastine and colchicine: evidence for a vascular mechanism. , 1991, European journal of cancer.

[27]  R. Nakagawa,et al.  Novel combretastatin analogues effective against murine solid tumors: design and structure-activity relationships. , 1998, Journal of medicinal chemistry.

[28]  B Vojnovic,et al.  Combretastatin A-4 phosphate as a tumor vascular-targeting agent: early effects in tumors and normal tissues. , 1999, Cancer research.

[29]  D. Chaplin,et al.  Anti-vascular approaches to solid tumour therapy: evaluation of combretastatin A4 phosphate. , 1999, Anticancer research.

[30]  R. Nakagawa,et al.  Syntheses and antitumor activity of cis-restricted combretastatins: 5-membered heterocyclic analogues. , 1998, Bioorganic & medicinal chemistry letters.

[31]  J. Denekamp,et al.  Vascular occlusion and tumour cell death. , 1983, European journal of cancer & clinical oncology.

[32]  C. Streffer,et al.  The vasculature of xenotransplanted human melanomas and sarcomas on nude mice. II. Scanning and transmission electron microscopic studies. , 1989, Acta anatomica.

[33]  M. Bibby,et al.  Anti-vascular effects of vinflunine in the MAC 15A transplantable adenocarcinoma model , 2001, British Journal of Cancer.

[34]  M. Bibby,et al.  In vivo and in vitro evaluation of combretastatin A-4 and its sodium phosphate prodrug , 1999, British Journal of Cancer.

[35]  R. Kerbel Tumor angiogenesis: past, present and the near future. , 2000, Carcinogenesis.

[36]  N. J. McNally,et al.  United Kingdom Co-ordinating Committee on Cancer Research (UKCCCR) Guidelines for the Welfare of Animals in Experimental Neoplasia (Second Edition). , 1998, British Journal of Cancer.