The increased resistance of hypoxic cells to all forms of cancer therapy presents a major barrier to the successful treatment of most solid tumors. Inhibition of the essential kinase Checkpoint kinase 1 (Chk1) has been described as a promising cancer therapy for tumors with high levels of hypoxia-induced replication stress. However, as inhibition of Chk1 affects normal replication and induces DNA damage, these agents also have the potential to induce genomic instability and contribute to tumorigenesis. To overcome this problem, we have developed a bioreductive prodrug, which functions as a Chk1/Aurora A inhibitor specifically in hypoxic conditions. To achieve this activity, a key functionality on the Chk1 inhibitor (CH-01) is masked by a bioreductive group, rendering the compound inactive as a Chk1/Aurora A inhibitor. Reduction of the bioreductive group nitro moiety, under hypoxic conditions, reveals an electron-donating substituent that leads to fragmentation of the molecule, affording the active inhibitor. Most importantly, we show a significant loss of viability in cancer cell lines exposed to hypoxia in the presence of CH-01. This novel approach targets the most aggressive and therapy-resistant tumor fraction while protecting normal tissue from therapy-induced genomic instability.
The increased resistance of hypoxic cells to all forms of cancer therapy presents a major barrier to the successful treatment of most solid tumors. Inhibition of the essential kinase Checkpoint kinase 1 (Chk1) has been described as a promising cancer therapy for tumors with high levels of hypoxia-induced replication stress. However, as inhibition of Chk1 affects normal replication and induces DNA damage, these agents also have the potential to induce genomic instability and contribute to tumorigenesis. To overcome this problem, we have developed a bioreductive prodrug, which functions as a Chk1/Aurora A inhibitor specifically in hypoxic conditions. To achieve this activity, a key functionality on the Chk1 inhibitor (CH-01) is masked by a bioreductive group, rendering the compound inactive as a Chk1/Aurora A inhibitor. Reduction of the bioreductive group nitro moiety, under hypoxic conditions, reveals an electron-donating substituent that leads to fragmentation of the molecule, affording the active inhibitor. Most importantly, we show a significant loss of viability in cancer cell lines exposed to hypoxia in the presence of CH-01. This novel approach targets the most aggressive and therapy-resistant tumor fraction while protecting normal tissue from therapy-induced genomic instability.
It is clear
that the identification
and exploitation of the differences between cancer and normal cells
is essential for the design of effective therapeutics. The replicative
stress response (RSR), which is characterized by Ataxia telangiectasia
mutated rad3 related kinase-Checkpoint kinase 1 (ATR-Chk1) signaling,
is elevated in numerous cancer cell types.[1] Targeting ATR/Chk1 has been proposed to sensitize cancer cells to
DNA damage and to be particularly effective in those that have lost
p53-mediated control of the G1 checkpoint.[2] Recently, targeting the RSR through inhibition of the ATR-Chk1
pathway was proposed as an effective means of treating tumors with
high levels of oncogene-mediated replication stress.[3,4] For example, tumors with elevated MYC levels have been shown to
be sensitive to ATR/Chk1 inhibition.[3,5−8] Both ATR and Chk1 inhibitors have been developed, although ATR inhibition
has yet to be evaluated in the clinic.[9−14] Clinical studies using Chk1 inhibitors in combination with standard
DNA damaging chemotherapeutics have shown some success in combination
with, for example, gemcitabine, irinotecan, and paclitaxel.[15,16] Recently, studies demonstrating that cancer cells with high levels
of oncogene-mediated replication stress or inherent DNA damage show
increased sensitivity to Chk1 inhibition have raised the possibility
of using Chk1 inhibitors as single agents.[7] The enthusiasm for inhibiting kinases with roles in the cell cycle
is somewhat tempered due to their roles in normal, unperturbed, replication.[17] It cannot be forgotten, for example, that Chk1
is an essential gene, the loss of which leads to embryonic lethality
and which perhaps more significantly has been found to be altered
in humancancers.[18] Indeed, a recent study
demonstrated that while significant suppression of ATR activity led
to loss of cell viability, ATR-haploinsufficiency promoted tumorigenesis.[4]In addition to tolerating high levels of
oncogene-mediated replication
stress, tumors exist and thrive in conditions of low oxygen concentration
(hypoxia). The degree of tumor hypoxia correlates well with resistance
to therapy including radio/chemotherapy and surgery as well as an
increased likelihood of metastasis.[19,20] In conditions
of severe hypoxia (<0.1% O2) a unique DNA damage response
(DDR) occurs, which is characterized by both ATR and Ataxia telangiectasia
mutated kinase (ATM) activity in the absence of detectable DNA damage.[21,22] In response to these conditions the levels of nucleotides rapidly
fall, and this correlates with a complete replication arrest. The
RSR initiated in severe hypoxia includes Chk1, and loss/inhibition
of Chk1 has been demonstrated to sensitize cells to hypoxia/reoxygenation.[23]An elegant approach to exploiting the
low levels of oxygenation
in tumors is through the use of agents that are activated by these
conditions, commonly known as bioreductive prodrugs or hypoxic cytotoxins
(recently reviewed in ref (24)). These compounds contain functional groups that are susceptible
to in vivo reduction under conditions of low oxygen
concentration. Although there are five chemical moieties that have
been demonstrated to undergo metabolism in hypoxia, the most common
approach employs nitroaromatic derivatives, such as the 4-nitrobenzyl,
4-nitrofuryl, and 2-nitroimidazole groups.[24] The nitro group undergoes nitroreductase-mediated one electron reduction
to a radical anion in vivo, which is rapidly oxidized
by molecular oxygen under normoxic conditions, forming superoxide
and rendering this pathway unproductive. Under hypoxic conditions,
the radical anion is not reoxidized but undergoes further reduction
to form a nitroso group, hydroxylamine, or an amine. While the nitro
group has no available lone pair and is mesomerically and inductively
electron-withdrawing, the nitroso group, the hydroxylamine, and the
amine groups have an available lone pair and hence are mesomerically
electron-donating. This reversal in reactivity has been harnessed
to activate compounds selectively under hypoxic conditions. The majority
of these compounds are based on increasing the electrophilicity of
alkylating agents that then confer general toxicity in the hypoxic
region. A number of these agents have been described, including tirapazamine
(TPZ), AQ4N, PR-104A, CEN-209, RH-1, and TH-302.[25−28] TPZ has been tested in a number
of clinical trials including a recent large randomized multicenter
phase III trial combined with radiotherapy for head and neck cancers.
This trial reported no benefit, although there were major deficiencies
in the treatment of a subset of patients that could be responsible
for this.[29,30] Subsequently, analogues of TPZ have been
described, one of which, CEN-209, is likely to be tested clinically
in the near future.[31] More recently, TH-302
has undergone extensive preclinical testing and has been tested in
a phase II trial for advanced pancreatic cancer and a phase III soft-tissue
sarcoma trial.[32] Several factors are critical
to the future success of bioreductive prodrugs, including the challenges
of delivering such agents to hypoxic tumor cells and the need to identify
biomarkers, which predict those tumors most likely to respond.The majority of the bioreductive prodrugs described to date are
designed to release a DNA damaging cytotoxin and therefore, once activated,
act similarly to conventional chemotherapeutic agents. This approach
raises the possibility of overlapping toxicities when these agents
are combined with standard therapies. An alternative application of
a hypoxia-activated group is to mask a drug, which acts as a protein
ligand, to prevent binding to its target. This would render the compound
inactive until the bioreductive group is removed under hypoxic conditions.
Given that this strategy potentially allows targeting of promising
cancer therapies to hypoxic tumors, it is surprising that it has not
been more widely employed, although there are a few reports in the
literature. Zhang et al. applied this strategy to the synthesis of
three hypoxia-activated derivatives of 20(S)-camptothecin.[33] They demonstrated that a 4-nitrobenzyl derivative
conferred some selectivity for hypoxic cells over normal cells. Granchi
et al. described nitrobenzyl and nitrofuryl bioreductive prodrugs
that release an inhibitor of the lysyl oxidase (LOX) protein in hypoxia.[34] In this instance the approach was beneficial
as the released compound, BAPN, is a relatively nonselective LOX inhibitor
with multiple biological interactions. Zhu et al. synthesized 4-nitrobenzyl
derivatives of O6-benzylguanine, which
is an inhibitor of the resistance protein O6-alkylguanine
alkyltransferase (AGT).[35] It was demonstrated
that the gem-dimethyl-4-nitrobenzyl analogue was
effective in sensitizing laromustine-resistant DU145human prostate
carcinoma cells to laromustine under hypoxic conditions. Here, we
describe CH-01, which is a proof-of-concept compound that we propose
is activated as a Chk1 and Aurora kinase A inhibitor after the hypoxia-promoted
loss of the 4-nitrobenzyl group. Clonogenic survival assays demonstrate
that CH-01 (1) had little or no effect on cells in normal
oxygen conditions; conversely, hypoxic cells were extremely sensitive
to CH-01. Of the tumor cell lines tested, the sensitivity to CH-01
correlated with the baseline levels of DNA damage/replication stress.
Therefore this strategy allows us to concentrate Chk1/Aurora kinase
A inhibition in hypoxic cells, targeting the most aggressive tumor
fraction, while protecting normal tissue.
Results and Discussion
We have shown that depletion or inhibition of Chk1 sensitizes cells
to hypoxia/reoxygenation.[22,36] The biological reasons
behind this observation include our finding that Chk1 has a role to
play in reoxygenation-induced replication restart, as well as normal
replication.[23] In order to further validate
Chk1 as a molecular target in hypoxic conditions, we have considered
its autophosphorylation site serine 296 and the ATR-mediated phosphorylations
on serine residues 317 and 345 as well as the total levels of Chk1.
Chk1 was rapidly phosphorylated at all tested residues (Figure 1a). To verify that the hypoxia-mediated phosphorylation
of Chk1 correlated with Chk1 activity, the levels of the Chk1 target
Tousled-like kinase 1 (TLK1) are also shown.[37] As described previously, the total levels of Chk1 decrease during
increasing exposure to hypoxia.[23] It is
clear caution is warranted when considering the inhibition of essential
genes such as Chk1. To demonstrate this point we exposed nontransformed
human fetal lung fibroblasts (WI38) to a well-characterized Chk1 inhibitor,
Gö6976, in the absence of additional stress. Increasing exposure
to Gö6976 led to a significant accumulation of cells with more
than six 53 binding protein 1 (53BP1) foci indicating that prolonged
exposure to a Chk1 inhibitor leads to accumulation of DNA damage,
which could in turn affect genome stability (Figure 1b). In order to target Chk1 kinase inhibition to the hypoxic
regions of tumors, we synthesized a bioreductive Chk1 inhibitor, CH-01
(1). CH-01 is based on the Chk1 inhibitor 6 (Figure 2a) reported by Foloppe et al.[38] During the course of this work, compound 6 was also shown to inhibit Aurora kinase A.[39] Inhibitors of Aurora kinases have been tested clinically
and show some promise; however, these agents have not been tested
specifically in hypoxic conditions.[40] In
order to investigate the potential benefit of Aurora A inhibition
in hypoxic cells, we incubated RKO cells with the known selective
Aurora A inhibitor MLN8237 in both normoxic and hypoxic conditions.
The colony survival assay shown demonstrates that cells in both normoxia
and hypoxia are sensitive to inhibition of Aurora A (Figure 1c).
Figure 1
Targeting Chk1/Aurora A inhibition to hypoxic cells. (a)
Chk1 is
phosphorylated and active in hypoxic conditions. RKO cells were exposed
to hypoxia (≤0.02% O2) for the times indicated,
and Western blotting was carried out. (b) Increasing exposure time
to Gö6976 (100 nM) led to an accumulation of cells with >6
nuclear 53BP1 foci in WI38 cells. The inset shows an example of the
53BP1 foci observed. (c) RKO cells were treated with the Aurora A
kinase inhibitor MLN8237 at the concentrations indicated in either
normoxic or hypoxic (≤0.02% O2) conditions for 16
h. A colony survival assay is shown.
Figure 2
The concept of the hypoxia-activated Chk1 inhibitor CH-01 and its
synthesis. (a) Attachment of the 4-nitrobenzyl group to the terminal
hydroxyl group renders the Chk1 inhibitor 6 inactive.
Under hypoxic conditions, the nitro group is reduced forming an electron-donating
substituent, which ejects the active Chk1 inhibitor 6. (b) Reagents and conditions: (a) malononitrile, Et2NH,
dioxane, reflux, 16 h, 75%; (b) acetic formic anhydride, 85 °C,
6 h; (c) neat, 220 °C, 30 min, 51% over two steps; (d) POCl3, 55 °C, 2 h, 81%; (e) Et3N, DMF, 80 °C,
6 h, 93%.
Targeting Chk1/Aurora A inhibition to hypoxic cells. (a)
Chk1 is
phosphorylated and active in hypoxic conditions. RKO cells were exposed
to hypoxia (≤0.02% O2) for the times indicated,
and Western blotting was carried out. (b) Increasing exposure time
to Gö6976 (100 nM) led to an accumulation of cells with >6
nuclear 53BP1 foci in WI38 cells. The inset shows an example of the
53BP1 foci observed. (c) RKO cells were treated with the Aurora A
kinase inhibitor MLN8237 at the concentrations indicated in either
normoxic or hypoxic (≤0.02% O2) conditions for 16
h. A colony survival assay is shown.The concept of the hypoxia-activatedChk1 inhibitor CH-01 and its
synthesis. (a) Attachment of the 4-nitrobenzyl group to the terminal
hydroxyl group renders the Chk1 inhibitor 6 inactive.
Under hypoxic conditions, the nitro group is reduced forming an electron-donating
substituent, which ejects the active Chk1 inhibitor 6. (b) Reagents and conditions: (a) malononitrile, Et2NH,
dioxane, reflux, 16 h, 75%; (b) acetic formic anhydride, 85 °C,
6 h; (c) neat, 220 °C, 30 min, 51% over two steps; (d) POCl3, 55 °C, 2 h, 81%; (e) Et3N, DMF, 80 °C,
6 h, 93%.
Synthesis of a Bioreductive Chk1/Aurora A
Inhibitor
Compound 6 was selected for its chemical
simplicity
and the well-defined Chk1 structure–activity relationships
(SAR) reported around this scaffold. Compound 6 inhibits
Chk1 kinase in an ATP competitive manner with a reported IC50 value of 20.9 μM, and the SAR showed that addition of a large
substituent in place of the hydroxyl group resulted in a significant
reduction in Chk1 affinity. Examination of an X-ray crystal structure
of 6 bound to the ATP binding site of Chk1 reveals that
the hydroxyl group binds oriented into a pocket, which is too small
to accommodate a substituent such as the 4-nitrobenzyl group. This
observation was corroborated by docking studies (see Supplementary Figure S1). Consequently we designed compound 1, which we predicted to be inactive as a Chk1 inhibitor until
the 4-nitrobenzyl group is removed in hypoxia (Figure 2a). Structure–activity studies have shown that compound 6 inhibits Aurora kinase A with an IC50 value of
309 nM.[39] In addition, these studies showed
that larger groups, including 4-aminophenyl derivatives, were tolerated
in place of the hydroxyl group. To predict whether addition of a 4-nitrobenzyl
group would reduce the compound’s affinity for Aurora kinase
A, we undertook docking studies. These studies suggested that although
both compound 1 and compound 5 would bind
to Aurora kinase A with a reduced affinity compared to that of compound 6, they could potentially still be accommodated in the ATP-binding
site (see Supplementary Figure S2A and B). Compound 1 was synthesized using conditions similar
to those reported by Foloppe (Figure 2b). Benzoin
(7) was condensed with malononitrile to give 2-aminofuran 8. Reaction with acetic formic anhydride afforded the formamide 9, which cyclized to give 10 upon heating. Treatment
of 10 with phosphorus oxychloride furnished the chloride 11, which underwent facile reaction with O-(4-nitrobenyl)ethanolamine (12) to give the final product
(1). Analysis of compound 1 in a radioactive
(33P-ATP) filter-binding assay revealed no activity against
either Chk1 or Aurora kinase A at concentrations up to 100 μM
(Supplementary Figure S3). Conversely,
compound 6 showed IC50 values of 1.75 and
0.81 μM against Chk1 and Aurora kinase A, respectively.
Mechanism
of CH-01 Action
To determine whether 1 fragmented
under reducing conditions as predicted, we carried
out two reductions in progressively more biologically relevant conditions.
Shigenaga et al. have previously employed zinc in aqueous ammonium
chloride to reduce a 4-nitrobenzyl group to a 4-aminobenzyl group
and hence demonstrate hypoxic activation of a peptide.[41] Using similar conditions of zinc and ammonium
chloride in N,N-dimethylformamide
(DMF), we demonstrated that 1 was reduced to give the
nitroso compound 4 (confirmed by mass spectrometry) and
the amine 5 after a period of 60 min (Supplementary Figure S4a). Upon exposure to aqueous conditions
(potassium phosphate buffer, pH 7.4), HPLC analysis indicated that
compounds 4 and 5 fragmented to give the
active kinase inhibitor 6 (Figure 3a and Supplementary Figure S4b). Encouraged
that we had proved reduction of 1 could induce fragmentation
in buffer, we treated 1 with bactosomal humanNADPH-CYP
reductase in potassium phosphate buffer with the exclusion of oxygen.
Under these conditions reduction of the 4-nitrobenzyl group of 1 to the 4-aminobenzyl derivative 5 was observed
and fragmentation to the active inhibitor 6 occurred.
When this experiment was repeated in the presence of oxygen, no reduction
or production of compound 6 was observed (Figure 3b and data not shown). These results indicate that
the nitrobenzyl group is reduced under purely chemical conditions
and by reductase enzymes in hypoxic conditions. The reduced products
fragment to give the active kinase inhibitor 6 in a manner
consistent with the proposed in vitro mode of activation
for compound 1.
Figure 3
CH-01 is reduced and fragments in hypoxic conditions.
CH-01 was
subjected to different reduction conditions, and the resulting metabolites
were analyzed by HPLC. A combination of photodiode array spectrophotometer,
mass spectrometer, and fluorescence spectrophotometer (λex 320 nm, λem 380 nm) was used to detect
and characterize the metabolites. (a) CH-01 was subjected to zinc
reduction for 1 h, and this solution was injected into potassium phosphate
buffer pH 7.4. Incubation at 37 °C and analysis of the supernatant
reveal loss of the amine 5 and formation of the active
inhibitor 6. (b) Bactosomal human NADPH-CYP reductase
reduces CH-01 (1) to the amine 5 under hypoxic
conditions (≤0.02% O2). Over 24 h amine 5 accumulates and fragments to release the active inhibitor 6.
CH-01 is reduced and fragments in hypoxic conditions.
CH-01 was
subjected to different reduction conditions, and the resulting metabolites
were analyzed by HPLC. A combination of photodiode array spectrophotometer,
mass spectrometer, and fluorescence spectrophotometer (λex 320 nm, λem 380 nm) was used to detect
and characterize the metabolites. (a) CH-01 was subjected to zinc
reduction for 1 h, and this solution was injected into potassium phosphate
buffer pH 7.4. Incubation at 37 °C and analysis of the supernatant
reveal loss of the amine 5 and formation of the active
inhibitor 6. (b) Bactosomal humanNADPH-CYP reductase
reduces CH-01 (1) to the amine 5 under hypoxic
conditions (≤0.02% O2). Over 24 h amine 5 accumulates and fragments to release the active inhibitor 6.
In Hypoxic Conditions CH-01
Leads to Loss of Cell Viability
Loss or inhibition of Chk1
has been shown to induce DNA damage
due to impaired replisome stability and DNA repair.[42] Therefore, we investigated whether CH-01 (1) induced DNA damage in normoxia, hypoxia, and after reoxygenation.
Initially, we carried out Western blotting for γH2AX and determined
that the presence of 1 in hypoxic conditions led to an
increase in the hypoxia-induced γH2AX signal (Figure 4a). As the robust induction of γH2AX by hypoxia
alone makes this signal difficult to quantify we used the formation
of 53BP1 foci as an alternative measure of DNA damage. As shown previously,
hypoxia alone did not induce an accumulation of 53BP1 foci, although
subsequent reoxygenation did cause DNA damage.[21] In contrast, exposure to 1 in hypoxia alone
led to the accumulation of 53BP1 foci in over 50% of the cells (Figure 4b). These data indicate that CH-01 leads to the
accumulation of DNA damage only in hypoxic conditions.
Figure 4
CH-01 induces DNA damage
and is toxic in hypoxic conditions. (a)
RKO cells were exposed to normoxia or hypoxia (≤0.02% O2) for 6 h in the presence or absence of 25 μM CH-01
(1). Western blots for γH2AX and actin are shown.
(b) RKO cells were exposed to normoxia or hypoxia (≤0.02% O2) for 6 h and hypoxia followed by 18 h of reoxygenation ± 1 (25 μM). The graph shows the percentage of cells with
>6 nuclear 53BP1 foci. Significance values: * p <
0.05; **p < 0.0001. (c) RKO cells were exposed
to hypoxia for the time periods indicated with either 1 (25 μM), MLN8237 (500 nM) or, as a control, DMSO. The levels
of phosphorylated histone 3 (pH3 Ser10) were determined by Western
blotting. Histone 3 (H3) is shown as loading control. (d) Clonogenic
assays were carried out on RKO cells exposed to the oxygen tensions
indicated for 24 h in the presence of 25 μM 1 or
DMSO.
CH-01 induces DNA damage
and is toxic in hypoxic conditions. (a)
RKO cells were exposed to normoxia or hypoxia (≤0.02% O2) for 6 h in the presence or absence of 25 μM CH-01
(1). Western blots for γH2AX and actin are shown.
(b) RKO cells were exposed to normoxia or hypoxia (≤0.02% O2) for 6 h and hypoxia followed by 18 h of reoxygenation ± 1 (25 μM). The graph shows the percentage of cells with
>6 nuclear 53BP1 foci. Significance values: * p <
0.05; **p < 0.0001. (c) RKO cells were exposed
to hypoxia for the time periods indicated with either 1 (25 μM), MLN8237 (500 nM) or, as a control, DMSO. The levels
of phosphorylated histone 3 (pH3 Ser10) were determined by Western
blotting. Histone 3 (H3) is shown as loading control. (d) Clonogenic
assays were carried out on RKO cells exposed to the oxygen tensions
indicated for 24 h in the presence of 25 μM 1 or
DMSO.To confirm that 6 inhibits Aurora A/B, we treated
RKO cells with CH-01 (1) in hypoxic conditions and then
carried out Western blotting for histone-3 phosphorylated at serine
10, which is a characterized target of Aurora A/B.[43] Treatment of RKO cells in normoxia with MLN8237 demonstrated
that phosphorylation of pH3 at ser10 can be inhibited through Aurora
A inhibition. In contrast, 1 has no effect on this signal
in normoxic conditions, indicating that this compound does not inhibit
Aurora A/B. In response to hypoxia the pH3 ser10 signal decreased,
and this decrease was exacerbated in the presence of 1. After subsequent reoxygenation a clear and significant reduction
of pH3 Ser10 was observed when RKO cells were incubated with 1 during hypoxia prior to reoxygenation (Figure 4c). These data suggest that 1 is reduced and
fragmented to give 6, which inhibits both Chk1 and Aurora
A/B. This dual inhibition is beneficial as both Chk1 and Aurora A
are involved in cell cycle progression and are therapeutic targets.
Next, we exposed RKO cells to 1 and incubated the cells
in oxygen concentrations ranging from 20% to ≤0.02% O2 (Figure 4d). A colony survival assay was
carried out at each of the oxygen tensions indicated and demonstrates
a significant oxygen-dependent loss of viability. Most importantly,
at oxygen levels associated with normal tissues (3% O2 and
above) there was little or no effect on cell viability.It was
important to determine that the biological effects observed
were due to the release of 6 and not the bioreductive
cage. Cells were exposed to the nonbioreductive inhibitor 6, compound 13, which releases EtOH under hypoxic conditions,
and CH-01 (1, Figure 5a,b). As
expected, RKO cells were sensitive to Chk1 inhibitor 6 ,and this sensitivity was increased in hypoxic conditions as previously
reported. In contrast, 1 had no significant effect on
the normoxic cells but significantly increased the sensitivity to
hypoxia/reoxygenation. Importantly, compound 13 did not
decrease cell viability, suggesting that the release of the reduced
nitrobenzyl group side product alone is not cytotoxic.
Figure 5
The biological activity
of CH-01 is not associated with the bioreductive
group. (a) Clonogenic assays were carried out using RKO cells exposed
to DMSO, 25 μM inhibitor 6, 25 μM CH-EtOH 13 or 25 μM CH-01 1 for 24 h in either
normoxia or hypoxia (≤0.02% O2). (b) The structure
of compound 13, which ejects EtOH under hypoxic conditions.
The biological activity
of CH-01 is not associated with the bioreductive
group. (a) Clonogenic assays were carried out using RKO cells exposed
to DMSO, 25 μM inhibitor 6, 25 μM CH-EtOH 13 or 25 μM CH-01 1 for 24 h in either
normoxia or hypoxia (≤0.02% O2). (b) The structure
of compound 13, which ejects EtOH under hypoxic conditions.Up to this point our studies had
been restricted to the RKO cell
line. However, we proposed that different cells lines would show varying
degrees of sensitivity to 1. To investigate this hypothesis
further we used three lung cancer cell lines (A549, H1299, and H1975)
to determine the effect of 1 in normoxia and hypoxia.
Recent, reports suggest that the baseline levels of DNA damage and/or
replication stress contribute to the relative sensitivity to Chk1
inhibitors. We proposed that this might also be the case for inhibitors
of alternative kinases involved in the cell cycle and so might predict
sensitivity to inhibition of Chk1 and Aurora A by 1.
Therefore, before testing the effect of 1 on cell viability
in hypoxic conditions, we measured the basal levels of DNA damage
and replication stress in these 3 cell lines. This measurement was
achieved by staining for both 53BP1 and γH2AX, which are markers
of DNA damage and/or replication stress (Figure 6a,b). In each cell line a significant proportion of the cells were
found to be positive for these markers, although both the H1299 and
H1975 cell line had higher levels of 53BP1/γH2AX positive cells
than the A549s. Interestingly, large nuclear bodies were seen in the
H1299 cell line, which were reminiscent of the recently described
Oct-1, PTF, transcription (OPT) domains.[44] These data suggest that the A549 cell line should show the least
sensitivity to 1 in hypoxic conditions. To test this
hypothesis, the cell lines were exposed to 1 for 24 h
in either normoxia or hypoxia (≤0.02% O2). As predicted
all three-cell lines were sensitive to 1 in hypoxic conditions,
and of the three the A549 cells were the least sensitive. However,
despite the relatively similar levels of DNA damage seen in the H1299
and H1975 cell lines, the latter were significantly more sensitive
to 1. Our data demonstrate that all four of the cell
lines tested show increased sensitivity to 1 in hypoxia
and that the degree of sensitivity can, in part, be determined by
the basal levels of DNA damage/replication stress. In order to use
an agent such as 1 most effectively, the degree of tumorhypoxia would have to be determined prior to treatment.[45−47] It is clear that nonhypoxic tumors would not respond and the more
hypoxic the greater the predicted response (Figure 4d). However, the sensitivity to 1 is also determined
by additional factors including the levels of DNA damage/replication
arrest. We propose that 1 and derivatives would be effective
against tumors with high levels of hypoxia or oncogene-mediated replication
stress. In mildly hypoxic tumors, which are less susceptible to Chk1
inhibition due to low levels of replication stress for example, we
predict that combining 1 with standard therapies would
be effective.
Figure 6
The sensitivity of cell lines to CH-01 correlates with
levels of
DNA damage and replication stress. (a) Endogenous DNA damage for each
cell line was determined in the absence of additional stress by staining
for the presence of 53BP1 (green) and γH2AX (red). (b) Graph
represents the quantification of the percentage of cells with more
than 6 53BP1 foci (black) or the presence of γH2AX foci positive
staining (white) for the three cell lines. The three lung cancer cell
lines A549 (c), H1299 (d), and H1975 (e) were exposed to DMSO or 25
μM CH-01 for 24 h in normoxia or hypoxia (≤0.02% O2), and colony survival assays were carried out.
The sensitivity of cell lines to CH-01 correlates with
levels of
DNA damage and replication stress. (a) Endogenous DNA damage for each
cell line was determined in the absence of additional stress by staining
for the presence of 53BP1 (green) and γH2AX (red). (b) Graph
represents the quantification of the percentage of cells with more
than 6 53BP1 foci (black) or the presence of γH2AX foci positive
staining (white) for the three cell lines. The three lung cancer cell
lines A549 (c), H1299 (d), and H1975 (e) were exposed to DMSO or 25
μM CH-01 for 24 h in normoxia or hypoxia (≤0.02% O2), and colony survival assays were carried out.
Conclusions
We confirm earlier findings
that inhibition
of Chk1 is a valid approach to target hypoxic cancer cells. In addition,
we have demonstrated that hypoxic cells show similar levels of sensitivity
to inhibition of the Aurora A kinase as cells in normoxia. Here, we
describe a bioreductive Chk1/Aurora A inhibitor, CH-01 (1), which selectively inhibits Chk1/Aurora A in hypoxic conditions
and leads to significant loss of viability in the cancer cell lines
tested. Although a proof-of-concept compound, the selective activity
demonstrated by 1 suggests the potential for the bioreductive
release of targeted therapies and demonstrates this approach as a
promising strategy for the targeted application of cancer chemotherapeutics.
Methods
Cell Lines
RKO
(colorectal), A549, H1299, and H1975
(lung) cancer cell lines were cultured in DMEM medium containing 10%
FBS, penicillin (100 U/mL) and streptomycin (100 μg/mL). WI38
nontransformed human fetal lung fibroblasts were grown in DMEM medium
with 15% FBS. All cell lines were originally obtained from the ATCC
and routinely mycoplasma tested and found to be negative. With the
exception of colony survival experiments all others were carried out
with cells at 75% confluence.
Chemical Synthesis
Details of the chemical synthesis
and analytical data for the compounds described are available in the Supporting Information. Gö6976 was obtained
from Sigma-Aldrich and MLN8237 from Selleckchem.
Hypoxia Treatment
Hypoxia treatments were carried out
in a Bactron II (Shell laboratories), In vivo 400 (Ruskinn), or Heracell
mixed gas incubator (Fisher Scientific) depending on the level of
hypoxia required.
Clonogenic Assay
Colonies (>50
cells) were left to
form for 10 days and visualized with methylene blue stain (70% methanol
in PBS, 1% methylene blue (Fisher BioReagents)).
Western Blotting
Cells were lysed in UTB (9 M urea,
75 mM Tris-HCl pH 7.5 and 0.15 M β-mercaptoethanol) and sonicated
briefly. Antibodies used were Chk1-S296, Chk1-S317, Chk1-S345, HIF1α
(BD Biosciences), Chk1, γH2AX (Upstate-Millipore), H3-S10, TLK-S695
(Cell Signaling), and GAPDH (Fitzgerald Industries). The Odyssey infrared
system was used for imaging (LI-COR Biosciences).
Zinc Reduction
of 1
To a solution of 1 (1 mg,
0.0021 mmol) in DMF (2 mL) were added aqueous ammonium
chloride (20 μL, 10% w/v) and zinc powder (5 mg, 0.0765 mmol,
36 equiv). The resulting mixture was stirred at ambient temperature
for 16 h. Aliquots (200 μL) were taken at designated times (where T = 0 refers to before the addition of zinc powder), and
the mixture was analyzed by HPLC.
Buffer Treatment of 5
For every time point
of interest, 5 μL of the T = 1 h aliquot from
the zinc reduction was injected into 95 μL of potassium phosphate
buffer solution (pH 7.4), and the resulting suspensions were incubated
at 37 °C. At designated times the suspensions were centrifuged.
The supernatant was collected, and the precipitates were dissolved
in acetonitrile. Both fractions were analyzed by HPLC.
Reductase Assay
Bactosomal humanNADPH-CYP reductase
(Cypex, 12.7 mg/mL, 13900 nmol/min/mL) was used in combination with
an NADPH-regenerating system (BD Biosciences), and the assay was carried
out according to the manufacturer’s protocol (BD Biosciences
application note 467) at a CH-01 concentration of 250 nM. Vials were
deoxygenated by bubbling nitrogen prior to P540 addition and then
transferred into a Bactron II (Shell laboratories). Samples were taken
at different time points and analyzed by HPLC.
Immunofluorescence
Staining for 53BP1 (Novus Biologicals)
and γH2AX foci was carried out as previously described.[21] Due to the presence of 1–2 53BP1 foci
in the nuclei of unstressed cells, induction of DNA damage was quantified
by counting cells with more than 6 foci. Cells were visualized using
a Nikon 90i microscope.
HPLC Analysis
HPLC (Waters 2695
system) comprised an
RPB column (100 mm × 3.2 mm, 35 °C). Separation was achieved
at a flow rate of 0.5 mL/min with a gradient of 60–95% acetonitrile
in 10 mM formic acid over 6 min. Detection used a photodiode array
spectrophotometer (Waters 2996), a mass spectrometer (Waters Micromass
ZQ mass spectrometer), and a fluorescence spectrophotometer (Waters
474) with λex 320 nm, λem 380 nm.
Injections of 10 μL were made.
Statistical Analysis
Statistical significance of differences
between means of at least n = 3 experiments was determined
using Student’s t test (P-values indicated
accordingly in figure legend or main text). Error bars represent ±
SEM.
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