Abstract:
Atetrahydroisoquinoline (THIQ) core is able tomimic theAand B rings of 2-methoxyestradiol
(2ME2), an endogenous estrogen metabolite that demonstrates promising anticancer properties primarily
by disrupting microtubule dynamic instability parameters, but has very poor pharmaceutical
properties that can be improved by sulfamoylation. The non-steroidal THIQ-based microtubule disruptor
2-(3-bromo-4,5-dimethoxybenzyl)-7-methoxy-6-sulfamoyloxy-1,2,3,4-tetrahydroisoquinoline
(STX3451), with enhanced pharmacokinetic and pharmacodynamic profiles, was explored for the
first time in radiation biology. We investigated whether 24 h pre-treatment with STX3451 could
pre-sensitize MCF-7 and MDA-MB-231 breast cancer cells to radiation. This regimen showed a
clear increase in cytotoxicity compared to the individual modalities, results that were contiguous
in spectrophotometric analysis, flow cytometric quantification of apoptosis induction, clonogenic
studies and microscopy techniques. Drug pre-treatment increased radiation-induced DNA damage,
with statistically more double-strand (ds) DNA breaks demonstrated. The latter could be due to
the induction of a radiation-sensitive metaphase block or the increased levels of reactive oxygen
species, both evident after compound exposure. STX3451 pre-exposure may also delay DNA repair
mechanisms, as the DNA damage response element ataxia telangiectasia mutated (ATM) was depressed.
These in vitro findings may translate into in vivo models, with the ultimate aim of reducing
both radiation and drug doses for maximal clinical effect with minimal adverse effects.