1. Preclinical Investigation of the Novel Histone Deacetylase Inhibitor AR-42 in the Treatment of Cancer-Induced Cachexia
- Author
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Samuel K. Kulp, Wei A. He, Gregory B. Lesinski, Denis C. Guttridge, En-Chi Hsu, Guido Marcucci, Tanios Bekaii-Saab, Ching-Shih Chen, Pearlly S. Yan, Xiaokui Mo, David Frankhouser, I-Lu Lai, Mark Bloomston, and Tseng Yu-Chou
- Subjects
Cancer Research ,Cachexia ,Adipose tissue ,Administration, Oral ,Muscle Proteins ,Pharmacology ,Leukemia Inhibitory Factor ,Ion Channels ,Romidepsin ,Tripartite Motif Proteins ,Carcinoma, Lewis Lung ,Mice ,Medicine ,Uncoupling Protein 3 ,Forkhead Box Protein O1 ,MEF2 Transcription Factors ,Histone deacetylase inhibitor ,Forkhead Transcription Factors ,Phenylbutyrates ,Oncology ,Adipose Tissue ,Colonic Neoplasms ,Cytokines ,medicine.drug ,medicine.medical_specialty ,medicine.drug_class ,Ubiquitin-Protein Ligases ,Protein degradation ,Adenocarcinoma ,Phenylbutyrate ,Mitochondrial Proteins ,Internal medicine ,Weight Loss ,Animals ,Muscle Strength ,Muscle, Skeletal ,Vorinostat ,SKP Cullin F-Box Protein Ligases ,business.industry ,Interleukin-6 ,Lipase ,Neoplasms, Experimental ,medicine.disease ,Receptors, Interleukin-6 ,Survival Analysis ,Histone Deacetylase Inhibitors ,Endocrinology ,Gene Expression Regulation ,business ,Leukemia inhibitory factor - Abstract
BACKGROUND Cancer cachexia is a debilitating condition that impacts patient morbidity, mortality, and quality of life and for which effective therapies are lacking. The anticachectic activity of the novel HDAC inhibitor AR-42 was investigated in murine models of cancer cachexia. METHODS The effects of AR-42 on classic features of cachexia were evaluated in the C-26 colon adenocarcinoma and Lewis lung carcinoma (LLC) models. Effects on survival in comparison with approved HDAC inhibitors (vorinostat, romidepsin) were determined. The muscle metabolome and transcriptome (by RNA-seq), as well as serum cytokine profile, were evaluated. Data were analyzed using mixed effects models, analysis of variance, or log-rank tests. All statistical tests were two-sided. RESULTS In the C-26 model, orally administered AR-42 preserved body weight (23.9±2.6 grams, AR-42-treated; 20.8±1.3 grams, vehicle-treated; P = .005), prolonged survival (P < .001), prevented reductions in muscle and adipose tissue mass, muscle fiber size, and muscle strength and restored intramuscular mRNA expression of the E3 ligases MuRF1 and Atrogin-1 to basal levels (n = 8). This anticachectic effect, confirmed in the LLC model, was not observed after treatment with vorinostat and romidepsin. AR-42 suppressed tumor-induced changes in inflammatory cytokine production and multiple procachexia drivers (IL-6, IL-6Rα, leukemia inhibitory factor, Foxo1, Atrogin-1, MuRF1, adipose triglyceride lipase, uncoupling protein 3, and myocyte enhancer factor 2c). Metabolomic analysis revealed cachexia-associated changes in glycolysis, glycogen synthesis, and protein degradation in muscle, which were restored by AR-42 to a state characteristic of tumor-free mice. CONCLUSIONS These findings support further investigation of AR-42 as part of a comprehensive therapeutic strategy for cancer cachexia.
- Published
- 2014