Summary
In several preclinical systems, the morpholino anthracycline MX2 has greater antitumor activity than doxorubicin, is less cardiotoxic, and is effective against multidrug resistant cancer cells. We used a human tumor soft-agar cloning assay to test the cytotoxicity of MX2 against single cell suspensions from freshly obtained human tumors. Tumor cells were exposed to MX2 at 0.05 and 0.5 μg/ml either for 1 hour (201 specimens; 77 [38%] assessable) or continuously (231 specimens; 91 [39%] assessable). Superior antitumor activity was observed with continuous exposure (19%in vitro response at 0.05 μg/ml and 69% at 0.5 μg/ml) than with 1-hour exposure (1.3% at 0.05 μg/ml and 12% at 0.5 μg/ml). Activity was seen against all types of cancer tested including renal (91%), melanoma (88%), ovarian (73%), breast (71%) and non-small-cell lung (67%) cancer at a MX2 concentration of 0.5 μg/ml after continuous exposure. If appropriate plasma levels can be achieved in patients, MX2 could have significant clinical activity in patients with those tumors.
Similar content being viewed by others
References
Booser DJ, Hortobagyi GN: Anthracycline antibiotics in cancer therapy. Focus on drug resistance. Drugs 47:223–258, 1994
Goldstein LJ, Pastan I, Gottesman MM: Multidrug resistance in human cancer. Crit Rev Oncol/Hematol 12:243–253, 1992
Endicott JA, Ling V: The biochemistry of P-glycoprotein-mediated multidrug resistance. Ann Rev Biochem 58:137–171, 1989
Umezawa H, Nakajima S, Kawai H, Komeshima N, Yoshimoto H, Urata T, Odagawa A, Otsuki N, Tatsuta K, Otake N, Takeuchi N: New morpholino anthracyclines, MX, MX2, and MY5. J Antiobiotics 40:1058–1061, 1987
Komeshima N, Tsuruo T, Umezawa H: Antitumor activity of new morpholino anthracyclines. J Antibiotics 41:548–553, 1988
Watanabe M, Komeshima N, Nakajima S, Tsururo T: MX2, a morpholino anthracycline, as a new antitumor agent against drug-sensitive and multidrug-resistant human and murine tumor cells. Cancer Res 48:6653–6657, 1988
Ohe Y, Nakagawa K, Fujiwara Y, Sasaki Y, Minato K, Bungo M, Niimi S, Horichi N, Fukuda M, Saijo N.Invitro evaluation of the new anticancer agents KT6149, MX2, SM5887, menogaril, and liblomycin using cisplatinor adriamycin-resistant human cancer cell lines. Cancer Res 49:4098–4102, 1989
Izumoto S, Arita N, Hayakawa T, Ohnishi T, Taki T, Yamamoto H, Ushio Y: Effect of MX2, a new morpholino anthracycline, against experimental brain tumors. Anticancer Res 10:735–740, 1990
Lambert E, Rees JKH, Twentyman PR: Resistance circumvention strategies tested in clinical leukaemia specimens using the MTT colorimetric assay. Leukemia 6:1063–1071, 1992
Sato Y, Eddy L, Hochstein P: Comparative cardiotoxicity of doxorubicin and a morpholino anthracycline derivative (KRN8602). Biochem Pharmacol 42:2283–2287, 1991
Horichi N, Tapiero H, Sugimoto Y, Bungo M, Nishiyama M, Fourcade A, Lampidis TJ, Kasahara K, Sasaki Y, Takahashi T, Saijo N: 3′-deamino-3′-morpholino-13-deoxo-10-hydroxycarminomycin conquers multidrug resistance by rapid influx following higher frequency of formation of DNA single- and double-strand breaks. Cancer Res 50:4698–4701, 1990
Coley HM, Twentyman PR, Worksman P: 9-alkyl, morpholinyl anthracyclines in the circumvention of multidrug resistance. Eur J Cancer 26:665–667, 1990
Watanabe M, Komeshima N, Naito M, Isoe T, Otake N, Tsuruo T: Cellular pharmacology of MX2, a new morpholino anthracycline, in human pleiotropic drug-resistance cells. Cancer Res 51:157–161, 1991
Takeda Y, Nishio K, Sugimoto Y, Kasahara K, Kubo S, Fujiwara Y, Niitani H, Saijo N: Establishment of a human leukemia subline resistant to the growth-inhibitory effect of 12-O-tetradecanoylphorbol 13-acetate (TPA) and showing non-P-glycoprotein-mediated multidrug resistance. Int J Cancer 48:931–937, 1991
Shoemaker RH, Wolpert-DeFilippes MK, Kern DH, Lieber MM, Makuch RW, Melnick NR, Miller WT, Salmon SE, Simon RM, Venditti JM, Von Hoff DD: Application of a human tumor colony-forming assay to new drug screening. Cancer Res 45:2145–2153, 1985
Von Hoff DD: Human tumor cloning assays: Applications in clinical oncology and new antineoplasetic agent development. Cancer Met Rev 7:357–371, 1988
Von Hoff DD: Prospective clinical trial of a human tumor cloning system. Cancer Res 43:1926–1931, 1983
Hamburger AW and Salmon SE: Primary assay of human tumor stem cells. Science 197:461–463, 1977
Hanauske U, Hanauske AR, Marshall MH, Muggia VA, Von Hoff DD: Biphasic effects of vanadium salts onin vitro tumor colony growth. Int J Cell Cloning 5:170–178, 1987
Von Hoff DD, Sandbach JF, Clark GM, Turner JN, Forseth BF, Piccart MJ, Colombo N, Muggia FM: Selection of cancer chemotherapy for a patient by anin vitro assay versus a clinician. J Natl Cancer Inst 82:110–116, 1990
Komeshima N, Kawai H, Nakajima S, Watanabe M, Tsuruo T, Takeuchi T, Otake N: Role of DNA-binding in the cytotoxicity of an anthracycline, R20X2 and it morpholino analog, MX2. J Antibiotics 42:424–29, 1989
Fojo AT, Ueda K, Slamon DJ, Poplack DG, Gottesman MM, Pastan I: Expression of a multidrug-resistance gene in human tumors and tissues. Proc Natl Acad Sci USA 84:265–269, 1987
Cordon-Cardo C, O'Brien JP, Boccia J, Casals D, Bertino JR, Melamed MR: Expression of the multidrug resistance gene product (P-glycoprotein) in human normal and tumor tissues. J Histochem Cytochem 38:1277–1287, 1990
Bak M, Efferth T, Mickisch G, Mattern J, Volm M: Detection of drug resistance and P-glycoprotein in human renal cell carcinomas. Eur Urol 17:72–75, 1990
Yamamoto H, Arita N, Ohnishi T, Hiraga S, Izumoto S, Taki T, Higuchi M, Hayakawa T, Shinkai H: Pharmacokinetics of MX2, a new morpholino anthracycline, in CFS following intravenous injection. Gan To Kagaku Ryoho 20:1227–1230, 1993
Majima H: Phase I clinical study of MX2 (KRN 8602). Gan To Kagaku Ryoho 17:359–364, 1990
Watanabe T, Narabayashi M, Haga S, Yamada Y, Kawamura E, Enomoto K, Kusama M, Kimura K, Adachi I, Abe O: 3′-deamino-3′-morpholino-13-deoxy-10-hydroxycarminomycin (KRN8602) in refractory metastatic breast cancer: results of a preliminary phase II trial. Jpn J Clin Oncol 23:246–249, 1993
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ebrahim El-Zayat, A.A., Izquierdo, M.A., Clark, G.M. et al. Activity of the morpholino anthracycline 3′-deamino-3′-morpholino-13-deoxo-10-hydroxycarminomycin (MX2) against human tumor colony-forming unitsin vitro . Invest New Drugs 13, 125–131 (1995). https://doi.org/10.1007/BF00872860
Issue Date:
DOI: https://doi.org/10.1007/BF00872860