Abstract
Purpose
Adjunct chemoradiation is offered to unresectable esophageal squamous cell carcinoma (ESCC) patients, while its use is limited in tumors with strong resistance. Oxygen carriers or anti-hypoxic drugs belong to an emerging class of regulators that can alleviate tumor hypoxia.
Methods
We investigate the potential use of a novel oxygen carrier YQ23 in sensitizing chemoresistant ESCC in a series of subcutaneous tumor xenograft models developed using ESCC cell lines with different strengths of chemosensitivities.
Results
Tumor xenografts were developed using SLMT-1 and HKESC-2 ESCC cell lines with different strengths of resistance to two chemotherapeutic drugs, 5-fluorouracil and cisplatin. More resistant SLMT-1 xenografts responded better to YQ23 treatment than HKESC-2, as reflected by the induced tumor oxygen level. YQ23 sensitized SLMT-1 xenografts toward 5-fluorouracil via its effect on reducing the level of a hypoxic marker HIF-1α. Furthermore, a derangement of tumor microvessel density and integrity was demonstrated with a concurrent decrease in the level of a tumor mesenchymal marker vimentin. Similar to the 5-fluorouracil sensitizing effect, YQ23 also enhanced the response of SLMT-1 xenografts toward cisplatin by reducing the tumor size and the number of animals with invasive tumors. Chemosensitive HKESC-2 xenografts were irresponsive to combined YQ23 and cisplatin treatment.
Conclusions
In all, YQ23 functions selectively on chemoresistant ESCC xenografts, which implicates its potential use as a chemosensitizing agent for ESCC patients.
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Acknowledgments
This study was financially supported by research and development service agreement with New B Innovation Limited, Hong Kong.
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Co-authors Fei Chuen Tzang, Heron Han, Ian P. Y. Lam, Sui Yi Kwok, Sze Hang Lau, Cornelia Man, and Bing L. Wong were under the employment of New B Innovation Limited when this study was performed. Other authors did not have any conflict of interest to declare.
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280_2015_2897_MOESM1_ESM.tif
Supplementary Figure 1: YQ23 demonstrates no obvious chemosensitizing effect towards cisplatin in cisplatin-sensitive HKESC-2 xenografts Treatment of cisplatin-sensitive HKESC-2 xenografts with cisplatin led to an obvious reduction in tumor size. However, such tumor reducing effect mediated by cisplatin (cisplatin) remained the same even after combined treatment with YQ23 (YQ23/cisplatin). This demonstrates YQ23 did not associate with any extra tumor-reducing effect on chemo-sensitive HKESC-2 xenografts (TIFF 793 kb).
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Lee, N.P., Chan, K.T., Choi, M.Y. et al. Oxygen carrier YQ23 can enhance the chemotherapeutic drug responses of chemoresistant esophageal tumor xenografts. Cancer Chemother Pharmacol 76, 1199–1207 (2015). https://doi.org/10.1007/s00280-015-2897-2
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DOI: https://doi.org/10.1007/s00280-015-2897-2