Abstract
Background. The objective was to determine if EM-652, a novel selective estrogen receptor modulator (SERM) having highly potent and pure antiestrogenic activity in the mammary gland could cause complete regression of the majority of human breast cancer xenografts in nude mice.
Methods. Human breast cancer ZR-75-1 xenografts were used as model in nude mice.
Results. EM-652 not only prevented estrogen-induced tumor growth but it reduced tumor size to 20% of the pretreatment value. Complete disappearance of the tumors was observed in 65% (106/163) of tumors. No tumor progressed. Most importantly, 93% of the tumors which had become undetectable under EM-652 treatment did not reappear when exposed to estrogen challenge for 12 weeks, thus achieving an overall 61% cure rate.
Conclusions. The present data demonstrate that EM-652 is strongly cytotoxic or tumorocidal and not only cytostatic or tumorostatic in estrogen-sensitive breast cancer, thus changing the paradigm of a tumorostatic role of estrogen blockade established with tamoxifen. These findings support the use of such a compound for more efficient breast cancer prevention and therapy.
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Schwartzman RA, Cidlowski JA: Apoptosis: the biochemistry and molecular biology of programmed cell death. Endocr Rev 14: 133–151, 1993
Cameron DA, Ritchie AA, Miller WR: The relative importance of proliferation and cell death in breast cancer growth and response to tamoxifen. Eur J Cancer 37: 1545–1553, 2001
Gottardis MM, Robinson SP, Satyaswaroop PG, Jordan VC: Contrasting actions of tamoxifen on endometrial and breast tumor growth in the athymic mouse. Cancer Res 48: 812–815, 1988
Gottardis MM, Jordan VC: Development of tamoxifenstimulated growth of MCF-7 tumors in athymic mice after long-term antiestrogen administration. Cancer Res 48: 5183–5187, 1988
Bardon S, Vignon F, Montcourrier P, Rochefort H: Steroid receptor-mediated cytotoxicity of an antiestrogen and an antiprogestin in breast cancer cells. Cancer Res 47: 1441–1448, 1987
Kyprianou N, English HF, Davidson NE, Isaacs JT: Programmed cell death during regression of the MCF-7 human breast cancer following estrogen ablation. Cancer Res 51: 162–166, 1991
Warri AM, Huovinen RL, Laine AM, Martikainen PM, Harkonen PL: Apoptosis in toremifene-induced growth inhibition of human breast cancer cells in vivo and in vitro. J Natl Cancer Inst 85: 1412–1418, 1993
Cameron AD, Ritchie AA, Langdon S, Anderson TJ, Miller WR: Tamoxifen-induced apoptosis in ZR-75-1 breast cancer xenografts antedates tumor regression. Breast Cancer Res Treat 45: 99–107, 1997
Diel P, Smolnikar K, Michna H: The pure antiestrogen ICI 182780 is more effective in the induction of apoptosis and down regulation of BCL-2 than tamoxifen in MCF-7 cells. Breast Cancer Res Treat 58: 87–97, 1999
Haeryfar SM, Nagy E, Baral E, Krepart G, Lotocki R, Berczi I: Antiestrogens affect both pathways of killer cell-mediated oncolysis. Anticancer Res 20: 1849–1854, 2000
Dowsett M, Bundred NJ, Decensi A, Sainsbury RC, Lu Y, Hills MJ, Cohen FJ, Veronesi P, O'Brien ME, Scott T, Muchmore DB: Effect of raloxifene on breast cancer cell Ki67 and apoptosis: a double-blind, placebo-controlled, randomized clinical trial in postmenopausal patients. Cancer Epidemiol Biomarkers Prev 10: 961–966, 2001
Perry RR, Kang Y, Greaves B: Effects of tamoxifen on growth and apoptosis of estrogen-dependent and-independent human breast cancer cells. Ann Surg Oncol 2: 238–245, 1995
Imai A, Tamaya T: GnRH receptor and apoptotic signaling. Vitam Horm 59: 1–33, 2000
Green S, Walter P, Kumar V, Krust V, Bornert JM, Argos P, Chambon P: Human oestrogen receptor cDNA: sequence, expression and homology to v-erb-A. Nature 320: 134–139, 1986
Gronemeyer H, Benhamou B, Berry M, Bocquel MT, Gofflo D, Garcia T, Lerouge T, Metzger D, Meyer ME, Tora L, Vergezac A, Chambon P: Mechanisms of antihormone action. J Steroid Biochem Mol Biol, 41: 217–221, 1992
Clarke R, Leonessa F, Welch JN, Skaar TC: Cellular and molecular pharmacology of antiestrogen action and resistance. Pharmacol Rev 53: 25–71, 2001
Gottardis M, Jiang S, Jeng M, Jordan V: Inhibition of tamoxifen-stimulated growth of an MCF-7 tumor variant in athymic mice by novel steroidal antiestrogens. Cancer Res 49: 4090–4093, 1989
Osborne CK, Coronado Heinsohn EB, Hilsenbeck SG, McCue BL, Wakeling AE, McClelland RA, Manning DL, Nicholson RI: Comparison of the effects of a pure steroidal antiestrogen with those of tamoxifen in a model of human breast cancer. J Natl Cancer Inst 87: 746–750, 1995
Couillard S, Labrie C, Bélanger A, Candas B, Pouliot F, Labrie F: Effect of dehydroepiandrosterone and the antiestrogen EM-800 on the growth of human ZR-75-1 breast cancer xenografts. J Natl Cancer Inst 90: 772–778, 1998
Labrie C, Martel C, Dufour JM, Lévesque C, Mérand Y, Labrie F: Novel compounds inhibit estrogen formation and action. Cancer Res 52: 610–615, 1992
Wakeling AE: The future of new pure antiestrogens in clinical breast cancer. Breast Cancer Res Treat 25: 1–9, 1993
Gradishar WJ, Jordan VC: Clinical potential of new antiestrogens. J Clin Oncol 15: 840–852, 1997
Tremblay GB, Tremblay A, Copeland NG, Gilbert DJ, Jenkins NA, Labrie F, Giguere V: Cloning, chromosomal localization and functional analysis of the murine estrogen receptor β. Mol Endocrinol 11: 353–365, 1997
Tremblay A, Tremblay GB, Labrie C, Labrie F, Giguère V: EM-800, a novel antiestrogen, acts as a pure antagonist of the transcriptional functions of estrogen receptors α and β. Endocrinology 139: 111–118, 1998
Labrie F, Labrie C, Bélanger A, Simard J, Gauthier S, Luu-The V, Mérand Y, Giguère V, Candas B, Luo S, Martel C, Singh SM, Fournier M, Coquet A, Richard V, Charbonneau R, Charpenet G, Tremblay A, Tremblay G, Cusan L, Veilleux R, EM-652 (SCH 57068), a third generation SERM acting as pure antiestrogen in the mammary gland and endometrium. J Steroid Biochem Mol Biol 69: 51–84, 1999
Martel C, Provencher L, Li X, St-Pierre A, Leblanc G, Gauthier S, Mérand Y, Labrie F: Binding characteristics of novel nonsteroidal antiestrogens to the rat uterine estrogen receptors. J Steroid Biochem Mol Biol 64: 199–205, 1998
Labrie F, Labrie C, Bélanger A, Simard J, Giguère V, Tremblay A, Tremblay G: EM-652 (SCH 57068), a pure SERM having complete antiestrogenic activity in the mammary gland and endometrium. J Steroid Biochem Mol Biol 79: 213–225, 2001
Gauthier S, Caron B, Cloutier J, Dory YL, Favre A, Larouche D, Mailhot J, Ouellet C, Schwerdtfeger A, Leblanc G, Martel C, Simard J, Mérand Y, Bélanger A, Labrie C, Labrie F: (S)-(+)-4-[7-(2,2-dimethyl-1-oxopropoxy)-4-methyl-2-[4-[2-(1-piperidinyl)-ethoxy]phenyl]-2H-1-benzopyran-3-yl]-phenyl 2,2-dimethylpropanoate (EM-800): a highly potent, specific, and orally active nonsteroidal antiestrogen. J Med Chem 40: 2117–2122, 1997
Gutman M, Couillard S, Roy J, Labrie F, Candas B, Labrie C: Comparison of the effects of EM-652 (SCH 57068), Tamoxifen, toremifene, droloxifene, idoxifene, GW-5638 and Raloxifene on the growth of human ZR-75-1 breast tumors in nude mice. Int J Cancer 99: 273–278, 2002
Morrow M, Jordan VC: Molecular mechanisms of resistance to tamoxifen therapy in breast cancer. Arch Surg 128: 1187–1191, 1993
Labrie F, Candas B, Gomez JL, Cusan L: Can combined androgen blockade provide long-term control or possible cure of localized prostate cancer? Urology 60: 115–119, 2002
Simard J, Labrie C, Bélanger A, Gauthier S, Singh SM, Mérand Y, Labrie F: Characterization of the effects of the novel non-steroidal antiestrogen EM-800 on basal and estrogen-induced proliferation of T-47D, ZR-75-1 and MCF-7 human breast cancer cells in vitro. Int J Cancer 73: 104–112, 1997
Couillard S, Gutman M, Labrie F, Candas B, Labrie C: Effect of the combined treatment with the pure antiestrogen EM-800 and radiotherapy on the growth of human ZR-75-1 breast cancer xenografts in nude mice. Cancer Res 59: 4857–4863, 1999
Gutman M, Couillard S, Labrie F, Candas B, Labrie C: Effects of the antiestrogen EM-800 (SCH 57050) and cyclophosphamide alone and in combination on growth of human ZR-75-1 breast cancer xenografts in nude mice. Cancer Res 59: 5176–5180, 1999
Dowsett M, Dixon JM, Horgan K, Salter J, Hills M, Harvey E: Antiproliferative effects of idoxifene in a placebo-controlled trial in primary human breast cancer. Clin Cancer Res 6: 2260–2267, 2000
Couillard S, Gutman M, Labrie C, Bélanger A, Candas B, Labrie F: Comparison of the effects of the antiestrogens EM-800 and Tamoxifen on the growth of human breast ZR-75-1 cancer xenografts in nude mice. Cancer Res 58: 60–64, 1998
Simard J, Sanchez R, Poirier D, Gauthier S, Singh SM, Mérand Y, Bélanger A, Labrie C, Labrie F: Blockade of the stimulatory effect of estrogens, OH-Tamoxifen, OHToremifene, Droloxifene and Raloxifene on alkaline phosphatase activity by the antiestrogen EM-800 in human endometrial adenocarcinoma Ishikawa cells. Cancer Res 57: 3494–3497, 1997
Martel C, Picard S, Richard V, Bélanger A, Labrie C, Labrie F: Prevention of bone loss by EM-800 and raloxifene in the ovariectomized rat. J Steroid Biochem Mol Biol 74: 45–56, 2000
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Roy, J., Couillard, S., Gutman, M. et al. A Novel Pure SERM Achieves Complete Regression of the Majority of Human Breast Cancer Tumors in Nude Mice. Breast Cancer Res Treat 81, 223–229 (2003). https://doi.org/10.1023/A:1026118602273
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DOI: https://doi.org/10.1023/A:1026118602273