Cancer Hospital Affiliated to Shenzhen first hospital,Shenzhen Guangdong 518000,China
【Abstract】Aim:Evaluation of the antitumor activity of the new drug Dekoglitz in animals with tumor strains of Sarcoma 45 in comparison with the drug dekocin,from which it was obtained,as well as with 5-fluorouracil and etoposide,and on ovarian tumors(OT)in comparison with the drug de-kocin and identification of the effect of Dekoglitz on NA synthesis and internucleosomal DNA degradation.Methods:The study of preparations was carried out on 68 outbred rats with transplanted C-45 and OT tumors.The alkylating effect of the drugs was studied on cells tumor of Sarcoma 180.Results:The antitumor activity of dekoglitz on Sarcoma 45 was high,about 98/96%,with a remission rate of 80%.Its effect was 28-24%higher than that of dekocin.On OT,the effect of decoglitz with intraperi-toneal administration reached 89/76%with a remission rate of 40%,with oral administration 96/86%with a remission rate of 60%.Conclusion:The study of the new drug Dekoglitz on animals with a tumor of Sarcoma 45 revealed its higher activity(by 20-27%)in comparison with the orig-inal Dekocin,5-fluorouracil and etoposide with a lower level of side ef-fects.On OT,the effect of Dekoglitz was 35-40%higher,especially after oral administration.Apparently,the great ability to suppress the synthesis of NA and carry out internucleosomal degradation and fragmentation of tumor DNA by the new drugs dekoglitz explains its antitumor efficacy,which is greater than that ofDekocin(K-18)in experiments on tumors.
【Keywords】Dekocin;Decoglitz;Animal tumors;DNA/RNA
1.Introduction
The pronounced general toxic effect of a large number of used cytostatics,rapidly developing resistance,and the lack of sensitivity of a number of tumors to existing drugs dictate the need to create new anticancer drugs.
The use of medicinal preparations based on licorice root has been around for several millennia.The main active ingredient in licorice root is the triterpenoid glycyr-rhizic acid(GA).GA as a solubilizer of many water-in-soluble organic substances is used to create low-dose,low-toxic drugs[1].
For example,practically insoluble in water,gossypol and its derivatives,hydrocortisone,prednisolone,kra-cil,nistatine and other drugs in combination with the monoammonium salt of glycyrrhizic acid(MASGA)pass into aqueous solutions[2,3].All these positive properties of GA and its derivatives are associated with its ability to form supramolecular complexes,which in aqueous solu-tions have very low critical micelle concentration values.All researchers note the very low toxicity of preparations with GA,MASGK and their derivatives,created on their basis.In addition to the above properties,GA and its derivatives exhibit a pronounced anti-inflammatory,anal-gesic effect,anti-edema,hypotensive,virus-neutralizing effect,improves tissue regeneration both in the early man-ifestations of a viral disease and in ulcerative forms.
However,GA was not used for combination with an-ticancer drugs.We are developing new promising sub-stances based on tropolone alkaloidиs,of which dekocin,a derivative of the alkaloid colchicine,revealed activity in animal studies with 10 tumor strains,which was the highest(above 80%)on Sarcoma S 180,RShM-5(cervi-cal cancer)and AKATOL[4],which allowed this drug to be proposed for clinical trials.The obtained clinical data of the antitumor drug dekocin indicate a high sensitivity of skin cancer to 3-4%dekocin ointment,which was also effective in combination with radiation[5,6].However,dekocin is insoluble in water,which complicates both its parenteral administration and bioavailability.In this re-gard,we used the method of molecular encapsulation of the drug dekocin with glycyrrhizic acid(HA),which has effective solubilizing properties.A new water-soluble su-pramolecular complex of Dekocin and HA was obtained,which differs in physicochemical parameters from the original Dekocin,as well as a 2.6-fold decrease in toxici-ty,which is named Dekoglitz.
The aim of this work was to study the antitumor activ-ity of a new colchicine derivative Dekoglitz in animals with tumor strains of Sarcoma 45 and ovarian tumor(OT)
in comparison with the effect of decocin,5-fluorouracil and etoposide,as well as to study the effect of Decoglitz on DNA/RNA synthesis and internucleosomal tumor deg-radation in comparison with the effect of dekocin(К-18)and etoposide.
2.Methods
2.1 Tumoral Strains
Transplantable tumors,murine sarcoma 180,and two strains of rat sarcoma 45 and ovarian tumors(OT)were used in the work.Strain Sarcoma 180 was purchased from the Tumor Strains Collection Bank(Institute of Carcino-genesis,N.N.Blokhin Russian Cancer Research Center,Russian Academy of Medical Sciences)Moscow,Russia.The strains of Sarcoma 45 and ovarian tumors(OT)were purchased from the Tumor Strains Collection Bank(Insti-tute of Oncology of Kazakhstan).The tumor strains were passaged to the strain protocol.
2.2 Antitumor Drugs
The following drugs were used in the work:etoposide(Etoposide phosphate,Bristol-Myers Squibb);5-fluoro-uracil(Getwell Pharm acutikals,India);the K-18(Deko-cin)and its derivative Dekoglitz(tropolone alkaloids,col-chicine derivatives)developed by Prof.,Z.M.Enikeeva at the Republican Specialized Scientific Practical Medical Center of Oncology and Radiology of the Ministry of Health of the Republic of Uzbekistan(RSNPMTSO&R MH RUz).
2.3 Animals
In the experiment white outbred,mice weighing 18-20 g(60 inpiduals)and rats weighing 90-140 g(68 indi-viduals)were used.The animals were kept on a standard diet under natural lighting conditions and had free access to water and food in the vivarium at the RSNPMTSO&R MH RUz.
At the end of the experiment,all rats and mice were euthanized under ether anesthesia,in accordance with the International Rules for the Protection of Vertebrates.All experiments were performed in accordance with the recom-mendations and requirements of the“World Society for the Protection ofAnimals(WSPA)”and“European Convention for the Protection of Experimental”(Strasbourg,1986).
2.3.1 Investigation Antitumor Activity of Drugs
Tumor subinoculation was carried out according to gen-erally accepted methods:tumors of Sarcoma 45 and OT were inoculated subcutaneously with a suspension of tumor cells,30-60 mg in 0.3-0.5 ml of nutrient medium per rat[7].Treatment of animals began 4 days after tumor implan-tation,drugs were injected in all groups 10 times,and all experimental groups were injected with drugs in a volume of 0.3 ml per 100 g rat.The animals were slaughtered on the 19-21st day after tumor implantation,the animals were sacrificed using humane methods of working with laborato-ry animals.Before the introduction and at the end ofthe ex-periment,the body weight of the animals was determined.
During the experiment,in order to study the dynam-ics of tumor growth,the volumes of tumors through the skin of animals were measured in the treated and control groups of mice(in 3 projections)at the beginning of the experiment,every 5 days after the start of treatment,and before slaughter.At the end of the experiment,the effica-cy in sacrificed mice was determined by the volume(V)of the extracted tumor tissue,as well as by the tumor mass in the compared groups.Tumor growth inhibition was cal-culated using the formulas[7].The tolerability of the treat-ment was judged by the death of the mice;for an indirect assessment of the possible hematotoxicity in the sacrificed mice,the spleen weight was determined.
2.3.2 Alkylating Action
The effect of drugs on the synthesis of DNA and RNA was studied on Sarcoma 180 tumor cells in vitro.A cell suspension from tumor tissue was obtained according to the method[8].Cells with a titer of 10,000 were cultured in medium(RPMI-1640 containing 5%fetal bovine serum(FBS),2mM L-glutamine,10U/ml penicillin and 100mcg/ml streptomycin),with the absence and presence of ther-apeutic(TD)investigational drugs,for 24 hours at 370C in an atmosphere of 5%CO2.
2.3.3 Isolation of DNA/RNA
DNA/RNA preparations from Sarcoma 180 cells were isolated by two methods,a)phenol-chloroform method[9]and according to the protocol of the kit-kit“DNA-sorb-B”(InterLabService),Russia.The DNA/RNA concentration was determined by adsorption at a wavelength of 260 nm on an SF-26 spectrophotometer(Russia).
For the analysis of internucleosomal DNA degradation,total DNA/RNA preparations were treated with the RNase A enzyme according by method[9].DNA/RNA electro-phoresis was analyzed in 1.5%agarose gel for 4 h,60V according to the method[9].
Statistical processing was performed using Statistica,version 6.0.The level of statistical significance was taken as p<0.05.
Table 1.Antitumor activity of the drug Dekoglitz in comparison with Dekocin,5-FU and Etoposide in rats with tumor Sarcoma 45
(Treatment with drugs was carried out on the 4th day after tumor implantation.The slaughter was carried out on the 21st day)
Groupsofanimals | Numberofanimals beforeand aftertreatment | Themassofanimals (gr) | Tumorvolume,(cm3) | ||||
before | after | before | after | 5thday | 12thday | after | |
Control | 8 | 6 | 131.0±9.3 | 121.3±9.0 | 0.3±0.04 | 2.1±0.5 | 2.7±0.8 |
Decoglitz 20 mg/kg | 6 | 6 | 102.0±5.8 | 97.0±6.0 | 0.2±0.1 | 0.2±0.1 | 0.04±0.01* |
Dekocin15 mg/kg | 6 | 6 | 132.0±17 | 124.0±14.4 | 0.1±0.02 | 0.5±0.13 | 0.8±0.07* |
5-FU 15 mg/kg | 6 | 0 | 109.0±4.4 | - | 0.1±0.05 | 0.48±0.08 | - |
Etoposide 8 mg/kg | 6 | 4 | 114.0±9.0 | 106.0±8.0 | 0.2±0.1 | 0.7±0.16 | 0.6±0.16 |
Table 1.Continued.
Groupsofanimals | Weighttumors(gr)WeightSpleen(mg) | %inhibitionoftumorgrowth | |||
byvolume | bymass | %regression | |||
Control | 2.5±1.1 | 0.5±0.03 | |||
Decoglitz 20 mg/kg | 0.04±0.01 | 0.6±0.04 | 98 | 96 | 80 |
Dekocin 15 mg/kg | 0.7±0.07* | 0.4±0.03 | 70 | 72 | 0 |
5-FU 15 mg/kg | -- | 77 | - | 0 | |
Etoposide 8 mg/kg | 0.6±0.06* | 0.3±0.02 | 78 | 76 | 0 |
Table 2.Antitumor activity of the drug Dekoglitz in comparison with Dekocin in rats with ovarian tumor
(Treatment with drugs was carried out on the 4th day after tumor implantation.10 injections of substances.The slaughter was carried out on the 19th day)
Groups ofanimals |
beforetreatmentaftertreatment | Tumorvolume(cm3) | Weight tumors (gr) | Weight spleen (mg) | %inhibitionof tumorgrowth | ||||
for8thday | for10thday | byvolume | by% massregression | ||||||
Control | 160±10.6 | 162±10.2 | 1.7±0.5 2.8±0.5 | 2.5±0,6 | 0.9±0.07 | ||||
Dekocin, 15 g/kg | 97±1.3 | 118±0.02 | 0.2±0.02 1.3±0.1* | 1.4±0.4* | 0.8±0.1 | 54 | 44 | ||
Decoglitz | |||||||||
20 mg/kg,(intra-peritoneal) | 119±4.6 | 135±7.0 | 0.7±0.1 0.3±0.02* | 0.6±0.1* | 0.8±0.07 | 89 | 76 40 | ||
Decoglitz | |||||||||
40 mg/kg, (orally) | 110±3.2 | 139±5.7 | 0.6±0.1 0.1±0.01* | 0.1±0.03* | 0.8±0.1 | 96 | 86 60 | ||
Note:in the treatment groups n=6,in the control n=6;*differences are statistically significant in comparison with control at P<0.05.
3.Results
3.1 Study of Antitumor Activity,in vivo
The study of the antitumor activity of the drugs on the Sarcoma 45 strain began 4 days after tumor subinocula-tion the drugs were injected 10 times.The slaughter was carried out on day 21.In the control group,there was a mortality of 25%,in the experimental groups with the use of dekoglits and dekocin,there was no death of animals,in the group with 5-fluorouracil all animals died after 10-fold administration,in the group with etoposide,30%of the animals died.
In group 2,the drug Dekoglitz showed high antitumor activity in 98/96%,80%of regressed tumors were ob-served,while the drug caused a slight decrease in body weight(by 5%)and an increase in the spleen by 20%(Ta-ble 1).
In group 3,the antitumor effect of the drug dekocin was less high-70/72%,the drug caused a slight decrease in body weight(by 6%)and spleen(by 20%).
In group 4,the drug 5-fluorouracil at a dose of 15 mg/kg caused the death of all animals on day 15 after inoc-ulation and its antitumor effect could be assessed on day 12 when measuring the volume of tumors in 2 animals,which was in relation to the control for this day is 76%,however,due to the death of animals,it was impossible to assess the effect of the drug on body weight and spleen.
In the 5th group,the antitumor effect of the drug etopo-side was 78/76%,the drug caused a slight decrease in body weight(by 7%)and a more pronounced decrease in the spleen weight(by 40%).
Thus,the new drug Dekoglitz showed the highest ac-tivity,both in comparison with dekocin,from which it was obtained,and known cytostatics,moreover,its effect was higher than the comparison drugs by 20-28%,and there was no such side effect as the effect on the spleen.It should be noted that Dekoglitz was studied at a dose that in relation to LD50 was significantly lower than that of de-kocin,i.e.for GA and MASGK derivatives,it was noted[10]that their activity manifests itself in doses 2-4 times less than the maximum tolerated.
The study of the antitumor activity of the drugs on the Ovarian Tumor(OT)strain began 4 days after tumor transplantation the drugs were injected 10 times.There was no death of animals during the experiment.The slaughter was carried out on the 19th day.
In group 2,the drug dekocin was 54/44%active,while the drug caused a slight decrease in body spleen weight(by 11%)and an increase in body weight by 21%(Table 2).
In group 3,the antitumor effect of the drug Dekoglitz at a dose of 20 mg/kg with intraperitoneal injection was less high-89/76%than when exposed to Sarcoma 45,but caused tumor regression in 40%of animals.The drug caused a slight decrease in the spleen(by 11%),body weight was 13%more than the initial one.
In the 4th group,the drug Dekoglitz at a dose of 40 mg/kg with oral administration had a higher antitumor effect 96/86%,while it caused tumor regression in 60%of ani-mals,the drug had side effects only in a slight decrease in the spleen(by 11%),body weight was 26%more than the initial one.
3.2 Study of the Mechanism of Action,in vitro
The high antitumor activity of the drug Dekoglitz,as well as its further study as a cytostatic,involves the study of such aspects of its mechanism of action as alkylating,the influence on DNA/RNA synthesis,internucleosomal DNA degradation,and topoisomerase II activity.The ef-fect of K-18 and Decoglitz on DNA and RNA synthesis was investigated in sarcoma 180 cells in vitro in com-parison with etoposide,which is a known inhibitor of to-poisomerase I/II.
Figure 1 shows the results of DNA/RNA electrophore-sis of tumor cells cultured in the absence of preparations(lanes 1,2)and using etoposide,K-18 and Dekoglitz(re-spectively,lanes 4-6).
Figure 1.Influence of preparations on native DNA,nucle-osoma degradation of DNA and activity topoisomerase II tumor cells of the Sarcoma 180,in vitro
Lanes 1 and 2 native DNA/RNA of Sarcoma 180(not treated with RNase A).Lanes 3-4,aliquots of DNA treat-ed with RNase.Lane 3 control,without the using of cyto-statics,Lane 4 Etoposide,Lane 5 K-18(Dekocin),Lane 6 Dekoglitz.Electrophoresis carries out in to 1.5%ТАЕagarose gel,4h,and 60V and visualized by UV transillu-minator after staining with ethidium bromide.
In aliquots of DNA/RNA not treated with the enzyme RNase,the electrophoregram shows a high native of nu-clear DNA and RNA molecules(Figure 1,lanes 1,2).In aliquots of DNA/RNA treated with the enzyme RNase,the electrophoregram shows DNA degradation in the form of a plume(Figure 1,lanes 4-6).
The results of the electrophoresis showed:Etoposide,K-18,and Dekoglitz contributed to internucleosomal DNA degradation by:75.7±3.3,86.7±3.7,and 94.5±1.7,respectively.Also,according to the pattern of DNA fragmentation,electrophoregram,Etoposide,K-18,and Dekoglitz inhibited topoisomerase II activity by 57.6±2.7,64.6±2.3,and 79.6±3.0,respectively(Figure 1,Table 3).
Regarding the effect of the three drugs on topoisomer-ase II(TOPO-II)of Sarcoma 180 tumor cells,the activity of this enzyme was determined visually by the pattern of electrophoresis of fragmented DNA in a gel.Etoposide,K-18,and Dekoglitz inhibited TOPO II activity by 57.6±2.7,64.6±2.3,and 79.6±3.0,respectively(Figure 1,Table 3).
The results,the effect of the studied drugs on the syn-thesis of DNA/RNA showed:a)Etoposide,K-18 and Dekoglitz inhibited DNA synthesis by 64.9±2.7,85.6±2.3,95.7±3.7,respectively;b)Etoposide,K-18,and De-koglitz inhibited RNA synthesis by 30.0±3.0,60.5±1.7,65.9±2.7,respectively(Table 3).
Table 3.Influence of antineoplastic preparations on syn-thesis DNA/RNA,TOPO II activity and DNA nucleosoma degradation of cells of the Sarcoma 180 tumor,in vitro
Antitumor preparations (TD) | DNAnucleosoma degradation,in % | Inhibition | ||
ActivityТОРО-II in% | DNAsynthe-sisin% | RNAsynthe-sisin% | ||
Control | 0±0 | 0±0 0±0 | 0±0 | |
Etoposide 8 mkg/ml | 75.7±3.3 | 57.6±2.7 64.9±2.7 | 30.0±3.0 | |
K-18 15 mkg/ml | 86.7±3.7 | 64.6±2.3 85.6±2.3 | 60.5±1.7 | |
Decoglitz 20 mkg/ml | 94.5±1.7 | 79.6±3.0 95.7±3.7 | 65.9±2.7 |
Thus,the results of this experiment showed a high al-kylating activity of Decoglitz to targets DNA/RNA and its inhibitory effect on topoisomerase II,resulting in DNA fragmentation,and then cell apoptosis.
4.Conclusion
The study of the new drug Dekoglitz on animals with a tumor of Sarcoma 45 revealed a very high activity with 80%tumor regression,which was 20-27%more than the original Dekocin,5-fluorouracil and etoposide with a low-er level of side effects.Dekoglitz also had a high effect on OT tumor when administered intraperitoneal,which was 30-40%higher than the effect of Dekocin(40%of tumors regressed),however,Dekoglitz showed an even higher activity after oral administration,where 60%of tumors regressed.
This Dekoglitz effect is confirmed by a more intense effect on the synthesis of DNA and RNA of tumor cells.Apparently,the great ability to suppress the synthesis of NA and the activity of topoisomerase II and to carry out in-ternucleosomal degradation of tumor DNA by the new drug Dekoglitz explains its antitumor efficacy,which is greater than that ofDekocin(K-18)in experiments on tumors.
Acknowledgement
This work is executed at financial support of fund of applied researches of Republic Uzbekistan(the project№FV 2020196206).
Conflict of Interest
The authors declare no conflict of interest.
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