Anti-Neoplastic Cytotoxicity of Gemcitabine-(C4-amide)-[anti-EGFR] in Dual-combination with Epirubicin-(C3-amide)-[anti-HER2/neu] against Chemotherapeutic-Resistant Mammary Adenocarcinoma (SKBr-3) and the Complementary Effect of Mebendazole.

C P Coyne, Toni Jones, Ryan Bear
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Abstract

Aims: Delineate the feasibility of simultaneous, dual selective "targeted" chemotherapeutic delivery and determine if this molecular strategy can promote higher levels anti-neoplastic cytotoxicity than if only one covalent immunochemotherapeutic is selectively "targeted" for delivery at a single membrane associated receptor over-expressed by chemotherapeutic-resistant mammary adenocarcinoma.

Methodology: Gemcitabine and epirubicin were covalently bond to anti-EGFR and anti-HER2/neu utilizing a rapid multi-phase synthetic organic chemistry reaction scheme. Determination that 96% or greater gemcitabine or epirubicin content was covalently bond to immunoglobulin fractions following size separation by micro-scale column chromatography was established by methanol precipitation analysis. Residual binding-avidity of gemcitabine-(C4-amide)-[anti-EG-FR] applied in dual-combination with epirubicin-(C3-amide)-[anti-HER2/neu] was determined by cell-ELIZA utilizing chemotherapeutic-resistant mammary adenocarcinoma (SKBr-3) populations. Lack of fragmentation or polymerization was validated by SDS-PAGE/immunodetection/chemiluminescent autoradiography. Anti-neoplastic cytotoxic potency was determined by vitality stain analysis of chemotherapeutic-resistant mammary adenocarcinoma (SKBr-3) monolayers known to uniquely over-express EGFR (2 × 105/cell) and HER2/neu (1 × 106/cell) receptor complexes. The covalent immunochemotherapeutics gemcitabine-(C4-amide)-[anti-EGFR] and epirubicin-(C3-amide)-[anti-HER2/neu] were applied simultaneously in dual-combination to determine their capacity to collectively evoke elevated levels of anti-neoplastic cytotoxicity. Lastly, the tubulin/microtubule inhibitor mebendazole evaluated to determine if it's potential to complemented the anti-neoplastic cytotoxic properties of gemcitabine-(C4-amide)-[anti-EGFR] in dual-combination with epirubicin-(C3-amide)-[anti-HER2/neu].

Results: Dual-combination of gemcitabine-(C4-amide)-[anti-EGFR] with epirubicin-(C3-amide)-[anti-HER2/neu] produced greater levels of anti-neoplastic cytotoxicity than either of the covalent immunochemotherapeutics alone. The benzimidazole microtubule/tubulin inhibitor, mebendazole complemented the anti-neoplastic cytotoxicity of gemcitabine-(C4-amide)-[anti-EGFR] in dual-combination with epirubicin-(C3-amide)-[anti-HER2/neu].

Conclusions: The dual-combination of gemcitabine-(C4-amide)-[anti-EGFR] with epirubicin-(C3-amide)-[anti-HER2/neu] produced higher levels of selectively "targeted" anti-neoplastic cytotoxicity against chemotherapeutic-resistant mammary adenocarcinoma (SKBr-3) than either covalent immunochemotherapeutic alone. The benzimidazole tubulin/microtubule inhibitor, mebendazole also possessed anti-neoplastic cytotoxicity against chemotherapeutic-resistant mammary adenocarcinoma (SKBr-3) and complemented the potency and efficacy of gemcitabine-(C4-amide)-[anti-EGFR] in dual-combination with epirubicin-(C3-amide)-[anti-HER2/neu].

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吉西他滨-(C4-酰胺)-[抗EGFR]与表柔比星-(C3-酰胺)-[抗HER2/neu]双重组合对化疗耐药乳腺腺癌(SKBr-3)的抗肿瘤细胞毒性及甲苯咪唑的辅助作用
目的:探讨同时、双重选择性 "靶向 "递送化疗药物的可行性,并确定与只选择性地 "靶向 "一种共价免疫疗法相比,这种分子策略是否能提高抗肿瘤细胞毒性:方法:利用快速多相合成有机化学反应方案,将吉西他滨和表柔比星与抗表皮生长因子受体(anti-EGFR)和抗甲状腺素受体(anti-HER2/neu)共价结合。通过甲醇沉淀分析确定,在微尺度柱层析法进行尺寸分离后,96% 或更高含量的吉西他滨或表柔比星与免疫球蛋白馏分共价结合。利用化疗耐药乳腺腺癌(SKBr-3)细胞ELIZA测定了吉西他滨-(C4-酰胺)-[抗EG-FR]与表柔比星-(C3-酰胺)-[抗HER2/neu]双重结合的残余结合活性。通过 SDS-PAGE/免疫检测/化学发光自显影验证了其不存在碎裂或聚合现象。通过对化疗耐药乳腺腺癌(SKBr-3)单层细胞进行活力染色分析,确定了其抗新生物细胞毒性的效力,已知这些单层细胞独特地过度表达表皮生长因子受体(2×105/细胞)和HER2/neu(1×106/细胞)受体复合物。共价免疫疗法吉西他滨-(C4-酰胺)-[抗表皮生长因子受体]和表柔比星-(C3-酰胺)-[抗 HER2/neu]以双重组合方式同时应用,以确定它们共同唤起更高水平的抗肿瘤细胞毒性的能力。最后,对微管蛋白/微管抑制剂甲苯咪唑进行了评估,以确定它是否有潜力补充吉西他滨-(C4-酰胺)-[抗EGFR]与表柔比星-(C3-酰胺)-[抗HER2/neu]双重组合的抗肿瘤细胞毒性特性:结果:吉西他滨-(C4-酰胺)-[抗EGFR]与表柔比星-(C3-酰胺)-[抗HER2/neu]双重组合产生的抗肿瘤细胞毒性水平高于单独使用其中一种共价免疫化学治疗药物。苯并咪唑类微管/管蛋白抑制剂甲苯咪唑可补充吉西他滨-(C4-酰胺)-[抗EGFR]与表柔比星-(C3-酰胺)-[抗HER2/neu]双重组合的抗肿瘤细胞毒性:结论:吉西他滨-(C4-酰胺)-[抗 EGFR]与表柔比星-(C3-酰胺)-[抗 HER2/neu]的双重组合对具有化疗耐药性的乳腺腺癌(SKBr-3)产生的选择性 "靶向 "抗肿瘤细胞毒性高于单独使用其中一种共价免疫疗法。苯并咪唑类小管蛋白/微管抑制剂甲苯咪唑也对耐化疗的乳腺腺癌(SKBr-3)具有抗肿瘤细胞毒性,并补充了吉西他滨-(C4-酰胺)-[抗EGFR]与表柔比星-(C3-酰胺)-[抗HER2/neu]双重组合的效力和疗效。
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