Preclinical validation of AR42, a novel histone deacetylase inhibitor, as treatment for vestibular schwannomas

新型组蛋白去乙酰化酶抑制剂 AR42 治疗前庭神经鞘瘤的临床前验证

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作者:Abraham Jacob, Janet Oblinger, Matthew L Bush, Victoria Brendel, Griffin Santarelli, Abhik R Chaudhury, Samuel Kulp, Krista M D La Perle, Ching-Shih Chen, Long-Sheng Chang, D Bradley Welling

Conclusions

AR42 suppresses schwannoma growth at doses correlating with AKT pathway inhibition. This orally bioavailable drug penetrates the BBB, is well tolerated, and represents a novel candidate for translation to human VS clinical trials.

Methods

AR42 was dosed orally in murine schwannoma allografts and human VS xenografts. Magnetic resonance imaging was used to quantify changes in tumor volume, and intracellular molecular targets were analyzed using immunohistochemistry. BBB penetration was assayed, and both blood-chemistry measurements and histology studies were used to evaluate toxicity.

Results

Growth of schwannoma implants was dramatically decreased by AR42 at doses correlating with AKT dephosphorylation, cell cycle arrest, and apoptosis. AR42 penetrated the BBB, and wild-type mice fed AR42 for 6 months behaved normally and gained weight appropriately. Blood-chemistry studies and organ histology performed after 3 and 6 months of AR42 treatment demonstrated no clinically significant abnormalities. Conclusions: AR42 suppresses schwannoma growth at doses correlating with AKT pathway inhibition. This orally bioavailable drug penetrates the BBB, is well tolerated, and represents a novel candidate for translation to human VS clinical trials.

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