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[Cancer Research 62, 6108-6115, November 1, 2002]
© 2002 American Association for Cancer Research


Experimental Therapeutics

MS-27-275, an Inhibitor of Histone Deacetylase, Has Marked in Vitro and in Vivo Antitumor Activity against Pediatric Solid Tumors

Jerry Jaboin1,2, Jason Wild1, Habib Hamidi1, Chand Khanna, Chong Jai Kim, Robert Robey, Susan E. Bates and Carol J. Thiele3

Cell and Molecular Biology Section, Pediatric Oncology Branch [J. J., J. W., H. H., C. K., C. J. T.] and the Experimental Therapeutics Branch [R. R., S. E. B.], Center for Cancer Research, National Cancer Institute, Bethesda, Maryland 20892, and Department of Pathology, Seoul National University of Medicine, Seoul, Korea 100-799 [C. J. K.]


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The antitumor efficacy of the synthetic benzamide derivative MS-27-275 (MS-275), an inhibitor of histone deacetylation [T. Suzuki et al., J. Med. Chem., 42: 3001–3003, 1999], was evaluated in a series of pediatric solid tumor cell lines, including neuroblastoma, rhabdomyosarcoma, Ewing’s sarcoma (EWS), retinoblastoma, medulloblastoma, undifferentiated sarcoma (US), osteosarcoma, and malignant rhabdoid tumors. Treatment with MS-275 results in an increase in acetylation of histones within 4 h of drug exposure. The cell lines were treated with various concentrations of MS-275 for 3 days and incubated with [3H]thymidine for 20 h before cell harvest. MS-275 inhibited [3H]thymidine uptake in a dose-dependent manner in all tumor cell lines examined. The IC50 ranged from 50 nm in the D283 medulloblastoma cell line to 1.3 µM in the US. A common feature of MS-275 treatment of pediatric tumor cell lines was induction of p21mRNA. However, the effects on cell cycle were diverse because in some cases MS-275 induced an increase in G1 or G2, whereas in others, there was an induction of apoptosis. In EWS, the EWS/fli chimeric transcription factor created by the t(11;22) suppresses transforming growth factor (TGF) ßRII transcription, however, MS-275 was able to induce an increase in TGF-ßRII mRNA and restore TGF-ß signaling. Using xenograft orthotopic models of US, EWS, and neuroblastoma, we find that the growth of established tumors is inhibited in mice treated with MS-275.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The genesis of a number of pediatric solid tumors is influenced by alterations in transcription factors. These include amplification of N-myc in NB4 (1) , deletions of the RB gene in retinoblastoma (2) and the WT1 gene in Wilms’ tumor (3) , and the generation of chimeric transcription factors EWS/FLI in the EWS family of tumors (4) and PAX/Forkhead in alveolar RH (5) . Tumor-associated alterations in transcription factor pools may lead to misregulation of genes important in normal growth and development (6) . Chimeric transcription factors may cause transcriptional repression of growth regulatory target genes by the aberrant recruitment of transcriptional corepressors and their associated HDAC activity (7, 8, 9) . In human acute promyelocytic leukemia, chimeric transcription factors involving retinoic acid receptor (PML-RAR{alpha} and PLZF-RAR{alpha}) have been found to repress transcription of target genes such as the RARß gene. Transcriptional corepressor complexes contain HDAC activity and transcriptional coactivator complexes contain histone acetyltransferase activity. Recent studies indicate that HDAC inhibitors such as trichostatin A or NaBu are able to relieve the transcriptional repression caused by the chimeric transcription factors PML-RARa and PLZF-RARa (8 , 9) . HDAC inhibitors alone or in combination with retinoids have been shown to induce leukemia remission and prolonged survival in an animal model of acute promyelocytic leukemia without apparent side effects (10) .

Acetylation and deacetylation of histones alter higher order chromatin structure by influencing histone interaction with DNA (11 , 12) . Transcription factors may also be acetylated (13) , and the acetylated status of these proteins may influence their interaction with DNA, as well as their ability to interact with other transcriptional coregulatory proteins. For example, acetylation of p53 enhances its sequence-specific DNA binding activity (14 , 15) . Deacetylated histones are associated with cell growth, whereas hyperacetylated histones (16 , 17) are associated with cell growth arrest, differentiation, and/or apoptosis. Finally, tubulin can be acetylated, and this may affect the dynamic equilibrium between soluble and polymerized tubulin and the structure of microtubules (18) .

HDAC inhibitors differ with regards to their antitumor activity, toxicity, and stability (17 , 19) . High concentrations of NaBu are required to induce tumor cell apoptosis or differentiation (20) . Additionally, NaBu has a short half-life that limits its effectiveness as a therapeutic agent. Hybrid polar compounds such as M-carboxycinnamic acid bishydroxamide have been shown to induce apoptosis in NB cells in vitro, although the mechanism has not been fully elucidated (21) . Saito et al. (22) recently evaluated the efficacy of MS-275, a synthetic benzene derivative that inhibits HDAC. In a number of adult tumor cell lines, MS-275 inhibited tumor cell growth with an IC50 in the submicromolar range. The inhibition of cell growth was accompanied by a cell cycle arrest and an induction of the cell cycle inhibitor p21. MS-275 administered p.o. inhibited the growth of established adult tumor lines s.c. implanted in nude mice with minimal toxicities.

To date, there have been few studies (21 , 23) using HDAC inhibitors in pediatric solid tumors, although these tumors are marked by alterations in the expression and structure of transcription factors. In this study, we assessed the antitumor activity of MS-275 against several pediatric solid tumor cell lines in vitro and against selected in vivo orthotopic xenograft murine models of pediatric solid tumors. We found that MS-275 inhibited in vitro cell growth in all cell lines tested with an IC50 ranging from 50 nM to 1.3 µM. In NB, EWS, and US orthotopic murine xenograft models, the oral administration of MS-275 inhibited tumor growth with few side effects.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Cell Culture.
The pediatric tumor cell lines used in this study are listed on Table 1Citation . All cell lines were cultured in RPMI 1640 supplemented with 10% fetal bovine serum, 2 mM glutamine, 50 units/ml penicillin, and 50ug/ml streptomycin at 37°C with 5% CO2 as described previously (26) . N-(2-Aminophenyl)-4-[N-(pyridin-3-yl-methoxycarbonyl) aminomethyl] benzamide (MS-275) was kindly provided by Nihon Schering and was made as a 200 mM stock solution in 100% DMSO.


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Table 1 Cell lines and MS-275 IC50

 
DNA Synthesis, Cell Cycle, and TUNEL Analyses.
Five to 10,000 cells from several pediatric solid tumor cell lines (Table 1)Citation were seeded into 96 flat-bottomed well plates, and six replicate wells were incubated with different concentrations of MS-275 for 72 h. Twenty-four h before termination of culture, cells were incubated with 1 uCi of [3H]thymidine, cultured for an additional 16 h, and harvested with Packard FilterMate harvester (Packard Instrument Company, Meriden, CT). [3H]Thymidine was assessed in a Packard Top Count-NXT Scintillation counter (Packard Instrument Company). Two to four dose response curves were established for each cell line, and the variability among experiments on the same cell line was <10%. For the cell cycle, cells were mechanically detached at the indicated time after drug treatment, washed twice in ice-cold PBS, and processed for cell cycle analysis as described previously (24) . TUNEL analyses were using the ApoDirect kit as per manufacturer’s recommendation (BD-PharMingen, Mountain View, CA).

Ac-H3 Analysis.
For acetylated histone assessment by Western analysis, cells were trypsinized, washed twice with PBS, resuspended in lysis buffer [0.02 M Tris (pH 7.4), 0.2 mM Triton X-100, and 0.02% 2-mercaptoethanol] with 2 ng/ml aprotinin, and solubilized by sonication. Protein extracts (10 µg) were subjected to SDS-PAGE and transferred to polyvinylidene difluoride membranes. Membranes were probed with Ac-H3 (Upstate Biotechnology, Lake Placid, NY). Glyceraldehyde-3-phosphate dehydrogenase (American Research Products, Belmont, MA) was used as a control. Cytospins of trypsinized cells were fixed in 95% ethanol/5% acetic acid and blocked in 8% BSA in PBS. After an overnight incubation with anti-{alpha} Ac-H3, cells were stained with horse antirabbit FITC-conjugated secondary antibody (Vector Laboratories, Burlingame, CA) and counterstained with TO-PRO-3 iodide (Molecular Probes, Eugene, OR). Slides were scanned using a CompuCyte Laser Scanning Cytometer equipped with WinCyte software (Cambridge, MA).

RNA Preparation and Northern Blot Analysis.
Control and MS-275-treated cells were detached mechanically from the 150-cm2 plate, washed twice with ice-cold PBS, and processed for RNA extraction with the RNAeasy kit (Qiagen, Inc., Chatsworth, CA) according to the manufacturer’s instructions and analyzed by Northern blot analysis as described previously (24) . Probes were labeled with [32P]dCTP using RediPrime II (Amersham Pharmacia Biotech) according to manufacturers recommendations.

In Vivo Animal Model.
The US (2 million) cells and the EWS cell line (TC71; 2 million cells) were injected orthotopically into the gastrocnemous muscle of SCID-beige mice. The NB cell line (KCNR; 2 million cells) was injected into the periadrenal fat pad of SCID-beige mice as described previously (28) . Treatment was initiated 1 week after injection for KCNR cells when US tumors had reached 0.3 cm3 and when the TC71 cells reached 0.6 cm3. MS-275 was dissolved in 0.05 N HCl and 0.1% Tween in PBS and diluent served as placebo. Drug doses and scheduling were based on a maximally tolerated dose from murine studies on adult tumor cell lines (22) . MS-275 and placebo were administered p.o. once daily 5 days/week for 4 weeks for US (5–8 animals in each treatment group) and KCNR (12 animals in each treatment group) and daily for 2 weeks for TC71 (10 animals in each treatment group). KCNR tumors were palpated daily for size, whereas the US and TC71 tumors were measured using a vernier caliper, and tumor volume was determined as described previously (28) . A post test-Bonferroni’s multiple comparison test was used to assess the differences in the US and TC71 experiment, and an unpaired t test was used to assess the differences in the KCNR experiment.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
MS-275 Inhibits DNA Synthesis.
The characteristics of the pediatric cell lines used in this study are detailed in Table 1Citation . Treatment of several adult tumor cell lines with MS-275 results in a dose-dependent decrease in cell viability (22) . To assess whether MS-275 alters DNA synthesis in pediatric tumor cell lines, cells were seeded into a 96-well flat-bottomed plate and cultured with various concentrations of MS-275 for 72 h. MS-275 inhibited [3H]thymidine uptake in a dose-dependent manner in all tumor cell lines examined (a representative of two to four experiments from each cell line is plotted in Fig. 1Citation ). The MS-275 IC50s ranged from 50 nM for medulloblastoma cell line D283 to 1.3 µM for an US cell line (Table 1)Citation . MS-275 inhibits DNA synthesis in the osteosarcoma cell line HOS and a retinoblastoma cell line SK, which lacks RB. The RH cell line RD retains sensitivity to MS-275, although it contains a mutation in exon 2 of p53 and shows alterations in DNA damage responses (26 , 29) . All of the tumor cell lines were more sensitive to the growth inhibiting effects of MS-275 than NIH3T3, an immortalized rodent fibroblast cell line (Table 1)Citation .



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Fig. 1. MS-275–275 inhibits [3H]thymidine uptake. Dose response analysis of [3H]thymidine uptake in the presence of concentrations of MS-275 ranging from 10-11 to 10-3 M MS-275 in different pediatric solid tumor cell lines. A, SMS-KCNR and SK-N-AS neuroblastoma cell lines; B, TC71 and SK-N-MC (MC) EWS cell lines; C, RD and Rh30 RH cell lines; D, HOS and U2OS osteosarcoma cell lines; E, D283 and DAOY medulloblastoma cell lines; and F, the SK retinoblastoma cell line and the US and G401 malignant rhabdoid cell lines. Each point represents the mean of two to four experiments that were performed for each cell line at a given drug concentration.

 
Morphological examination by light microscopy revealed that all of the pediatric tumor cell lines treated with MS-275 had a dose-dependent decrease in cell number and extensive change in morphology to rounded, denser, and more refractive cells at 48 h When the NB cell line KCNR, the RH cell line Rh30, and the EWS cell line TC-106 were treated with 1 µM MS-275, there were no changes within the first 4 h of treatment, but the cells exhibited morphological changes from 14–48 h after treatment. KNCR became more substrate adherent; Rh30 showed long cellular extensions and TC106 showed short neuritic-like extensions (data not shown). By 48 h, there were numerous round floating cells with pyknotic nuclei in each of the cell lines and no evidence of differentiation in NB (neurite extension) or in RHs (multinucleated myotube formation; Fig. 2Citation ).



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Fig. 2. Morphological assessment of effects MS-275 on selected cell lines. The morphology of the KCNR neuroblastoma cell line (left panel), the Rh30 RH (middle panel), and the TC106 EWS cell line (right panel) at initiation of treatment (time = 0; top panels) and 48 h (bottom panels) after treatment with 1 µM MS-275.

 
MS-275 Effects on Cell Cycle.
MS-275 induced an increase in G1 in the adult tumor cell lines analyzed (22) . Because inhibition of DNA synthesis may be indicative of cell cycle arrest or induction of cell death, selected pediatric tumor cell lines were treated with 1 µM MS-275, and DNA content was assessed at 24 and 48 h after treatments. The effects on cell cycle were variable among the different cell lines (Table 2)Citation . For the KCNR cells, there was an increase in cells with a sub-G1 content of DNA. An increase in G1 was detected in Rh30 and G401. In Rh30, the increase in cells in G1 was accompanied by an increase in cells with a sub-G1 content of DNA. At 48 h, KCNR, TC106, and US had an increase in the percentage of cells with a sub-G1 content of DNA and decreases in the other phases of the cell cycle. U20S showed a transient accumulation of cells in G2-M at 24 h followed by an increase in cells in modest increase in cells in G1 at 48 h.


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Table 2 Cell cycle analysis

 
Typically, a sub-G1 content of DNA is indicative of apoptosis. To assess another parameter of apoptosis, a TUNEL assay was performed to assess DNA fragmentation. KCNR and TC106 cells were cultured with 1 µM MS-275 for 48 h and DNA fragmentation was assessed as detailed in "Materials and Methods." There was a 7-fold increase in TdT-labeled FITC-dUTP-labeled DNA in KCNR (Fig. 3Citation , left panel), whereas in TC106, there was a 3-fold increase in FITC-dUTP-labeled DNA (Fig. 3Citation , left panel). These data indicate that in the KCNR and TC106 cell lines, MS-275 induces apoptosis. It is likely that in the other cell lines in which MS-275 induces an increase in cells with a sub-G1 content of DNA, this is attributable to the induction of apoptosis.



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Fig. 3. TUNEL labeling of KCNR and TC106. After cells were treated with 1 µM MS-275 for 24 h, they were labeled with FITC-dUTP using TdT processed as described in "Materials and Methods." Samples labeled with FITC-dUTP in the absence of TdT served as controls. M1 represents the background FITC-dUTP labeling, and M2 represents TdT-dependent FITC labeling.

 
MS-275 Increases Acetylation of Histone H3.
Treatment with MS-275 was shown to increase acetylated histones in adult tumor cell lines (22) . To assess the effects of MS-275 on acetylation of histones in pediatric tumor cell lines, cell lines were treated with different concentrations of MS-275 for 4 and 18 h, and protein lysates were evaluated for Ac-H3 by Western analysis. In Fig. 4ACitation , we have shown the Western analysis of three cell lines with different sensitivities to MS-275. At 4 h, the increases in Ac-H3 occur at 10–100 nM in TC32 cell line (IC50 = 100 nM), 100–500 nM for SK-N-AS (IC50 = 660 nM), and at 500-1000 nM in TC71 (IC50 = 1000 nM; Fig. 4ACitation ). However, by 18 h maximum, Ac-H3 is detected even at low doses of MS-275.



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Fig. 4. Acetylation of histones after MS-275 treatment. A, tumor cell lines were treated with various concentrations of MS-27-275 for 4 and 18 h, proteins extracted, and analyzed from Ac-H3 by Western analysis. Blots were reprobed for glyceraldehyde-3-phosphate dehydrogenase levels as loading controls. B, after KCNR cells were treated with control solvent or 1 µM MS-275 for 4 h, cells were processed and labeled with a FITC-conjugated antibody that binds Ac-H3 (right panel).

 
KCNR and the US cells were treated with 1 µM MS-275, and intact cells were evaluated for acetylation of histone H3 after 4 and 18 h. Ethanol-fixed cells were incubated with anti-Ac-H3. There is increase FITC-Ac-H3 staining in KCNR treated with 1 µM MS 27–275 compared with untreated cells. Fluorescence-activated cell sorting analysis of KCNR cells indicated that the relative fluorescent intensity as assessed by mean channel number (MC#) was 8.10 in control cells. After 4 h, the values increased to 9.52 and by 18 h had reached 26.51, indicating that there was a 3.3-fold increase in the relative fluorescent intensity for Ac-H3 that occurred in the majority of cells (Fig. 4B)Citation . However, in the less MS-275 sensitive US cell line, the relative fluorescent intensity was 3.5, unchanged at 4 h, and only slightly increased to 4.43 at 18 h, indicating that there was not a dramatic increase in Ac-H3 under these conditions.

MS-275 Induced Changes in Gene Expression in Pediatric Tumors.
Other HDAC inhibitors (30) as well as MS-275 (22) have been shown to induce p21. We evaluated induction of p21 in selected pediatric tumor cell lines and found that in six of seven cell lines, there was an increase in p21 that occurred from 4–18 h after treatment with 1 µM MS-275 (Fig. 5A)Citation . Induction of p21 occurred regardless of the p53 status. Rh30 has an Arg to Ser mutation in codon 280 of p53 and shows a marked induction of p21 within hours of treatment with MS-275. The US cell line, which was the least sensitive to MS-275, did not show an increase in or induction of p21 under these conditions, but p21 was induced using 3 µM MS-275 (data not shown).



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Fig. 5. Analysis of MS-275-induced changes in gene expression. A, cell lines were incubated with 1 µM MS-275 for various periods of time; total RNA was isolated and evaluated by Northern analysis for expression of p21mRNA. 18S RNA serves as a loading control. * denotes change in temporal order of samples loaded. B, after the TC32, TC268, and SK-N-MC EWS cell lines were treated for the indicated times with 1 µM MS-275, total RNA was isolated and evaluated by Northern analysis for the expression of the TGF-ßRII mRNA and PAI mRNA with 18S RNA serving as a loading control. C, after the EWS cell lines TC32, TC268, SK-N-MC, and the neuroblastoma cell line KCNR were incubated with 1 µM MS-275 for indicated times, total RNA was isolated and evaluated by Northern blot analysis for c-myc and N-myc mRNA expression. * denotes change in temporal order of samples loaded.

 
Previously, Hahm et al. (31) had shown that the chimeric transcription factor EWS/FLI suppresses TGF-ßRII expression in EWS. Because HDAC inhibitors have been shown to relieve transcriptional repression (8 , 9) , we hypothesized that MS-275 may relieve the transcriptional repression of the TGF-ßRII gene in EWS cell lines. Three EWS cell lines were treated with 1 µM MS-275, and cells were harvested and RNA extracted at various times from 4 to 48 h after treatment. Expression of TGF-ßRII increased within 18 h of treatment (Fig. 5B)Citation . Quantitative PCR indicated that the expression of the EWS/fli did not significantly change after MS-275 treatment (data not shown). This indicates that despite the presence of the chimeric transcription factor that represses TGF-ßRII expression, MS-275 treatment of cells can lead to an increase in TGF-ßRII expression. Most EWS cell lines constitutively express one of the TGF-ß isoforms constitutively (32) . To assess whether the TGF-ß pathway was active after MS-275 treatment, the expression of a downstream target of the TGF-ß signaling path, PAI, was assessed. The pattern of PAI expression indicated that there was an early increase that occurred within 4 h of MS-275 treatment and before the detection of an increase in expression of TGF-ßRII. However, a second increase in PAI expression could be detected that was coincident or subsequent to the MS-275-induced increase in TGF-ßRII expression. These data are consistent with the hypothesis that the TGF-ß signaling path becomes active in these cells after MS-275 treatment.

Patients with NB tumors that contain amplification and overexpression of N-myc have a poor prognosis (33) . We evaluated the expression of N-myc in NB cells treated with 1 µM MS-275 for various times. Within 4 h of MS-275 treatment, there was a decrease in N-myc levels, and expression was barely detected at 48 h (Fig. 5C)Citation . Similar results have been detected in an additional 4 of 4 N-myc-amplified NB cell lines examined (data not shown). In contrast, c-myc levels were increased in the EWS cells after treatment with MS-275. Thus, there is differential regulation of members of the myc gene family after treatment with MS-275.

Antitumor Effect of MS-275 in Tumor-bearing SCID-Beige Mice.
MS-275 has been shown to be effective in inhibiting the in vivo growth of most of the adult tumor cell lines grown s.c. in nude mice (22) . To evaluate effects of MS-275 on the in vivo growth of the US cell line, which was most resistant to the effects of MS-275 in vitro, 2 x 106 US cells were injected into the gastrocnemious muscle and allowed to grow until the tumor reached 0.3 cm3. At that time (~5 days), the animals received various doses of MS-275 ranging from 8.25 to 24.5 mg/kg based on doses in the murine study of adult tumor cell lines that did not have significant toxicity. Both control and MS-275 tumors grew during the course of therapy. However, at the termination of therapy (4 weeks), the volume of the tumors in the MS-275 animals was decreased compared with controls. There was a ~60% decrease in tumor volume in the animals treated with the maximal dose (24.5 mg/kg/day every 5 days) of MS-275 (Fig. 6A)Citation Using a Bonferroni’s multiple comparison test, (34) only the US tumor size in the 24.5 mg/kg was significantly different (P < 0.001) from the size of the US tumors in the untreated group.



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Fig. 6. Effect of MS-275 on growth of established tumors in vivo. A, effect of different concentrations of MS-275 on growth of the US cell line implanted into the gastrocnemious muscle of SCID-beige mice. Mice received vehicle control ({blacksquare}), 8.25 ({blacktriangleup}), 16.25 ({blacktriangledown}), or 24.5 ({diamondsuit}) mg/kg MS-275 by oral gavage 5 days/week for 4 weeks. B, effect of on the growth of the TC71 EWS cells implanted into the gastrocnemious muscle of SCID-beige mice. Mice received diluent ({blacksquare}), or 12.5 ({blacktriangleup}), or 24.5 ({diamondsuit}) mg/kg MS-275 daily by oral gavage for 2 weeks. C, effect of MS-275 on the growth of neuroblastoma KCNR cell line implanted into the supra-adrenal area of SCID-beige mice. Mice received diluent ({blacksquare}) or 24.5 ({diamondsuit}) mg/kg MS-275 by oral gavage 5 days/week for 4 weeks. Lines in all panels represent the mean for each group.

 
The EWS cell line TC71 (2 x 106cells) was placed into the gastrocnemious muscle of SCID-beige mice. When tumors reached 0.6 cm3, mice received placebo or MS-275 at 12.25 or 24.5 mg/kg/day for 5 days by oral gavage. There was a dose-dependent decrease in tumor volume in MS-275-treated mice (Fig. 6B)Citation . The mean tumor volume in mice that received 24.5 mg/kg MS-275 was relatively unchanged from initiation of therapy. Using a Bonferroni’s multiple comparison test, both the TC71 tumor size in the 24.5 mg/kg and the 12.5 mg/kg group were significantly different (P < 0.001) from the size of the TC71 tumors in the untreated group. One mouse in the control group was lost because of a gavage accident.

The NB cell line KCNR (2 x 106cells) was injected orthotopically to the adrenal gland of 18 mice. After 1 week, 2 animals were sacrificed, and small periadrenal masses could be visualized (28) . Remaining animals were randomly placed into two groups, and 24.5 mg/kg MS-275 (12 mice) or diluent (10 mice) were administered by oral gavage five times/week. After 1 month, when the tumor volume in the placebo cohort had reached ~1.5 cm3 (as determined by external palpation), the animals were sacrificed, and tumors were excised, measured, and weighed. In the placebo group, all animals had tumors, and the tumor volume ranged from 1 to 7 cm3 with a mean tumor volume of 3.5 cm3. In contrast, only 50% of animals had a visually detectable tumor in the MS-275 group, and the volume of these tumors ranged from 0.6 to 2.7 cm3, which was significantly different from the controls (P = 0.0009 using an unpaired t test; Fig. 6CCitation ). NB tumors and xenografts growth in orthotopic sites in SCID-beige mice are highly vascular; KCNR tumors in the placebo group are also well vascularized (Fig. 7A)Citation . In the MS-275-treated group, there was a marked decrease in vascularization (Fig. 7B)Citation . Consistent with in vitro studies, there was a decrease in N-myc mRNA and an increase in p21mRNA in tumors from mice treated with MS-275 compared with control (inset panel on Fig. 7Citation ).



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Fig. 7. Histology of KCNR tumors after treatment with MS-275. Representative H&E-stained samples of KCNR tumors excised from SCID-beige mice treated with control diluent (A) or 24.5 mg/kg MS-275 (B; x100). Arrows denote vascular areas. Inset represents Northern analysis of RNA (20 µg) from representative tumor samples from control and MS-275-treated animals examined for N-myc and p21 expression.

 

    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Alterations in transcription factors are a common feature in pediatric solid tumors, and it is thought that these altered transcription factors affect target genes that regulate growth, differentiation, and survival paths and contribute to a tumorigenic genotype. Transcription factors serve as the basis for the recruitment of higher ordered complexes that affect basic chromatin structure to activate or repress gene transcription. In this study, we have shown that the HDAC inhibitor MS-275 has antitumor activity against a broad panel of pediatric solid tumors. As was seen in studies examining the effects of MS-275 on adult tumor cell lines in vitro (22) and breast cancer cells (35) , we found that DNA synthesis in all of the pediatric solid tumor cell lines evaluated was markedly inhibited by MS-275. The IC50 of these tumor cell lines ranged from 50 to 1300 nM. We found that within 4 h of treatment, there was a dose-dependent increase in Ac-H3 in pediatric tumor cell lines that paralleled the sensitivity of cells to the drug (Fig. 4A)Citation . However, as in the study on adult tumor cell lines, we found that concentrations of MS-275 significantly less than the IC50 were able to induce increases in Ac-H3 after 24 h.

In contrast to adult studies in which MS-275 induced a G1 arrest in all cell lines examined, the effects of MS-275 on cell growth and induction of apoptosis were varied among the different pediatric tumor cell lines evaluated. In some cell lines, apoptosis was induced, whereas in others, cell cycle arrest occurred in either the G1 or G2 phase of the cell cycle. The variability in response of the cell lines to the drug may reflect the nature of the genetic alterations and the signal transduction paths altered in the different cell lines. As has been shown for a number of HDAC inhibitors, p21WAF/CIP1 was induced in most of the pediatric solid tumor cell lines evaluated irrespective of the p53 status of the cells. This suggests that HDAC inhibitors as a class may induce cell death irrespective of the status of p53.

Although we cannot exclude that there is a common mechanism by which MS-275 affects the growth and survival of different tumor cell lines, it is equally possible that the effect of MS-275 on the different pediatric solid tumor cell lines may be dependent on the nature of the genetic alteration in the different tumor cell lines. We evaluated changes in TGF-ßRII mRNA, which is known to be transcriptionally repressed by the EWS/FLI transcription factor in EWS and the N-myc gene whose amplification is associated with a poor prognosis in NB tumors. Studies on MS-275 indicate that it induces the expression of TGF-ßRII mRNA and restores TGF-ß signaling in breast cancer cell lines (35) . We have found that in EWS in which the chimeric transcription factor EWS/FLI transcriptionally represses the TGF-ßRII gene (31) , MS-275 is able to stimulate increases in TGF-ßRII mRNA despite the presence of the EWS/FLI transcriptional repressor. Our finding that there is an increase in PAI mRNA, a downstream target of the TGF-ß signal transduction path coincident or subsequent to the MS-275-induced increase in TGF-ßRII mRNA, is consistent with the restoration of TGF-ß signaling in EWS. Previous studies indicate that restoration of the TGF-ß path in EWS cell lines inhibits their growth in animal models (31) . Additional studies will be needed to assess whether the effects of MS-275 on the growth of TC71 cells in vivo are dependent on the induction of TGF-ßRII and restoration of the TGF-ß signal transduction path.

Previous studies using the HDAC inhibitor CHBA have indicated induction of p21 in NB cell lines and inhibition of NB tumor growth in vitro and in vivo (21 , 23) . Our results using MS-275 are similar. Typically, the use of HDAC inhibitors has been found to increase gene expression, whereas repression of gene expression by HDAC inhibitors is not common. In N-myc-amplified NB cells, we found that MS-275 induced a decrease in N-myc mRNA expression (Fig. 5Citation and data not shown), and similar findings were found in tumors taken from animals treated with MS-275 (Fig. 7)Citation . Decreases in N-myc are known to affect the survival and growth of NB cells (36 , 37) . Although this may affect the biology of N-myc-expressing tumor cell lines, we also found that MS-275 was able to inhibit the growth of a non-N-myc-amplified cell line, SK-N-AS. Thus the mechanism by which MS-275 affects NB cell growth and survival may not require N-myc down-regulation or may be distinct in different NB cell types. However, both KCNR and AS contain 1pLOH and increases in 17q, common although uncharacterized genetic lesions in NB, and it is possible that MS-275 may complement these genetic alterations to alter NB cell growth.

In our animal studies, we found that the growth of established tumors in vivo was markedly affected by treatment with MS-275. Toxicities were minimal with ruffled fur being the consistent alteration noted in all of the experiments. Initial studies indicated that 24.5 mg/kg every 5–7 days by oral gavage was the most effective dose even in the US cell line. In the NB and EWS models, tumor growth was markedly altered and in some cases there was no detectable tumor at the highest drug concentrations. The mechanism by which the drug affects tumor growth in vivo remains to be elucidated. Recent studies indicate that HDAC inhibitors may affect angiogenesis (38 , 39) and, in the NB model preliminary analysis indicated, a decrease in tumor angiogenesis (Fig. 7)Citation . Current studies are aimed at more precisely detailing the changes in angiogenesis and metastasis in the xenograft tumor models.

In this report we have evaluated the in vitro and in vivo effects of the HDAC inhibitor MS-275 in a number of pediatric solid tumor cell lines. Future studies on the changes in gene expression induced by MS-275 has the potential to reveal genes with expressions that are affected by the altered transcription factors in these different pediatric solid tumors. As in vitro studies indicated that MS-275 induced apoptosis in many cases, histological and molecular genetic analysis of the xenograft tumors will enable us to determine whether induction of apoptosis and/or inhibition of angiogenesis affects tumor growth in vivo. Currently, MS-275 is in Phase I clinical trials in adults and these studies indicate that it should be considered for the treatment of pediatric malignancies as well.


    ACKNOWLEDGMENTS
 
We thank Nihon Schering for making the drug available for preclinical studies, Edward Sausville, the Associate Director of the Developmental Therapeutics Program for his assistance in developing this drug for pediatrics, and Sherry Ansher of the Regulatory Affairs Section of Cancer Treatment and Evaluation Program for her assistance in drug procurement. We also thank Xuezhong Yang and Jimmy Stauffer for helpful discussions and Margaret Merino for evaluation of EWS/fli mRNA in EWS cells. We thank Arvind Ingle, Jody Westbrook, Ashraf Islam, Melinda Merchant, and Kiichiro Beppu for assistance with the animal studies.


    FOOTNOTES
 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

1 These individuals contributed equally to this work. Back

2 J. J. is a M.D./Ph.D. student from Howard University, College of Medicine doing his thesis work in the Cell and Molecular Biology Section/Pediatric Oncology Branch/Center for Cancer Research/National Cancer Institute. Back

3 To whom requests for reprints should be addressed, at National Cancer Institute, Building 10, Room 13N240, 10 Center Drive, MSC 1928, Bethesda, MD 20892. Phone: (301) 496-1543; Fax: (301) 402-0575; E-mail: ct47a{at}nih.gov Back

4 The abbreviations used are: NB, neuroblastoma; EWS, Ewing’s sarcoma; RH, rhabdomyosarcoma; HDAC, histone deacetylase; NaBu, sodium n-butyrate; MS-275, MS-27-275; US, undifferentiated sarcoma; TdT, terminal deoxytransferase; TUNEL, Tdt-mediated nick end labeling; Ac-H3, acetylated histone H3; PAI, plasminogen activator inhibitor. Back

Received 3/28/02. Accepted 9/ 5/02.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

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