Summary
Aprepitant is a selective high-affinity antagonist of human substance P (SP)/Neurokinin-1 (NK-1) receptors. Until now this drug has been used as anxiolytic, antidepressant and antiemetic. It has been demonstrated that SP induces cell proliferation and NK-1 receptor antagonists different to aprepitant inhibit growth in several human cancer cell lines, where NK-1 receptors are overexpressed. The purpose of this study is to demonstrate the antitumor action of aprepitant. We performed an in vitro study of the growth inhibition capacity of the NK-1 receptor antagonist aprepitant against glioma, neuroblastoma, retinoblastoma and pancreas, larynx, gastric and colon carcinomas cell lines. Coulter counter was used to determine viable cell numbers followed by application of the MTS colorimetric method. Furthermore, a DAPI method was applied to demonstrate apoptosis. We have demonstrated: aprepitant at (5–70 μM) concentration elicits growth cell inhibition in a concentration dependent manner in all tumor cell line studied. Maximum inhibition (100%) was observed when the aprepitant was administered at a concentration of ≥70 µM in all tumor cell lines studied. The specific antitumor action of aprepitant occurs through the NK-1 receptor and tumor cells death was by apoptosis pathway. These findings reported here for the first time indicate that aprepitant is a new and promising broad spectrum antitumor drug in the treatment of cancer.
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References
Muñoz M, Rosso M, Soult JA, Coveñas R (2006b) Antitumoural action of neurokinin-1 receptor antagonists on human brain cancer cell lines. In: Yang AV (ed) Brain cancer: therapy and surgical intervention. Nova Science, New York, pp 45–75
Hökfelt T, Pernow B, Wahren J (2001) Substance P: a pioneer amongst neuropeptides. J Intern Med 249:27–40 doi:10.1046/j.0954-6820.2000.00773.x
Harrison S, Geppetti P (2001) Substance P. Int J Biochem Cell Biol 33:555–576 doi:10.1016/S1357-2725(01)00031-0
Luo W, Sharif TR, Sharif M (1996) Substance P-induced mitogenesis in human astrocytoma cells correlates with activation of the mitogen-activated protein kinase signaling pathway. Cancer Res 56:4983–4991
Muñoz M, Pérez A, Rosso M, Zamarriego C, Rosso R (2004b) Antitumoural action of NK1 receptor antagonist L-733,060 on human melanoma cell lines. Melanoma Res 14:183–188 doi:10.1097/01.cmr.0000129376.22141.a3
Muñoz M, Rosso M, Pérez A, Coveñas R, Rosso R, Zamarriego C, Piruat JI (2005a) The NK1 receptor is involved in the antitumoural action of L-733,060 and the mitogenic action of substance P on neuroblastoma and glioma cell lines. Neuropeptides 39:427–432 doi:10.1016/j.npep.2005.03.004
Muñoz M, Rosso M, Pérez A, Coveñas R, Rosso R, Zamarriego C, Soult JA, Montero I (2005b) Antitumoral action of the neurokinin-1-receptor antagonist L-733,060 and mitogenic action of substance P on human retinoblastoma cell lines. Invest Ophthalmol Vis Sci 46:2567–2570 doi:10.1167/iovs.04-1530
Muñoz M, Rosso M, Coveñas R (2006a) The NK-1 receptor is involved in the antitumoural action of L-733,060 and in the mitogenic action of substance P on human pancreatic cancer cell lines. Lett Drug Des Discov 3:323–329 doi:10.2174/157018006777574168
Muñoz M, Rosso M, Coveñas R (2007a) NK-1 receptor antagonists as new anti-tumoural agents: action on human neuroblastoma cell lines. In: Fernandes JA (ed) Focus on Neuroblastoma Research. Nova Science, New York, pp 31–56
Muñoz M, Rosso M, Aguilar FJ, González-Moles MA, Redondo M, Esteban F (2008a) NK-1 receptor antagonists induce apoptosis and counteract substance P-related mitogenesis in human laryngeal cancer cell line HEp-2. Invest New Drugs 26:111–118 doi:10.1007/s10637-007-9087-y
Rosso M, Robles-Frías MJ, Coveñas R, Salinas-Martín MV, Muñoz M (2008) The NK-1 receptor is expressed in human primary gastric and colon adenocarcinomas and is involved in the antitumor action of L-733,060 and the mitogenic action of substance P on human gastrointestinal cancer cell lines. Tumour Biol 29:245–254 doi:10.1159/000152942
Ziche M, Morbidelli L, Pacini M, Gepetti P, Alessandri G, Maggi CA (1990) Substance P stimulates neovascularization in vivo and proliferation of cultured endothelial cells. Microvasc Res 40:264–278 doi:10.1016/0026-2862(90)90024-L
Lang K, Drell TL, Lindecke A, Niggemann B, Kaltschmidt C, Zaenker KS, Entschladen F (2004) Induction of a metastatogenic tumor cell type by neurotransmitters and its pharmacological inhibition by established drugs. Int J Cancer 112:231–238 doi:10.1002/ijc.20410
Giardina GAM, Gagliardi S, Martinelli M (2003) Antagonists at the neurokinin receptors-Recent patent literature. IDrugs 6:758–772
Rupniak NM, Carlson E, Boyce S, Webb JK, Hill RG (1996) Enantioselective inhibition of the formalin paw late phase by the NK1 receptor antagonist L-733,060 in gerbils. Pain 67:189–195 doi:10.1016/0304-3959(96)03109-0
Kramer MS, Cutler N, Feighner J, Shrivastava R, Carman J, Sramek JJ, Reines SA, Liu G, Snavely D, Wyatt-knowles E, Halle JJ, Mills SG, MacCoss M, Swain CJ, Harrison T, Hill RG, Hefti F, Scolnick EM, Cascieri MA, Chicchi GG, Sadowski S, Williams AR, Hewson L, Smith D, Carlsson EJ, Hargreaves RJ, Rupniak NM (1998) Distinct mechanism for antidepressant activity by blockade of central substance P receptors. Science 281:1640–1645 doi:10.1126/science.281.5383.1640
Varty GB, Cohen-Williams ME, Morgan CA, Pylak U, Duffy RA, Lachowicz JE, Carey GJ, Coffin VL (2002) The gerbil elevated plus-maze II: anxiolytic-like effects of selective neurokinin NK1 receptor antagonists. Neuropsychopharmacology 27:371–379 doi:10.1016/S0893-133X(02)00313-5
Bang R, Sass G, Kiemer AK, Vollmar AM, Neuhuber WL, Tiegs G (2003) Neurokinin-1 receptor antagonists CP-96,345 and L-733,060 protect mice from cytokine-mediated liver injury. J Pharmacol Exp Ther 305:31–39 doi:10.1124/jpet.102.043539
Seckl MJ, Higgins T, Wildmer F, Rozengurt E (1997) [D-Arg1, D-Trp5,7, 9, Leu11] Substance P: a novel potent inhibitor of signal transduction and growth in vitro and in vivo in small cell lung cancer cells. Cancer Res 57:51–54
Palma C, Bigioni M, Irrissuto C, Nardelli F, Maggi CA, Manzini S (2000) (200)Anti-tumour activity of tachykinin NK1 receptor antagonists on human glioma U373 MG xenograft. Br J Cancer 82:480–487 doi:10.1054/bjoc.1999.0946
Muñoz M, Pérez A, Coveñas R, Rosso M, Castro E (2004a) Antitumoural action of L-733,060 on neuroblastoma and glioma cell lines. Arch Ital Biol 142:105–112
Muñoz M, Rosso M, Coveñas R, Montero I, González-Moles MA (2007) Neurokinin-1 receptors located in human retinoblastoma cell lines: antitumor action of its antagonists, L-732,138. Invest Ophthalmol Vis Sci 20(48):2775–2781 doi:10.1167/iovs.05-1591
Tattersall FD, Rycroft W, Cumberbatch M, Mason G, Tye S, Williamson DJ, Hale JJ, Mills SG, Finke PE, MacCoss M, Sadowski S, Ber E, Cascieri M, Hill RG, MacIntyre DE, Hargreaves RJ (2000) The novel NK-1 receptor antagonist MK-0869 (L-754,030) and its water soluble phosphoryl prodrug, L-758,298, inhibit acute and delayed cisplatin-induced emesis in ferrets. Neuropharmacology 39:652–663 doi:10.1016/S0028-3908(99)00172-0
Bigioni M, Benzo A, Irrissuto C, Maggi CA, Goso C (2005) Role of NK-1 and NK-2 tachykinin receptor antagonism on the growth of human breast carcinoma cell line MDA-MB-231. Anticancer Drugs 16:1083–1089 doi:10.1097/00001813-200511000-00007
Hennig IM, Laissue JA, Horisberger U, Reubi JC (1995) Substance-P receptors in human primary neoplasms: tumoral and vascular localization. Int J Cancer 61:786–792 doi:10.1002/ijc.2910610608
Friess H, Zhu Z, Liard V, Shi X, Shrikhande SV, Wang L, Lieb K, Korc M, Palma C, Zimmermann A, Reubi JC, Buchler MW (2003) Neurokinin-1 receptor expression and its potential effects on tumor growth in human pancreatic cancer. Lab Invest 83:731–742
Singh D, Joshi DD, Hameed M, Qian J, Gascón P, Maloof PB, Mosenthal A, Rameshwar P (2000) Increased expression of preprotachykinin-I and neurokinin receptors in human breast cancer cells: Implications for bone marrow metastasis. Proc Natl Acad Sci USA 97:388–393 doi:10.1073/pnas.97.1.388
Esteban F, González-Moles MA, Castro D, Martín-Jaén MM, Redondo M, Ruiz-Avila I, Muñoz M (2009) Expression of substance P and Neurokinin-1-receptor in laryngeal cancer: linking chronic inflammation to cancer promotion and progression. Histopath doi:10.1111/j.1365-2559.2008.03193.x
Reeve JG, Bleehen NM (1994) [D-Arg1-D-Phe5, D-Trp7, 9, Leu11] Substance P induces apoptosis in lung cancer cell lines in vitro. Biochem Biophys Res Commun 199:1313–1319 doi:10.1006/bbrc.1994.1374
Esteban F, Muñoz M, González-Moles MA, Rosso M (2006) A role for substance P in cancer promotion and progression: a mechanism to counteract intracellular death signals following oncogene activation or DNA damage. Cancer Metastasis Rev 25:137–145 doi:10.1007/s10555-006-8161-9
Guha S, Eibl G, Kisfalvi K, Fan RS, Burdick M, Reber H, Hines OJ, Strieter R, Rozengurt E (2005) Broad-spectrum G protein-coupled receptor antagonist, [D-Arg1, DTrp5,7,9,Leu11]SP: a dual inhibitor of growth and angiogenesis in pancreatic cancer. Cancer Res 65:2738–2745 doi:10.1158/0008-5472.CAN-04-3197
Varty GB, Cohen-Williams ME, Hunter JC (2003) The antidepressant-like effects of neurokinin NK1 receptor antagonists in a gerbil tail suspension test. Behav Pharmacol 14:87–95
Yu J, Cadet JL, Angulo JA (2002) Neurokinin-1 (NK-1) receptor antagonists abrogate methamphetamine-induced striatal dopaminergic neurotoxicity in the murine brain. J Neurochem 83:613–622 doi:10.1046/j.1471-4159.2002.01155.x
Acknowledgements
The authors thank Ana Gonzalez and Javier Saenz for technical assistance. This work was partially supported by the Consejería de Innovacion, Ciencia y Empresa of the Junta de Andalucia (CTS-2247, Spain).
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Muñoz, M., Rosso, M. The NK-1 receptor antagonist aprepitant as a broad spectrum antitumor drug. Invest New Drugs 28, 187–193 (2010). https://doi.org/10.1007/s10637-009-9218-8
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DOI: https://doi.org/10.1007/s10637-009-9218-8