2018
DOI: 10.1016/j.chembiol.2018.09.005
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ALDH1 Bio-activates Nifuroxazide to Eradicate ALDHHigh Melanoma-Initiating Cells

Abstract: Summary 5-Nitrofurans are antibiotic pro-drugs that have potential as cancer therapeutics. Here, we show that 5-nitrofurans can be bio-activated by aldehyde dehydrogenase (ALDH) 1A1/1A3 enzymes that are Highly expressed in a subpopulation of cancer-initiating (stem) cells. We discover that the 5-nitrofuran, nifuroxazide, is selective for bio-activation by ALDH1 isoforms over ALDH2, whereby it both oxidizes ALDH1 and is converted to cytotoxic metabolites in a two-hit pro-drug mechanism. We show that ALDH1High m… Show more

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Cited by 53 publications
(55 citation statements)
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References 37 publications
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“…Described effects are in disagreement with the previously reported antistemness impact of MEK1/2 inhibition in PEO1 cells [51], suggesting differences between cisplatinsensitive and cisplatin-resistant HGSOC cells. Consistent with our findings, ALDH1 overexpression in response to BRAF and MEK1/2 inhibition was recently reported in melanoma [68]. Given that high expression of ALDH1 and CD133 in ovarian tumors is strongly associated with poor prognosis and chemoresistance [69][70][71][72][73], we conclude that prolonged treatment of cisplatin-resistant HGSOC with trametinib might promote CSC enrichment.…”
Section: Trametinib Treatment Drastically Reduces the Growth Rates Ofsupporting
confidence: 92%
See 1 more Smart Citation
“…Described effects are in disagreement with the previously reported antistemness impact of MEK1/2 inhibition in PEO1 cells [51], suggesting differences between cisplatinsensitive and cisplatin-resistant HGSOC cells. Consistent with our findings, ALDH1 overexpression in response to BRAF and MEK1/2 inhibition was recently reported in melanoma [68]. Given that high expression of ALDH1 and CD133 in ovarian tumors is strongly associated with poor prognosis and chemoresistance [69][70][71][72][73], we conclude that prolonged treatment of cisplatin-resistant HGSOC with trametinib might promote CSC enrichment.…”
Section: Trametinib Treatment Drastically Reduces the Growth Rates Ofsupporting
confidence: 92%
“…Because cells surviving trametinib treatment display very high ALDH1A expression and activity, combination with ALDH inhibitors may also offer benefit. This suggestion is further supported by increases in nifuroxazide sensitivity in melanoma cells overexpressing ALDH1 due to MEK1/2 inhibition [68]. Recently a selective inhibitor of the ALDH1A family was identified as a chemical agent capable of efficiently inducing necroptotic death in ovarian CSCs [23].…”
Section: Trametinib Treatment Drastically Reduces the Growth Rates Ofmentioning
confidence: 98%
“…Dimethyl ampal thiolester (DIMATE), an ALDH1 and ALDH3 inhibitor, depletes leukemia stem cells but, importantly, does not affect hematopoietic stem cells (Venton et al, 2016). More recently a potent ALDH1A1 selective inhibitor and a pan-ALDH1A inhibitor were found to synergize with chemotherapy (Huddle et al, 2018;Yang et al, 2018), whereas an ALDH-targeted pro-drug effectively eliminated ALDH bright melanoma cells (Sarvi et al, 2018).…”
Section: Discussionmentioning
confidence: 99%
“…In these activities, the blocking of the STAT3 pathways plays an important role. Nifuroxazide can be effective as prophylaxis or second-line therapy for aGvHD (4)(5)(6)(7)(8)(28)(29)(30). It can be assumed that this old drug will find a new application in medicine.…”
Section: Resultsmentioning
confidence: 99%