Altered expression of Bcl-2 family proteins plays central roles in apoptosis dysregulation in cancer and leukemia, promoting malignant cell expansion and contributing to chemoresistance. In this study, we compared the toxicity and efficacy in mice of natural product gossypol and its semisynthetic derivative apogossypol, compounds that bind and inhibit antiapoptotic Bcl-2 family proteins. Daily oral dosing studies showed that mice tolerate doses of apogossypol 2-to 4-times higher than gossypol. Hepatotoxicity and gastrointestinal toxicity represented the major adverse activities of gossypol, with apogossypol far less toxic. Efficacy was tested in transgenic mice in which Bcl-2 is overexpressed in B cells, resembling low-grade follicular lymphoma in humans. In vitro, Bcl-2-expressing B cells from transgenic mice were more sensitive to cytotoxicity induced by apogossypol than gossypol, with LD50 values of 3 to 5 M and 7.5 to 10 M, respectively. In vivo, using the maximum tolerated dose of gossypol for sequential daily dosing, apogossypol displayed superior activity to gossypol in terms of reducing splenomegaly and reducing B-cell counts in spleens of Bcl-2-transgenic mice. Taken together, these studies indicate that apogossypol is superior to parent compound gossypol with respect to toxicology and efficacy, suggesting that further development of this compound for cancer therapy is warranted.
IntroductionOverexpression of Bcl-2 and other antiapoptotic members of the Bcl-2 family occurs in many human cancers and leukemias. [1][2][3] Bcl-2 and related antiapoptotic proteins suppress tumor cell death induced by chemotherapy, radiation, hormonal therapies (including glucocorticoids), and other therapeutics used in the treatment of malignancy. [4][5][6] Thus, agents that inhibit antiapoptotic Bcl-2 family proteins are desired as potential new therapeutics for restoring apoptosis sensitivity and improving clinical outcomes for patients with cancer or leukemia.Bcl-2 has been validated as a target for improving treatment of B-cell malignancies using Bcl-2 antisense oligodeoxynucleotides to reduce Bcl-2 protein expression. 7 The Bcl-2 antisense drug candidate, oblimersen sodium (Genasense; Genta, Berkeley Heights, NJ), for example, improved complete response rates and prolonged response duration in a randomized phase 3 clinical trial involving patients with relapsed or refractory chronic lymphocytic leukemia (CLL). 8 Moreover, the BCL-2 gene becomes activated by chromosomal translocations or gene amplification in the majority of non-Hodgkin B-cell lymphomas (B-NHLs), while its overexpression is found in most chronic lymphocytic leukemias (CLLs) in association with chromosomal deletions of microRNA (miR)-encoding genes that normally suppress Bcl-2 expression. [9][10][11] In this study, we compared the toxicity and efficacy in mice of gossypol (NSC19048) and apogossypol (NSC736630), a semisynthetic analog of natural product gossypol, in which 2 reactive aldehydes were eliminated from the compound. 12 Gossypol and apogossypol ...