Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.

Topoisomerase II is critical for DNA replication, transcription and chromosome segregation and is a well validated target of anti-neoplastic drugs including the anthracyclines and epipodophyllotoxins. However, these drugs are limited by common tumor resistance mechanisms and side-effect profiles. No...

Full description

Bibliographic Details
Main Authors: Rachael E Hawtin, David E Stockett, Jo Ann W Byl, Robert S McDowell, Tan Nguyen, Michelle R Arkin, Andrew Conroy, Wenjin Yang, Neil Osheroff, Judith A Fox
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2010-04-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC2855444?pdf=render
_version_ 1818467041749762048
author Rachael E Hawtin
David E Stockett
Jo Ann W Byl
Robert S McDowell
Tan Nguyen
Michelle R Arkin
Andrew Conroy
Wenjin Yang
Neil Osheroff
Judith A Fox
author_facet Rachael E Hawtin
David E Stockett
Jo Ann W Byl
Robert S McDowell
Tan Nguyen
Michelle R Arkin
Andrew Conroy
Wenjin Yang
Neil Osheroff
Judith A Fox
author_sort Rachael E Hawtin
collection DOAJ
description Topoisomerase II is critical for DNA replication, transcription and chromosome segregation and is a well validated target of anti-neoplastic drugs including the anthracyclines and epipodophyllotoxins. However, these drugs are limited by common tumor resistance mechanisms and side-effect profiles. Novel topoisomerase II-targeting agents may benefit patients who prove resistant to currently available topoisomerase II-targeting drugs or encounter unacceptable toxicities. Voreloxin is an anticancer quinolone derivative, a chemical scaffold not used previously for cancer treatment. Voreloxin is completing Phase 2 clinical trials in acute myeloid leukemia and platinum-resistant ovarian cancer. This study defined voreloxin's anticancer mechanism of action as a critical component of rational clinical development informed by translational research.Biochemical and cell-based studies established that voreloxin intercalates DNA and poisons topoisomerase II, causing DNA double-strand breaks, G2 arrest, and apoptosis. Voreloxin is differentiated both structurally and mechanistically from other topoisomerase II poisons currently in use as chemotherapeutics. In cell-based studies, voreloxin poisoned topoisomerase II and caused dose-dependent, site-selective DNA fragmentation analogous to that of quinolone antibacterials in prokaryotes; in contrast etoposide, the nonintercalating epipodophyllotoxin topoisomerase II poison, caused extensive DNA fragmentation. Etoposide's activity was highly dependent on topoisomerase II while voreloxin and the intercalating anthracycline topoisomerase II poison, doxorubicin, had comparable dependence on this enzyme for inducing G2 arrest. Mechanistic interrogation with voreloxin analogs revealed that intercalation is required for voreloxin's activity; a nonintercalating analog did not inhibit proliferation or induce G2 arrest, while an analog with enhanced intercalation was 9.5-fold more potent.As a first-in-class anticancer quinolone derivative, voreloxin is a toposiomerase II-targeting agent with a unique mechanistic signature. A detailed understanding of voreloxin's molecular mechanism, in combination with its evolving clinical profile, may advance our understanding of structure-activity relationships to develop safer and more effective topoisomerase II-targeted therapies for the treatment of cancer.
first_indexed 2024-04-13T21:04:22Z
format Article
id doaj.art-13467f009c0841b5998d831560bc564d
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-13T21:04:22Z
publishDate 2010-04-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-13467f009c0841b5998d831560bc564d2022-12-22T02:30:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032010-04-0154e1018610.1371/journal.pone.0010186Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.Rachael E HawtinDavid E StockettJo Ann W BylRobert S McDowellTan NguyenMichelle R ArkinAndrew ConroyWenjin YangNeil OsheroffJudith A FoxTopoisomerase II is critical for DNA replication, transcription and chromosome segregation and is a well validated target of anti-neoplastic drugs including the anthracyclines and epipodophyllotoxins. However, these drugs are limited by common tumor resistance mechanisms and side-effect profiles. Novel topoisomerase II-targeting agents may benefit patients who prove resistant to currently available topoisomerase II-targeting drugs or encounter unacceptable toxicities. Voreloxin is an anticancer quinolone derivative, a chemical scaffold not used previously for cancer treatment. Voreloxin is completing Phase 2 clinical trials in acute myeloid leukemia and platinum-resistant ovarian cancer. This study defined voreloxin's anticancer mechanism of action as a critical component of rational clinical development informed by translational research.Biochemical and cell-based studies established that voreloxin intercalates DNA and poisons topoisomerase II, causing DNA double-strand breaks, G2 arrest, and apoptosis. Voreloxin is differentiated both structurally and mechanistically from other topoisomerase II poisons currently in use as chemotherapeutics. In cell-based studies, voreloxin poisoned topoisomerase II and caused dose-dependent, site-selective DNA fragmentation analogous to that of quinolone antibacterials in prokaryotes; in contrast etoposide, the nonintercalating epipodophyllotoxin topoisomerase II poison, caused extensive DNA fragmentation. Etoposide's activity was highly dependent on topoisomerase II while voreloxin and the intercalating anthracycline topoisomerase II poison, doxorubicin, had comparable dependence on this enzyme for inducing G2 arrest. Mechanistic interrogation with voreloxin analogs revealed that intercalation is required for voreloxin's activity; a nonintercalating analog did not inhibit proliferation or induce G2 arrest, while an analog with enhanced intercalation was 9.5-fold more potent.As a first-in-class anticancer quinolone derivative, voreloxin is a toposiomerase II-targeting agent with a unique mechanistic signature. A detailed understanding of voreloxin's molecular mechanism, in combination with its evolving clinical profile, may advance our understanding of structure-activity relationships to develop safer and more effective topoisomerase II-targeted therapies for the treatment of cancer.http://europepmc.org/articles/PMC2855444?pdf=render
spellingShingle Rachael E Hawtin
David E Stockett
Jo Ann W Byl
Robert S McDowell
Tan Nguyen
Michelle R Arkin
Andrew Conroy
Wenjin Yang
Neil Osheroff
Judith A Fox
Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.
PLoS ONE
title Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.
title_full Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.
title_fullStr Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.
title_full_unstemmed Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.
title_short Voreloxin is an anticancer quinolone derivative that intercalates DNA and poisons topoisomerase II.
title_sort voreloxin is an anticancer quinolone derivative that intercalates dna and poisons topoisomerase ii
url http://europepmc.org/articles/PMC2855444?pdf=render
work_keys_str_mv AT rachaelehawtin voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT davidestockett voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT joannwbyl voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT robertsmcdowell voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT tannguyen voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT michellerarkin voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT andrewconroy voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT wenjinyang voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT neilosheroff voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii
AT judithafox voreloxinisananticancerquinolonederivativethatintercalatesdnaandpoisonstopoisomeraseii