Fenretinide: a novel treatment for endometrial cancer.

Resistance to progestin treatment is a major hurdle in the treatment of advanced and reoccurring endometrial cancer. Fenretinide is a synthetic retinoid that has been evaluated in clinical trials as a cancer therapeutic and chemo-preventive agent. Fenretinide has been established to be cytotoxic to...

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Main Authors: Navdha Mittal, Saurabh Malpani, Matthew Dyson, Masanori Ono, John S Coon, Julie J Kim, Julian C Schink, Serdar E Bulun, Mary Ellen Pavone
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4207704?pdf=render
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author Navdha Mittal
Saurabh Malpani
Matthew Dyson
Masanori Ono
John S Coon
Julie J Kim
Julian C Schink
Serdar E Bulun
Mary Ellen Pavone
author_facet Navdha Mittal
Saurabh Malpani
Matthew Dyson
Masanori Ono
John S Coon
Julie J Kim
Julian C Schink
Serdar E Bulun
Mary Ellen Pavone
author_sort Navdha Mittal
collection DOAJ
description Resistance to progestin treatment is a major hurdle in the treatment of advanced and reoccurring endometrial cancer. Fenretinide is a synthetic retinoid that has been evaluated in clinical trials as a cancer therapeutic and chemo-preventive agent. Fenretinide has been established to be cytotoxic to many kinds of cancer cells. In the present study, we demonstrate that fenretinide decreased cell viability and induced apoptosis in Ishikawa cells, which are an endometrial cancer cell line, in dose dependent manner in-vitro. This effect was found to be independent of retinoic acid nuclear receptor signaling pathway. Further, we have shown that this induction of apoptosis by fenretinide may be caused by increased retinol uptake via STRA6. Silencing of STRA6 was shown to decrease apoptosis which was inhibited by knockdown of STRA6 expression in Ishikawa cells. Results of an in-vivo study demonstrated that intraperitoneal injections of fenretinide in endometrial cancer tumors (created using Ishikawa cells) in mice inhibited tumor growth effectively. Immunohistochemistry of mice tumors showed a decrease in Ki67 expression and an increase in cleaved caspase-3 staining after fenretinide treatment when compared to vehicle treated mice. Collectively, our results are the first to establish the efficacy of fenretinide as an antitumor agent for endometrial cancer both in-vitro and in-vivo, providing a valuable rationale for initiating more preclinical studies and clinical trials using fenretinide for the treatment of endometrial cancer.
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spelling doaj.art-f58977ee9afa495bb5d45984ddfced802022-12-21T23:55:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01910e11041010.1371/journal.pone.0110410Fenretinide: a novel treatment for endometrial cancer.Navdha MittalSaurabh MalpaniMatthew DysonMasanori OnoJohn S CoonJulie J KimJulian C SchinkSerdar E BulunMary Ellen PavoneResistance to progestin treatment is a major hurdle in the treatment of advanced and reoccurring endometrial cancer. Fenretinide is a synthetic retinoid that has been evaluated in clinical trials as a cancer therapeutic and chemo-preventive agent. Fenretinide has been established to be cytotoxic to many kinds of cancer cells. In the present study, we demonstrate that fenretinide decreased cell viability and induced apoptosis in Ishikawa cells, which are an endometrial cancer cell line, in dose dependent manner in-vitro. This effect was found to be independent of retinoic acid nuclear receptor signaling pathway. Further, we have shown that this induction of apoptosis by fenretinide may be caused by increased retinol uptake via STRA6. Silencing of STRA6 was shown to decrease apoptosis which was inhibited by knockdown of STRA6 expression in Ishikawa cells. Results of an in-vivo study demonstrated that intraperitoneal injections of fenretinide in endometrial cancer tumors (created using Ishikawa cells) in mice inhibited tumor growth effectively. Immunohistochemistry of mice tumors showed a decrease in Ki67 expression and an increase in cleaved caspase-3 staining after fenretinide treatment when compared to vehicle treated mice. Collectively, our results are the first to establish the efficacy of fenretinide as an antitumor agent for endometrial cancer both in-vitro and in-vivo, providing a valuable rationale for initiating more preclinical studies and clinical trials using fenretinide for the treatment of endometrial cancer.http://europepmc.org/articles/PMC4207704?pdf=render
spellingShingle Navdha Mittal
Saurabh Malpani
Matthew Dyson
Masanori Ono
John S Coon
Julie J Kim
Julian C Schink
Serdar E Bulun
Mary Ellen Pavone
Fenretinide: a novel treatment for endometrial cancer.
PLoS ONE
title Fenretinide: a novel treatment for endometrial cancer.
title_full Fenretinide: a novel treatment for endometrial cancer.
title_fullStr Fenretinide: a novel treatment for endometrial cancer.
title_full_unstemmed Fenretinide: a novel treatment for endometrial cancer.
title_short Fenretinide: a novel treatment for endometrial cancer.
title_sort fenretinide a novel treatment for endometrial cancer
url http://europepmc.org/articles/PMC4207704?pdf=render
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