Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate

Tumour hypoxia renders cancer cells resistant to cancer therapy, resulting in markedly worse clinical outcomes. To find clinical candidate compounds that reduce hypoxia in tumours, we conducted a high throughput screen for oxygen consumption rate (OCR) reduction and identified a number...

Full description

Bibliographic Details
Main Authors: Ashton, T, Fokas, E, Kunz-Schughart, L, Folkes, L, Anbalagan, S, Huether, M, Kelly, C, Pirovano, G, Buffa, F, Hammond, E, Stratford, M, Muschel, R, Higgins, G, McKenna, W
Format: Journal article
Published: Nature Publishing Group 2016
_version_ 1797092652955467776
author Ashton, T
Fokas, E
Kunz-Schughart, L
Folkes, L
Anbalagan, S
Huether, M
Kelly, C
Pirovano, G
Buffa, F
Hammond, E
Stratford, M
Muschel, R
Higgins, G
McKenna, W
author_facet Ashton, T
Fokas, E
Kunz-Schughart, L
Folkes, L
Anbalagan, S
Huether, M
Kelly, C
Pirovano, G
Buffa, F
Hammond, E
Stratford, M
Muschel, R
Higgins, G
McKenna, W
author_sort Ashton, T
collection OXFORD
description Tumour hypoxia renders cancer cells resistant to cancer therapy, resulting in markedly worse clinical outcomes. To find clinical candidate compounds that reduce hypoxia in tumours, we conducted a high throughput screen for oxygen consumption rate (OCR) reduction and identified a number of drugs with this property. For this study we focused on the antimalarial, atovaquone. Atovaquone rapidly decreases the OCR by more than 80% in a wide range of cancer cell lines at pharmacological concentrations. In addition, atovaquone eradicates hypoxia in FaDu, HCT116 and H1299 spheroids. Similarly, it virtually eliminates hypoxia in FaDu and HCT116 xenografts in nude mice, and causes a significant tumour growth delay when combined with radiation. Atovaquone is a ubiquinone analogue, and decreases the OCR by inhibiting mitochondrial complex III. We are now undertaking clinical studies to assess whether atovaquone reduces tumour hypoxia in patients, thereby increasing the efficacy of radiotherapy.
first_indexed 2024-03-07T03:49:05Z
format Journal article
id oxford-uuid:c0976293-ae5d-4422-95a2-d5cf0077bcd9
institution University of Oxford
last_indexed 2024-03-07T03:49:05Z
publishDate 2016
publisher Nature Publishing Group
record_format dspace
spelling oxford-uuid:c0976293-ae5d-4422-95a2-d5cf0077bcd92022-03-27T05:55:24ZIncreasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidateJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c0976293-ae5d-4422-95a2-d5cf0077bcd9Symplectic Elements at OxfordNature Publishing Group2016Ashton, TFokas, EKunz-Schughart, LFolkes, LAnbalagan, SHuether, MKelly, CPirovano, GBuffa, FHammond, EStratford, MMuschel, RHiggins, GMcKenna, WTumour hypoxia renders cancer cells resistant to cancer therapy, resulting in markedly worse clinical outcomes. To find clinical candidate compounds that reduce hypoxia in tumours, we conducted a high throughput screen for oxygen consumption rate (OCR) reduction and identified a number of drugs with this property. For this study we focused on the antimalarial, atovaquone. Atovaquone rapidly decreases the OCR by more than 80% in a wide range of cancer cell lines at pharmacological concentrations. In addition, atovaquone eradicates hypoxia in FaDu, HCT116 and H1299 spheroids. Similarly, it virtually eliminates hypoxia in FaDu and HCT116 xenografts in nude mice, and causes a significant tumour growth delay when combined with radiation. Atovaquone is a ubiquinone analogue, and decreases the OCR by inhibiting mitochondrial complex III. We are now undertaking clinical studies to assess whether atovaquone reduces tumour hypoxia in patients, thereby increasing the efficacy of radiotherapy.
spellingShingle Ashton, T
Fokas, E
Kunz-Schughart, L
Folkes, L
Anbalagan, S
Huether, M
Kelly, C
Pirovano, G
Buffa, F
Hammond, E
Stratford, M
Muschel, R
Higgins, G
McKenna, W
Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate
title Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate
title_full Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate
title_fullStr Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate
title_full_unstemmed Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate
title_short Increasing radiosensitivity by alleviating tumour hypoxia: a drug screen reveals atovaquone as a clinical candidate
title_sort increasing radiosensitivity by alleviating tumour hypoxia a drug screen reveals atovaquone as a clinical candidate
work_keys_str_mv AT ashtont increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT fokase increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT kunzschughartl increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT folkesl increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT anbalagans increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT huetherm increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT kellyc increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT pirovanog increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT buffaf increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT hammonde increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT stratfordm increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT muschelr increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT higginsg increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate
AT mckennaw increasingradiosensitivitybyalleviatingtumourhypoxiaadrugscreenrevealsatovaquoneasaclinicalcandidate