Skip to main content
Top
Published in: Radiation Oncology 1/2012

Open Access 01-12-2012 | Research

Radiosensitization by the histone deacetylase inhibitor vorinostat under hypoxia and with capecitabine in experimental colorectal carcinoma

Authors: Marie Grøn Saelen, Anne Hansen Ree, Alexandr Kristian, Karianne Giller Fleten, Torbjørn Furre, Helga Helseth Hektoen, Kjersti Flatmark

Published in: Radiation Oncology | Issue 1/2012

Login to get access

Abstract

Background

The histone deacetylase inhibitor vorinostat is a candidate radiosensitizer in locally advanced rectal cancer (LARC). Radiosensitivity is critically influenced by hypoxia; hence, it is important to evaluate the efficacy of potential radiosensitizers under variable tissue oxygenation. Since fluoropyrimidine-based chemoradiotherapy (CRT) is the only clinically validated regimen in LARC, efficacy in combination with this established regimen should be assessed in preclinical models before a candidate drug enters clinical trials.

Methods

Radiosensitization by vorinostat under hypoxia was studied in four colorectal carcinoma cell lines and in one colorectal carcinoma xenograft model by analysis of clonogenic survival and tumor growth delay, respectively. Radiosensitizing effects of vorinostat in combination with capecitabine were assessed by evaluation of tumor growth delay in two colorectal carcinoma xenografts models.

Results

Under hypoxia, radiosensitization by vorinostat was demonstrated in vitro in terms of decreased clonogenicity and in vivo as inhibition of tumor growth. Adding vorinostat to capecitabine-based CRT increased radiosensitivity of xenografts in terms of inhibited tumor growth.

Conclusions

Vorinostat sensitized colorectal carcinoma cells to radiation under hypoxia in vitro and in vivo and improved therapeutic efficacy in combination with capecitabine-based CRT in vivo. The results encourage implementation of vorinostat into CRT in LARC trials.
Appendix
Available only for authorised users
Literature
1.
go back to reference Weiser MR: Rectal cancer trials: no movement. J Clin Oncol 2011, 29: 2746-2748. 10.1200/JCO.2011.35.7053CrossRefPubMed Weiser MR: Rectal cancer trials: no movement. J Clin Oncol 2011, 29: 2746-2748. 10.1200/JCO.2011.35.7053CrossRefPubMed
2.
go back to reference Larsen SG, Wiig JN, Emblemsvaag HL, Groholt KK, Hole KH, Bentsen A, Dueland S, Vetrhus T, Giercksky KE: Extended total mesorectal excision in locally advanced rectal cancer (T4a) and the clinical role of MRI-evaluated neo-adjuvant downstaging. Colorectal Dis 2009, 11: 759-767. 10.1111/j.1463-1318.2008.01649.xCrossRefPubMed Larsen SG, Wiig JN, Emblemsvaag HL, Groholt KK, Hole KH, Bentsen A, Dueland S, Vetrhus T, Giercksky KE: Extended total mesorectal excision in locally advanced rectal cancer (T4a) and the clinical role of MRI-evaluated neo-adjuvant downstaging. Colorectal Dis 2009, 11: 759-767. 10.1111/j.1463-1318.2008.01649.xCrossRefPubMed
3.
go back to reference Weiss C, Arnold D, Dellas K, Liersch T, Hipp M, Fietkau R, Sauer R, Hinke A, Rodel C: Preoperative radiotherapy of advanced rectal cancer with capecitabine and oxaliplatin with or without cetuximab: a pooled analysis of three prospective phase I-II trials. Int J Radiat Oncol Biol Phys 2010, 78: 472-478. 10.1016/j.ijrobp.2009.07.1718CrossRefPubMed Weiss C, Arnold D, Dellas K, Liersch T, Hipp M, Fietkau R, Sauer R, Hinke A, Rodel C: Preoperative radiotherapy of advanced rectal cancer with capecitabine and oxaliplatin with or without cetuximab: a pooled analysis of three prospective phase I-II trials. Int J Radiat Oncol Biol Phys 2010, 78: 472-478. 10.1016/j.ijrobp.2009.07.1718CrossRefPubMed
4.
go back to reference Aschele C, Cionini L, Lonardi S, Pinto C, Cordio S, Rosati G, Artale S, Tagliagambe A, Ambrosini G, Rosetti P, et al.: Primary tumor response to preoperative chemoradiation with or without oxaliplatin in locally advanced rectal cancer: pathologic results of the STAR-01 randomized phase III trial. J Clin Oncol 2011, 29: 2773-2780. 10.1200/JCO.2010.34.4911CrossRefPubMed Aschele C, Cionini L, Lonardi S, Pinto C, Cordio S, Rosati G, Artale S, Tagliagambe A, Ambrosini G, Rosetti P, et al.: Primary tumor response to preoperative chemoradiation with or without oxaliplatin in locally advanced rectal cancer: pathologic results of the STAR-01 randomized phase III trial. J Clin Oncol 2011, 29: 2773-2780. 10.1200/JCO.2010.34.4911CrossRefPubMed
5.
go back to reference Gerard JP, Azria D, Gourgou-Bourgade S, Martel-Laffay I, Hennequin C, Etienne PL, Vendrely V, Francois E, de La Roche G, Bouche O, et al.: Comparison of two neoadjuvant chemoradiotherapy regimens for locally advanced rectal cancer: results of the phase III trial ACCORD 12/0405-Prodige 2. J Clin Oncol 2010, 28: 1638-1644. 10.1200/JCO.2009.25.8376CrossRefPubMed Gerard JP, Azria D, Gourgou-Bourgade S, Martel-Laffay I, Hennequin C, Etienne PL, Vendrely V, Francois E, de La Roche G, Bouche O, et al.: Comparison of two neoadjuvant chemoradiotherapy regimens for locally advanced rectal cancer: results of the phase III trial ACCORD 12/0405-Prodige 2. J Clin Oncol 2010, 28: 1638-1644. 10.1200/JCO.2009.25.8376CrossRefPubMed
6.
go back to reference Marquardt F, Rodel F, Capalbo G, Weiss C, Rodel C: Molecular targeted treatment and radiation therapy for rectal cancer. Strahlenther Onkol 2009, 185: 371-378. 10.1007/s00066-009-1936-5CrossRefPubMed Marquardt F, Rodel F, Capalbo G, Weiss C, Rodel C: Molecular targeted treatment and radiation therapy for rectal cancer. Strahlenther Onkol 2009, 185: 371-378. 10.1007/s00066-009-1936-5CrossRefPubMed
7.
go back to reference Folkvord S, Ree AH, Furre T, Halvorsen T, Flatmark K: Radiosensitization by SAHA in experimental colorectal carcinoma models-in vivo effects and relevance of histone acetylation status. Int J Radiat Oncol Biol Phys 2009, 74: 546-552. 10.1016/j.ijrobp.2009.01.068CrossRefPubMed Folkvord S, Ree AH, Furre T, Halvorsen T, Flatmark K: Radiosensitization by SAHA in experimental colorectal carcinoma models-in vivo effects and relevance of histone acetylation status. Int J Radiat Oncol Biol Phys 2009, 74: 546-552. 10.1016/j.ijrobp.2009.01.068CrossRefPubMed
8.
go back to reference Ree AH, Dueland S, Folkvord S, Hole KH, Seierstad T, Johansen M, Abrahamsen TW, Flatmark K: Vorinostat, a histone deacetylase inhibitor, combined with pelvic palliative radiotherapy for gastrointestinal carcinoma: the Pelvic Radiation and Vorinostat (PRAVO) phase 1 study. Lancet Oncol 2010, 11: 459-464. 10.1016/S1470-2045(10)70058-9CrossRefPubMed Ree AH, Dueland S, Folkvord S, Hole KH, Seierstad T, Johansen M, Abrahamsen TW, Flatmark K: Vorinostat, a histone deacetylase inhibitor, combined with pelvic palliative radiotherapy for gastrointestinal carcinoma: the Pelvic Radiation and Vorinostat (PRAVO) phase 1 study. Lancet Oncol 2010, 11: 459-464. 10.1016/S1470-2045(10)70058-9CrossRefPubMed
9.
go back to reference Bratland A, Dueland S, Hollywood D, Flatmark K, Ree AH: Gastrointestinal toxicity of vorinostat: reanalysis of phase 1 study results with emphasis on dose-volume effects of pelvic radiotherapy. Radiat Oncol 2011, 6: 33. 10.1186/1748-717X-6-33PubMedCentralCrossRefPubMed Bratland A, Dueland S, Hollywood D, Flatmark K, Ree AH: Gastrointestinal toxicity of vorinostat: reanalysis of phase 1 study results with emphasis on dose-volume effects of pelvic radiotherapy. Radiat Oncol 2011, 6: 33. 10.1186/1748-717X-6-33PubMedCentralCrossRefPubMed
10.
go back to reference Harrington KJ, Billingham LJ, Brunner TB, Burnet NG, Chan CS, Hoskin P, Mackay RI, Maughan TS, Macdougall J, McKenna WG, et al.: Guidelines for preclinical and early phase clinical assessment of novel radiosensitisers. Br J Cancer 2011, 105: 628-639. 10.1038/bjc.2011.240PubMedCentralCrossRefPubMed Harrington KJ, Billingham LJ, Brunner TB, Burnet NG, Chan CS, Hoskin P, Mackay RI, Maughan TS, Macdougall J, McKenna WG, et al.: Guidelines for preclinical and early phase clinical assessment of novel radiosensitisers. Br J Cancer 2011, 105: 628-639. 10.1038/bjc.2011.240PubMedCentralCrossRefPubMed
11.
go back to reference Goethals L, Debucquoy A, Perneel C, Geboes K, Ectors N, De Schutter H, Penninckx F, McBride WH, Begg AC, Haustermans KM: Hypoxia in human colorectal adenocarcinoma: comparison between extrinsic and potential intrinsic hypoxia markers. Int J Radiat Oncol Biol Phys 2006, 65: 246-254. 10.1016/j.ijrobp.2006.01.007CrossRefPubMed Goethals L, Debucquoy A, Perneel C, Geboes K, Ectors N, De Schutter H, Penninckx F, McBride WH, Begg AC, Haustermans KM: Hypoxia in human colorectal adenocarcinoma: comparison between extrinsic and potential intrinsic hypoxia markers. Int J Radiat Oncol Biol Phys 2006, 65: 246-254. 10.1016/j.ijrobp.2006.01.007CrossRefPubMed
12.
go back to reference Folkvord S, Flatmark K, Dueland S, de Wijn R, Groholt KK, Hole KH, Nesland JM, Ruijtenbeek R, Boender PJ, Johansen M, et al.: Prediction of response to preoperative chemoradiotherapy in rectal cancer by multiplex kinase activity profiling. Int J Radiat Oncol Biol Phys 2010, 78: 555-562. 10.1016/j.ijrobp.2010.04.036CrossRefPubMed Folkvord S, Flatmark K, Dueland S, de Wijn R, Groholt KK, Hole KH, Nesland JM, Ruijtenbeek R, Boender PJ, Johansen M, et al.: Prediction of response to preoperative chemoradiotherapy in rectal cancer by multiplex kinase activity profiling. Int J Radiat Oncol Biol Phys 2010, 78: 555-562. 10.1016/j.ijrobp.2010.04.036CrossRefPubMed
13.
go back to reference Yaromina A, Krause M, Thames H, Rosner A, Krause M, Hessel F, Grenman R, Zips D, Baumann M: Pre-treatment number of clonogenic cells and their radiosensitivity are major determinants of local tumour control after fractionated irradiation. Radiother Oncol 2007, 83: 304-310. 10.1016/j.radonc.2007.04.020CrossRefPubMed Yaromina A, Krause M, Thames H, Rosner A, Krause M, Hessel F, Grenman R, Zips D, Baumann M: Pre-treatment number of clonogenic cells and their radiosensitivity are major determinants of local tumour control after fractionated irradiation. Radiother Oncol 2007, 83: 304-310. 10.1016/j.radonc.2007.04.020CrossRefPubMed
14.
go back to reference Guedj N, Bretagnol F, Rautou PE, Deschamps L, Cazals-Hatem D, Bedossa P, Panis Y, Couvelard A: Predictors of tumor response after preoperative chemoradiotherapy for rectal adenocarcinomas. Hum Pathol 2011, 42: 1702-1709. 10.1016/j.humpath.2011.01.015CrossRefPubMed Guedj N, Bretagnol F, Rautou PE, Deschamps L, Cazals-Hatem D, Bedossa P, Panis Y, Couvelard A: Predictors of tumor response after preoperative chemoradiotherapy for rectal adenocarcinomas. Hum Pathol 2011, 42: 1702-1709. 10.1016/j.humpath.2011.01.015CrossRefPubMed
15.
go back to reference Wouters A, Pauwels B, Lambrechts HA, Pattyn GG, Ides J, Baay M, Meijnders P, Peeters M, Vermorken JB, Lardon F: Retention of the in vitro radiosensitizing potential of gemcitabine under anoxic conditions, in p53 wild-type and p53-deficient non-small-cell lung carcinoma cells. Int J Radiat Oncol Biol Phys 2011, 80: 558-566. 10.1016/j.ijrobp.2010.12.051CrossRefPubMed Wouters A, Pauwels B, Lambrechts HA, Pattyn GG, Ides J, Baay M, Meijnders P, Peeters M, Vermorken JB, Lardon F: Retention of the in vitro radiosensitizing potential of gemcitabine under anoxic conditions, in p53 wild-type and p53-deficient non-small-cell lung carcinoma cells. Int J Radiat Oncol Biol Phys 2011, 80: 558-566. 10.1016/j.ijrobp.2010.12.051CrossRefPubMed
16.
go back to reference Van Rensburg CE, Slabbert JP, Bohm L: Influence of irinotecan and SN-38 on the irradiation response of WHO3 human oesophageal tumour cells under hypoxic conditions. Anticancer Res 2006, 26: 389-393.PubMed Van Rensburg CE, Slabbert JP, Bohm L: Influence of irinotecan and SN-38 on the irradiation response of WHO3 human oesophageal tumour cells under hypoxic conditions. Anticancer Res 2006, 26: 389-393.PubMed
17.
go back to reference Liu SK, Coackley C, Krause M, Jalali F, Chan N, Bristow RG: A novel poly(ADP-ribose) polymerase inhibitor, ABT-888, radiosensitizes malignant human cell lines under hypoxia. Radiother Oncol 2008, 88: 258-268. 10.1016/j.radonc.2008.04.005CrossRefPubMed Liu SK, Coackley C, Krause M, Jalali F, Chan N, Bristow RG: A novel poly(ADP-ribose) polymerase inhibitor, ABT-888, radiosensitizes malignant human cell lines under hypoxia. Radiother Oncol 2008, 88: 258-268. 10.1016/j.radonc.2008.04.005CrossRefPubMed
18.
go back to reference Hagtvet E, Roe K, Olsen DR: Liposomal doxorubicin improves radiotherapy response in hypoxic prostate cancer xenografts. Radiat Oncol 2011, 6: 135. 10.1186/1748-717X-6-135PubMedCentralCrossRefPubMed Hagtvet E, Roe K, Olsen DR: Liposomal doxorubicin improves radiotherapy response in hypoxic prostate cancer xenografts. Radiat Oncol 2011, 6: 135. 10.1186/1748-717X-6-135PubMedCentralCrossRefPubMed
19.
go back to reference Beck-Bornholdt HP: Should tumors be clamped in radiobiological fractionation experiments? Int J Radiat Oncol Biol Phys 1991, 21: 675-682. 10.1016/0360-3016(91)90686-XCrossRefPubMed Beck-Bornholdt HP: Should tumors be clamped in radiobiological fractionation experiments? Int J Radiat Oncol Biol Phys 1991, 21: 675-682. 10.1016/0360-3016(91)90686-XCrossRefPubMed
20.
go back to reference Di Gennaro E, Piro G, Chianese MI, Franco R, Di Cintio A, Moccia T, Luciano A, de Ruggiero I, Bruzzese F, Avallone A, et al.: Vorinostat synergises with capecitabine through upregulation of thymidine phosphorylase. Br J Cancer 2010, 103: 1680-1691. 10.1038/sj.bjc.6605969PubMedCentralCrossRefPubMed Di Gennaro E, Piro G, Chianese MI, Franco R, Di Cintio A, Moccia T, Luciano A, de Ruggiero I, Bruzzese F, Avallone A, et al.: Vorinostat synergises with capecitabine through upregulation of thymidine phosphorylase. Br J Cancer 2010, 103: 1680-1691. 10.1038/sj.bjc.6605969PubMedCentralCrossRefPubMed
21.
go back to reference Fazzone W, Wilson PM, Labonte MJ, Lenz HJ, Ladner RD: Histone deacetylase inhibitors suppress thymidylate synthase gene expression and synergize with the fluoropyrimidines in colon cancer cells. Int J Cancer 2009, 125: 463-473. 10.1002/ijc.24403CrossRefPubMed Fazzone W, Wilson PM, Labonte MJ, Lenz HJ, Ladner RD: Histone deacetylase inhibitors suppress thymidylate synthase gene expression and synergize with the fluoropyrimidines in colon cancer cells. Int J Cancer 2009, 125: 463-473. 10.1002/ijc.24403CrossRefPubMed
22.
go back to reference Folkvord S, Flatmark K, Seierstad T, Roe K, Rasmussen H, Ree AH: Inhibitory effects of oxaliplatin in experimental radiation treatment of colorectal carcinoma: does oxaliplatin improve 5-fluorouracil-dependent radiosensitivity? Radiother Oncol 2008, 86: 428-434. 10.1016/j.radonc.2007.10.012CrossRefPubMed Folkvord S, Flatmark K, Seierstad T, Roe K, Rasmussen H, Ree AH: Inhibitory effects of oxaliplatin in experimental radiation treatment of colorectal carcinoma: does oxaliplatin improve 5-fluorouracil-dependent radiosensitivity? Radiother Oncol 2008, 86: 428-434. 10.1016/j.radonc.2007.10.012CrossRefPubMed
23.
go back to reference Flatmark K, Nome RV, Folkvord S, Bratland A, Rasmussen H, Ellefsen MS, Fodstad O, Ree AH: Radiosensitization of colorectal carcinoma cell lines by histone deacetylase inhibition. Radiat Oncol 2006, 1: 25. 10.1186/1748-717X-1-25PubMedCentralCrossRefPubMed Flatmark K, Nome RV, Folkvord S, Bratland A, Rasmussen H, Ellefsen MS, Fodstad O, Ree AH: Radiosensitization of colorectal carcinoma cell lines by histone deacetylase inhibition. Radiat Oncol 2006, 1: 25. 10.1186/1748-717X-1-25PubMedCentralCrossRefPubMed
Metadata
Title
Radiosensitization by the histone deacetylase inhibitor vorinostat under hypoxia and with capecitabine in experimental colorectal carcinoma
Authors
Marie Grøn Saelen
Anne Hansen Ree
Alexandr Kristian
Karianne Giller Fleten
Torbjørn Furre
Helga Helseth Hektoen
Kjersti Flatmark
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Radiation Oncology / Issue 1/2012
Electronic ISSN: 1748-717X
DOI
https://doi.org/10.1186/1748-717X-7-165

Other articles of this Issue 1/2012

Radiation Oncology 1/2012 Go to the issue