Shuang Li1†Yanli He2†
Xuelin Li1Yongxia Xiong1Yan Peng1
Chengkun Wang4Linsheng Zhuo1,5Weifan Jiang1*Xianzhou Lu3*
Zhen Wang1,5*- 1School of Pharmaceutical Science, Hengyang Medical School, University of South China, Hengyang, Hunan, China
- 2Department of Pain Rehabilitation, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
- 3Department of Hepatobiliary Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, China
- 4Hunan Province Key Laboratory of Tumor Cellular & Molecular Pathology, Cancer Research Institute, Hengyang Medical School, University of, South China
- 5Postdoctoral Station for Basic Medicine, Hengyang Medical School, University of South China, Hengyang, Hunan, China
Background: Gastric cancer is one of the cancers with wide incidence, difficult treatment and high mortality in the world, especially in Asia and Africa. In our previous work, a novel o-aminobenzamide analogue F8 was identified as an early preclinical candidate for treatment of undifferentiated gastric cancer (IC50 of 0.26 μM for HGC-27). However, the poor water solubility of compound F8 prevents its further progress in preclinical studies.
Aim: To improve the water solubility and drug-likeness of F8 via salt formation.
Method: Different acids and F8 were reacted to obtain different salt forms. Physicochemical property screening, pharmacokinetic property research, and antitumor biological activity evaluation in vitro and in vivo were used to obtain the optimal salt form with the best druggability.
Results: our continuous efforts have finally confirmed F8·2HCl as the optimal salt form with maintained in vitro antitumor activity, improved water solubility and pharmacokinetic properties. Importantly, the F8·2HCl displayed superior in vivo antitumor efficacy (TGI of 70.1% in 75 mg/kg) in HGC-27 xenograft model. The further immunohistochemical analysis revealed that F8·2HCl exerts an antitumor effect through the regulation of cell cycle-related protein (CDK2 and p21), apoptosis-related protein Cleaved Caspase-3, proliferation marker Ki67, and cell adhesion molecule E-cadherin. In addition, F8·2HCl showed acceptable safety in the in vivo acute toxicity assay.
Conclusion: Salting is an effective means to improve the drug-like properties of compound F8, and F8·2HCl can serve as a promising therapeutic agent against undifferentiated gastric cancer.
1 Introduction
Gastric Cancer (GC) is one of the most common cancers in the world, although morbidity and mortality rates have declined in the United States and Europe in recent decades, it remains a serious disease in Asia and Africa. And its mortality rate ranks third among malignant tumors (Ajani et al., 2022). Its 5-year survival rate is around 20%, posing a serious threat to human health (Fang et al., 2021; Guo et al., 2021). In 2018, the number of newly diagnosed cases of stomach cancer is well over one million, and the number of deaths is increasing every year (Zhao et al., 2016; Zhang and Yu, 2020). There are many types of gastric cancer because of different degrees of differentiation, including moderately differentiated and highly differentiated gastric cancers. The lower the degree of differentiation, the higher the degree of malignancy in poorly differentiated (Lu et al., 2021; Singh et al., 2021). Due to the high degree of malignancy, undifferentiated gastric cancer is prone to local invasion and distant metastasis, with strong invasiveness, high recurrence rate and poor prognosis, and high risk of lymph node metastasis (Lee and Chung, 2020; Yang et al., 2022). Therefore, the therapeutic effect of undifferentiated gastric cancer is very poor, and there are few drugs that can be used for clinical treatment.
In recent decades, more and more drugs are being approved for the clinical treatment of gastric cancer (Lei et al., 2022). The commonly used anti-gastric cancer drugs are cytotoxic drugs, such as Tegafur, Doxifluridine, and Capecitabine (prodrugs of 5-Fluorouracil), etc., while they have many shortcomings such as lack of selectivity, serious adverse reactions, carcinogenic and teratogenic (Sharma, 2007; Okines et al., 2009). In addition, Trastuzumab is also used as a first-line treatment for stomach cancer, but has a serious side effect that can lead to heart failure (Hyun Cheol Chung et al., 2020; Janjigian et al., 2020). At present, the second- and third-line chemotherapy drugs clinically used in the treatment of gastric cancer mainly include perbrolizumab, ramucirumab and apatinib. Although these drugs have obvious efficacy, they all have relatively serious side effects, such as cardiac insufficiency, hematotoxicity and certain damage of liver and kidney function (Smyth et al., 2020). Therefore, it is imperative to study new anti-gastric cancer drugs with low toxicity, high efficiency and strong selectivity, especially for anti-undifferentiated gastric cancer (Shiotsuki et al., 2022).
In previous work, we have developed a series of novel o-aminobenzamide derivatives, which exhibited potent anticancer effects against a variety of gastric cancer cells (Feng et al., 2022; Lu et al., 2022). Among them, compound F8 has been proved to have the strongest anti-undifferentiated gastric cancer activity (IC50 = 0.26 μM), especially inhibiting the cell cycle and inducing apoptosis of human undifferentiated gastric cancer HGC-27 cells. Moreover, compound F8 showed significantly better anti-xenograft tumor activity than capecitabine in vivo, with less toxicity. Preliminary studies have shown that the cyclin-dependent kinase 16 (CDK16) is a potential target of compound F8, which could upregulate the downstream effector p27 of CDK16, regulate cell cycle- and apoptosis-related proteins, and further exert the anticancer activity. Although compound F8 has a significant inhibitory effect on transplanted tumor, it also has some defects due to poor water solubility, such as poor bioavailability, low exposure level and short half-life, which hinder the medicinal properties and clinical development of this compound. Aiming at the problem of low water solubility, salt formation is the key method to solve these problems (Figure 1).
FIGURE 1. Chemical Structures of representative chemotherapeutics in clinical treatment of gastric cancer.
Nearly half of all drug molecules are delivered in the form of salt (Acharya et al., 2018). Traditionally, improving solubility is one of the basic reasons for adopting salt forms, but numerous studies have shown that a unique salt form may have an impact far beyond solubility. It can improve some drugs that do not ideal physical chemical or biological pharmaceutical properties, such as solubility, dissolution or change of drugs to reduce moisture absorption and improve stability, change the melting point, and improve the grinding performance, easy preparation, purification and improve permeability, achieve sustained or targeted drug delivery, and so on (Gupta et al., 2018). Each salt form of a drug has unique properties. The final determination of salt form is to find a balance between physical and chemical properties and biological and pharmaceutical properties. Therefore, the selection of drug salt type starts from the selection of counter ions, and then the selection of crystallization conditions to prepare the corresponding salt type, which has an important guiding effect on the selection of solid dosage form with appropriate pharmaceutical properties. Salt formation of active pharmaceutical ingredients (APIs) is an integral part of the formulation development process, and salt selection requires a well-designed screening strategy that meets the basic and desirable criteria for formulating salt screening criteria (Bastin et al., 2000; Elder et al., 2013). Selecting the ideal salt type can improve the solid-state properties of the API and reduce the time consuming and expensive burden of formulation development. The counter ions of the salt used can have a positive effect on the suitability of the drug in various dosage forms by improving the properties of the preparation (Elder et al., 2013; Gupta et al., 2018). Selecting an optimal salt form for development is a critical step in ensuring the efficient and successful development of a robust product.
Therefore, in view of the poor water solubility of compound F8, this work synthesized compound F8 into salt, because this is the most feasible way to improve water solubility. We further conducted a comprehensive antitumor activity study in vitro and in vivo on F8·2HCl, confirmed that the water solubility of F8·2HCl was more than 50 times higher than that of compound F8, and the pharmacokinetic properties in vivo were also improved. The exposure level of F8·2HCl was higher than that of compound F8, the half-life and Tmax were significantly increased, and the bioavailability was also significantly improved. Most importantly, the anti-xenograft tumor activity of F8·2HCl was much higher than that of compound F8. Therefore, the salt formation of compound F8 is the key means to improve its efficacy.
2 Materials and methods
2.1 Chemicals
All the chemicals used in the experiment are commercially available, and all chemical reactions follow the synthetic route. Reactions were carried out under argon unless otherwise stated. NMR spectroscopy was performed using a Bruker 500 M NMR instrument (Bruker, AVANCE NEO 500, Germany).
2.1.1 Preparation of single crystals
15 mg F8·2HCl was dissolved in acetone solvent and stirred at room temperature. During the stirring process, ethyl acetate solution was slowly added to make the mixed solvent reach the critical state of solid precipitation but quickly dissolved. The resulting solutions were then filtered through 0.45 µm nylon filters into clean vials and placed on a refrigerator. After standing for 3–10 days, small transparent crystals precipitated.
2.1.2 HPLC
The final product, F8·2HCl, was tested for purity using a High Performance Liquid Chromatograph (Waterage, Alliance HPLC E2695, United States), and the purity of the product was above 98%. Agilent HC-C18 (2) 250 × 4.6 mm and 5 μm were used for the column. The chromatographic conditions were as follows: mobile phase was 70% chromatographic grade methanol and 30% water; detection wavelength was 254 nm; column temperature: 35°C; The flow rate was 1 mL/min.
2.2 Biologicals
2.2.1 Cell lines and cell cultures
Undifferentiated human gastric cancer cell line (HGC-27) was purchased from the China Center for Type Collection (CCTCC, China) and used with 10% Foetal Bovine Serum (FBS, Gemini, Bio-Product, CA, United States), 1% penicillin streptomycin (PS) and 89% 1,640 medium (Eagle’s minimal essential medium) for culture. All cells were incubated at 37°C in a constant temperature incubator containing 95% air and 5% CO2.
2.2.2 Cytotoxicity evaluation
To evaluate the cytotoxicity of F8 and related organic salts on HGC-27 cells, MTT analysis was performed. HGC-27 cells were digested with trypsin, then cells were spread into 96-well plates at a density of 3,000 cells/well and incubated for 12–16 h. After 12 h, the medium in 96-well plates was replaced with compounds containing 1, 0.5, 0.25, 0.125, 0.062, 0.0312 μM for another 72 h. Three days later, 20 μL MTT solution was added and incubated at 37°C for 4 h. Then 150 μL DMSO solution was added to each well after the fluid was removed, and the absorbance was detected by microplate reader. The compound dissolved in DMSO was added to the cell medium so that the final concentration of DMSO was less than 0.4%.
2.2.3 Animal experiments
All studies involving animals were conducted in accordance with the guidelines Animal Studies: Reports of in vivo Experiments, in accordance with ethics and were approved by the Institutional Ethics Committee of the University of South China (Hengyang, China). All animals (including KM mice, SD rats, and BALB/c nude mice) were purchased from Hunan Slake Jingda Laboratory Animal Ltd. (Changsha, China) and housed in gender-specific cages. The feeding environment is a specific pathogen free (SPF) level of 25°C constant temperature environment, 12 h of light and 12 h of night cycle alternated every day, the food and drinking water are through high pressure steam sterilization.
2.2.4 Acute toxicity study
We investigated the toxicity of F8·2HCl when administered in three different ways, and F8·2HCl was all dissolved with normal saline, and the concentration of intravenous and intraperitoneal injection was 8 mg/mL, and the concentration of intragastric administration was 10 mg/mL. Ninety Kunming mice (45 males and 45 females) weighing 18–22 g were divided into 15 groups (n = 6). The doses of F8·2HCl injected by tail vein were 40 mg/kg, 60 mg/kg, 90 mg/kg, 110 mg/kg, 135 mg/kg, 200 mg/kg, 300 mg/kg, 400 mg/kg and 500 mg/kg, respectively. Intraperitoneal injection of different doses of F8·2HCl were 200 mg/kg, 250 mg/kg, 300 mg/kg, 360 mg/kg and 500 mg/kg, respectively. We also added a dose of 600 mg/kg administered by gavage. All drugs administered were dissolved in normal saline. Toxicity was monitored for 14 days. During the monitoring period, the status of mice was observed and their body weight was recorded.
2.2.5 Pharmacokinetic studies
7–8-week Male SD rats weighing 180–220 g were allowed for this experiment. The rats were fasted 12 h except for water. The solution was administered to rats by intravenous injection of 10% ethanol +10% solutol as solvent and intragastric injection of 5% castor oil +5% solutol as solvent. The dose concentration was 8 mg/mL for intravenous injection and 10 mg/mL for gavage.
Twelve male SD rats were divided into 4 groups with 3 rats in each group. Group 1 was F8-intravenous injection group, the dose was 20 mg/kg; Group 2 was F8- intragastric administration group, the dose was 100 mg/kg; Group 3 was F8·2HCl-intragastric administration group, the dose was 100 mg/kg. Blank blood was collected before administration, and blood was collected at predetermined time points after administration:
Intravenous injection group: before administration, 2 min, 5 min, 15 min, 30 min, 1 h, 2 h, 4 h, 8 h, 12 h, 24 h. Intragastric administration group: Before administration, 5 min, 15 min, 30 min, 1 h, 2 h, 4 h, 6 h, 8 h, 12 h, 24 h. About 0.5 mL of blood was collected and placed in an EDTA-K2 tube at −80°C. The plasma was centrifuged and stored at −80°C. The samples were detected by liquid-mass spectrometry analysis system. The chromatographic column used was ODS-C18 (4.6 × 50 mm, 3 µm). The chromatographic conditions were as follows: Mobile phase A is aqueous phase, 5% water (including 0.1% formic acid); Mobile phase B is organic, 95% acetonitrile (containing 0.1% formic acid). Flow rate of 0.4 mL/min, column temperature: room temperature, according to the drug plasma concentration data, calculated pharmacokinetic parameters using DAS 2.0 software.
2.2.6 Tumor xenograft model
4-week-old male BALB/c nude mice weighing 18g–22 g were injected with 100 μL HGC-27 cells (2 × 106 cells) to establish an undifferentiated gastric cancer model. After successful modeling, nude mice were randomly divided into five groups: blank group (n = 6), high-dose of F8·2HCl group (n = 6), low-dose of F8·2HCl group (n = 6), positive control drug apatinib group (n = 6) and F8 group (n = 6). The high-dose group received 75 mg/kg and 37.5 mg/kg of F8 hydrochloride, the control group received 37.5 mg/kg of apatinib and 75 mg/kg of F8, and the blank group received the same volume of normal saline. All drugs were dissolved in normal saline (5% DMSO and 5% castor oil were added to normal saline to facilitate the dissolution due to the poor water solubility of F8).
2.2.7 Statistical analysis
GraphPad Prism 8.0 software was used for statistical analysis. Where two samples were compared, statistical significance was assessed using one-way analysis of variance (ANOVA). p < 0.05 was considered statistically significant.
3 Result and discussion
3.1 Synthesis route optimization
One step of the previous synthesis route of compound F8 was the Ullmann coupling reaction, which had many defects such as the reaction quantity could not be amplified, the reaction conditions were harsh (strictly anhydrous and anaerobic), and the post-reaction treatment was difficult. Therefore, the previous synthesis route was not suitable for industrial production. At present, the synthetic route we have explored has many advantages, such as cheap raw materials and easy availability, mild reaction conditions at each step, simple post-processing, and green economy of the reaction system. The optimized synthetic route of F8 is shown in Scheme 1, and the corresponding NMR data are presented in Supplementary Material S1.
SCHEME 1. Synthetic route of compound F8 without silica column chromatography purification. (A) Compound 1 (9 mmol), compound 2 (10.8 mmol), KI (19.8 mmol) and K2CO3 (19.8 mmol) in MeCN (10 mL) and 5% H2O was stirred at 90°C for 12 h, yield for 80%–90%; (B) Compound 3 (6 mmol) and 10% NaOH (5 mL) in EtOH (2 mL) was stirred at 85 °C for 3h, yield for 95%–100%; (C) Compound 5 (5 mmol), CDI (5.5 mmol), A (5 mmol), DBU (5 mmol), Et3N (7.5 mmol) in THF (20 mL) was stirred at room temperature, yield of up to 90%; (D) A mixture of Compound 4 (5 mmol), compound 6 (6 mmol), HATU (6 mmol), DIPEA (7.5 mmol) in DMF (20 mL) was stirred at room temperature, yield for 75%–90%. (E) The product F8 (2 mmol) obtained in the previous step was dissolved with THF (10 mL), hydrogen chloride-methanol solution (5 mmol) was added, and the reaction was carried out at room temperature for half an hour after argon was introduced, yield for 95%–100%.
3.2 Salt formation of compound F8
As mentioned earlier, in order to further solve the problems of poor solubility and poor oral absorption of compound F8, we considered to make F8 into salt. The selection of salt form is a key step to the success of drug development, which requires a well-designed screening strategy to find the salt form that meets the target performance. Although there are many kinds of counter ions, the commonly used ones are very limited. We have tried some organic acids and inorganic acids respectively. Organic acids include L- (+) -tartaric, D- (+) -tartaric, citric, fumaric, oxalic, methyl-salicylic, maleic, L-melic, D-melic, benzenesulfonic, mesylate, succinic, adipic, inorganic acids including hydrochloric acid, hydrobromic acid and sulfuric acid, but most organic acids into salt have not succeeded, even though the reaction conditions were changed (temperature rise, water control and acid reaction rate improvement), they were still unsuccessful, only mesylate, hydrochloric acid, hydrobromic acid and sulfuric acid successfully prepared the corresponding organic salt (Table 1). This may be because the pKa value of these organic acids is relatively large, and it is not easy to form salt with F8. In order to get better salt-type compounds, we screened the best salt-type compounds from the aspects of hygroscopicity, solubility, irritability, stability and activity after salting. Finally, only mesylate, hydrochloric acid, hydrobromic acid and sulfuric acid have been successfully prepared into corresponding organic salts. We end up with these organic salts, them included F8·2CH3SO2OH, F8·2HBr, F8·2HCl and F8·H2SO4. Firstly, F8·2CH3SO2OH has poor water solubility, and it is an oily, non-salt crystal. And F8·2HBr has strong hygroscopicity, it changed from a dry solid to a liquid state in just 4 h of exposure to the air, and it is highly irritating and harmful to human body. We also found that F8·H2SO4 is less stable, oxidizing and turning black after a few hours of exposure to the air, which forced us to eliminate this organic salt. Finally, the best organic salt we get is F8·2HCl, it can remain stable under high temperature (80°C), acid, alkaline, oxidation and reduction conditions, and its solubility is improved greatly (Figure 2). The crystal data and structure refinement of F8·2HCl are shown in the Supplementary Material S2. And Chloride is the most common anion used to form weak basic drug salts. This is mainly due to the low pKa value of hydrochloric acid and its ability to easily form salts with weak bases.
TABLE 1. Screening of compound F8 related organic salts.
FIGURE 2. (A) Single crystal structure diagram of compound F8·2HCl (Deposition Number 2224701), compound F8 combines 2 molecules of HCl to form F8·2HCl. (B) Solubility of compound F8 and F8·2HCl in aqueous solution.
After compound F8 was salted, its water solubility was greatly improved, and its solubility in pure water increased from less than 1 mg/mL to more than 50 mg/mL. Considering that the subsequent experiments in vivo all used normal saline as solvent, we further investigated the solubility of compounds F8 and F8·2HCl in normal saline, and found that the results were not much different from pure water.
3.3 Evaluation of activity in vitro
Infinite proliferation is one of the most prominent features of cancer cells, therefore, we evaluated the anti-proliferation activity of compounds F8 and related organic salts against human gastric carcinoma HGC-27 via MTT assay. The results showed that F8 and its salt compounds had good anti-proliferation activity against human undifferentiated cells HGC-27 and liver cancer cells, as well as breast cancer cells MDA-MB-468. The IC50 value at 72 h was less than 1.5 μM, indicating that the compounds had certain anti-proliferation ability against these cancer cells (Table 2). Although the activity of compound F8·2HCl compared to F8 was not significantly improved in vitro, which may be due to the fact that salt formation did not change the activity of compound F8, instead retained its anticancer activity, and promoted its absorption in vivo by improving its water solubility, thus improving its efficacy in vivo.
TABLE 2. Effect of compound F8 and organic salts on cancer cell viability.
3.3.1 In vivo acute toxicity assay
To evaluate the safety of F8·2HCl in vivo, acute toxicity studies were performed. First, six Kunming mice (half male and half female) were gavage with F8·2HCl at a single dose of 600 mg/kg. All the mice survived 14 days without any abnormal reactions. The same 6 KM mice were intraperitoneally injected with different doses of F8·2HCl, and the LD50 obtained of intraperitoneal injection of F8·2HCl was determined to be 303 mg/kg. Under the same conditions for intravenous injection of F8·2HCl, its LD50 is 153 mg/kg. In addition, HE staining of pathological section proved that the structure of the heart, liver, spleen, lung, kidney and other organs was intact without any lesions at the doses of 200 mg/kg intraperitoneal injection and 600 mg/kg oral administration.
3.3.2 Preliminary pharmacokinetic properties of compounds F8 and F8·2HCl
After oral administration, drugs need to go through four stages, namely, absorption, distribution, metabolism and excretion. However, the changes in solubility of drugs after salting only affect the absorption stage. Since absorption is accompanied by a dissolution process, the water solubility and dissolution rate of drugs are the main factors that determine their absorption, and then affect their oral bioavailability (Elder et al., 2013). Under the stimulation of cell activity and increased solubility, pharmacokinetic experiments were carried out to understand the drug exposure and provide a basis for further druggability of compound F8. In this study, compound F8 and F8·2HCl were administered in two different ways: tail vein injection (20 mg/kg) and gavage (100 mg/kg), and pharmacokinetic parameters were measured in Sprague-Dawley (SD) rats (Figures 3, 4).
FIGURE 3. The mortality-dose curves of F8·2HCl. (A) The LD50 was found to be 153 mg/kg when administered intravenously at different doses. (B) The LD50 was found to be 303 mg/kg when administered intraperitoneally at different doses.
FIGURE 4. HE staining of the heart, liver, spleen, lung, and kidney from animals treated with compound F8·2HCl (200 mg/kg through intraperitoneal injection and 600 mg/kg through intragastric administration) or equal solution without compounds. All images are viewed at 100x.
From Table 3, the area under the concentration-time curve (AUC0-t) of compounds F8 in intravenous injection and oral administration was about 6.99 mg·h/mL and 1.13 mg·h/mL, while the AUC0-t of compound F8·2HCl was 1.77 mg·h/mL. Besides, the plasma concentration of compound F8 reached a peak of 0.4 mg/mL at 0.19 h, while 0.58 mg/mL at 1.42 h for compound F8·2HCl. Additionally, the half-life (T1/2) was 3.63 h for compound F8·2HCl, whereas the parameters were shorter for compound F8 at 2.66 h, and Tmax has been lengthened nearly tenfold. And bioavailability was also increased from 3.23% of F8 to 5.06% of F8·2HCl. In conclusion, compound F8·2HCl not only has a higher blood concentration than compound F8, but also has a longer half-life of action, so it is highly likely that its drug effect in vivo is more significant than that of compound F8.
TABLE 3. In vivo pharmacokinetic properties of compounds F8 and F8·2HCl.
3.3.3 In vivo anti-HGC-27 xenograft activity of F8·2HCl
Encouraged by the cellular activities and drug metabolism in rat, we evaluated the in vivo anti-gastric tumor potency of compound F8·2HCl on HGC-27 xenograft model using the clinical third-line oral anti-gastric cancer agent apatinib and the prototype drug F8 as the positive control. As shown in Table 4, after continuous administration by oral administration for 14 days, all compounds showed a slow growth trend on tumor volume, but compound F8·2HCl had a more significant inhibitory effect than the prototype compound F8 and the marketed drug apatinib. The tumor growth inhibition rate of compound F8·2HCl was 70.1% at a dose of 75 mg/kg and 60.6% at a dose of 37.5 mg/kg, all of which outdistanced a 52.8% and 50.0% inhibition of compound F8 and apatinib at a dose of 75 mg/kg and 37.5 mg/kg. So, it means that the tumor growth inhibition rates of two different doses of F8·2HCl both exceeded compounds F8 and apatinib at the same dose. Similarly, treatment with compound F8·2HCl resulted in a significant decrease in tumor weight compared with the control group in a concentration dependent manner. Importantly, no significant weight loss was observed compared to the control group, indicating that compound F8·2HCl had no significant adverse events in mice (Figure 5).
TABLE 4. Summary of tumor growth inhibition of compound F8, F8·2HCl and apatinib.
FIGURE 5. Compound F8·2HCl suppressed gastric xenograft tumor growth in vivo. Male BALB/c nude mice were divided into five groups (n = 6 per group) including vehicle group, apatinib (positive drug) at 37.5 mg/kg dose, compound F8·2HCl at 37.5 mg/kg dose, compound F8·2HCl at 75 mg/kg dose and administrated via oral gavage twice daily for 15 days. (A) Tumor volumes plotted as mean ± SEM. (B) Mice weight curve during treatment plotted as mean ± SD. (C,D) Tumor weight and size on the final day. Statistical analyses showed the mean ± SD or SEM of three independent experiments, comparing each treatment group to the blank and apatinib group: (*) p < 0.05, (**) p < 0.01, (***) p < 0.001.
Then, immunohistochemical analysis was performed on the tumor of the HGC-27 xenograft tumor model. It is known that cyclin-dependent kinase 2 (CDK2) and CDK inhibitor p21 play pivotal parts in cell cycle regulation, while both downregulation of CDK2 or upregulation of p21 lead to cell cycle arrest (Tadesse et al., 2019; Sturmlechner et al., 2021). Compared with the blank group, the expression of CDK2 declined dose-dependently after treatment of compound F8·2HCl, while the level of p21 protein was significantly upregulated (Figure 6). Ki-67 is an antigen associated with proliferating cells, which is usually positively correlated with tumor growth rate (Menon et al., 2019). It is found that compound F8·2HCl significantly decreased the expression of Ki-67 protein. Cleaved Caspase-3 is a pro-apoptotic protein, the higher the expression of this protein, the stronger the ability of rapid proliferation of cancer cells (Wei et al., 2020). As shown in Figure 6, F8·2HCl significantly upregulated the expression of Cleaved Caspase-3 protein. E-cadherin which is a type of cell surface transmembrane glycoprotein has an important influence on the cell-cell adhesion function. Growing evidences suggested that E-cadherin is a critical tumor suppressor in several carcinomas, including gastric cancer, and the decreased expression of E-cadherin was mainly found in diffuse type gastric cancer (Zhao et al., 2021). It is also confirmed that F8·2HCl can increase the expression level of E-cadherin protein, compared with the blank group. These results suggest that compound F8·2HCl exerts anticancer activity by regulating cycle-, apoptosis-, and cell adhesion-related proteins.
FIGURE 6. Compound F8·2HCl regulated apoptosis-related proteins and cell cycle-related proteins in vivo. Representative tumor images of IHC analysis stained by CDK2, Cleaved Caspase-3, E-cadherin, KI-67 and p21. Magnification: × 400.
Therefore, although F8·2HCl did not improve the activity in vitro, it greatly improved the absorption of the drug in the body and promoted the play of the drug effect. Perhaps we can draw a conclusion that compound F8·2HCl can improve the exposure level of drugs in the body by improving the solubility and dissolution rate of compound F8, so as to improve the absorption, distribution and metabolism of drugs, and finally achieve the purpose of enhancing the druggability.
4 Conclusion
In summary, on the basis of the previous work, we found the compound F8 as an early preclinical candidate for treatment of gastric cancer. Nevertheless, the poor solubility of compound F8 hinders its further clinical research. Therefore, we applied salt formation method to improve the water solubility and oral exposure of compound F8. And our continuous efforts have finally confirmed F8·2HCl salt form with maintained in vitro antitumor activity, improved water solubility and pharmacokinetic properties.
The anticancer activity of compound F8·2HCl was not significantly improved in vitro, which may be due to the fact that salt formation only changed its physicochemical properties, but did not change the pharmacological activity of compound F8. Additionally, compounds F8 and F8·2HCl exert broad-spectrum anticancer properties, but also exhibit obvious selectivity to different cancer cells. This selectivity of F8 and F8·2HCl against cancer cells might be caused by many aspects. Given that compound F8 could regulate the cell cycle-related proteins and induce cell cycle arrest at G2/M phase, the different differentiation and proliferation rate of cancer cells affects their sensitivity to F8 and F8·2HCl. In our previous work, compound F8 had exhibited high selectivity for malignant over normal cells (Feng et al., 2022), with excellent potential on undifferentiated gastric cancer cell (IC50 = 0.28 μM for HGC-27) than differentiated gastric cancer cells (IC50 = 10.66 μM and 23.29 μM for MGC-803 and AGS, respectively) and normal cells (IC50 > 100 μM for GES-1). On the other hand, it is speculated that the expressed difference of CDK16 in different cancer cells might affect the selectivity of F8 and F8·2HCl against cancer cells. It is known that CDK16 plays an important role in the development and progression of various cancer cells, such as breast cancer cell MDA-MB-468, colon cancer cell HCT-116, prostatic cancer cell DU-145, etc., rather than breast cancer cell MCF-7 (Yanagi et al., 2014; Yanagi et al., 2016). CDK16 had been identified as a potential target of compound F8 by activity-based protein analysis technique in the previous study. Consistently, compound F8 and F8·2HCl exhibited potent inhibitory effects on MDA-MB-468 (IC50 = 1.45 μM and 1.42 μM for F8 and F8·2HCl) and HCT-116 (IC50 = 4.89 μM and 4.02 μM for F8 and F8·2HCl), rather than MCF-7 (IC50 = 43.50 μM and 47.69 μM for F8 and F8·2HCl). Nevertheless, these still need to be confirmed by further studies.
Drugs with suboptimal aqueous solubility often have low and variable oral bioavailability, which might account for their unpredictable clinical response. Improving the aqueous solubility of candidate drugs through salt formation, thereby improving their pharmacokinetic properties and efficacy in vivo, has become a feasible means in the early stage of drug development. The results confirmed that the water solubility of F8·2HCl was more than 50 times higher than that of compound F8, which greatly promoted the pharmacokinetic properties of F8·2HCl in vivo. Even with the same oral dose, the mean serum concentrations and maximum serum concentrations in the F8·2HCl group were higher than those in the F8 group, and the half-life was extended by 1 h, and the Tmax increased nearly 10 times as much. In vivo anti-xenograft tumor experiment, the F8·2HCl (TGI of 70.1% in 75 mg/kg) displayed more superior in vivo antitumor efficacy than compound F8 (TGI of 52.8% in 75 mg kg), and the F8·2HCl (TGI of 60.6% in 37.5 mg/kg) also showed better than apatinib (TGI of 50.0% in 37.5 mg/kg). Moreover, the further immunohistochemical analysis revealed that F8·2HCl exerts a pro-apoptotic effect through the regulation of cell cycle and apoptosis -related proteins. F8·2HCl significantly decreased the expression of CDK2 and KI-67 protein, and increased the expression of Cleaved Caspase3 and E-cadherin. The specific mechanism of action of compound F8·2HCl has been further investigated, and the preclinical studies of F8·2HCl are under way.
In conclusion, compound F8·2HCl showed excellent activity in vivo, which also indicated that good water solubility was conducive to the play of drug efficacy and the enhancement of drug-like properties of the compound, as well as to improve the pharmacokinetic characteristics of drug absorption, distribution, metabolism and excretion (ADME) in body. Therefore, salting is an effective means to improve the drug-like properties of compound F8, and F8·2HCl can serve as a promising therapeutic agent against undifferentiated gastric cancer.
Data availability statement
The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.
Ethics statement
The animal study was reviewed and approved by the University of South China Medical Ethics Committee.
Author contributions
SL and YH are responsible for the whole project, including project design, experimental operation and analysis, and article writing. XL, YX, CW, and LZ helped to analyze the data and revise the article. WJ, XL, and ZW designed and supervised the study. All authors contributed to the article and approved the submitted version.
Funding
This research was supported by Gansu Province Science Foundation for Distinguished Young Scholars (No. 20JR5RA304), National Natural Science Foundation of China (No. 22107034), China Postdoctoral Science Foundation (2022M721544), Hunan Provincial Natural Science Foundation of China (No. 2022JJ40356, 2023JJ40571, 2023JJ30527), Key Research Project of Science and Technology Department of Hunan Province (No. 2020SKC2009) and Major Research Fund of Hunan Provincial Health and Family Planning Commission (No. A2017012).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
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Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphar.2023.1118397/full#supplementary-material
References
Acharya, P. C., Marwein, S., Mishra, B., Ghosh, R., Vora, A., and Tekade, R. K. (2018). “Role of salt selection in drug discovery and development,” in Dosage form design considerations, 435–472.
Ajani, J. A., D'Amico, T. A., Bentrem, D. J., Chao, J., Cooke, D., Corvera, C., et al. (2022). Gastric cancer, version 2.2022, NCCN clinical practice guidelines in oncology. J. Natl. Compr. Canc Netw. 20 (2), 167–192. doi:10.6004/jnccn.2022.0008
Bastin, R. J., Bowker, M. J., and Slater, B. J. (2000). Salt selection and optimisation procedures for pharmaceutical new chemical entities. Org. Process Res. Dev. 4 (5), 427–435. doi:10.1021/op000018u
Elder, D. P., Holm, R., and Diego, H. L. (2013). Use of pharmaceutical salts and cocrystals to address the issue of poor solubility. Int. J. Pharm. 453 (1), 88–100. doi:10.1016/j.ijpharm.2012.11.028
Fang, C., Chen, C., Yang, Y., Li, K., Gao, R., Xu, D., et al. (2021). Physalin B inhibits cell proliferation and induces apoptosis in undifferentiated human gastric cancer HGC-27 cells. Asia Pac J. Clin. Oncol. 18 (3), 224–231. doi:10.1111/ajco.13593
Feng, Y., Lu, Y., Li, J., Zhang, H., Li, Z., Feng, H., et al. (2022). Design, synthesis and biological evaluation of novel o-aminobenzamide derivatives as potential anti-gastric cancer agents in vitro and in vivo. Eur. J. Med. Chem. 227, 113888. doi:10.1016/j.ejmech.2021.113888
Guo, L., Yang, Y., Sheng, Y., Wang, J., Ruan, S., and Han, C. (2021). Mechanism of piperine in affecting apoptosis and proliferation of gastric cancer cells via ROS-mitochondria-associated signalling pathway. J. Cell Mol. Med. 25 (20), 9513–9522. doi:10.1111/jcmm.16891
Gupta, D., Bhatia, D., Dave, V., Sutariya, V., and Varghese Gupta, S. (2018). Salts of therapeutic agents: Chemical, physicochemical, and biological considerations. Molecules 23 (7), 1719. doi:10.3390/molecules23071719
Hyun Cheol Chung, Y., Fuchs, C. S., Qin, S-K., Satoh, T., Shitara, K., Tabernero, J., et al. (2020). First-line pembrolizumab/placebo plus trastuzumab and chemotherapy in HER2-positive advanced gastric cancer: KEYNOTE-811. Future Oncol. 17 (5), 491–501. doi:10.2217/fon-2020-0737
Janjigian, Y. Y., Maron, S. B., Chatila, W. K., Millang, B., Chavan, S. S., Alterman, C., et al. (2020). First-line pembrolizumab and trastuzumab in HER2-positive oesophageal, gastric, or gastro-oesophageal junction cancer: An open-label, single-arm, phase 2 trial. Lancet Oncol. 21 (6), 821–831. doi:10.1016/S1470-2045(20)30169-8
Lee, A., and Chung, H. (2020). Endoscopic resection of undifferentiated-type early gastric cancer. J. Gastric Cancer 20 (4), 345–354. doi:10.5230/jgc.2020.20.e37
Lei, Z. N., Teng, Q. X., Tian, Q., Chen, W., Xie, Y., Wu, K., et al. (2022). Signaling pathways and therapeutic interventions in gastric cancer. Signal Transduct. Target Ther. 7 (1), 358. doi:10.1038/s41392-022-01190-w
Lu, H., Sun, Y., Zhu, Z., Xu, H., Huang, R., and Huang, B. (2021). Differentiated/undifferentiated mixed type is a prognostic factor for T2/T3 gastric cancer patients. Expert Rev. Gastroenterol. Hepatol. 15 (11), 1329–1336. doi:10.1080/17474124.2021.1973430
Lu, Y., Feng, Y., Li, Z., Li, J., Zhang, H., Hu, X., et al. (2022). Novel piperazine based benzamide derivatives as potential anti-glioblastoma agents inhibiting cell proliferation and cell cycle progression. Eur. J. Med. Chem. 227, 113908. doi:10.1016/j.ejmech.2021.113908
Menon, S. S., Guruvayoorappan, C., Sakthivel, K. M., and Rasmi, R. R. (2019). Ki-67 protein as a tumour proliferation marker. Clin. Chim. Acta 491, 39–45. doi:10.1016/j.cca.2019.01.011
Okines, A. F. C., Norman, A. R., McCloud, P., Kang, Y. K., and Cunningham, D. (2009). Meta-analysis of the REAL-2 and ML17032 trials: Evaluating capecitabine-based combination chemotherapy and infused 5-fluorouracil-based combination chemotherapy for the treatment of advanced oesophago-gastric cancer. Ann. Oncol. 20 (9), 1529–1534. doi:10.1093/annonc/mdp047
Sharma, S. P. (2007). Capecitabine and irinotecan in advanced gastric cancer. Lancet Oncol. 8 (7), 577. doi:10.1016/s1470-2045(07)70192-4
Shiotsuki, K., Takizawa, K., and Ono, H. (2022). Indications of endoscopic submucosal dissection for undifferentiated early gastric cancer: Current status and future perspectives for further expansion. Digestion 103 (1), 76–82. doi:10.1159/000519650
Singh, A. P., Inavolu, P., Sekaran, A., Reddy, D. N., and Ramchandani, M. (2021). Endoscopic curative resection of undifferentiated early gastric cancer. Endoscopy 53 (6), E226–E227. doi:10.1055/a-1244-9690
Smyth, E. C., Nilsson, M., Grabsch, H. I., van Grieken, N. C., and Lordick, F. (2020). Gastric cancer. Lancet 396 (10251), 635–648. doi:10.1016/S0140-6736(20)31288-5
Sturmlechner, I., Zhang, C., Sine, C. C., van Deursen, E. J., Jeganathan, K. B., Hamada, N., et al. (2021). p21 produces a bioactive secretome that places stressed cells under immunosurveillance. Science 374 (6567), eabb3420. doi:10.1126/science.abb3420
Tadesse, S., Caldon, E. C., Tilley, W., and Wang, S. (2019). Cyclin-dependent kinase 2 inhibitors in cancer therapy: An update. J. Med. Chem. 62 (9), 4233–4251. doi:10.1021/acs.jmedchem.8b01469
Wei, S., Peng, L., Yang, J., Sang, H., Jin, D., Li, X., et al. (2020). Exosomal transfer of miR-15b-3p enhances tumorigenesis and malignant transformation through the DYNLT1/Caspase-3/Caspase-9 signaling pathway in gastric cancer. J. Exp. Clin. Cancer Res. 39 (1), 32. doi:10.1186/s13046-019-1511-6
Yanagi, T., Krajewska, M., Matsuzawa, S., and Reed, J. C. (2014). PCTAIRE1 phosphorylates p27 and regulates mitosis in cancer cells. Cancer Res. 74 (20), 5795–5807. doi:10.1158/0008-5472.CAN-14-0872
Yanagi, T., Tachikawa, K., Wilkie-Grantham, R., Hishiki, A., Nagai, K., Toyonaga, E., et al. (2016). Lipid nanoparticle-mediated siRNA transfer against PCTAIRE1/PCTK1/cdk16 inhibits in vivo cancer growth. Mol. Ther. Nucleic Acids 5 (6), e327. doi:10.1038/mtna.2016.40
Yang, H. J., Kim, J. H., Kim, N. W., and Choi, I. J. (2022). Comparison of long-term outcomes of endoscopic submucosal dissection and surgery for undifferentiated-type early gastric cancer meeting the expanded criteria: A systematic review and meta-analysis. Surg. Endosc. 36 (6), 3686–3697. doi:10.1007/s00464-022-09126-9
Zhang, Y., and Yu, J. (2020). The role of MRI in the diagnosis and treatment of gastric cancer. Diagn Interv. Radiol. 26 (3), 176–182. doi:10.5152/dir.2019.19375
Zhao, E. H., Ling, T. L., and Cao, H. (2016). Current status of surgical treatment of gastric cancer in the era of minimally invasive surgery in China: Opportunity and challenge. Int. J. Surg. 28, 45–50. doi:10.1016/j.ijsu.2016.02.027
Keywords: o-aminobenzamide derivate, salt formation, undifferentiated gastric cancer, antitumor, water solubility
Citation: Li S, He Y, Li X, Xiong Y, Peng Y, Wang C, Zhuo L, Jiang W, Lu X and Wang Z (2023) Development of o-aminobenzamide salt derivatives for improving water solubility and anti-undifferentiated gastric cancer. Front. Pharmacol. 14:1118397. doi: 10.3389/fphar.2023.1118397
Received: 07 December 2022; Accepted: 19 June 2023;
Published: 11 July 2023.
Edited by:
Jian Zhou, Central South University, ChinaCopyright © 2023 Li, He, Li, Xiong, Peng, Wang, Zhuo, Jiang, Lu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Zhen Wang, zhenw@lzu.edu.cn; Xianzhou Lu, 2497549734@qq.com; Weifan Jiang, jiangwf@usc.edu.cn
†These authors have contributed equally to this work