A synthetic compound which mimics the action of a naturally occurring "death-promoting" protein found in cells, has been found to regress or eliminate human lung-cancer tumours, reported researchers at UT Southwestern Medical Center.
Researchers say that the findings, which appeared in the Nov 13, 2007 issue of Cancer Cell, suggests that the compound might one day be used in targeted therapies for lung and possibly other cancers.
"We found that certain kinds of lung-cancer cells were sensitive to this compound, which sends a signal to cancer cells to self-destruct," said Dr. Xiaodong Wang, professor of biochemistry at UT Southwestern and senior author of the study.
In 2004, Dr. Wang and his colleagues developed a compound that mimics the action of Smac. They found that in cell cultures, the compound killed cancer cells but left healthy cells unaffected. In those studies, however, the Smac mimic only killed cancer cells when it was introduced along with another molecule often involved in the cell-death machinery, called tumour necrosis factor-a, or TNFa.
In the current study, Dr. Wang's research group tested 50 human non-small-cell lung-cancer cell lines in culture and found that 22 percent of them were sensitive to the Smac mimic alone, without having to add TNFa. The researchers also found that the Smac mimic alone was effective against some types of breast cancer and melanoma cells in culture.
"The apparent ability of a Smac mimetic, as a single agent, to induce cell death in nearly one-quarter of lung-cancer cell lines tested was quite remarkable," said Dr. Wang, who is a Howard Hughes Medical Institute investigator at UT Southwestern.
The researchers then introduced those sensitive cancer-cell lines into mice, where they grew into tumours. When the lung-tumours-bearing mice were injected with the Smac mimic, the tumours reduced significantly in size, and in some cases, the tumours disappeared completely.
Also tried was a similar experiment treating breast-cancer tumours in mice with the Smac mimic alone. That treatment, however, showed little effect.
The researchers then investigated what made those particular lung-cancer cell lines so sensitive to the Smac mimic alone.
"We found that these sensitive cell lines produce their own TNFa," Dr. Wang said.
In addition to aiding in cell death, TNFa also is known, paradoxically, to sometimes play a role in aiding cancer-cell survival and growth. In combination with the Smac mimic, however, the role of this molecule is clear: cell death.
"The Smac mimetic is able to exploit certain cancer cells that secrete TNFa and usurp this pro-survival signal to promote cell death," Dr. Wang said.
"Not only is single-agent Smac mimetic treatment highly effective at inducing cell death in these cell lines, but it also offers the possibility of highly specific and relatively non-toxic future therapeutic treatments by exploiting certain cancer cells' own production of TNFa."
Dr. Wang said that, additional research and tests would be needed before the Smac mimic is tested in humans. He also added that, detecting the presence of TNFa in a patient could serve as a marker to indicate that the cancer might be sensitive to treatment with the Smac mimic alone.
"The challenge for cancer therapies now is that they also tend to kill normally growing cells as well as cancer cells, which results in undesirable side effects," he said. "Because this compound affects cancer cells selectively, it could combat this problem."
The National Cancer Institute and HHMI have supported the research.