Summary
Introduction Combretastatin A-4 (CA-4) is a natural cis-stilbene which interferes with the cellular tubulin dynamics and which selectively destroys tumour blood vessels. Its pharmacological shortcomings such as insufficient chemical stability, water solubility, and cytotoxicity can be remedied by employing its imidazole derivatives. Methods We studied 11 halogenated imidazole derivatives of CA-4 for their effects on the microtubule and actin cytoskeletons of cancer and endothelial cells and on the propensity of these cells to migrate across tissue barriers or to form blood vessel-like tubular structures. Results A series of N-methyl-4-aryl-5-(4-ethoxyphenyl)-imidazoles proved far more efficacious than the lead CA-4 in growth inhibition assays against CA-4-resistant HT-29 colon carcinoma cells and generally more selective for cancer over nonmalignant cells. Et-brimamin (6), the most active compound, inhibited the growth of various cancer cell lines with IC50 (72 h) values in the low nanomolar range. Active imidazoles such as 6 reduced the motility and invasiveness of cancer cells by initiating the formation of actin stress fibres and focal adhesions as a response to the extensive microtubule disruption. The antimetastatic properties were ascertained in 3D-transwell migration assays which simulated the transgression of highly invasive melanoma cells through the extracellular matrix of solid tumours and through the endothelium of blood vessels. The studied imidazoles exhibited vascular-disrupting effects also against tumour xenografts that are refractory to CA-4. They were also less toxic and better tolerated by mice. Conclusions We deem the new imidazoles promising drug candidates for combination regimens with antiangiogenic VEGFR inhibitors.
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Introduction
The cis-stilbene combretastatin A-4 (CA-4; Fig. 1a) which was first isolated from the South-African bushwillow Combretum caffrum shows a remarkable antivascular activity [1, 2]. CA-4 and its clinically investigated phosphate prodrug fosbretabulin (CA-4P) are vascular-disrupting agents (VDA) which selectively target the blood vessels of solid tumours [3–5]. CA-4 binds primarily to the colchicine binding site of beta-tubulin and impedes the polymerisation of heterodimeric tubulin subunits to give microtubules [2, 6]. Its antiproliferative effect is based mainly on this disruption of the highly organised microtubule cytoskeleton. Cells affected in this way are hindered to develop mitotic spindles leading to mitotic arrest and eventually to apoptosis [4, 7–9]. In contrast, the disruption of blood vessels by CA-4 or CA-4P is an immediate effect originating from a rapid change of the morphology of individual endothelial cells and a perturbation of the integrity of endothelial cell monolayers. Investigations into the signalling pathways involved in the cellular response to inhibitors of microtubule formation showed the small GTPase Rho, Rho-associated kinase (Rho-kinase) and various mitogen-activated protein kinases (MAPKs) to play an essential role. Typical effects of CA-4 are the assembly of actin stress fibres, an increase in cell contractility, a loss of cell-cell contacts and the induction of apoptosis [10–12]. They are responsible for the disruption of the tight cellular organisation of the endothelium, the increase in endothelial permeability, and the leaking or disruption of tumour blood vessels. The consequences visible in solid tumours are haemorrhages and necrosis [3, 4, 13]. Unfortunately, CA-4 is not suitable for clinical application because of its metabolic conversion to the inactive trans-isomer and its insufficient solubilty and cytotoxicity [2, 5]. Although the irregular vasculature of solid tumours is a promising drug target the number of clinically tested antivascular drugs is still rather small. Examples are the CA-4 serinyl prodrug AVE8062 [14, 15] and the CA-1 diphosphate prodrug OXi4503 [16]. More recently, combretastatin A derivatives with imidazole, oxazole or other heterocycles bridging the alkene bond were developed that retain the vascular-disrupting effect while showing an enhanced chemical stability and cytotoxicity [17–20]. Lately, we developed a series of N-methylimidazole-brigded CA-4 derivatives bearing meta-halogen substituents at the A- or B-ring (Fig. 1b) and optimised their antitumoural and antivascular properties both in vitro and in vivo [18, 19].
The current paper presents a new series of five halogenated imidazole analogues of CA-4 (6–8,11,12) which share a meta-halogen substituted A-ring and a B-ring with meta-halogen/NH2 and para-OEt substitution. With both series of imidazoles in hand we could now study the influence of various substituent constellations on their cytotoxicity, vascular-disrupting activity in vitro and in vivo, their cancer selectivity, and the underlying cellular mechanisms, also in comparison to the lead compound CA-4. Particularly insightful was a comparison of imidazole couples that differ only in the para-substituent on the B-ring, being either the original methoxy group of CA-4 or an ethoxy group, i.e., 3/6, 4/7, 5/8, 9/11, and 10/12.
Materials and methods
Imidazoles, stock solutions and dilution series
CA-4 was purchased from Sigma Aldrich. The known imidazoles 1–4 were prepared as published [17–19], the new derivatives 5–8,11,12 were synthesised analogously (cf. Electronic supplementary material). Stock solutions were prepared by dissolving CA-4 and the purified imidazolium hydrochlorides 2–12 in DMSO to a final concentration of 10 mM. All dilution series were prepared in 1 × PBS or ddH2O.
Cell lines and culture conditions
The human carcinoma cell lines HT-29 (colon), HCT-116 (colon), and MCF-7 (breast) were purchased from The German Collection of Microorganisms and Cell Culture (DSMZ, Braunschweig). MCF-7 cells were rendered multidrug-resistant, indicated as MCF-7/Topo, by repeated application of topotecan. Primary human umbilical vein endothelial cells (HUVEC) were obtained from DSMZ and the HUVEC-derived endothelial hybrid cell line Ea.hy926 from The American Type Culture Collection (ATCC no. CRL-2922). The human melanoma cell line 518A2 was a gift from the Department of Radiotherapy and Radiobiology, University Hospital Vienna. It is not available from cell banks, yet easily identified by its large size and its flat, spread-out morphology. Cells of cell lines 518A2, HT-29, HCT-116, MCF-7/Topo, and Ea.hy926 were grown in DMEM or RPMI (HT-29) medium, supplemented with 10 % fetal bovine serum (FBS), 1 % Antibiotic-Antimycotic solution (both from Gibco) and 250 μg/mL gentamycin (SERVA). Experiments with HUVEC were conducted at the Helmholtz Centre for Infection Research (Braunschweig, Germany). HUVEC were cultured in EGM-2 medium (Lonza). Primary chicken heart fibroblasts (CHF) were explanted from 10 day-old chicken embryos and separated from other cell types for several weeks. The established cell line based on single fibroblasts was finally grown in DMEM (10 % FBS, 1 % Anti-Anti, 250 μg/mL gentamycin) and used before the 20th passage. All cells were incubated at 37 °C, 5 % CO2, 95 % humidified atmosphere. Only mycoplasm-free cell cultures were used.
Cell cycle analyses
CA-4-sensitive 518A2 melanoma cells (2 × 105 cells/well) grown on 6-well cell culture plates were treated with DMSO (control), CA-4 (5 nM) or the imidazole derivatives 3 (25 nM) and 6 (10 nM). HT-29 colon carcinoma cells (2 × 105 cells/well) were treated with vehicle or compounds 3 or 6 (100 nM). Since HT-29 are resistant to CA-4 [21, 22], a higher concentration of CA-4 (10 μM) was used to observe comparable effects on the cell cycle. After incubation for 24 h, cells were harvested by trypsination, fixed (ice-cold 70 % EtOH, 1 h, 4 °C), and incubated with propidium iodide (PI, Carl Roth) staining solution (50 μg/mL PI, 0.1 % sodium citrate, 50 μg/mL RNase A in PBS) for 30 min at 37 °C. The fluorescence intensity of 10,000 single cells at an emission wavelength of 620 nm (exCitation with a 488 nm laser source) was recorded with a Beckman Coulter Cytomics FC500 flow cytometer and analysed for the distribution of single cells (%) to G1, S and G2-M phase of the cell cycle as well as for the content of sub-G1 events (apoptotic cells) by using the CXP software (Beckman Coulter).
Determination of the mitotic index
518A2 or HT-29 cells (1 × 104 cells/well) grown on glass coverslips were allowed to adhere for 24 h and then exposed to CA-4 (518A2: 5 nM CA-4, HT-29: 5 μM CA-4) or to imidazoles 3 and 6 for 6 h. After fixation with 4 % formaldehyde in PBS for 20 min, coverslips were washed twice with PBS and mounted in Mowiol 4-88-based mounting medium containing 1 μg/mL DAPI (4′,6-diamidino-2-phenylindole) overnight at 4 °C. Pictures of DAPI-stained nuclei in random fields of the slides were recorded with a ZEISS Axiovert 135 fluorescence microscope (AxioCam MRc5, 400-fold magnification). For each concentration a minimum of 800 cells from at least four pictures were counted (AxioVision software) and the percentage of mitotic cells was calculated from the ratio of mitotic cells to the total number of counted cells (mitotic index ± S.D.) [23].
Quantification of polymeric and depolymerised tubulin fractions
To assess early effects on the microtubule cytoskeleton, 518A2 cells cultured for 24 h in 24-well plates (5 × 104 cells/well) were exposed to DMSO (control), CA-4 as a positive control (1 μM), or increasing concentrations of the imidazoles 3 and 6 (50, 100, 250, 500, 1000 nM) for 6 h. The cells were then harvested by trypsination and centrifuged at 400 g for 5 min at room temperature. The resulting cell pellet was resuspended in 100 μL hypotonic cell lysis buffer (20 mM Tris-HCl, 1 mM MgCl2, 2 mM EGTA, 0.5 % Triton X-100, pH 6.8) supplemented with protease inhibitor (protease inhibitor cocktail Set III, EDTA-free, Calbiochem) for 10 min at room temperature. After centrifugation at 12,000 g (10 min, room temperature), the supernatant containing soluble, depolymerised tubulin was separated from the pellet fraction representing detergent-insoluble, polymeric microtubules [23, 24]. Cell lysate and the pellet fractions were mixed with 100 μL 2× SDS-sample buffer (4 % SDS, 20 % glycerol, 20 mM DTT, 0.005 % bromophenol blue in 125 mM Tris-HCl, pH 6.8) and boiled at 95 °C for 10 min. Equal volumes of the samples were subjected to 10 % SDS-polyacrylamide gel electrophoresis followed by a standard Western blotting procedure and chemiluminescent detection (anti-alpha-tubulin mouse monoclonal antibody, clone no. TU-01, ca. One microgram per milliliter; goat anti-mouse IgG-HRP conjugate, Cell Signaling Technology) of the alpha-tubulin content. ImageJ software was used for graphical work and densitometric analyses.
Fluorescence labelling of microtubules, actin filaments and focal adhesions
Cells were seeded on glass coverslips (5 × 104 518A2 cells/well, 1 × 105 HUVECs/well) and allowed to adhere for 24 h and then treated with vehicle (DMSO) or various concentrations of CA-4 or the imidazoles 3, 6, or 7. After 24 h of incubation cells were fixed with 4 % formaldehyde in PBS for 20 min at room temperature followed by blocking and permeabilisation (1 % BSA, 0.1 % Triton X-100 in PBS) for 30 min. For visualisation of filamentous actin (F-actin) coverslips were incubated with 1 U AlexaFluor®-488-conjugated phalloidin (Invitrogen) for 1 h at 37 °C. For immunostaining of microtubules and paxillin-associated focal adhesions fixed and permeabilised cells were treated with a primary antibody against alpha-tubulin (anti-alpha-tubulin, mouse monoclonal antibody, clone no. TU-01, ca. 10 μg/mL) or against paxillin (anti-paxillin, mouse monoclonal antibody, clone no. 177/Paxillin, 0.5 μg/mL, BD Transduction Laboratories) followed by incubation with a secondary antibody conjugated to AlexaFluor®-488 (goat anti-mouse IgG-AlexaFluor®-488 conjugate, Cell Signaling Technology) for 1 h in the dark. Coverslips were mounted in Mowiol 4-88-based mounting medium containing 2.5 % (w/v) DABCO and 1 μg/mL DAPI for counterstaining the nuclei. Cytoskeletal components were documented by fluorescence microscopy (ZEISS Axio Imager.A1; 400× magnification for microtubule and microfilament staining, 630× for paxillin staining).
Tube formation assay with endothelial cells
The ability of permanent Ea.hy926 endothelial hybrid cells to form vascular-like networks upon growth factor stimulation was used to assess the vascular-disruptive activity of CA-4, 3 and 6 in vitro. Ea.hy926 cells retain essential endothelial characteristics and are an appropriate, often used model for angiogenesis studies [25, 26]. In the so-called tube formation assay Ea.hy926 cells (5 × 104/well) were grown for 12 h on thin Matrigel™ (basement membrane matrix, high concentration, with growth factors, BD Biosciences) layers pre-gelled in the wells of a black 96-well cell culture plate (20 μL of pure matrigel solution, 30 min at 37 °C) and then treated with vehicle (DMSO), CA-4 or the compounds 3 or 6 (50 nM). Tubular networks were documented by light microscopy (100× magnification, Axiovert 135, AxioCam MRc 5, ZEISS) after a further 12 h incubation. To exclude false-positive effects of contractile cells and tubule disruption as a consequence of the cytotoxicity of the compounds rather than early cytoskeletal rearrangements, MTT was additionally added to each well (25 μL 0.5 % MTT solution in PBS). After incubation for 2 h at 37 °C the plates were centrifuged (300 g, 4 °C, 5 min) and the supernatant was carefully aspirated. The cells were lysed and the precipitated formazan was redissolved by adding 100 μL of an SDS-DMSO solution (10 % SDS, 0.6 % acetic acid in DMSO) to each well. The absorbance at wavelengths 570 and 630 nm (background) was measured using an automatic ELISA microplate reader (Tecan) and the percentage of viable cells was calculated relative to controls.
Chorioallantoic membrane (CAM) assay with fertilised chicken eggs [27]
Chicken eggs (SPF eggs, VALO Biomedia) were incubated (37 °C, 50–60 % humidity) until day 7 after fertilisation and opened by cutting a window of 2–3 cm diameter into the pole end of the eggshell. Rings of silicon foil (5 mm diameter) were placed on the developing vessels within the CAM and the windows were sealed with tape followed by further incubation for 24 h. Dilutions of DMSO (control) and the imidazoles 3 and 6 in PBS were pipetted inside the silicon ring (10 μL of a 25 or 50 μM dilution) and alterations in the blood vessel organisation were documented after 0 and 24 h post application with a stereomicroscope (60× magnification, Traveller).
Animal studies
The vascular-disrupting activity of 6 was studied on the established model of highly vascularised 1411HP xenograft tumours previously described [18]. This study was approved by the Laboratory Animal Care Committee of Sachsen-Anhalt, Germany. Nude mice (Harlan and Winkelmann, Borchen, Germany) received 30 mg/kg body weight of compound 6 by intraperitoneal injection and tumour discoloration was documented after 24 h with a Canon IXUS 50. For histological examination the tumours were explanted, fixed in 4 % formalin, and embedded in paraffin. Hematoxylin/eosin (HE) staining of the tissue slices was performed according to standard protocols. HE images shown are representative of three independent in vivo observations.
Matrigel-based transwell migration assay
This assay provides a realistic three-dimensional model for tumour cell invasion stimulated by a chemoattractant. It takes into account both degradation and active movement of cells through a basement membrane matrix [28, 29]. The migration chambers were set up using ThinCert™ cell culture inserts with porous membranes (translucent PET membrane, 8 μm pore size, Greiner bio-one) for 24-well plates. The procedure for quantification of invasive cells was adapted from the manufacturer’s application manual (ThinCert™ application notes, Greiner bio-one) with some alterations [30]. In brief, highly metastatic 518A2 melanoma cells were starved in serum-free DMEM for 24 h and harvested directly before seeding them into Matrigel™-coated (50 μL 1:1-dilution of Matrigel™ basement membrane matrix in serum-free DMEM, 30 min at 37 °C, 5 % CO2, 95 % humidity; BD Biosiences) cell culture inserts (2 × 105 cells in 200 μL serum-free DMEM/insert) that were placed in the receiver wells filled with 600 μL DMEM containing 10 % FBS. Cells were exposed to DMSO (vehicle) or imidazole 6 at a final concentration of 10 or 50 nM for 48 h. The medium was removed from each well of the 24-well plate (lower compartment) and replaced with 500 μL 1× cell dissociation buffer (0.5 mM EDTA, 0.1 % sodium citrate in PBS, pH 7.4) containing 1 μM calcein-AM (calcein acetoxymethyl ester; non-fluorescent, cell-permeable dye). The plates with the inserts were incubated for 30 min at 37 °C for both sufficient detachment of the cells from the membrane underside or the surface of the bottom well and conversion of intracellular calcein-AM into the membrane-impermeable fluorescent calcein. The ThinCerts™ were then discarded and the cell suspension containing only invasive cells was transferred to the wells of a black 96-well plate. Migratory cells were quantified with a microplate reader (Tecan) by measuring the calcein fluorescence (excitation/emission wavelength: 485 nm/520 nm) that was calculated as percentage of that of DMSO-treated control cells set to 100 %.
Trans-endothelium migration assay
Hanging cell culture inserts were used to build upper and lower compartments separated by an artificial endothelium which was constituted by a basement membrane matrix and a confluent endothelial monolayer [31–33]. Briefly, Ea.hy926 endothelial cells (1 × 105 cells in 50 μL DMEM) were seeded onto the underside of an insert membrane (24-well plate inserts, translucent PET membrane, 3.0 μm pore size, greiner bio-one) and allowed to adhere for 24 h after placing the inserts upside down into humidified wells of a 6-well plate. The inner membrane of the inserts was sealed with a thin Matrigel™-layer (20 μL 1:1-dilution in serum-free DMEM, gelled for 30 min at 37 °C, 5 % CO2, 95 % humidity; BD Biosiences) and covered with 200 μL serum-free DMEM. The inserts were placed in the wells of a 24-well plate with 600 μL DMEM containing 10 % FBS and incubated for additional 24 h to get a confluent Ea.hy926 monolayer [34]. 518A2 cells confluently grown in cell culture dishes were starved in serum-free DMEM for 24 h prior to labelling with the carbocyanine dye DiI according to the manufacturer’s instructions (15 min, 37 °C, 5 μL Vybrant™ DiI Cell-Labeling Solution per 1 × 106 cells/mL serum-free medium, Molecular Probes®, life technologies). Then the medium in the inserts was discarded and 200 μL of the DiI-stained 518A2 cell suspension in serum-free DMEM (10,000 cells/insert) were pipetted to each insert. The cells were allowed to adhere overnight and incubated with non-toxic concentrations of Et-brimamin 6 (10 or 50 nM). After 48 h the medium from the inserts and the receiver wells was removed and cells on the upper side of the insert were scraped off with a cotton swab [34]. For qualitative analyses cells on the membrane underside were fixed (4 % formaldehyde in PBS, 30 min, rt), washed with PBS and mounted in Mowiol 4-88-based mounting medium with 1 μg/mL DAPI for fluorescence microscopy. For quantification of invasive cells 500 μL 1× cell dissociation buffer (0.5 mM EDTA, 0.1 % sodium citrate in PBS, pH 7.4) containing 1 μM calcein-AM were added to the wells and the plates were incubated for 30 min at 37 °C for cell detachment and calcein-AM conversion. The cell suspension containing calcein-stained endothelial cells and red-fluorescent invasive tumour cells was transferred to the wells of a black 96-well plate and analysed for their calcein (excitation/emission wavelength: 485 nm/520 nm) and DiI (excitation/emission wavelength: 550 nm/570 nm) fluorescence with a microplate reader (Tecan). The green or red fluorescence intensity of DMSO-treated control cells was set to 100 %. The ratio of red to green fluorescence intensities was taken as a measure for the percentage of trans-endothelium-migrated 518A2 cells with respect to DMSO controls and the total number of viable cells.
Results and discussion
Table 1 summarises the IC50 values of reference compounds and the new CA-4 analogous imidazoles in MTT cytotoxicity assays. All new compounds were first tested against the CA-4-sensitive 518A2 melanoma and the CA-4-resistant HT-29 colon carcinoma cell lines. Despite its shortcomings when applied in vivo CA-4 exhibits a great in vitro cytotoxicity with nanomolar IC50 values against many cancer cell lines. However, it is far less efficacious against HT-29 cells which discharge it quickly by means of their ABC (ATP-binding cassette) transporters [21]. The imidazole analogue 1 was previously shown to be efficacious against HT-29 cells, and even more so the closely related analogues 3 (‘brimamin’, N-methyl-4-(3-bromo-4,5-dimethoxyphenyl)-5-(3-amino-4-methoxyphenyl)-imidazole) and 9 that bear a meta-halo substituted A-ring and a meta-amino-para-methoxyphenyl B-ring [17, 18].
We now found that keeping the meta-bromo or -chloro substituent at the A-ring and the meta-amino substituent at the B-ring while replacing the para-methoxy group on the B-ring by an ethoxy residue led to a further increase of the cytotoxicity against both the CA-4 sensitive and resistant cell lines. For instance, the B-meta-amino derivatives 6 and 11 were twice as efficacious as 3 or 9, respectively. The B-meta-fluoro (7, 12) or B-meta-chloro (8) derivatives were even nearly ten times more efficacious than 4, 10, or 5, respectively. Most active were the first generation para-methoxy derivative ‘brimamin’ (3), its new ethoxy congener 6 (‘Et-brimamin’), and ‘Et-brimfluor’ 7, the meta-fluoro analogue of 6. They all displayed two-digit nanomolar IC50 (72 h) values against cells of 518A2 melanoma, HT-29 and HCT-116 colon carcinoma, and multidrug-resistant MCF-7/Topo breast carcinoma. CA-4 and the derivatives 3, 6, and 7 also inhibited the growth of Ea.hy926 hybrid endothelial cells and primary human umbilical vein endothelial cells (HUVEC) in MTT assays with IC50 in the lower nanomolar range. However, the compounds showed a distinct selectivity for cancer and endothelial cell lines over nonmalignant fibroblasts (CHF) which were hardly affected even at concentrations of 10 μM.
CA-4 analogous imidazoles induce mitotic cell cycle arrest
518A2 melanoma and HT-29 colon carcinoma cells were treated for 24 h with equitoxic concentrations of CA-4 or the imidazoles 3 or 6 and subjected to flow cytometric cell cycle analyses (Fig. 2). In the case of 518A2 cells a decrease of cells with G1 DNA content was found together with a slightly increased G2-M population and a significantly higher percentage of sub-diploid, apoptotic cells. The magnitude of these cell cycle alterations correlated well with the IC50 values found for CA-4, 3 and 6 (cf. electronic supplementary material, Tables S1, S2). The sensitivity of 518A2 cells to CA-4 and the imidazoles 3 and 6 might be due to their high proliferation rate. Treatment of CA-4-resistant HT-29 cells with 100 nM 3 or 6 led to a significant accumulation of cells in the G2-M phase which is typical of antimitotic compounds. The number of apoptotic events was only slightly increased, probably since 24 h are too short an incubation period for these cells to enter into apoptosis as a consequence of prolonged mitotic arrest [9, 35].
We substantiated these results by fluorescence microscopy of DAPI-stained nuclei of cancer cells treated with CA-4, 3 or 6 in order to differentiate between cells in G2 phase and mitotic cells based on the chromatin organisation. After 6 h incubation with appropriate concentrations the number of mitotic cells increased markedly (Table 2). The mitotic index, which was about 9 % for DMSO-treated control cells of either cell line, was significantly shifted to 40 or 32 %, respectively, of cells with condensed DNA upon stimulation with CA-4 and to more than 40 % upon exposure to brimamin (3) or Et-brimamin (6). Due to their CA-4 resistance a higher dose of 5 μM CA-4 was required to achieve accumulation of mitotic cells to an extent comparable to that caused by 100 nM of 6 (Fig. 3).
Imidazoles 3 and 6 disrupt microtubules and induce cytoskeletal reorganisation
Tubulin-binding agents interfere with the microtubule dynamics eventually blocking mitotic progression and cell division. Thus, we investigated the effects of the new N-methyl-4,5-diarylimidazoles on microtubule organisation and the cytoskeletal response in cancer and endothelial cells. First, we compared brimamin (3), Et-brimamin (6), and Et-brimfluor (7) for their efficiency in suppressing tubulin polymerisation in vitro. In 518A2 cells treated for 3 h with increasing concentrations of 3, 6 or 7 initially intact microtubules were destructed in a concentration-dependent manner (Fig. 4). Exposure to Et-brimamin (6), the compound with the lowest IC50 (72 h) value at this cell line, induced complete disruption even at a concentration of 250 nM. In contrast, 250 nM of brimamin (3) or Et-brimfluor (7) eroded the highly organised microtubular network but left some coherent clusters of intact microtubules. Apparently, the cytotoxicity of the tested imidazoles correlates well with their ability to disrupt microtubules. This was further corroborated by quantifying the fraction of intact microtubules in treated 518A2 cells (Fig. 5).
Disruption of microtubular dynamics results in higher cellular levels of free tubulin heterodimers that are part of the detergent-soluble supernatant of cell lysates and that can be separated from intact tubulin polymers by centrifugation. As shown by Western blot analyses of the insoluble pellet fraction, microtubule disruption is induced by Et-brimamin (6) at lower concentrations than those required of brimamin (3) for the same effect. This might be due to a higher affinity of 6 for tubulin. In line with this is the greater inhibitory effect of 6 on the polymerisation of purified tubulin in a cell-free assay when compared with the effects by the less cytotoxic analogues brimfluor (4) or 1 (cf. electronic supplementary material, Table S4). Thus, the tubulin binding capacity of the imidazoles correlates well with their cytotoxicity against cancer cells.
Next, we investigated the cellular actin stress fibre formation as a typical response to tubulin-binding agents. Since changes in the cellular contractility upon actin stress fibre development play an important role for the antivascular activity of CA-4 we used primary endothelial cells (HUVEC) for these experiments. In response to exposure to CA-4 or the most active imidazole 6 HUVEC displayed a dense network of actin stress fibres when compared to DMSO-treated control cells (Fig. 6).
Stress fibre formation was associated with an increase in focal adhesions as visualised by immunofluorescent staining of focal adhesion-associated paxillin. Both processes are mediated by Rho which gets activated upon perturbation of the tubulin cytoskeleton. Eventually, they lead to an increase in cell-matrix contacts and in cell contractility [36, 37]. Given that a balanced dynamics and assembly of microfilaments and focal adhesions is required for endothelial cell-matrix interactions and the endothelium stability [37] it is understandable that CA-4 and Et-brimamin (6) are likely to show some antimigratory and antivascular activity by inducing a defective focal adhesion turnover.
CA-4, brimamin (3), and Et-brimamin (6) are antivascular in vitro and in vivo
The antivascular potential of the imidazoles 3 and 6 was first tested in vitro by means of the so-called tube formation assay. Endothelial cells such as HUVEC and the more often used hybrid Ea.hy926 cells differentiate into tubular, vessel-like networks upon stimulation by growth factors contained in a thin Matrigel layer that serves as a cell adhesion surface [25, 26]. We exposed preformed Ea.hy926 cell networks for 12 h to non-toxic concentrations of CA-4, brimamin (3) or Et-brimamin (6). Figure 7 shows the resulting disruption of established tubes and branches caused by the retraction of individual cells which is a good indication of a potential antivascular effect by the test compounds in vivo.
Endothelial cell migration and differentiation are essential steps in blood vessel maturation which may get stuck, though, in case of severe cytoskeletal alterations [3, 5, 37]. Since we can exclude any significant contribution by the cytotoxic component of the test compounds 3 and 6 after so short a time (viable cells after 12 h exposure to brimamin 3: 94.9 % ± 3.9 % and to Et-brimamin 6: 83.7 % ± 2.4 % with respect to DMSO-treated controls set to 100 %) we asume that the destruction of tubular endothelial cell networks is the result of early drug-induced cytoskeletal reorganisations leading to a breakdown of cell-cell adhesion and a loss of the stretched morphology of individual cells.
The vascular-disrupting activity of imidazoles 3 and 6 was also demonstrated in vivo by their impact on the blood vessel system of fertilised chicken eggs (Fig. 8a). After topical application of non-lethal doses onto the vascularised chorioallantoic membrane (CAM) existing blood vessels became leaky and small branches were completely distroyed with hemorrhages appearing. Though CA-4 was the most effective compound in these CAM assays doses beyond 2.5 nmol of it frequently killed the chicken embryos. In contrast, doses of 5 nmol brimamin (3) or of 2.5 nmol Et-brimamin (6) were tolerated well while showing comparable vascular-disrupting effects.
We also investigated the vascular-disrupting activity of 6 in highly vascularised xenografts of the 1411HP germ cell tumour cell line which were previously used as an established animal model for the test of VDA [18]. A single treatment of the xenograft bearing mice with 30 mg/kg of 6 induced a distinct tumour discoloration due to intratumoural haemorrhage (Fig. 8b). Histological examination of the treated tumour revealed features typically observed after treatment with CA-4P or other vascular-disrupting agents [5, 13] such as extensive central necrosis and a remaining thin rim of surviving tumour cells (Fig. 8c). Signs of toxicity such as a significant loss of weight were only observed in mice treated with single doses exceeding 60 mg/kg body weight.
To prove the efficacy of the new imidazoles also in CA-4 resistant tumours we undertook preliminary xenograft studies with HT-29 tumours which are far less vascularised and more slowly growing than 1411HP tumours. Here, we observed a significant reduction of the tumour growth in the treated mice (cf. electronic supplementary material, Figure S1) which nicely mirrors the capability of Et-brimamin (6) to overcome the CA-4 resistance of HT-29 cells in vitro (cf. Table 1). Although this has to be confirmed in a larger trial these findings recommend 6 as a promising drug candidate for the treatment of CA-4-resistant tumours. It also underlines that a strong direct tumour cell cytotoxicity is an important component of the overall activity of 6 against solid tumours, and very likely of other related imidazoles as well.
Et-brimamin (6) shows antimetastatic activity in in vitro metastasis models
Neo-vascularisation/angiogenesis is also the initial step in the cascade of processes eventually leading to the metastasis of tumours [28, 31, 38, 39]. Since the subcellular organisation and the dynamic turnover of microtubules, microfilaments, and focal adhesion are essential to angiogenesis- and metastasis-related cell migration, disturbing the balance of these processes might not only affect blood vessel integrity but also the migratory behaviour of prometastatic tumour cells. We assessed the most active imidazole 6 for such effects employing an in vitro model based on a modified Boyden two-chamber system where cells migrate to a lower compartment that is separated by a porous membrane and a Matrigel layer as a surrogate of the natural extracellular matrix (ECM) [29, 30, 40]. This assay provides a realistic three-dimensional model for tumour cell invasion that takes into account both the degradation of a basement membrane matrix and the active movement of cells through this ECM (Fig. 9, top left) [29, 30, 40]. Directional movement towards the lower compartment was stimulated by providing FBS as a chemoattractant to tumour cells that had been starved overnight. In addition, we also employed a transwell migration assay that mimics the situation of tumour cell intravasation during metastasis by imposing an additional barrier between two compartments in the form of an endothelial cell monolayer [31–33]. This assay emulates the crucial part of the metastatic process when tumour cells enter the vasculature or penetrate the endothelium [31–33]. Once more, hanging cell culture inserts were employed for building an upper and lower compartment separated by an artificial endothelium which was constituted by a basement membrane matrix and a dense, confluent endothelial monolayer (Fig. 9, top right). Highly invasive 518A2 melanoma cells that had migrated through the ECM layer and successfully crossed the endothelium could be discriminated from endothelial cells by a preceding staining of all 518A2 cells with the non-toxic permanent dye DiI [41, 42]. All cells found in the lower compartment or at the underside of the insert membrane were detached and stained with calcein-AM. The number of invasive 518A2 cells was ascertained by measuring the calcein fluorescence intensity (transwell migration, Table 3) or the ratio of red fluorescent, DiI pre-stained 518A2 cells (only invasive 518A2 cells) to all green (calcein) fluorescent cells (endothelial and invasive 518A2 cells; trans-endothelium migration, Table 3; cf. Electronic supplementary material for original fluorescence ratios, Table S6).
The concentrations of Et-brimamin (6) used in both invasion assays (10, 50 nM) with highly invasive 518A2 melanoma cells [43, 44] were shown to be virtually non-toxic by TUNEL [TdT (terminal desoxynucleotide transferase)-mediated dUTP nick end labelling]-detection of DNA fragmentation (apoptotic cells) after 48 h (cf. electronic Supplementary material, Fig. S2, Table S5 and description of the method). Imidazole 6 suppressed the chemoattractant-stimulated migration through Matrigel-coated membranes to about 50 % (Table 3, Fig. 9, bottom left). Migration of 518A2 cells through both the basement membrane matrix and a tight endothelial cell monolayer was distinctly impaired by 10 nM Et-brimamin (6), a concentration that hardly affected the total number of viable cells (cf. electronic supplementary material, Table S5). Application of 50 nM 6 inhibited the cell growth as detected by the calcein fluorescence of cells within the lower compartments to 70 % of the control with concomitant halving of cell invasion as assessed from their red DiI membrane fluorescence. In summary, the administration of non- or slightly toxic concentrations of 6 resulted in a reduction of transendothelial invasion/intravasation to ca. Seventy percent (Table 3, Fig. 9, bottom right).
From the reduced numbers of invasive cells we conclude that exposure to Et-brimamin (6) induced an extensive cytoskeletal rearrangement which is responsible for the impairment of directional 3D-migration and of squeezing through constrictions such as endothelial cell-cell interfaces or the micropores of the ThinCert™ inserts.
Conclusions
When compared to the first generation of N-methyl-4-aryl-5-(4-methoxyphenyl)imidazoles, the analogues bearing a para-ethoxy residue at the B-ring generally exhibited stronger effects on the microtubular and actin cytoskeletons of cancer and endothelial cells and on their viability and propensity to migrate or form blood vessel-like tubular structures. In contrast, a replacement of the meta-amino group on the B-ring by a halide had a detrimental effect in both series of imidazoles, most pronounced for the couples 3/4 and 6/7. Et-brimamin (6), the B-para-ethoxy congener of the best performing first generation imidazole, brimamin (3) [18], turned out to be the best compound of the current series regarding its in vitro inhibition of cancer and endothelial cell growth and its destructive impact on the microtubules. Like the lead CA-4 both analogues 3 and 6 displayed a pronounced vascular-disrupting activity in all its facets in vitro and in vivo. This originates from initial damages to the tubulin cytoskeleton which in turn lead to an adaptation of other cellular processes such as the formation of contractile actin-myosin stress fibres and of cell-matrix focal adhesions eventually resulting in the observed loss of the endothelium integrity [3, 5]. When compared with CA-4 the imidazoles 3 and 6 were far less toxic against the nonmalignant chicken heart fibroblasts in our panel and also against the chicken embryos in the CAM assay. Excellent antitumour activity in combination with merely marginal in vivo side effects in xenograft mouse models had already been reported for brimamin 3 [18]. Hence we are confident that cardiotoxicity as a typical side effect of other clinically used inhibitors of microtubule assembly [45] will play a minor role. The 3D-migration experiments of the current study proved that there is a link also between the cytoskeletal alterations caused by CA-4 and its imidazole analogues and their antimetastatic properties. Although there had been a good deal of evidence in literature for such a link [28, 31, 39, 47–50], the known inhibition of metastatic progression in vivo by CA-4 had been ascribed mainly to its inhibition of AKT function [46]. A tentative proposal for the mechanism of action of CA-4 as well as Et-brimamin (6) may be based on the observation that they enhanced the maturation of stable focal adhesions in primary endothelial cells (HUVEC). This effect should prevent the formation of the typical leading edges of migrating cells. So, hindered migration would be the consequence of the loss of cellular polarity which itself originates from the enormous cytoskeleton aberrations as demonstrated in our 3D in vitro metastasis models. Both of these models involve an artificial tumour microenvironment that cells need to get past by different motility or low adhesion mechanisms that cannot be detected by two-dimensional assays [28, 47, 49, 51, 52].
As to potential clinical applications of CA-4 derived imidazoles such as 6 it should be noted that the established strategy of starving solid tumours by blocking blood vessel formation via inhibition of VEGFR (vascular endothelial growth factor receptors) often leads to enhanced aggressiveness and resistance [52–54]. The combination of VEGFR inhibitors with antivascular and antimetastatic CA-4 derivatives, both at low doses, could reduce tumour angiogenesis and additionally prevent metastasis through cytoskeletal reorganisation. Further in vivo studies with metastatic cancers, including such obtained from actual patients under therapy, are currently underway.
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Acknowledgments
We are indebted to Dr. Florenz Sasse (Helmholtz Centre for Infection Research, Braunschweig, Germany) for assisting with fluorescence microscopy and to Franziska Reipsch (Department of Internal Medicine IV, Halle) for technical assistance.
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The online version of this article contains supplementary material (Materials, methods, and biological studies: syntheses and characterisation of new compounds; cell proliferation assay; tubulin polymerisation assay; animal studies; TUNEL-based detection of apoptotic cells / Results: cell cycle analyses; tubulin affinity; animal studies; apoptosis by flow-cytometric TUNEL-assay; quantification of invasive cells) which is available to authorized users.
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Mahal, K., Biersack, B., Caysa, H. et al. Combretastatin A-4 derived imidazoles show cytotoxic, antivascular, and antimetastatic effects based on cytoskeletal reorganisation. Invest New Drugs 33, 541–554 (2015). https://doi.org/10.1007/s10637-015-0215-9
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DOI: https://doi.org/10.1007/s10637-015-0215-9