Abstract
Disease progression in patients suffering from malignant melanomas is often determined by metastatic spreading into brain parenchyma. Systemic chemotherapy regimens are, therefore, mandatory for successful treatment. Most recently, inhibitors of histone deacetylases (HDACi) have been shown to significantly inhibit melanoma progression. Here, mouse as well as human melanoma cells were transplanted into rodent hippocampal slice cultures in order to translate and microscopically confirm promising in vitro chemotherapeutic propensities of HDACi within the organotypic brain environment. In our ex vivo model, tumor progression was significantly inhibited by administration of low micromolar concentrations of second generation HDACi MS-275 over a period of 8 days. In contrast, HDACi treatment with suberoylanilide hydroxamic acid was less efficient ex vivo, although both compounds were successful in the treatment of tumor cell monolayer cultures. Protein levels of the cell cycle inhibitor p21WAF1 were significantly increased after HDACi treatment, which points to enhanced G1 arrest of tumor cells as confirmed by cytofluorometric analysis. Considering the ability of MS-275 to cross the blood–brain barrier, our experimental model identifies the benzamide MS-275 as a promising therapeutic compound for targeting epigenetic chromatin modulation as systemic treatment of metastatic melanomas.
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Introduction
Malignant melanomas are amongst the most prevalent cancers worldwide [47, 18]. Mortality risk is determined by systemic metastasis most commonly into the lung, liver and brain [12, 36]. Spreading of melanomas into the brain is clinically observed in 10–40% of patients, but autopsy studies suggest that these numbers are underestimated [2]. Since neurosurgical resection of multiple melanoma metastases within the CNS cannot be successfully achieved, adjuvant chemo- or radiotherapy is warranted [2, 20, 40]. Current treatment modalities include a combination of the alkylating agent temozolomide and whole-brain radiotherapy [1] or systemic fotemustine administration [26]. However, metastatic melanomas are often characterized by multidrug resistance [19] and only a small proportion of patients survive more than 2 years after metastasis becomes evident [12].
Recent data point to the efficacy of histone deacetylase (HDAC) inhibitors as promising chemotherapeutic drugs for malignant melanomas [5, 11, 50]. Epigenetic regulation of chromatin structure by HDAC inhibitors induces deregulation of approximately 2–10% of gene expression in eucaryotic cells, but is largely dependent on subjected cell types [15, 30]. Core histone acetylation at distinct lysine residues is associated with transcriptional activation, whereas deacetylation followed by methylation induces gene silencing [13, 24]. Acetylation of core histones is mediated by histone acetyltransferase activity and represents a short-term physiological mechanism crucially involved in many processes during development and aging. The therapeutic propensity of HDAC inhibitors in cancer and neurological diseases has, however, been recently established [4, 21, 41] and is already confirmed in several clinical trials [34, 48]. Various pharmacological substances have been identified as selective HDAC inhibitors, amongst which the second generation compounds suberoylanilide hydroxamic acid (SAHA), as well as MS-275 and M344 are most promising [25, 31, 33, 39]. However, the benzamide (MS-275) and hydroxamate (SAHA) classes of HDAC inhibitors exhibit different specificities for HDAC isoforms. MS-275 interacts primarily with HDAC class I [34]. Even within class I HDACs, MS-275 acts differently onto specific HDAC isoforms [22, 39]. Therefore, HDAC inhibitory actions appear to be dependent on cell types and brain regions [44].
Experimental paradigms remain a challenge to systematically study anti-cancer effects as well as clinical side effects within the central nervous system, i.e., neurotoxicity of novel chemotherapeutic drugs. The recently established hippocampal slice culture model for tumor progression is, therefore, helpful in many respects [10]. On the other hand, ex vivo brain slices lack blood supply, perfusion and a blood–brain barrier. In addition, structural and molecular reorganization may compromise hippocampal networks [10]. However, cellular as well as pharmacological interactions between grafted tumor cells and the organotypic brain environment can be successfully analyzed for up to 3 weeks and are in this period accessible for continuous experimental treatment and monitoring [10]. Although this approach needs to be confirmed in vivo, organotypic brain slice cultures may bridge the gap between monolayer experiments and in vivo studies [7, 9, 23, 45]. Here, we examined whether anti-tumor action of HDAC inhibitors on melanoma cells in cell culture also applies to tumor growth reduction in a more complex microenvironment resembling cerebral metastases.
Materials and methods
Monolayer cell culture
B16/F10 murine melanoma cells (obtained from ATCC, Manassas, VA, USA) were cultured in modified DMEM medium (Biochrom AG, Berlin, Germany) containing 4 mM l-glutamine (Gibco, Karlsruhe, Germany), 4 g/l glucose (Merck, Darmstadt, Germany), 100 units/ml penicillin, 100 μg/ml streptomycin (Sigma–Aldrich, Schnelldorf, Germany) and 10% FCS (Biochrom AG, Berlin, Germany). All monolayer experiments were performed in a humidified atmosphere at 37°C and 5% CO2. The B16/F10 cell line has been shown to be highly metastatic in various in vivo models [37], and is therefore specifically qualified for the ex vivo brain metastasis slice culture model. Human melanoma cell lines MM1 and MM2 were obtained from the Department of Dermatology, University Hospital Erlangen, from surgically removed metastasis after patients informed consent was given [38]. Cells were cultured in RPMI containing 10% FCS (BioWhittaker, Walkersville, MD, USA), 20 μg/ml gentamycin (Sigma-Aldrich, Schnelldorf, Germany) and 2 mM glutamine (BioWhittaker, Walkersville, MD, USA). Cells were grown at 37°C in a humidified atmosphere of 5% CO2.
Chemicals
N-(2-Aminophenyl)-4-[N-(pyridine-3-ylmetoxycarbonyl)aminomethyl]benzamide (MS-275) and N-hydroxy-7-(4-dimethylaminobenzoyl)aminoheptanamide (M344) were obtained from Calbiochem (Bad Soden, Germany). Valproic acid (VPA) was supplied from Sigma-Aldrich (Schnelldorf, Germany). SAHA was purchased from Alexis Biochemicals (Grünberg, Germany). VPA was dissolved in H2O. All other compounds were dissolved in DMSO (Sigma-Aldrich, Schnelldorf, Germany) and diluted in medium at specified concentrations prior to experimental use.
Microscopical evaluation
Morphometrical analysis was performed using high power optical fields digitized with a CCD camera (Color View II, Soft Imaging System, Münster, Germany) equipped to a BX51 microscope (Olympus GmbH, Hamburg, Germany) and respective imaging software (analySIS, Soft Imaging System, Münster, Germany). Fluorescence-labeled tumor cells transplanted to organotypic brain slice cultures were analyzed by an Olympus microscope (IX 70) equipped with a fluorescein isothiocyanate narrow band filter (excitation filter 450–490 nm, band filter 520–550), a CCD camera (F-View II, Soft Imaging System, Münster, Germany) and imaging software as above. Statistical significance was calculated with Mann–Whitney U test (Statview II, Abacus, Berkeley, CA, USA). The tumor size was calculated as area of transplanted melanoma cells identified either by intracellular melanin content or eGFP labeling (see below), respectively, using analySIS software.
MTT assay
Viable cell numbers were estimated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium-bromide (MTT) assay [9, 35]. Briefly, 2,000 melanoma cells/ml were seeded in a 96-well plate (final volume was 250 μl/well). Forty-eight hours after seeding, cells were treated either with MS-275, SAHA, M344 or VPA. At 96 h incubation, 0.5 mg/ml MTT (Sigma–Aldrich, Schnelldorf, Germany) dissolved in medium was applied for 2 h. Subsequently, the medium was discarded and each well was incubated with 100 μl of an isopropanol stock solution containing 165 μl hydrochloric acid per 50 ml isopropanol. Optical densities of each well were determined using a microplate reader (Tecan, Crailsheim, Germany) set to 550 nm (wavelength correction set to 690 nm).
Data analysis
Concentration–effect curves for the inhibition of cell viability following drug treatment were generated by nonlinear regression analysis using GraphPad Prism version 4.00 for Windows (GraphPad Software, San Diego, CA, USA). Data were fitted to a four parameter logistic equation comprising the top plateau, bottom plateau, inflection point IC50 and curve slope n H. The parameters IC50 and n H were set as variables, “top” was the control value of cell viability and was set constant = 100%. Cell viability approached zero in the presence of high concentrations of the test compounds and extended incubation times. Therefore, the parameter “bottom” was set constant = 0 in the nonlinear regression analyses.
Protein preparation and immunoblotting
Melanoma cells were treated either with MS-275, SAHA or solvent controls. After 24 h cells were pelleted by centrifugation at 175g for 10 min and the supernatant fraction was decanted. Cells were washed three times with PBS and suspended in lysis buffer. For histone immunoblotting, lysis buffer contained 10 mM HEPES, pH 7.9; 1.5 mM MgCl2; 10 mM KCl; 0.5 mM DTT; 1.5 mM PMSF. Sulfuric acid was added to a final concentration of 0.2 M. The cells were incubated for 30 min on ice and centrifuged thereafter at 11,000g for 10 min at 4°C. The supernatant fraction was dialyzed against 200 ml 0.1 M acetic acid for 2 × 1 h and against 200 ml H2O thereafter (1 h, 3 h and overnight). The protein preparation for p21WAF1 detection comprised cell lysation with lysis buffer containing 50 mM Tris–Buffer pH 8, 150 mM NaCl, 1% Triton-X-100, 1 mM EDTA pH 8, 1.0% SDS, 1 mM PMSF and one tablet of protease inhibitor cocktail (Roche, Mannheim, Germany). The supernatant extraction was prepared as described before, excluding dialysis procedure. Protein concentrations of the supernatant were evaluated by photometric measurement (Tecan, wavelength set to 562 nm) using the BCA Assay kit (Uptima, Montelucon, France). Protein extracts were subjected to SDS-polyacrylamide gel electrophoresis on a 12% polyacrylamide gel. Ten micrograms of the soluble fraction were loaded per lane. Separated proteins were electroblotted onto nitrocellulose membrane (0.2 μm pore size; Schleicher & Schuell, Dassel, Germany). Equal protein loading was estimated using immunostaining with a monoclonal mouse anti-β-actin antibody (1:10,000, Sigma-Aldrich, Schnelldorf, Germany). Controls and treated melanoma cells were analyzed for acetylated histone H3 using polyclonal rabbit anti-acetyl histone H3 (1:450, Biomol, Hamburg, Germany), monoclonal mouse anti-p21WAF1 antibody (1:200, Dako, Glostrup, Denmark) and chemiluminescence detection (Amersham, Freiburg, Germany).
Flow cytometry
Melanoma cells were treated after MS-275 and SAHA exposition with an ice-cold hypotonic solution of propidium iodide (Sigma–Aldrich, Schnelldorf, Germany) for 30 min in the dark. Adherent as well as floating cells were included and apoptosis and cell cycle distribution were analyzed using flow cytometry (FACS-Calibur, BD Biosciences, Heidelberg, Germany) and Cell Quest software [27]. Statistical significance was calculated with Mann–Whitney U test (Statview II).
eGFP transfection of melanoma cells
Melanoma cells were transfected with pEGFP-N1 (BD Biosciences Clontech, Heidelberg, Germany) using calcium phosphate coprecipitation [43]. Briefly, melanoma cells were cultured in 1.9 cm2 dishes at a density of 100,000 cells/well in 500 μl culture medium. Twenty-four hours later the medium was discarded and 500 μl of DNA precipitate/well were added to the cells. The DNA precipitate was generated by adding 417.5 μl sterile water, 62.5 μl 2 M CaCl2, 20 μg plasmid DNA, 500 μl BES buffer into a final volume of 10 ml culture medium. The BES buffer contained 1.07 g BES (N,N bis-[2-hydroxyethyl]-2-aminoethanesulfonic acid, Sigma-Aldrich, Schnelldorf, Germany), 1.63 g NaCl and 26.7 mg Na2HPO4 × 2H2O dissolved in 100 ml sterile water at a pH of 6.95.
Cells were incubated at 37°C and 5% CO2 for 20 h. Precipitate-containing medium was removed and the cells were cultured in primary culture medium for 24 h. The eGFP positive cells were sorted (MoFlo, DakoCytomation) three times to accelerate selection process.
Organotypic hippocampal slice cultures
Slice cultures were prepared and maintained as described [8]. Six-day-old Wistar rats and 7-day-old C57/Bl6 mice were used, respectively. After decapitation, the brains were rapidly removed and placed into ice-cold preparation medium containing Hank’s balanced salt solution (Gibco, Karlsruhe, Germany) with 10% normal horse serum (Biochrom, Berlin, Germany). After dissection of the frontal pole of the hemispheres and the cerebellum, the brains were cut in 350 μm thick horizontal slices in preparation medium using a vibratome (Leica VT 1000S, Bensheim, Germany). The slices were transferred into culture plate insert membrane dishes (Becton Dickinson, Heidelberg, Germany; pore size 0.4 μm) and subsequently transferred into six-well culture dishes (Becton Dickinson, Heidelberg, Germany) containing 1.2 ml culture medium (MEM–HBSS, 2:1, 25% normal horse serum, 2% l-glutamine, 2.64 or 14.3 mg/ml glucose, 100 U/ml penicillin, 0.1 mg/ml streptomycin, 10 μg/ml insulin–transferrin–sodium selenite supplement and 0.8 μg/ml vitamin C), according to the interface technique [46]. The slices were cultured in humidified atmosphere at 35°C and 5% CO2. The medium was changed 1 day after preparation and every second day thereafter.
Organotypic melanoma invasion model
Five thousand eGFP-positive melanoma cells were implanted within a total volume of 0.05 μl medium into the entorhinal cortex 24 h after slice preparation [10]. One day after implantation and every other day, melanoma growth and invasion were evaluated using an inverse fluorescence microscope (details see above). Experimental ex vivo melanoma treatment was started the day following tumor transplantation or 4 days thereafter, by addition of HDAC inhibitors SAHA and MS-275 to the medium.
Histological examination
Slices were fixed with a solution containing 40 g/l paraformaldehyde dissolved in aqua dest., 15% picric acid, 50% PBS pH 7.3 and 0.1% glutaraldehyde for 15 min. Thereafter, tissue slices were transferred into the same fixative without glutaraldehyde and stored at 4°C over night. After rinsing in PBS, slices were stored at 4°C in 30% sucrose solution for 1 week, then rinsed in PBS. For histological analyses, 12 μm thick horizontal sections of tissue were prepared using a cryomicrotome (Cryo-Star HM560, MICROM, Walldorf, Germany) and hematoxylin–eosin staining.
Immunohistochemical p21WAF1 staining was performed using slices containing an established melanoma tumor (4 days after B16/F10 transplantation). Transplanted slices were treated either 24 h with SAHA (3 × IC90) and MS-275 (1 × IC90) or 48 h with MS-275 (1 × IC90). Thereafter, tissue was fixed and sectioned as described above. Slides were incubated for 30 min with monoclonal mouse anti-p21WAF1 antibody (1:30, Dako, Glostrup, Denmark) and counterstained with hematoxylin after using the diaminobenzidine (DAB) detection kit (Ventana, Illkirch, France).
Results
MS-275 reduces murine melanoma cell growth in vitro
In a first set of experiments, the propensity of HDAC inhibitors to reduce melanoma cell viability was analyzed in vitro. Mouse B16/F10 cells were incubated with various concentrations of test compounds, i.e., the benzamides MS-275 and M344, SAHA and VPA for 96 h. A sigmoidal relationship between drug concentration and tumor cell viability was observed in all experiments. All compounds completely inhibited cell growth. However, the inhibitory potency differed considerably between the tested drugs. Whereas M344, SAHA and MS-275 inhibited cell growth at micromolar concentrations, VPA was efficient in a millimolar concentration range (Fig. 1). Logistic curve fitting revealed all curve slopes to be larger than unity (F-test, P < 0.05) amounting to n H,MS-275 = 1.95 ± 0.33; n H,SAHA = 1.52 ± 0.15, n H,VPA = 1.75 ± 0.21, n H,M344 = 1.78 ± 0.31 (Fig. 1). Equieffective IC90 concentrations (defined as concentration causing a 90% reduction of cell viability) were calculated as following: VPA = 4.5 mM, SAHA = 4.9 μM, M344 = 2.9 μM and MS-275 = 12.9 μM. As demonstrated in previous studies, increased levels of the cell cycle control protein p21WAF1 were observed in neoplastic cells after HDAC inhibitor treatment [9, 17, 30]. Increased p21WAF1 levels were confirmed in B16/F10 melanoma cells after HDAC inhibitor treatment (Fig. 2a). However, compared to the other HDAC inhibitors used in this study (at equieffective IC90 concentrations, see above), only MS-275 showed a prominent up-regulation of p21WAF1 at 24 h.
The capacity of MS-275 and SAHA to inhibit HDAC activity was identified by immunoblotting of acetylated histone H3 (Fig. 2b). Treatment of B16/F10 cells with IC90 doses of MS-275 and SAHA for 24 h caused a prominent increase of acetylated histone H3 protein. Flow cytometry of B16/F10 melanoma cells incubated with MS-275 (IC90) and SAHA (IC90) revealed a significant G1 cell cycle arrest after 24 h (Fig. 3a, b) as well as after 48 and 72 h. The content of tumor cells accumulating in the sub-G1 phase, which included apoptotic DNA fragmentation, increased from 12% (24 h after IC90 treatment) to 42% (72 h after IC90 treatment; Fig. 3a). SAHA and MS-275 had similar effects on DNA fragmentation after 72 h (Fig. 3c).
Histone deacetylase inhibitors reduce murine melanoma progression in the organotypic brain metastasis model
We employed rodent hippocampal slice cultures to monitor melanoma proliferation and brain invasion within the organotypic environment [10]. The eGFP-labeled B16/F10 melanoma cells were implanted into the entorhinal cortex (Fig. 4). Continuous tumor growth was observed in untreated control experiments at all time periods (Figs. 4, 7, 8). Histopathological analysis confirmed pigment-laden tumor cells to invade the organotypic rat brain tissue (Fig. 4c, d). Eight days after implantation, this increase amounted up to 228% (Fig. 7a) compared to the initial tumor size 1 day after implantation (defined as 100%). HDAC inhibitors were added to the slice medium, penetrated tissue and exhibited their action on infiltrating tumor cells. As observed in monolayer cell culture (Fig. 2a), tumor cells transplanted into slice cultures were immunopositive for p21WAF1 24 h after MS-275 (Fig. 5a) and SAHA (Fig. 5c) treatment. Untreated controls showed little or no immunoreactivity (Fig. 5d). p21WAF1 expression decreased when MS-275 treatment periods were extended to 48 h (Fig. 5b). Treatment of organotypic rat brain slices was performed with equieffective concentrations of SAHA and MS-275 (IC90, twofold IC90 or threefold IC90; see above) 1 day after melanoma cell transplantation and every second day thereafter. MS-275 showed a significant reduction of tumor growth as measured by fluorescence microscopy (Figs. 6a, c, d, 7a). Dose escalation experiments using two- and threefold IC90 of MS-275 revealed progressive tumor reduction compared to time matched controls (Fig. 7). In contrast to MS-275, a threefold IC90 dosage escalation of SAHA was less effective to diminish tumor growth in the rat organotypic slice culture environment (Fig. 6e). These data were confirmed in an allogenic murine transplantation model (Fig. 7b) using the same conditions as described before. However, transplanted melanoma cells tended to grow more rapidly (359% at 6 DaT) in untreated murine brain tissue (Fig. 7b) than in rat slices (217% at 6 DaT; Fig. 7a). Moreover, a twofold IC90 dosage of MS-275 was sufficient to inhibit melanoma growth comparable to the threefold dosage used in rat slice cultures, whereas no differences were observed between rat and mouse cultures using SAHA (Fig. 7). Similar results were obtained after 6 days of HDAC inhibitor treatment of a firmly established tumor, i.e., treatment started 4 days after tumor transplantation (Fig. 8).
Histopathological analysis of slice cultures treated with MS-275 confirmed cell death in the majority of malignant melanoma cells (Fig. 6b). Pyknotic cell nuclei as well as extracellular pigment deposits within the transplanted tumor site were thus considered as histopathological hallmarks of the ex vivo MS-275 therapy.
Histone deacetylase inhibitors reduce human melanoma growth in vitro and ex vivo
Additional experiments were performed using primary human melanoma cell lines MM1 and MM2 obtained from surgically removed melanoma metastasis [38]. All tested HDAC inhibitors were able to reduce cell growth in vitro with the exception of VPA, at micromolar concentrations (MTT assay, Fig. 9a). All compounds induced the cell cycle inhibitor p21 concentration-dependently (data not shown). Moreover, FACS analysis revealed prominent induction of apoptosis after 48–72 h of treatment with SAHA and MS-275 (Fig. 9b). Finally, MM2 cells were transplanted into rat organotypic hippocampal slice cultures. These cells were treated 24 h after transplantation with either SAHA (IC90) or MS-275 (IC90). Compared to untreated controls and SAHA treated experiments, MS-275 significantly reduced tumor size (Fig. 9c). Transplantation of MM1 cells yielded similar results (data not shown).
Discussion
Tumor cell transplantation into organotypic slice cultures of murine and rat hippocampus were employed to model brain metastases of malignant melanomas. Within this experimental ex vivo model, we identified the benzamide MS-275 as a promising anti-cancer drug for chemotherapy strategies. In a first approach, B16/F10 melanoma cells have been targeted by the HDAC inhibiting action of short-chain fatty acids (VPA), hydroxamic acids (SAHA), as well as benzamides (MS-275 and M344), which resulted in decreased cell proliferation in vitro. Our further analyses focused, however, on SAHA and MS-275 since VPA was effective only at millimolar concentrations (Fig. 1) not likely to be achieved in clinical trials. In addition, M344 is not yet been fully characterized with respect to passing the blood–brain barrier. As probable molecular anti-cancer mechanism, MS-275 and SAHA transiently up-regulate p21WAF1 gene expression in a p53-independent manner (Figs. 2, 5) [17, 50]. High intracellular levels of p21WAF1 arrest the cell cycle at phase G1, which could also be confirmed in our experiments (Fig. 3). HDAC inhibitors target also other molecules which critically control the cell cycle, i.e., p19 [49]. It is unlikely that this mechanism plays a role in our model, as the p19 locus is deleted in the B16/F10 melanoma cell line (data not shown, see also reference [32]). However, it underscores the importance of a given genetic background when facing variable chemotherapeutic efficacies of epigenetic treatment strategies.
In our experimental set-up, the anti-tumor action of MS-275 was superior to SAHA, although both compounds had similar efficacies in monolayer assays. Indeed, the HDAC inhibitory propensity of the benzamide MS-275 is different compared to the hydroxamate SAHA. This is likely to result from their degree of specificity for HDAC enzymes. There are three classes of HDACs comprising a family of 18 protein members [16]. Whereas SAHA inhibits a broader spectrum of HDACs (classes I and II) [31], MS-275 targets mainly class I HDAC1 [13, 22, 28], and at higher concentrations also class II HDAC6 [14, 33]. Accordingly, HDAC1 interacts with the E2F transcription factor and retinoblastoma tumor suppressor protein. This complex is involved in progression of G1 phase by regulating cell cycle relevant protein transcription [3].
Recent data indicate that HDAC inhibitors induce also caspase-dependent apoptotic cell death [5]. The propensity of SAHA or MS-275 to target intrinsic proapoptotic pathways in malignant tumor cells, including melanomas, have been shown in various experimental studies [11, 29, 42]. These data are compatible with the observation that the amount of the “apoptotic” subG1 cell cycle fraction increased with time (Figs. 3c, 9b), whereas the G1 fraction decreased already after 48 and 72 h (Fig. 3b). The latter finding may also relate to transient p21WAF1 expression returning to basal levels after 48 h (Fig. 5a, b) [39, 41, 42].
Clinical trials support the beneficial propensity of HDAC inhibitors for the treatment of cancer. MS-275 shows a good bioavailability with little side effects as well as reduction of tumor growth in a preliminary phase I/II trial [34]. Moreover, MS-275 sensitizes tumor cells for radiation therapy [5]. Synergistic effects of these two treatment modalities may increase clinical outcome in affected patients. MS-275 crosses the blood–brain barrier [44], rendering it a promising drug also in the treatment of brain metastases or other neurological disorders [4, 21]. However, availability of brain tissue for experimental modeling of brain metastases or other neoplastic disorders is restricted. Organotypic slice cultures of rodent brain may bridge this gap. Slice cultures have a defined small volume of 1.2 ml allowing systematic testing of pharmacological compounds. This assay allows to evaluate therapeutic efficacies in a more complex organotypic environment as compared to the restricted monolayer assay. Surprisingly, in our model SAHA failed to achieve similar anti-melanoma potency as MS-275 (Figs. 6, 7, 9). HDAC inhibitors also reduced the size of firmly established tumors (Fig. 8), indicating their chemotherapeutic potential for the treatment of melanoma brain metastasis. These substances also arrested tumor growth of human cell lines in vitro and ex vivo (Fig. 9), further confirming their clinical impact. Moreover, this model may provide a useful tool to address further molecular pathomechanisms of melanoma progression and spreading into the CNS. Melanoma cells grow and invade a nearly authentic brain microenvironment and extracellular matrix which is likely to interact with tumor cell proliferation and apoptosis signaling pathways in a more complex fashion compared to in vitro situations. Notwithstanding, predictions including melanoma cell growth based on perfusion and/or peripheral crosstalk of brain tissue, are restricted in our model and need further confirmation in vivo. Nevertheless, accessible microscopical monitoring of transplanted tumor cells is valuable for a translational approach with respect to dose escalation studies requiring precise estimations of drug concentrations as well as screening amongst a large number of promising new chemotherapeutics.
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Acknowledgments
We kindly acknowledge Dr P. Rohwer, Nikolaus-Fiebiger-Center of Molecular Medicine, University of Erlangen-Nuremberg for assistance with fluorescence tumor cell sorting. We thank Tajana Jungbauer, Ina Jeske, Silke Gutmann and Birte Rings for technical support.
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Hölsken, A., Eyüpoglu, I.Y., Lueders, M. et al. Ex vivo therapy of malignant melanomas transplanted into organotypic brain slice cultures using inhibitors of histone deacetylases. Acta Neuropathol 112, 205–215 (2006). https://doi.org/10.1007/s00401-006-0082-8
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DOI: https://doi.org/10.1007/s00401-006-0082-8