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  • 1
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 73, No. 8_Supplement ( 2013-04-15), p. 865-865
    Abstract: Introduction: Basal-like breast cancers (BLBC) are poorly differentiated and display aggressive clinical behavior. These tumors generally become resistant to cytotoxic agents and resistance has been attributed to the presence of tumor initiating cancer stem cells (CSC). Recent studies have shown that the Wnt co-receptor LRP6 is an indispensable element of the Wnt/β-catenin signaling pathway known to regulate CSC proliferation. Furthermore, LRP6/Wnt appears to play a crucial role in BLBC, and may represent an excellent target for this type of cancer. We have previously described that TRA-8, a monoclonal antibody specific to TRAIL death receptor 5, kills both the CSC and non-CSC population of BLBC. This study examined whether niclosamide (an FDA approved antihelminthic) which inhibits Wnt/β-catenin signaling by degrading LRP6 is cytotoxic to BLBC and its stem cell population, and whether niclosamide in combination with TRA-8 produced synergistic killing. Methods: BLBC cell lines HCC1187, HCC1143, 2LMP and SUM159 were examined for cytotoxicity using the ATPlite assay, inhibition of tumorsphere formation, TOPflash reporter assay, and Western blot analysis for LRP6, free and total β-catenin and Axin 2. 2LMP tumorspheres were treated for 3h ex vivo with TRA-8 and/or niclosamide (10 nM TRA-8, 1 uM niclosamide), and orthotopically implanted into NOD/SCID mice to assess inhibition of tumorigenicity. 2LMP cells were also orthotopically implanted into athymic nude mice to test for in vivo therapeutic efficacy with TRA-8 and niclosamide. Results: All four BLBC cell lines, maintained as either attached parental cells or as non-adherent tumorspheres showed a dose-dependent cytotoxic response to niclosamide alone and additive or synergistic cytotoxicity with TRA-8. However, tumorspheres exhibited enhanced sensitivity at a lower dose range and earlier time points. There was also a dose-dependent reduction of free β-catenin, phosphorylated LRP6 and Axin 2 after treatment with niclosamide. The combination of niclosamide and TRA-8 further reduced TOPflash activity in the 2LMP and SUM159 cell lines (p=0.05). Interestingly, TRA-8 inhibited Wnt/β-catenin signaling in all four BLBC cell lines. Ex vivo treatments with niclosamide suppressed 2LMP tumorigenicity (p=0.05), which was further suppressed by combination treatment with TRA-8 (p=0.01). Preliminary in vivo studies also showed that niclosamide in combination with TRA-8 suppressed growth of established 2LMP orthotopic tumor xenografts (p=0.009). Conclusions: Niclosamide inhibited Wnt/β-catenin signaling in BLBCs by degrading LRP6 and β-catenin. Niclosamide in combination with TRA-8 further inhibited Wnt signaling which resulted in synergistic killing of both the CSC and non-CSC populations. Treatment with niclosamide in combination with TRA-8 may be an effective therapy against BLBC. Citation Format: Angelina I. Londono-Joshi, Rebecca C. Arend, Laura Aristizabal, Yonghe Li, Wenyan Lu, Rajeev S. Samant, Brandon J. Metge, Andres Forero, Tong Zhou, Albert F. LoBuglio, Donald J. Buchsbaum. Inhibition of Wnt co-receptor LRP6 sensitizes basal-like breast cancer stem cells to TRA-8 anti-DR5 monoclonal antibody. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 865. doi:10.1158/1538-7445.AM2013-865
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2013
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  • 2
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 74, No. 19_Supplement ( 2014-10-01), p. 2517-2517
    Abstract: Objective: Chemoresistance and recurrence invariably develop in the treatment of ovarian cancer, despite initial response to chemotherapy. Recent studies have shown that signal transducer and activator of transcription-3 (STAT3) signaling is associated with recurrence and development of chemoresistance in ovarian cancer. A novel small molecule, LLL12, has been shown to inhibit STAT3 in many solid tumors including colon, breast, and glioma. Niclosamide, an FDA approved salicyclamide derivative used for the treatment of tapeworm infections, has also been shown to inhibit STAT3 and other pathways including mTOR, Wnt, NfkB. Therefore, the objective of this study was to investigate LLL12 alone and in combination with niclosamide and/or chemotherapy as a potential treatment for ovarian cancer. Methods: Ovarian cancer cell lines A2780 and SKOV3ip2 and their carboplatin and paclitaxel chemoresistant derivatives A2780.cp20, SKOV3ip2.TR were initially treated with LLL12 alone (0.1 nM - 10 µM). These cell lines were treated with the IC50 values for LLL12 alone in combination with niclosamide (0.1 - 5 µM). Ascites was collected from a patient undergoing surgery for ovarian cancer and treated concurrently with LLL12 (0.5 - 10 μM) and carboplatin (25 - 100 μM). Cell viability was assessed using the ATP-lite assay. All samples were assayed in quadruplicate and reported as the mean ± SE. Results: Combination treatment with LLL12 and niclosamide produced increased cytotoxicity compared to LLL12 alone in all ovarian cancer cell lines. Treatment with chemotherapy and LLL12 showed additive cytotoxicity in the patient-derived tumorspheres. The IC50 dose of LLL12 against A2780 cells was 0.2 ± .06 but when this dose was combined with 1 µM of niclosamide, 100% cytotoxicity was achieved; 1 µM of niclosamide alone produced 80% cytotoxicity. With the A2780.cp20 cell line, LLL12 had an IC50 of 0.79 ± µM, but with 1 µM of niclosamide there was 100% cell kill, and 80% with niclosamide alone. Both SKOV3 and SKOV3ip2.TR cell lines had higher IC50 values for LLL12 (4.25 µM ± 2.1 and 2.29 µM ± 1.4, respectively) and an additive effect was achieved in both cell lines when LLL12 was combined with niclosamide. In the patient sample, a dose of 50 µM of carboplatin alone killed 10% of cells, and 10 µM of LLL12 killed 50%, The combination of 10 µM of LLL12 and 50 µM of carboplatin killed 80% of the cells; therefore an additive cytotoxicity was seen with carboplatin and LLL12. Conclusion: This study demonstrates that the STAT3 inhibitor, LLL12, is active against ovarian cancer cell lines and tumorspheres from a patient sample. Future animal xenograft studies will elucidate more about its activity in combination with other agents such as niclosamide and chemotherapy. Citation Format: Rebecca C. Arend, Christen L. Walters Haygood, Chandrika Kurpad, Abhishek Gangrade, Pui-Kai Li, Yonghi Li, Deepak Bhasin, J. Michael Straughn, Donald J. Buchsbaum. STAT3 inhibition by LLL12 in combination with niclosamide and chemotherapy in ovarian cancer. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Suppl):Abstract nr 2517. doi:10.1158/1538-7445.AM2014-2517
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2014
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  • 3
    In: Cancer Letters, Elsevier BV, Vol. 349, No. 1 ( 2014-07), p. 8-14
    Type of Medium: Online Resource
    ISSN: 0304-3835
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2014
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  • 4
    Online Resource
    Online Resource
    Elsevier BV ; 2014
    In:  Gynecologic Oncology Vol. 133, No. 2 ( 2014-05), p. 234-237
    In: Gynecologic Oncology, Elsevier BV, Vol. 133, No. 2 ( 2014-05), p. 234-237
    Type of Medium: Online Resource
    ISSN: 0090-8258
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2014
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  • 5
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2014
    In:  Cancer Research Vol. 74, No. 19_Supplement ( 2014-10-01), p. 4677-4677
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 74, No. 19_Supplement ( 2014-10-01), p. 4677-4677
    Abstract: Objective: Niclosamide has shown promising activity against ovarian cancer in vitro;, however, it has low bioavailability in vivo. Thus, we investigated the cytotoxicity of niclosamide analogs in combination with carboplatin in ovarian cancer cell lines and against ovarian cancer patient ascites cells. Methods: Tumorspheres were isolated from ascites collected from 8 patients undergoing ovarian cancer surgery at UAB. Tumorspheres were plated at 10,000 cells per 50 µL into low attachment plates. Eight patient samples were treated concurrently with niclosamide analog 11 (0.1 µM - 5 µM) and carboplatin (5 - 150 μM), while four 4 patient samples were treated with analog 32 (0.1 µM - 5 µM) and carboplatin (5 - 100 μM). After 48 hours, cells were analyzed for viability using the ATPlite assay. Analogs 11 and 32 were also assayed in combination with carboplatin against ovarian cancer cell lines, A2780, A2780.cp20, SKOV3ip2, and SKOV3ip2.TR. Results: IC50 values for analog 11 ranged from 0.5 - 1 μM in the 8 patient ascites samples. With 150 μM carboplatin alone, patient samples had 40-80% cytotoxicity. In combination with analog 11 at 1 μM, 100% of cells were killed with 100 μM carboplatin in the 8 patient ascites samples. In the established ovarian cancer cell lines, cytotoxicity approached 100% at a dose of 3 - 5 μM of analog 11. In the 4 patient samples treated with analog 32, IC50 values ranged from 0.4 μM - 3 μM. With 100 μM carboplatin alone, patient samples had 40-80% cytotoxicity. In combination with 100 μM carboplatin, nearly 100% of cells were killed at a dose of 1 μM of analog 32. In the cell lines, IC50 values for analog 32 ranged from 0.9 - 2.5 μM. With combination treatment, there was increased cytotoxicity in the chemoresistant cells, A2780.cp20 and SKOV3ip2, compared to carboplatin alone. Conclusion: These niclosamide analogs produced cytotoxicity both alone and in combination with carboplatin against ovarian cancer cells and tumorspheres from patient ascites. Future studies will evaluate the PK/PD of the analogs. Citation Format: Christen L. Walters Haygood, Rebecca C. Arend, Pui-Kai Li, Yonghe Li, Chandrika Kurpad, Abhishek Gangrade, John M. Straughn, Donald Buchsbaum. Niclosamide analogs for treatment of ovarian cancer. [abstract]. In: Proceedings of the 105th Annual Meeting of the American Association for Cancer Research; 2014 Apr 5-9; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2014;74(19 Suppl):Abstract nr 4677. doi:10.1158/1538-7445.AM2014-4677
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2014
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  • 6
    In: American Journal of Obstetrics and Gynecology, Elsevier BV, Vol. 203, No. 3 ( 2010-09), p. 242.e1-242.e5
    Type of Medium: Online Resource
    ISSN: 0002-9378
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2010
    detail.hit.zdb_id: 2003357-6
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  • 7
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2013
    In:  Cancer Research Vol. 73, No. 8_Supplement ( 2013-04-15), p. 2179-2179
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 73, No. 8_Supplement ( 2013-04-15), p. 2179-2179
    Abstract: Objective: The majority of patients diagnosed with ovarian cancer initially respond to chemotherapy, but recurrence invariably occurs. The Wnt/β-catenin pathway is known to regulate cellular proliferation and differentiation and has been shown to play a role in chemoresistance and contribute to “stemness” of cancer cells. Wnt co-receptor, LRP6, forms a trimeric complex with Wnt ligand and Frizzled and becomes phosphorylated. This causes cytoplasmic buildup of β-catenin, which acts as a transcriptional activator leading to proliferation. Studies have shown an association of LRP6 degradation with apoptosis and inhibition of cellular proliferation. Niclosamide, an FDA approved salicyclamide derivative used for the treatment of tapeworm infections, causes LRP6 degradation. Therefore, the objective of this study was to investigate niclosamide as a potential therapeutic agent for ovarian cancer. Methods: Two ovarian cancer cell lines A2780, SKOV3ip1 and their carboplatin and paclitaxel chemoresistant derivatives, A2780.cp20 and SKOV3ip2.TRip2, were treated with niclosamide (0.1 to 5 μM) alone or in combination with carboplatin (5 to 150 μM). Tumor cells isolated from the ascites of six patients with primary ovarian cancer were also treated. Cell viability was assessed using the ATP-lite assay. The levels of LRP6, Axin 2 and cytosolic free β-catenin were determined using Western blot analysis. Cell lines were treated with Wnt3A ligand and niclosamide, and Wnt transcriptional activity was measured by the TOPflash reporter assay. Results: Combination treatment produced increased cytotoxicity compared to single agent treatment in all ovarian cancer cell lines, and in the six patient samples. In the cell lines, combination treatment with carboplatin and niclosamide caused synergistic cytotoxicity. Western blot analysis showed a dose-dependent decrease in phosphorylated LRP6, Axin 2 expression, and the level of cytosolic free β-catenin in patient samples and in the A2780 cell line after niclosamide treatment for 24 hours. A significant reduction of Wnt/β-catenin signaling was confirmed by TOPflash assay in both parental (p=0.05) and chemoresistant cell lines (p=0.009). Conclusion: This study demonstrates that niclosamide is a potent Wnt/β-catenin signaling inhibitor by causing a decrease in LRP6, Axin 2 expression, and cytosolic free β-catenin. Targeting the Wnt/β-catenin pathway led to decreased cellular proliferation and increased apoptosis. Niclosamide displays excellent anti-tumor activity in ovarian cancer cell lines and in ovarian cancer cells from patient ascites. These findings warrant further preclinical and clinical evaluation of this drug as a treatment option for ovarian cancer. Citation Format: Rebecca C. Arend, Angelina I. Londoño-Joshi, Yonghe Li, Wenyan Lu, Rajeev S. Samant, Brandon J. Metge, J. Michael Straughn, Donald J. Buchsbaum. Wnt pathway inhibition by niclosamide: a therapeutic target for ovarian cancer. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 2179. doi:10.1158/1538-7445.AM2013-2179
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
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    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2013
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  • 8
    Online Resource
    Online Resource
    Elsevier BV ; 2013
    In:  Gynecologic Oncology Vol. 131, No. 2 ( 2013-11), p. 493-498
    In: Gynecologic Oncology, Elsevier BV, Vol. 131, No. 2 ( 2013-11), p. 493-498
    Type of Medium: Online Resource
    ISSN: 0090-8258
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2013
    detail.hit.zdb_id: 1467974-7
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  • 9
    In: Gynecologic Oncology, Elsevier BV, Vol. 134, No. 1 ( 2014-07), p. 112-120
    Type of Medium: Online Resource
    ISSN: 0090-8258
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2014
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  • 10
    Online Resource
    Online Resource
    Elsevier BV ; 2013
    In:  Gynecologic Oncology Vol. 131, No. 3 ( 2013-12), p. 772-779
    In: Gynecologic Oncology, Elsevier BV, Vol. 131, No. 3 ( 2013-12), p. 772-779
    Type of Medium: Online Resource
    ISSN: 0090-8258
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2013
    detail.hit.zdb_id: 1467974-7
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