Evaluation of Research Article

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    Cancer Biology

    Evaluation of Research Article

    NOSH-aspirin (NBS-1120), a novel nitric-oxide- and hydrogensulfide-releasing hybrid is a potent inhibitor of colon cancer cellgrowth in vitro and in a xenograft mouse model by Kashfi et al.

    Done by:Nishachand Vohreh (09034669)

    BBSD1 10121A

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    Cancertherapeutic

    agent againstcolon cancer

    Higher dosagehas lead to

    gastrointestinalproblem

    Damage to theepithelial of thegastric mucosa

    Nitric oxide (NO)and hydrogensulfide (H2S)

    reduce gastrictoxicity

    NO is anti-inflammatory

    H2SH2S ability ofthis tissue toresist damage

    Hybrid of Aspirin(NOSH) have

    been synthesized

    Aspirin

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    Synthesized fourclasses of NOSH-

    ASA

    Investigated theiranti-cancer and anti-

    inflammatory

    properties

    NOSH-1 was morepotent

    Specifically using

    NOSH-ASA 1 againstonly colon cancer cells

    lines (HT-29)

    Previous works on hybrid?

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    Methods

    Methylene Bluemethod to

    measure H2S

    Effect oftumour size

    using male nudemice

    Calorimetric COXinhibitor screening

    kit to measureeffect on COX 1

    and 2

    Flow cytometry(PI for Cell

    cycle) (AnnexinV for apoptosis)

    Nitrate/Nitritecalorimetric

    assay measureamount of NO

    Elisa tomeasure cellproliferation

    MTT assay tomeasure cell

    viability

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    Cell Growth Inhibition Compared the effects of Aspirin(ASA) and the

    hybrid NOSH-ASA

    Measured the viability of cells after being

    incubated with the drugs

    At a lower dose, NOSH-ASA was able to stop50% of the cells in culture to stop growing as

    compared to ASA (IC50:0.05um)

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    Cell Growth Inhibition

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    Cell Growth Inhibition

    NOSH-ASA was said to be 250,000 times morepotent than ASA at 72 hours

    Compared the potency of NOSH-ASA with HS-ASA and NO-ASA

    The new hybrid proved to be more potent, 80 and15000 times more potent respectively

    Here, they realise the importance of (H2S) It had the closest IC50:4um

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    Cell Growth InhibitionTreatment IC50 uM Fold-enhanced

    potency of

    NOSHaspirin

    ASA >5000 >100,000

    p-NOASA 10 2 ~200

    o-NOASA 8 3 ~160

    m-NOASA 185 15 ~3700

    NOASA (aliphatic

    spacer)

    750 35 ~15,000

    HSASA 4 0.5* ~80

    NOSHaspirin 0.05 0.003 -

    Comparison in IC50 values for cell growth inhibition between aspirin,

    NOaspirin, HSaspirin, and NOSHaspirin

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    Cancer Cell KineticsProliferation

    Evaluated the effects of NOSH-ASA on cellproliferation, transition in the cell cycle andapoptosis

    Using Proliferating Cell Nuclear Antigen as aplatform for Bromodeoxyuridin (BrdU), % ofproliferating cells were measured

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    Proliferation

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    Cell Cycle Phase Using flow cytometry and Propidium Iodidestaining of the nucleus, obtained percentage of

    cells in the different stages of the cell cycle

    More cells have to stop replicating (S phase)and remain in the G1 phase

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    Cell Cycle Phase

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    Apoptosis

    Drug should be able to induce death in thecancer cells

    Flow cytometry but with Annexin V staining

    of phosphatidylserine obtained percentagesof cells going through apoptosis

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    Apoptosis

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    Does NOSH-ASA really liberate H2Sand NO?

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    Actual rate of H2S released?

    NOSH-ASA and HS-ASA were used

    One set was used in the culture medium ofcell lines while the other was incubated in rat

    liver

    The rate of release for both was higher inthe rat liver when compared to the culturemedia

    However, comparing between NOSH-ASA andHS-ASA, HS-ASA released H2S at a higherrate in the liver

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    Actual rate of H2S released? This might be due to many enzyme activities

    going on in the liver

    Slower rate of release of H2S from NOSH-

    ASA would mean more Hydrogen sulphideexposed to cells

    Potency of NOSH-ASA increase

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    Is the value of ASA still present in theHybrid?

    Aspirin used as a pain killer by inhibitingCyclooxygenase (COX )

    COX-1 and COX-2 were used to test theability of Aspirin as ASA and NOSH-ASA

    Indomethacin as a control

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    Is the value of ASA still present in theHybrid?

    COX was inhibited in both but a smaller amountof NOSH-ASA was needed to inhibit more ofCOX

    NOSH-ASA inhibits more of COX-1 ascompared to ASA

    As a hybrid, aspirins value increase whichmight be due to the synergy effects of the

    other molecules

    As such, this form of ASA could be used asa commercial pain killer but at lower dose

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    Same effects if H2S and NO areseparated from NOSH-ASA and

    tested? Evaluate the effects of the intact NOSH-

    ASA molecules and parts

    A combination of ASA and H2S(ADT-OH)/NO(SNAP) and compared growthinhibition

    Most noticeable was the difference betweenNOSH-ASA and ASA + SNAP + ADTOH

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    IC50values for cell growth inhibition by various components ofNOSHaspirin or other agents that release NO or H2S alone or

    in combination

    Same effects if H2S and NO areseparated from NOSH-ASA and

    tested?

    Compound IC50 at 24 h, uM

    ASA >1000

    SNAP 530 45

    ADTOH 26 3

    ASA + SNAP 710 35

    ASA + ADTOH 380 45

    ASA + SNAP + ADTOH 450 35

    NOSHASA 0.05 0.005

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    8 immuno-comprimised mice were used

    Heterotrophic models by injecting the cells

    subcutaneously

    4 control and 4 were treated

    Treated mice 80% reduction in tumour sizewith no adverse side effects. Weight of mice remained constant throughout

    Heterotrophic Xenograft studies

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    Heterotrophic Xenograft studies

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    Future of Drug

    At the end of this experiment, theresearchers realise that this new hybrid hasgood potential in the treatment of coloncancer

    A small dose as found, might reduce the riskof unwanted side effects like seen in thetraditional aspirin

    No other NSAID have been found to havesuch a high degree of potency

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    Future of Drug

    The search to make aspirin a safer drug has ledto the formation of a potent anti-cancer agent

    Experiments on other cell lines might be the

    next step for the researchers

    This drug is still in the development phase andneeds more trials to make it available forhuman use

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    References

    Chattopadhyay, M., Kashfi, K., and Kodela, R. (2012). NOSH-Aspirin: A Novel Nitric OxideHydrogen Sulfide-ReleasingHybrid: A New Class of Anti-inflammatory Pharmaceuticals.ACS Medical Chemistry Letters 3, 257-262.

    Chattopadhyay, M., Kashfi, K., Kodela, R. and Olson, K. (2012).NOSHaspirin (NBS-1120), a novel nitric oxide- and hydrogen

    sulfide-releasing hybrid is a potent inhibitor of colon cancercell growth in vitro and in a xenograft mouse model.Department Biochemical and Biophysical ResearchCommunications 419, 523-528.

    Heath, W., Namboodiri, M.M. and Thun, M.J. (1991). Aspirinuse and reduced risk of fatal colon cancer. The New EnglandJournal of Medicine 324(23), 1593-1596.

    DuBois, R.N., Hori, M., Kawano, S., Sawaoka, H., Tsuji, M., andTsuji, S. (1998). Cyclooxygenase Regulates AngiogenesisInduced by Colon Cancer Cells. Cell93, 705-716.