The cytotoxic analogue of
somatostatin,
AN-238, consisting of
2-pyrrolinodoxorubicin (AN-201), a superactive derivative of
doxorubicin (DOX), linked to
somatostatin analogue carrier
RC-121 binds with high affinity to receptors for
somatostatin and can be targeted to
tumors that express these receptors. Because
somatostatin receptors are found in a high percentage of human non-Hodgkin's
lymphomas (NHLs), we evaluated the antitumor effect of
AN-238 in 2 human NHL cell lines in vivo. Nude mice bearing xenografts of RL and HT human NHL were treated with
AN-238 or its components at equimolar doses, and antitumor effects were determined. Expression of
mRNA for
somatostatin receptor subtypes was measured by RT-PCR, and the presence of
somatostatin receptors was determined by radioligand binding. Toxicity was evaluated by following white blood cell count (WBC) and
body weight.
AN-238 significantly (p < 0.05) inhibited growth of RL and HT xenografts and prolonged the
tumor doubling time. Cytotoxic radical
AN-201, the unconjugated mixture of
somatostatin analogue
RC-121 and
AN-201 or
RC-121 alone had no significant effects. Blockade of
somatostatin receptors by excess
RC-121 abolished the effect of
AN-238, demonstrating targeting. Expression of
somatostatin receptors was not changed after repeated treatment with
AN-238.
AN-201, but not
AN-238, significantly lowered the WBC and caused a greater decrease in
body weight than
AN-238. Our findings demonstrate that targeted
chemotherapy with
AN-238 can strongly inhibit the growth of NHL cells, which express
somatostatin receptors.
AN-238 could be considered for the treatment for patients with NHL.