Currently incurable,
prostate cancer metastasis has a remarkable ability to spread to the skeleton. Previous studies demonstrated that interactions mediated by the
cancer-associated Thomsen-Friedenreich glycoantigen (TF-Ag) and the
carbohydrate-binding protein galectin-3 play an important role in several rate-limiting steps of
cancer metastasis such as metastatic cell adhesion to bone marrow endothelium, homotypic
tumor cell aggregation, and clonogenic survival and growth. This study investigated the ability of a synthetic small-molecular-weight nontoxic
carbohydrate-based TF-Ag mimic
lactulose-
L-leucine (Lac-L-Leu) to inhibit these processes in vitro and, ultimately,
prostate cancer bone
metastasis in vivo. Using an in vivo mouse model, based on intracardiac injection of human PC-3 prostate
carcinoma cells stably expressing
luciferase, we investigated the ability of Lac-L-Leu to impede the establishment and growth of bone
metastasis. Parallel-flow chamber assay, homotypic aggregation assay, modified Boyden chamber assay, and clonogenic growth assay were used to assess the effects of Lac-L-Leu on
tumor cell adhesion to the endothelium, homotypic
tumor cell aggregation, transendothelial migration, and clonogenic survival and growth, respectively. We report that daily intraperitoneal administration of Lac-L-Leu resulted in a three-fold (P < .05) decrease in metastatic
tumor burden compared with the untreated control. Mechanistically, the effect of Lac-L-Leu, which binds and inhibits
galectins by mimicking essential structural features of the TF-Ag, was associated with a dose-dependent inhibition of
prostate cancer cell adhesion to bone marrow endothelium, homotypic aggregation, transendothelial migration, and clonogenic growth. We conclude that small-molecular-weight
carbohydrate-based compounds targeting β-galactoside-mediated interactions could provide valuable means for controlling and preventing metastatic
prostate cancer spread to the skeleton.