Exemestane metabolites: Synthesis, stereochemical elucidation, biochemical activity and anti-proliferative effects in a hormone-dependent breast cancer cell line
作者:Carla L. Varela、Cristina Amaral、Elisiário Tavares da Silva、Andreia Lopes、Georgina Correia-da-Silva、Rui A. Carvalho、Saul C.P. Costa、Fernanda M.F. Roleira、Natércia Teixeira
DOI:10.1016/j.ejmech.2014.09.074
日期:2014.11
Exemestane is a third-generation steroidal aromatase inhibitor that has been used in clinic for hormone-dependent breast cancer treatment in post-menopausal women. It is known that exemestane undergoes a complex metabolization, giving rise to some already identified metabolites, the 17 beta-hydroxy-6-methylenandrosta-1,4-dien-3-one (17-beta HE) and the 6-(hydroxymethyl)androsta-1,4,6-triene-3,17-dione (6-HME). In this study, four metabolites of exemestane have been analyzed, three of them were synthesized (6 beta-spirooxiranandrosta-1,4-diene-3,17-dione (2), 1 alpha,2 alpha-epoxy-6-methylenandrost-4-ene-3,17-dione (3) and 17-beta HE (4)) while one was acquired, the 6-HME (6). The stereochemistry of the epoxide group of 2 and 3 has been unequivocally elucidated for the first time on the basis of NOESY experiments. New structure-activity relationships (SAR) have been established through the observation that the substitution of the double bonds by epoxide groups led to less potent derivatives in microsomes. However, the reduction of the C-17 carbonyl group to a hydroxyl group originating 17-beta HE (4) resulted in a significant increase in activity in MCF-7aro cells when compared to exemestane (IC50 0.25 mu M vs 0.90 mu M, respectively). All the studied metabolites reduced MCF-7aro cells viability in a dose and time-dependent manner, and metabolite 3 was the most potent one. Altogether our results showed that not only exemestane but also its main metabolites are potent aromatase inhibitors and reduce breast cancer cells viability. This suggests that exemestane efficacy may also be due to the active metabolites that result from its metabolic transformation. Our results emphasize the importance of performing further studies to expand our understanding of exemestane actions in breast cancer cells. (C) 2014 Elsevier Masson SAS. All rights reserved.