Aldo-Keto Reductase 1C3 Inhibitor Prodrug Improves Pharmacokinetic Profile and Demonstrates In Vivo Efficacy in a Prostate Cancer Xenograft Model

J Med Chem. 2023 Jul 27;66(14):9894-9915. doi: 10.1021/acs.jmedchem.3c00732. Epub 2023 Jul 10.

Abstract

Aldo-keto reductase 1C3 (AKR1C3) is overexpressed in castration-resistant prostate cancer where it acts to drive proliferation and aggressiveness by producing androgens. The reductive action of the enzyme leads to chemoresistance development against various clinical antineoplastics across a range of cancers. Herein, we report the continued optimization of selective AKR1C3 inhibitors and the identification of 5r, a potent AKR1C3 inhibitor (IC50 = 51 nM) with >1216-fold selectivity for AKR1C3 over closely related isoforms. Due to the cognizance of the poor pharmacokinetics associated with free carboxylic acids, a methyl ester prodrug strategy was pursued. The prodrug 4r was converted to free acid 5r in vitro in mouse plasma and in vivo. The in vivo pharmacokinetic evaluation revealed an increase in systemic exposure and increased the maximum 5r concentration compared to direct administration of the free acid. The prodrug 4r demonstrated a dose-dependent effect to reduce the tumor volume of 22Rv1 prostate cancer xenografts without observed toxicity.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • 3-Hydroxysteroid Dehydrogenases / therapeutic use
  • Aldo-Keto Reductase Family 1 Member C3
  • Animals
  • Antineoplastic Agents* / pharmacology
  • Antineoplastic Agents* / therapeutic use
  • Cell Line, Tumor
  • Heterografts
  • Humans
  • Male
  • Mice
  • Prodrugs* / pharmacology
  • Prodrugs* / therapeutic use
  • Prostatic Neoplasms* / drug therapy

Substances

  • Prodrugs
  • Aldo-Keto Reductase Family 1 Member C3
  • Antineoplastic Agents
  • 3-Hydroxysteroid Dehydrogenases