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 Session 
            Speaker 
 A New Lytic Peptide for the Treatment of Cancer
 Claudia Szczepanski, Rolf Bjerkvig, Olav Tenstad, Lene Nybø 
            and Lars Prestegarden
 Norway
 
 Background: A current approach for cancer treatment is the 
            development and use of cationic peptides. Such peptides, which are 
            known to have significantly higher toxicity to bacteria than to normal 
            mammalian cells, have also been shown to exhibit a broad spectrum 
            of cytotoxic activity against cancer cells. Most membrane active peptides 
            bind rapidly to the plasma membrane of cancer cells and disrupt it, 
            leading to cell death. The exact mechanisms of action have not been 
            fully understood yet. However, the outer part of the phospholipids 
            within the membrane of cancer cells has a slightly more negative charge 
            than in normal cells, which is mainly due to phosphatidylserine, which 
            can make up 3-9% of the total membrane phospholipids of their outer 
            leaflet. In this work we have designed 3 peptides that showed potential 
            therapeutic efficacy against a number of cancer cell types.
 
 Methods: Based on the fact that currently a high number of 
            tumour suppressor genes is known, including their mode of action, 
            we designed 96 novel peptides with potential tumour suppressor activity 
            in silico, which were then screened in vitro on U87 glioma cells for 
            biological activity by high throughput MTS assays. Three of these 
            novel mimetic peptides showed considerable anti-tumour activity, whereby 
            one peptide exhibited a particularly outstanding and durable tumour 
            suppressor efficacy. This peptide was studied further with respect 
            to its anti-tumour efficacy both in vitro and in vivo. To avoid proteolytic 
            degradation, which is often the case for small proteins, the design 
            and 3D structure of the peptide were modified without loosing biological 
            activity. Using radioactive labelled peptide its distribution and 
            pharmacokinetic profile was determined in vivo.
 
 Results: Time lapse confocal microscopy revealed that the 
            peptide induced cell death at a concentration > 10 μg/ml 
            within minutes after application and continued to work progressively 
            for an exposure time of 6h, resulting in 80 to 94% cell death at 35μg/ml, 
            depending on the resp ective cancer type and cell line tested. Both 
            electron and atomic force microscopy revealed holes in the plasma 
            membrane with a subsequent degradation of cell membrane components. 
            Using different viability assays on a number of tumour cell lines, 
            including 5 osteosarcoma, 6 glioma and 4 breast cancer cell lines, 
            the peptide showed severe cytolytic action at a concentration of > 
            15μg/ml. In 
            contrast, a number of normal cell lines, were significantly less sensitive 
            to treatment. The pharmacokinetic profile of the peptide, including 
            its half- life and systemic toxicity as studied in vivo, the IC 50 
            doses for the respective cell lines at various time points were determined 
            in vitro. Based on these results, 4T1 murine breast carcinomas were 
            initiated in BALB/c mice. At a tumour size of 1cm2 the mice were treated 
            by a single-shot local bolus injection of 600μg/ 
            100μl of peptide. 
            This led to a significant reduction of tumour size within 2-3 days 
            post injection and reduced tumour re-growth in the following 4 weeks. 
            Histological evaluation revealed severe necrosis in the tumour treatment 
            group.
 
 Conclusions: A new stable lytic peptide with high anti-tumour 
            efficacy was developed that shows resistance towards proteolytic degradation. 
            Compared to a number of normal cell lines, the peptide showed significant 
            toxic effects on a number of tumour cell types in vitro. Moreover, 
            its pharmacological profile and distribution was delineated in vivo.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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