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The anti-malarial atovaquone increases radiosensitivity by alleviating tumour hypoxia

Abstract:
Tumour hypoxia renders cancer cells resistant to cancer therapy, resulting in markedly worse clinical outcomes. To find clinical candidate compounds that reduce hypoxia in tumours, we conduct a high-throughput screen for oxygen consumption rate (OCR) reduction and identify a number of drugs with this property. For this study we focus on the anti-malarial, atovaquone. Atovaquone rapidly decreases the OCR by more than 80% in a wide range of cancer cell lines at pharmacological concentrations. In addition, atovaquone eradicates hypoxia in FaDu, HCT116 and H1299 spheroids. Similarly, it reduces hypoxia in FaDu and HCT116 xenografts in nude mice, and causes a significant tumour growth delay when combined with radiation. Atovaquone is a ubiquinone analogue, and decreases the OCR by inhibiting mitochondrial complex III. We are now undertaking clinical studies to assess whether atovaquone reduces tumour hypoxia in patients, thereby increasing the efficacy of radiotherapy.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1038/ncomms12308

Authors


More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
CRUK/MRC Ox Inst for Radiation Oncology
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
CRUK/MRC Ox Inst for Radiation Oncology
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
CRUK/MRC Ox Inst for Radiation Oncology
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
CRUK/MRC Ox Inst for Radiation Oncology
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
CRUK/MRC Ox Inst for Radiation Oncology
Role:
Author


Publisher:
Nature Publishing Group: Nature Communications
Journal:
Nature communications More from this journal
Volume:
7
Pages:
12308
Publication date:
2016-07-25
Acceptance date:
2016-06-17
DOI:
ISSN:
2041-1723
Pmid:
27453292


Language:
English
Subjects:
Pubs id:
pubs:636321
UUID:
uuid:15d89091-2bfd-4609-80fa-c5157ea5d1c9
Local pid:
pubs:636321
Source identifiers:
636321
Deposit date:
2017-10-19

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