Preclinical study demonstrates tumor suppression by platinum(IV) complexes in skin cancer models, indicating safer alternatives to standard platinum chemotherapy.
The present study investigates the chemotherapeutic potential of two platinum (IV) complexes, P-PENT and P-HEX, against skin cancer in vitro and in vivo . Both complexes exhibited potent cytotoxicity against HaCaT-II-4 cells with IC 50 values of 0.8 ± 0.08 μM and 1.3 ± 0.16 μM respectively, while demonstrating 8-10-fold selectivity compared to mesenchymal stem cells (MSCs). Western blot analysis revealed significant modulation of key apoptotic and survival pathways, including upregulation of Bax/Bcl2 ratio, cleaved caspase 3, and cytochrome c , suggesting induction of intrinsic apoptosis. The complexes also inhibited PI3K and MAPK pathways, as evidenced by decreased p-AKT/AKT and p-ERK/ERK ratios. Flow cytometry confirmed significant apoptotic cell death. Both complexes also increased reactive oxygen species production. In a DMBA/TPA-induced skin carcinogenesis mouse model, both complexes significantly suppressed tumor growth at doses considerably lower than the maximum tolerated dose, with no detectable toxicity. A dose escalation study in BALB/c mice showed that P-PENT and P-HEX were approximately 5-fold and 4-fold more tolerated than cisplatin, respectively. In conclusion, the present study provides evidence that P-PENT and P-HEX may have the characteristics of an effective and potentially safe anti-tumor drug that could be used in skin cancer treatment. • Two platinum (IV) complexes exhibit potent cytotoxicity against HaCaT-II-4 skin cancer cells. • Both complexes show 8–10 fold selectivity for cancer cells compared to mesenchymal cells. • Cell death is induced via intrinsic apoptosis and inhibition of PI3K and MAPK pathways. • Elevated ROS production enhances the compounds' cytotoxic properties. • In a skin cancer mouse model, tumor growth is suppressed without any detected toxicity.
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Slika et al. (2024) studied this question.
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