RT Journal Article SR Electronic T1 The Iron Chelator, Deferasirox, as a Novel Strategy for Cancer Treatment: Oral Activity Against Human Lung Tumor Xenografts and Molecular Mechanism of Action JF Molecular Pharmacology JO Mol Pharmacol FD American Society for Pharmacology and Experimental Therapeutics SP mol.112.081893 DO 10.1124/mol.112.081893 A1 Goldie Y. L. Lui A1 Peyman Obeidy A1 Samuel J. Ford A1 Chris Tselepis A1 Danae M. Sharp A1 Patric J. Jansson A1 Danuta S. Kalinowski A1 Zaklina Kovacevic A1 David B. Lovejoy A1 Des R. Richardson YR 2012 UL http://molpharm.aspetjournals.org/content/early/2012/10/16/mol.112.081893.abstract AB Deferasirox is an orally-effective iron chelator currently used for the treatment of iron (Fe) overload disease and has been implemented as an alternative to the "gold standard" chelator, desferrioxamine (DFO). Earlier studies demonstrated that DFO has anti-cancer activity due to its ability to deplete cancer cells of Fe. In this investigation, we examined the in vitro and in vivo activity of deferasirox against cells from human solid tumors. To date, there have been no studies to investigate the effect of deferasirox on these types of tumors in vivo. Deferasirox demonstrated similar activity at inhibiting proliferation of DMS-53 lung carcinoma and SK-N-MC neuroepithelioma cell lines when compared to DFO. Further, deferasirox was generally similar or slightly more effective than DFO at mobilizing cellular 59Fe and inhibiting iron uptake from Tf depending on the cell-type. However, deferasirox potently inhibited DMS-53 xenograft growth in nude mice when given by oral gavage, with no marked alterations in normal tissue histology. To understand the anti-tumor activity of deferasirox, we investigated its effect on the expression of molecules that play key roles in metastasis, cell cycle control and apoptosis. We demonstrated that deferasirox increased expression of the metastasis suppressor protein, N-myc downstream regulated gene-1 (NDRG1), and up-regulated the cyclin-dependent kinase inhibitor p21CIP1/WAF1, while decreasing cyclin D1 levels. Moreover, this agent increased the expression of apoptosis markers, including cleaved caspase-3 and cleaved poly [ADP-ribose] polymerase 1. Collectively, we demonstrate that deferasirox is an orally-effective anti-tumor agent against solid tumors.