Research from Rutgers Cancer Institute of New Jersey and the Ernest Mario School of Pharmacy at Rutgers University demonstrates that a drug used to treat Lou Gehrig's disease (ALS) helps radiation be more effective when it was administered to laboratory models with melanoma that had metastasized to the brain.f
Melanoma -- the deadliest of skin cancers -- is often resistant to radiation therapy. To address this resistance, some melanoma treatment regimens may call for large doses of radiation, however there is a risk of neurotoxicity when large doses are administered to the whole brain. The work, published in the current print edition of Pigment Cell & Melanoma Research, examines radiation treatment when combined with the drug riluzole and its impact on melanoma that has spread to the brain.
Riluzole targets a protein known as GRM1 that is often abnormally produced by melanoma cells. Activation of this protein on the surface of melanoma cells increases growth and spread of the disease. Riluzole is approved by the United States Food and Drug Administration for the treatment of ALS (a disease that affects nerve cells in the brain and spinal cord) and has been shown to block activation of the GRM1 protein.
In this current research, investigators used four sets of laboratory models affected with melanoma brain metastasis. One group was treated with a drug absorption vehicle known as dimethyl sulfoxide, while another was treated with dimethyl sulfoxide plus a weekly radiation dose of 4 Gy. A third group was treated daily with riluzole only, and the fourth received both daily riluzole and the weekly radiation dose of 4 Gy. What they found was a decrease in tumor cell growth over a 37 day period when riluzole and radiation were combined as compared to those models that were given dimethyl sulfoxide only or riluzole alone or radiation alone.
"What this indicates is that riluzole sensitizes GRM1, helping these proteins act like a beacon for radiation so that only melanoma cells with the GRM1 protein will be targeted, sparing the rest of the brain and preserving the brain's functionality," notes senior author, Suzie Chen, PhD, Cancer Institute member and professor of chemical biology at the Ernest Mario School of Pharmacy.
"With approximately 50 percent of patients with melanoma developing brain metastasis and fewer than 13 percent of those patients surviving one year or more, identifying new therapies for this population is paramount," says James S. Goydos, MD, director of the Melanoma and Soft Tissue Oncology Program at the Cancer Institute and professor of surgery at Rutgers Robert Wood Johnson Medical School, who is another author on the study. He also notes their findings could have even broader implications. "Because the GRM1 protein is also found in breast and prostate cancers, pre-treatment with riluzole before radiation for these particular cancers might also result in the same outcomes," he said.
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