General Information of the Drug (ID: ferrodrug0302)
Name
APR-246
Synonyms
APR-246; 5291-32-7; PRIMA-1MET; Eprenetapopt; 2-(Hydroxymethyl)-2-(methoxymethyl)-1-azabicyclo[2.2.2]octan-3-one; 2-(Hydroxymethyl)-2-(methoxymethyl)quinuclidin-3-one; APR 246; Eprenetapopt [USAN]; Z41TGB4080; 3-Quinuclidinone, 2-(hydroxymethyl)-2-(methoxymethyl)-; 1-Azabicyclo(2.2.2)octan-3-one, 2-(hydroxymethyl)-2-(methoxymethyl)-; Prima 1MET; UNII-Z41TGB4080; EPRENETAPOPT [INN]; MLS006010767; EPRENETAPOPT [WHO-DD]; APR246; SCHEMBL2228161; CHEMBL3186011; SCHEMBL21636035; PRIMA-1MET(APR-246); APR-246 (PRIMA-1MET); DTXSID401164013; BCP20294; EX-A2772; MFCD20620963; NSC791496; s7724; WHO 11387; AKOS024457764; CCG-266578; CS-7614; DB11684; NSC-791496; SB19737; NCGC00346881-01; AC-32964; AS-72033; BA176962; HY-19980; SMR004701457; A901731; Q27294965; 2-hydroxymethyl-2-methoxymethyl-1-azabicyclo[2.2.2]octan-3-one

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Structure
Formula
C10H17NO3
IUPAC Name
2-(hydroxymethyl)-2-(methoxymethyl)-1-azabicyclo[2.2.2]octan-3-one
Canonical SMILES
COCC1(C(=O)C2CCN1CC2)CO
InChI
InChI=1S/C10H17NO3/c1-14-7-10(6-12)9(13)8-2-4-11(10)5-3-8/h8,12H,2-7H2,1H3
InChIKey
BGBNULCRKBVAKL-UHFFFAOYSA-N
PubChem CID
52918385
Full List of Ferroptosis Target Related to This Drug
Unspecific Target
In total 1 item(s) under this Target
Experiment 1 Reporting the Ferroptosis-centered Drug Act on This Target [1]
Responsed Disease Oesophageal cancer ICD-11: 2B70
Responsed Regulator Cysteine desulfurase (NFS1) Driver
Pathway Response Glutathione metabolism hsa00480
Ferroptosis hsa04216
Cell Process Cell ferroptosis
Cell proliferation
In Vitro Model NCI-H1299 cells Lung large cell carcinoma Homo sapiens CVCL_0060
OACM5.1 C cells Esophageal adenocarcinoma Homo sapiens CVCL_1842
FLO-1 cells Barrett adenocarcinoma Homo sapiens CVCL_2045
HEK-293T cells Normal Homo sapiens CVCL_0063
In Vivo Model
For FLO-1 LM cell line xenografts, 5 x 106 cells suspended in 100 ul of 1:1 PBS and Matrigel (BD Biosciences) were subcutaneously injected into the right flank of ~6 week-old female nonobese diabeticsevere combined immunodeficient interleukin-2RKO (NSG) mice. PDXs were established and implanted into a dorsal intramuscular pocket of NSG mice as previously described. Mice were randomized to SG deplete or control chow ad libitum (AIN93G rodent diet, Specialty Feeds, Australia) and dosed with eprenetapopt (100 mg/kg) or 0.9% saline, intraperitoneally injected daily, once tumors reached 100 mm3. Tumor volume was assessed blinded to treatment group with caliper measurements every 3 to 4 days and calculated using the formula (length x weight2)/2. Metastatic spread was determined by bioluminescence imaging as previously described involving weekly monitoring using the Xenogen IVIS 100 Imaging System (Caliper Life Science). At experimental end point (tumor volume > 1400 mm3), the whole mouse and its organs were imaged to determine the extent and distribution of metastases. Tumors were weighed and tumor growth inhibition was calculated with the formula [1 - (Tf- Ti)/mean(Cf - Ci)] x 100, where Tf, Ti, Cf, and Ci represent final (f) and initial (i) tumor volume of drug treated (T) and control (C) animals, respectively.

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Response regulation The study demonstrates that eprenetapopt targets cancer cells through GSH depletion and inhibiting cysteine desulfurase activity of NFS1, leading to iron-dependent, nonapoptotic ferroptosis. The combination of eprenetapopt with dietary serine and glycine restriction synergizes to inhibit esophageal xenograft tumor growth.
Phospholipid hydroperoxide glutathione peroxidase (GPX4)
In total 1 item(s) under this Target
Experiment 1 Reporting the Ferroptosis-centered Drug Act on This Target [2]
Target for Ferroptosis Suppressor
Responsed Disease Acute myeloid leukaemia ICD-11: 2A60
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Glutathione metabolism hsa00480
Cell Process Cell ferroptosis
In Vitro Model HL-60 cells Adult acute myeloid leukemia Homo sapiens CVCL_0002
MOLM-14 cells Leukemia Homo sapiens CVCL_7916
SET-2 cells Acute megakaryoblastic leukemia Homo sapiens CVCL_2187
MV4-11 cells Childhood acute monocytic leukemia Homo sapiens CVCL_0064
OCI-AML-2 cells Acute myeloid leukemia Homo sapiens CVCL_1619
OCI-AML3 cells Adult acute myeloid leukemia Homo sapiens CVCL_1844
K-562 cells Chronic myelogenous leukemia Homo sapiens CVCL_0004
THP-1 cells Childhood acute monocytic leukemia Homo sapiens CVCL_0006
UT-7/Epo cells Acute megakaryoblastic leukemia Homo sapiens CVCL_5202
SKM-1 cells Acute myeloid leukemia Homo sapiens CVCL_0098
NB4 cells Acute promyelocytic leukemia Homo sapiens CVCL_0005
Kasumi-1 cells Acute myeloid leukemia Homo sapiens CVCL_0589
In Vivo Model
Xenograft tumors were generated by randomly injecting 1 x 106 MOLM14 shCTRL or shSLC7A11 cells into the tail veins of NOD/SCID IL-2 receptor g-chain-null mice (NSG) aged 6-9 weeks. Fourteen days after injection, doxycycline (200 mg/mL) and sucrose (1% weight:volume) were added to the drinking water of these animals. After 3 days, the mice were randomly treated with a daily intraperitoneal injection of APR-246 (100 mg/kg) or vehicle (phosphate-buffered saline [PBS]) for 4 days.

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Response regulation APR-246 is a promising new therapeutic agent that targets p53 mutated proteins in myelodysplastic syndromes and in acute myeloid leukemia (AML). The association of APR-246 with induction of ferroptosis (either by pharmacological compounds, or genetic inactivation of SLC7A11 or GPX4) had a synergistic effect on the promotion of cell death, both in vivo and ex vivo.
References
Ref 1 Eprenetapopt triggers ferroptosis, inhibits NFS1 cysteine desulfurase, and synergizes with serine and glycine dietary restriction. Sci Adv. 2022 Sep 16;8(37):eabm9427. doi: 10.1126/sciadv.abm9427. Epub 2022 Sep 14.
Ref 2 APR-246 induces early cell death by ferroptosis in acute myeloid leukemia. Haematologica. 2022 Feb 1;107(2):403-416. doi: 10.3324/haematol.2020.259531.