Non-nucleoside O6-methylguanine-DNA methyltransferase inhibitors in murine spontaneous tumor experimental chemotherapy in vivo

Alkylating chemotherapy agents are well-established for inducing DNA lesions that result in apoptosis in cancer cells. However, the efficacy of these agents is often diminished due to the activity of the repair enzyme O6-methylguanine-DNA methyltransferase (MGMT), which confers resistance to chemotherapy by catalyzing dealkylation reactions. Recent studies have identified novel non-nucleoside MGMT inhibitors with promising properties. In this study, we evaluated the effectiveness of these novel non-nucleoside MGMT inhibitors in combination with alkylating chemotherapy in vivo. Our experimental model involved ICR female mice that spontaneously developed malignant tumors. These mice were treated with a combination of the alkylating agent N-methyl-N′-nitro-N-nitrosoguanidine (MNNG) and new MGMT inhibitors. We analyzed tumor growth dynamics and observed the levels of MGMT and other proteins using western blot analysis. Our findings demonstrated that the addition of MGMT inhibitors significantly improved the tumor growth-inhibiting effects of the alkylating chemotherapy. Tumor growth was more effectively suppressed in the mice receiving the combination therapy compared to those receiving the alkylating agents alone. Additionally, MGMT levels were significantly reduced following the combined treatment. Furthermore, the active form of caspase 3 was detected in treated tumors, suggesting that the reduction in tumor growth may be mediated through an apoptotic pathway. These results underscore the potential for these novel MGMT inhibitors to enhance the efficacy of alkylating agents in cancer therapy, holding substantial promise for improving therapeutic outcomes against tumors that exhibit high MGMT activity.