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Induction of mitochondrial dysfunction as a strategy for targeting tumor cells in hypoxic microenvironment Xiaonan Zhang1#, Mårten Fryknäs2#, Rolf Larsson2* and Stig Linder1* 1 Department of Oncology-Pathology, Karolinska Institute, S-171 76 Stockholm, Sweden; 2 Department of Medical Sciences, Division of Clinical Pharmacology, University Hospital, Uppsala University, S-751 85 Uppsala, Sweden Results Conclusions: 1. 2. 3. 4. VLX600 kills both proliferating and quiescent tumor cells by impairing ETC and shifting metabolism. VLX600 potency can be enhanced by autophagy inhibitors. Targeting Mitochondria respiration is a promising strategy for solid tumor treatment 3D spheroids is an intermediate complexity between in vivo tumors and in vitro monolayer cultures in the drug screening. VLX600 forms complexes 1. VLX600 impairing ETC and causing mitochondria dysfunction analyzed by Seahorse. with ferrous and ferric iron. Iron chloride totally abrogates its cytotoxic effect abovious cell death after 48h and (non-malignant) human epithelial hTERT-RPE1 cell growth arrest (right). A: Compounds B: oligomycin C: FCCP D: Rotenone and Antimycin Respiration(up left) and ECT (up right) impaired after 4h VLX600. Spheroids by EM show swollen Mito. (down). Introduction 1.3D spheroids is a proper model to connect in vivo tumors and in vitro monolayer cultures in drug screening 3.VLX600 is an iron chelator. 2. VLX600 is toxic to proliferating and quiescent tumor cells without effect normal tissue cells Spheroids contain populations of hypoxic (PIMO staining) and non-proliferating cells(markers of Ki67 and p27). Cells in core BIPpositive associated with apoptosis resistance. 4. VLX 600 reduce tumor volume at low does in vivo and autophagy inhibitor(CQ) enhances VLX600 potency. Central necrotic areas (āNā) after 72h (left) 2. VLX600 discovered by spheroids screening A dose of 0.5 mg/kg still has anti-tumor effects(up left). The structure of VLX600 (ChemBridge 5625138), most active of ~10,000 Compounds screened. Karolinska Institutet Xiaonan Zhang PHD student, Oncology-Pathology CCK, R8:00 17176 Contact: E-mail: [email protected] Tele: 0760235812