Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer

Patients with immunodeficiencies and older age are at an increased risk of anal cancer. Transgenic <i>K14E6/E7</i> mice with established high-grade anal dysplasia were treated topically at the anus with the protease inhibitor saquinavir (SQV) in the setting of CD4+ T-cell depletion to mi...

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Main Authors: Evan Yao, Laura Gunder, Tyra Moyer, Kristina A. Matkowskyj, Kathryn Fox, Yun Zhou, Sakura Haggerty, Hillary Johnson, Nathan Sherer, Evie Carchman
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Viruses
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Online Access:https://www.mdpi.com/1999-4915/16/9/1421
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author Evan Yao
Laura Gunder
Tyra Moyer
Kristina A. Matkowskyj
Kathryn Fox
Yun Zhou
Sakura Haggerty
Hillary Johnson
Nathan Sherer
Evie Carchman
author_facet Evan Yao
Laura Gunder
Tyra Moyer
Kristina A. Matkowskyj
Kathryn Fox
Yun Zhou
Sakura Haggerty
Hillary Johnson
Nathan Sherer
Evie Carchman
author_sort Evan Yao
collection DOAJ
description Patients with immunodeficiencies and older age are at an increased risk of anal cancer. Transgenic <i>K14E6/E7</i> mice with established high-grade anal dysplasia were treated topically at the anus with the protease inhibitor saquinavir (SQV) in the setting of CD4+ T-cell depletion to mimic immunodeficiency. To ensure tumor development, specific groups were treated with a topical carcinogen (7,12-Dimethylbenz[a]anthracene (DMBA)). The treatment groups included the vehicle (control), DMBA only, topical SQV, and topical SQV with DMBA, as well as the same four groups with CD4 depletion. The mice were monitored weekly for tumor development. Upon reaching 20 weeks of treatment, the mice were sacrificed, and their anal tissue was harvested for histological analysis. None of the mice in the SQV or control groups developed overt anal tumors, except three mice that were CD4-depleted. The CD4-depleted mice treated with DMBA had significantly increased tumor-free survival and overall survival as well as decreased tumor-volume growth over time when treated with SQV. These data suggest that topical SQV, in the setting of CD4 depletion and high-grade anal dysplasia, can increase tumor-free and overall survival; thus, it may represent a viable topical therapy to decrease the risk of progression of anal dysplasia to anal cancer.
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spelling doaj-art-1050c5b818734f4e903e77ab8015de442025-08-20T01:56:13ZengMDPI AGViruses1999-49152024-09-01169142110.3390/v16091421Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal CancerEvan Yao0Laura Gunder1Tyra Moyer2Kristina A. Matkowskyj3Kathryn Fox4Yun Zhou5Sakura Haggerty6Hillary Johnson7Nathan Sherer8Evie Carchman9Department of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USADepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USADepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USAUniversity of Wisconsin Carbone Cancer Center, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53705, USAUniversity of Wisconsin Carbone Cancer Center, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53705, USADepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USADepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USADepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USAUniversity of Wisconsin Carbone Cancer Center, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53705, USADepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USAPatients with immunodeficiencies and older age are at an increased risk of anal cancer. Transgenic <i>K14E6/E7</i> mice with established high-grade anal dysplasia were treated topically at the anus with the protease inhibitor saquinavir (SQV) in the setting of CD4+ T-cell depletion to mimic immunodeficiency. To ensure tumor development, specific groups were treated with a topical carcinogen (7,12-Dimethylbenz[a]anthracene (DMBA)). The treatment groups included the vehicle (control), DMBA only, topical SQV, and topical SQV with DMBA, as well as the same four groups with CD4 depletion. The mice were monitored weekly for tumor development. Upon reaching 20 weeks of treatment, the mice were sacrificed, and their anal tissue was harvested for histological analysis. None of the mice in the SQV or control groups developed overt anal tumors, except three mice that were CD4-depleted. The CD4-depleted mice treated with DMBA had significantly increased tumor-free survival and overall survival as well as decreased tumor-volume growth over time when treated with SQV. These data suggest that topical SQV, in the setting of CD4 depletion and high-grade anal dysplasia, can increase tumor-free and overall survival; thus, it may represent a viable topical therapy to decrease the risk of progression of anal dysplasia to anal cancer.https://www.mdpi.com/1999-4915/16/9/1421anal cancercancer preventionHIV
spellingShingle Evan Yao
Laura Gunder
Tyra Moyer
Kristina A. Matkowskyj
Kathryn Fox
Yun Zhou
Sakura Haggerty
Hillary Johnson
Nathan Sherer
Evie Carchman
Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer
Viruses
anal cancer
cancer prevention
HIV
title Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer
title_full Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer
title_fullStr Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer
title_full_unstemmed Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer
title_short Topical Protease Inhibitor Increases Tumor-Free and Overall Survival in CD4-Depleted Mouse Model of Anal Cancer
title_sort topical protease inhibitor increases tumor free and overall survival in cd4 depleted mouse model of anal cancer
topic anal cancer
cancer prevention
HIV
url https://www.mdpi.com/1999-4915/16/9/1421
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