title: Phenylacetate inhibits isoprenoid biosynthesis and suppresses growth of human pancreatic carcinoma.
abstract: BACKGROUND
  Phenylacetate is growth inhibitor for a variety of tumors at concentration that have been safely achieved in human beings. This antitumor effect is related to inhibition of the isoprenoid synthetic pathway by blocking the enzyme, mevalonate pyrophosphate (MVAPP) decarboxylase. The purpose of this study was to evaluate the effects of phenylacetate on human pancreatic carcinoma.
  
  
  METHODS
  For in vitro studies, six human pancreatic carcinoma cell lines (BxPc, AsPc, MIAPaCa-2 Panc-1, CFPAc, and HS 766T) were studied. For in vivo studies, nude mice were inoculated with pancreatic cells (BxPc and MIA PaCa-2) and randomized to receive phenylacetate or saline control.
  
  
  RESULTS
  Phenylacetate produces reversible in vitro growth arrest at doses of 2.5 to 10 mmol. The antiproliferative effect is cytostatic, producing accumulation of cells in G1, and is not associated with cell toxicity. Systemic treatment of nude mice bearing heterotopic human pancreatic carcinoma results in growth inhibition of tumors without host toxicity. Phenylacetate blocks the processing of mevalonate to isopentenyl-pyrophosphate by inhibiting MVAPP and exhibits suppression of biosynthetic pathways requiring isoprenoids, including cholesterol and dolichol biosynthesis, protein glycosylation, and isoprenylation of proteins.
  
  
  CONCLUSIONS
  These results indicate that phenylacetate has cytostatic activity in pancreatic carcinoma and support the conclusion that suppression of multiple biosynthetic pathways requiring isoprenoids is contributing to the drug's antiproliferative action. The safety profile and efficacy of phenylacetate make it an attractive agent for the treatment of pancreatic cancer.
authors.affiliation: Department of surgery, Memorial Sloan Kettering Cancer Center, New York NY 10021, USA.
authors.forename: L E
authors.initials: LE
authors.lastname: Harrison
authors.forename: D C
authors.initials: DC
authors.lastname: Wojciechowicz
authors.forename: M F
authors.initials: MF
authors.lastname: Brennan
authors.forename: P B
authors.initials: PB
authors.lastname: Paty
mesh_terms: D000818:Animals; D000964:Antimetabolites, Antineoplastic / Q000494:pharmacology*; D002262:Carboxy-Lyases / Q000378:metabolism; D002455:Cell Division / Q000187:drug effects; D005434:Flow Cytometry; D006031:Glycosylation; D050356:Lipid Metabolism; D008798:Mevalonic Acid / Q000031:analogs & derivatives / Q000378:metabolism*; D051379:Mice; D008807:Mice, Inbred BALB C; D008819:Mice, Nude; D010190:Pancreatic Neoplasms; D010648:Phenylacetates / Q000494:pharmacology*; D014407:Tumor Cells, Cultured / Q000166:cytology / Q000201:enzymology
chemical_list: D000964:Antimetabolites, Antineoplastic; D010648:Phenylacetates; C046285:5-diphosphomevalonic acid; D002262:Carboxy-Lyases; C022503:pyrophosphomevalonate decarboxylase; C025136:phenylacetic acid; D008798:Mevalonic Acid