Triple-negative breast cancer is an aggressive subtype
with a high
recurrence rate, potential for metastasis, and a poor prognosis. The
chemokine receptor, CXCR4, is a promising molecular target in breast
cancer therapy. Here, we have developed a CXCR4-targeted antitumor
peptidomimetic (named CTCE-KLAK), which is a fusion of the CXCR4 receptor
antagonist CTCE-9908 and the D-form of proapoptotic peptide (KLAKLAK)2, for the treatment of breast cancer. First, we investigated
the in vitro antitumor activity of CTCE-KLAK against
various breast cancer cells and noncancerous mammary epithelial cells.
CTCE-KLAK showed cell-selective cytotoxicity and induced rapid necrotic
cell death in breast cancer cells but not in normal cells. In contrast,
unconjugated peptides such as the carboxylate analogues of CTCE-9908
and D(KLAKLAK)2 were not cytotoxic to these
cells. The tumor selectivity of CTCE-KLAK for cytotoxic activity depends
on its internalization into tumor cells. There was no cleavage of
caspase-3, caspase-7, or PARP1 in CTCE-KLAK-treated cells. In addition,
cell death by CTCE-KLAK was not prevented by z-VAD-fmk, a pan-caspase
inhibitor that inhibits cisplatin-induced cell death. These data indicate
that the CTCE-KLAK conjugate is a cell-selective inducer of necrosis.
Furthermore, we evaluated the in vivo antitumor activity
of CTCE-KLAK in the 4T1 mouse metastatic breast cancer model. Intravenous
administration of CTCE-KLAK significantly inhibited tumor growth and
lung metastasis. Together, these findings suggest that the necrosis-inducing
peptidomimetic CTCE-KLAK is a promising CXCR4-targeted agent for treating
triple-negative breast cancer.