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  5. A Metal-Free Carbon Monoxide Prodrug Suppresses Metastasis of Pancreatic and Breast Cancer

A Metal-Free Carbon Monoxide Prodrug Suppresses Metastasis of Pancreatic and Breast Cancer

File(s)
41861110.pdf (10.41 MB)
Permanent Link(s)
https://hdl.handle.net/1813/126889
Collections
Department of Pathology and Laboratory Medicine
Author
Zhang, Tiantian
Chen, Xiang
Yang, Xiaoxiao
Gori, Muskan
Varshnaya, Rohit Kumar
Liu, Dongning
Zhang, Cheryl
Chen, Michelle Yi Qin
Chen, Zhengming
Zhang, George
Patel, Erika
Mao, Qiyue
Ince, Tan A.
Tan, Chalet
Wang, Binghe
Du, Yi-Chieh Nancy
Abstract

Metastatic recurrence is the principal cause of cancer mortality. Pancreatic ductal adenocarcinoma (PDAC) and triple-negative breast cancer (TNBC) recur frequently after apparently curative therapy. Carbon monoxide (CO) is an endogenously produced signaling molecule with cytoprotective properties, but clinical use of CO gas is constrained by safety and dose-control challenges. Here, a metal-free CO prodrug (CO-116) suppresses metastatic progression in vivo. In experimental models of PDAC and TNBC, CO-116 reduces metastatic burden without evidence of overt toxicity while maintaining carboxyhemoglobin within physiological ranges. At an equivalent total weekly dose, dividing the dose into more frequent, lower administrations achieves greater efficacy than a single weekly dose, indicating schedule dependence. Mechanistically, CO-116 downregulates the heme importer HRG1 and attenuates a downstream CYP1B1-SP1 program; gain- and loss-of-function studies establish HRG1 as a functional mediator of metastatic progression and CO responsiveness. An independent cohort using a distinct metal-free scaffold (CO-103) likewise reduces metastasis in PDAC, supporting a scaffold-independent class effect. These findings establish a mechanistically anchored, non-inhaled CO strategy to suppress metastasis and motivate adjuvant development focused on schedule optimization and biomarker-guided dosing.

Journal / Series
Advanced science (Weinheim, Baden-Wurttemberg, Germany)
Volume & Issue
13(29)
Date Issued
2026-03-20
Publisher
Wiley
Keywords
WCM Library Coordinated Deposit
•
Prodrugs/pharmacology/therapeutic use
•
Animals
•
Carbon Monoxide/pharmacology/therapeutic use
•
Female
•
Pancreatic Neoplasms/drug therapy/pathology
•
Humans
•
Mice
•
Neoplasm Metastasis/drug therapy
•
Cell Line, Tumor
•
Carcinoma, Pancreatic Ductal/drug therapy
•
Triple Negative Breast Neoplasms/drug therapy/pathology
•
Breast Neoplasms/drug therapy/pathology
•
Hrg1
•
breast cancer
•
carbon monoxide prodrugs
•
heme
•
metastasis suppression
•
pancreatic cancer
Related DOI
https://doi.org/10.1002/advs.202519898
Previously Published as
Zhang T, Chen X, Yang X, Gori M, Varshnaya RK, Liu D, Zhang C, Chen MYQ, Chen Z, Zhang G, Patel E, Mao Q, Ince TA, Tan C, Wang B, Du Y-CN. A Metal-Free Carbon Monoxide Prodrug Suppresses Metastasis of Pancreatic and Breast Cancer. Advanced science (Weinheim, Baden-Wurttemberg, Germany). 2026;13(29):e19898. doi: 10.1002/advs.202519898. PMID: 41861110.
Rights
Attribution 4.0 International
Rights URI
https://creativecommons.org/licenses/by/4.0/
Type
article

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