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Published on: May 30, 2025
Targeting RNA polymerase I with an oral small molecule CX-5461 inhibits ribosomal RNA synthesis and solid tumor
Denis Drygin1, Amy Lin, Josh Bliesath
1Cylene Pharmaceuticals, Inc., San Diego, California, USA.
Abstract:
Deregulated ribosomal RNA synthesis is associated with uncontrolled cancer cell proliferation. RNA polymerase (Pol) I, the multiprotein complex that synthesizes rRNA, is activated widely in cancer. Thus, selective inhibitors of Pol I may offer a general therapeutic strategy to block cancer cell proliferation. Coupling medicinal chemistry efforts to tandem cell- and molecular-based screening led to the design of CX-5461, a potent small-molecule inhibitor of rRNA synthesis in cancer cells. CX-5461 selectively inhibits Pol I-driven transcription relative to Pol II-driven transcription, DNA replication, and protein translation. Molecular studies demonstrate that CX-5461 inhibits the initiation stage of rRNA synthesis and induces both senescence and autophagy, but not apoptosis, through a p53-independent process in solid tumor cell lines. CX-5461 is orally bioavailable and demonstrates in vivo antitumor activity against human solid tumors in murine xenograft models. Our findings position CX-5461 for investigational clinical trials as a potent, selective, and orally administered agent for cancer treatment.
Insights
CX-5461, a novel small-molecule inhibitor, effectively blocks ribosomal RNA synthesis in cancer cells. This targeted approach shows promise for a new oral cancer therapy by inhibiting RNA polymerase I.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Deregulated ribosomal RNA (rRNA) synthesis is a hallmark of uncontrolled cancer cell proliferation.
- RNA polymerase I (Pol I) is frequently activated in various cancers, making it a potential therapeutic target.
Purpose of the Study:
- To design and evaluate CX-5461, a selective small-molecule inhibitor of Pol I, as a potential anti-cancer therapeutic agent.
- To investigate the mechanism of action and in vivo efficacy of CX-5461 in solid tumor models.
Main Methods:
- Medicinal chemistry and high-throughput screening were employed to discover CX-5461.
- Cell-based and molecular assays were used to assess selectivity and mechanism of action.
- In vivo efficacy was evaluated in murine xenograft models of human solid tumors.
Main Results:
- CX-5461 selectively inhibits Pol I-driven rRNA synthesis over Pol II transcription, DNA replication, and protein translation.
- CX-5461 inhibits the initiation of rRNA synthesis, inducing p53-independent senescence and autophagy in solid tumor cells.
- CX-5461 demonstrated significant in vivo antitumor activity against human solid tumors and is orally bioavailable.
Conclusions:
- CX-5461 is a potent and selective inhibitor of rRNA synthesis with potential as an orally administered cancer therapeutic.
- The findings support the advancement of CX-5461 into investigational clinical trials for cancer treatment.
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