Inhibition of Survivin with YM155 Induces Durable Tumor Response in Anaplastic Thyroid Cancer

Amit Mehta1, Lisa Zhang2, Myriem Boufraqech2

  • 1Endocrine Oncology Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland. Geisel School of Medicine at Dartmouth, Hanover, New Hampshire.

Abstract

Insights

Anaplastic thyroid cancer (ATC) treatment shows promise with YM155, a survivin inhibitor. This drug effectively reduced tumor growth and metastasis in preclinical studies, offering hope for patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Anaplastic thyroid cancer (ATC) is a rare, aggressive malignancy with limited therapeutic options.
  • Identifying novel therapeutic targets and agents is crucial for improving patient outcomes in ATC.

Purpose of the Study:

  • To identify a novel therapeutic agent for anaplastic thyroid cancer (ATC) through high-throughput drug screening.
  • To investigate the efficacy and mechanism of action of identified agents in ATC.

Main Methods:

  • Quantitative high-throughput screening (qHTS) of 3,282 compounds in ATC cell lines.
  • Genome-wide expression analysis and immunohistochemistry to identify dysregulated genes in ATC.
  • In vitro and in vivo studies to evaluate drug activity, targeting, and mechanism of action.

Main Results:

  • qHTS identified 100 active compounds, with YM155 (surviving inhibitor) being highly effective.
  • Survivin was found to be overexpressed in human ATC tissues and cell lines.
  • YM155 inhibited ATC proliferation, reduced survivin and claspin expression, induced S-phase arrest, and reduced tumor growth and metastasis in vivo.

Conclusions:

  • YM155 demonstrates significant anticancer activity against anaplastic thyroid cancer.
  • Survivin is a validated therapeutic target in ATC.
  • YM155 warrants clinical investigation as a potential treatment for advanced and metastatic ATC.

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