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Published on: June 23, 2023
An enolase inhibitor for the targeted treatment of ENO1-deleted cancers
Yu-Hsi Lin1, Nikunj Satani1,2, Naima Hammoudi1
1Department of Cancer Systems Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
Inhibiting glycolysis remains an aspirational approach for the treatment of cancer. We have previously identified a subset of cancers harbouring homozygous deletion of the glycolytic enzyme enolase (ENO1) that have exceptional sensitivity to inhibition of its redundant paralogue, ENO2, through a therapeutic strategy known as collateral lethality. Here, we show that a small-molecule enolase inhibitor, POMHEX, can selectively kill ENO1-deleted glioma cells at low-nanomolar concentrations and eradicate intracranial orthotopic ENO1-deleted tumours in mice at doses well-tolerated in non-human primates. Our data provide an in vivo proof of principle of the power of collateral lethality in precision oncology and demonstrate the utility of POMHEX for glycolysis inhibition with potential use across a range of therapeutic settings.
Insights
Targeting cancer glycolysis is a key goal. A new drug, POMHEX, selectively kills cancer cells lacking enolase 1 (ENO1) by inhibiting enolase 2 (ENO2), demonstrating collateral lethality in preclinical models.
Area of Science:
- Biochemistry
- Oncology
- Pharmacology
Background:
- Glycolysis inhibition is a promising cancer treatment strategy.
- Cancers with homozygous deletion of enolase 1 (ENO1) show sensitivity to ENO2 inhibition via collateral lethality.
Purpose of the Study:
- To evaluate a small-molecule enolase inhibitor, POMHEX, for its efficacy against ENO1-deleted cancers.
- To demonstrate the therapeutic potential of collateral lethality in precision oncology.
Main Methods:
- Treatment of ENO1-deleted glioma cells with POMHEX.
- In vivo studies using intracranial orthotopic ENO1-deleted tumor models in mice.
- Toxicity assessment of POMHEX in non-human primates.
Main Results:
- POMHEX selectively killed ENO1-deleted glioma cells at low nanomolar concentrations.
- POMHEX eradicated intracranial ENO1-deleted tumors in mice.
- POMHEX was well-tolerated in non-human primates.
Conclusions:
- POMHEX is a potent inhibitor of glycolysis with selective activity against ENO1-deleted cancers.
- Collateral lethality is a viable therapeutic strategy in precision oncology.
- POMHEX shows promise for cancer treatment across various settings.
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