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A potent tumor-selective ERK pathway inactivator with high therapeutic index
Zehua Zuo1, Jie Liu1, Zhihao Sun1
1Aging Institute of University of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA.
Abstract:
FDA-approved BRAF and MEK small molecule inhibitors have demonstrated some level of efficacy in patients with metastatic melanomas. However, these "targeted" therapeutics have a very low therapeutic index, since these agents affect normal cells, causing undesirable, even fatal, side effects. To address these significant drawbacks, here, we have reengineered the anthrax toxin-based protein delivery system to develop a potent, tumor-selective MEK inactivator. This toxin-based MEK inactivator exhibits potent activity against a wide range of solid tumors, with the highest activity seen when directed toward tumors containing the BRAFV600E mutation. We demonstrate that this reengineered MEK inactivator also exhibits an extremely high therapeutic index (>15), due to its in vitro and in vivo activity being strictly dependent on the expression of multiple tumor-associated factors including tumor-associated proteases matrix metalloproteinase, urokinase plasminogen activator, and anthrax toxin receptor capillary morphogenesis protein-2. Furthermore, we have improved the specificity of this MEK inactivator, restricting its enzymatic activity to only target the ERK pathway, thereby greatly diminishing off-target toxicity. Together, these data suggest that engineered bacterial toxins can be modified to have significant in vitro and in vivo therapeutic effects with high therapeutic index.
Insights
Researchers reengineered anthrax toxin to create a tumor-selective MEK inactivator. This engineered toxin shows high efficacy and a superior therapeutic index for treating solid tumors, including those with BRAF mutations.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- FDA-approved BRAF and MEK inhibitors for metastatic melanomas have limited therapeutic index due to side effects on normal cells.
- Existing targeted therapies face challenges with toxicity and efficacy in cancer treatment.
Purpose of the Study:
- To reengineer the anthrax toxin delivery system to create a potent and tumor-selective MEK inactivator.
- To develop a therapeutic agent with an improved therapeutic index for solid tumors, particularly those with BRAF mutations.
Main Methods:
- Reengineering the anthrax toxin protein delivery system to create a MEK inactivator.
- Evaluating the in vitro and in vivo activity of the engineered toxin against various solid tumors.
- Assessing the specificity and therapeutic index of the MEK inactivator, focusing on its dependence on tumor-associated factors.
Main Results:
- The toxin-based MEK inactivator demonstrated potent activity against a broad spectrum of solid tumors, with enhanced efficacy in BRAFV600E-mutated tumors.
- The engineered inactivator exhibited a high therapeutic index (>15), dependent on tumor-associated proteases and receptors.
- Specificity was improved, targeting only the ERK pathway to minimize off-target toxicity.
Conclusions:
- Engineered bacterial toxins can be modified to create effective therapeutic agents with high therapeutic indices.
- This approach offers a promising strategy for developing targeted cancer therapies with reduced side effects.
- The tumor-selective MEK inactivator represents a novel therapeutic candidate for solid tumors, especially those driven by BRAF mutations.
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