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.

PNAS Nexus
|July 28, 2022
PubMed

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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