A Strategy Utilizing Protein-Protein Interaction Hubs for the Treatment of Cancer Diseases
Nicolas Carels1, Domenico Sgariglia2, Marcos Guilherme Vieira Junior3
1Platform of Biological System Modeling, Center of Technological Development in Health (CDTS), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro 21040-900, RJ, Brazil.
Abstract:
We describe a strategy for the development of a rational approach of neoplastic disease therapy based on the demonstration that scale-free networks are susceptible to specific attacks directed against its connective hubs. This strategy involves the (i) selection of up-regulated hubs of connectivity in the tumors interactome, (ii) drug repurposing of these hubs, (iii) RNA silencing of non-druggable hubs, (iv) in vitro hub validation, (v) tumor-on-a-chip, (vi) in vivo validation, and (vii) clinical trial. Hubs are protein targets that are assessed as targets for rational therapy of cancer in the context of personalized oncology. We confirmed the existence of a negative correlation between malignant cell aggressivity and the target number needed for specific drugs or RNA interference (RNAi) to maximize the benefit to the patient's overall survival. Interestingly, we found that some additional proteins not generally targeted by drug treatments might justify the addition of inhibitors designed against them in order to improve therapeutic outcomes. However, many proteins are not druggable, or the available pharmacopeia for these targets is limited, which justifies a therapy based on encapsulated RNAi.
Insights
This study introduces a novel cancer therapy strategy targeting protein hubs in tumor networks. By repurposing drugs and using RNA interference (RNAi) for non-druggable targets, this approach aims to improve patient survival in personalized oncology.
Area of Science:
- Oncology
- Systems Biology
- Network Medicine
Background:
- Neoplastic diseases, particularly cancer, exhibit complex molecular interactions within a tumor's interactome.
- Scale-free network theory reveals that specific "hubs" are critical for network integrity and thus potential therapeutic targets.
- Understanding these network vulnerabilities is key to developing more effective and rational cancer therapies.
Purpose of the Study:
- To propose and validate a systematic strategy for neoplastic disease therapy centered on targeting protein "hubs" within tumor interactomes.
- To explore drug repurposing and RNA interference (RNAi) as therapeutic modalities for both druggable and non-druggable hubs.
- To establish a framework for personalized oncology by identifying and targeting critical protein nodes for improved patient outcomes.
Main Methods:
- Identification and selection of up-regulated connectivity hubs in the tumor interactome.
- Drug repurposing for druggable hubs and RNA interference (RNAi) for non-druggable targets.
- Validation through in vitro experiments, tumor-on-a-chip models, in vivo studies, and clinical trials.
Main Results:
- Demonstrated that scale-free networks are susceptible to targeted attacks on connective hubs.
- Confirmed a negative correlation between malignant cell aggressivity and the number of targets required for maximal patient survival benefit.
- Identified potential for improved therapeutic outcomes by targeting additional proteins, including those not typically addressed by current drug treatments.
Conclusions:
- A rational, hub-targeting strategy can be developed for neoplastic disease therapy.
- Drug repurposing and RNA interference (RNAi) offer viable therapeutic options for critical protein hubs.
- This approach supports personalized oncology by tailoring treatments to individual tumor network vulnerabilities, potentially enhancing patient survival.
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