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Published on: May 15, 2019
Bromodomain Protein-directed Agents and MYC in Small Cell Lung Cancer
Gerhard Hamilton1, Sandra Stickler1, Barbara Rath1
1Institute of Pharmacology, Medical University of Vienna, Vienna, Austria.
Abstract:
Small cell lung cancer (SCLC) has a dismal prognosis. In addition to the inactivation of the tumor suppressors TP53 and RB1, tumor-promoting MYC and paralogs are frequently overexpressed in this neuroendocrine carcinoma. SCLC exhibits high resistance to second-line chemotherapy and all attempts of novel drugs and targeted therapy have failed so far to achieve superior survival. MYC and paralogs have key roles in the oncogenic process, orchestrating proliferation, apoptosis, differentiation, and metabolism. In SCLC, MYC-L and MYC regulate the neuroendocrine dedifferentiation of SCLC cells from Type A (ASCL1 expression) to the other SCLC subtypes. Targeting MYC to suppress tumor growth is difficult due to the lack of suitable binding pockets and the most advanced miniprotein inhibitor Omomyc exhibits limited efficacy. MYC may be targeted indirectly via the bromodomain (BET) protein BRD4, which activates MYC transcription, by specific BET inhibitors that reduce the expression of this oncogenic driver. Here, novel BET-directed Proteolysis Targeting Chimeras (PROTACs) are discussed that show high antiproliferative activity in SCLC. Particularly, ARV-825, targeting specifically BRD4, exhibits superior cytotoxic effects on SCLC cell lines and may become a valuable adjunct to SCLC combination chemotherapy.
Insights
Novel PROTACs targeting BRD4 show promise for treating small cell lung cancer (SCLC). ARV-825 demonstrates significant anti-cancer effects, potentially improving chemotherapy outcomes for this aggressive neuroendocrine carcinoma.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Small cell lung cancer (SCLC) has a poor prognosis and resistance to current therapies.
- Tumor suppressors TP53 and RB1 are often inactivated, while MYC oncogenes are overexpressed in SCLC.
- Targeting MYC directly is challenging due to its structure and limited inhibitor efficacy.
Purpose of the Study:
- To explore novel therapeutic strategies for SCLC by targeting MYC indirectly.
- To investigate the efficacy of BET inhibitors, specifically PROTACs, against SCLC.
- To evaluate the anti-proliferative and cytotoxic effects of ARV-825 on SCLC cell lines.
Main Methods:
- Discussion of novel BET-directed Proteolysis Targeting Chimeras (PROTACs).
- Evaluation of ARV-825, a specific BRD4 inhibitor.
- Assessment of antiproliferative and cytotoxic activity in SCLC cell lines.
Main Results:
- Novel BET-directed PROTACs exhibit high antiproliferative activity in SCLC.
- ARV-825 shows superior cytotoxic effects on SCLC cell lines.
- BRD4 inhibition reduces the expression of the oncogenic driver MYC.
Conclusions:
- BET inhibitors, particularly PROTACs like ARV-825, represent a promising therapeutic avenue for SCLC.
- ARV-825 may serve as a valuable addition to SCLC combination chemotherapy regimens.
- Targeting BRD4 offers an indirect strategy to suppress MYC-driven tumor growth in SCLC.
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