Selective and brain-penetrant ACSS2 inhibitors target breast cancer brain metastatic cells

Emily M Esquea1, Lorela Ciraku1, Riley G Young1

  • 1Department of Biochemistry and Molecular Biology, Drexel University College of Medicine, Philadelphia, PA, United States.

PubMed

Insights

Researchers developed new brain-penetrant drugs targeting acetyl-CoA synthetase 2 (ACSS2) to treat breast cancer brain metastasis (BCBM). These inhibitors effectively reduced BCBM cell growth and tumor burden in preclinical models, offering a promising new therapeutic strategy.

Area of Science:

  • Oncology
  • Pharmacology
  • Biochemistry

Background:

  • Breast cancer brain metastasis (BCBM) is an end-stage diagnosis with limited treatment options due to poor drug penetration into the brain.
  • Brain tumors, including BCBM, utilize acetyl-CoA synthetase 2 (ACSS2) for fatty acid synthesis and protein acetylation, making it a potential therapeutic target.

Purpose of the Study:

  • To identify novel, brain-penetrant inhibitors of ACSS2 for the treatment of BCBM.
  • To evaluate the efficacy of identified ACSS2 inhibitors in preclinical models of BCBM.

Main Methods:

  • A computational pipeline combining pharmacophore-based screening and ADME predictions was used to identify ACSS2 inhibitors.
  • In vitro assays assessed the effects of compounds on BCBM cell proliferation, lipid storage, and acetyl-CoA levels.
  • Ex vivo and in vivo models were used to evaluate the efficacy of ACSS2 inhibitors in reducing tumor burden and improving survival.

Main Results:

  • Two novel brain-penetrant ACSS2 inhibitors, AD-5584 and AD-8007, were identified and validated for ACSS2 binding.
  • AD-5584 and AD-8007 significantly reduced BCBM cell colony formation, lipid storage, acetyl-CoA levels, and cell survival in vitro.
  • Treatment with AD-8007 and AD-5584 reduced pre-formed tumors in an ex vivo brain-tumor slice model, synergized with irradiation, and reduced tumor burden in vivo, extending survival.

Conclusions:

  • Selective, brain-penetrant ACSS2 inhibitors demonstrate significant efficacy against breast cancer brain metastasis.
  • These findings highlight ACSS2 as a viable target and present AD-5584 and AD-8007 as promising therapeutic candidates for BCBM.