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Published on: January 31, 2018
Acute BRCAness induction and AR pathway blockage through CDK12/7/9 degradation enhances PARP inhibitor sensitivity in
Fu Gui1, Baishan Jiang2, Jie Jiang2
1Department of Urology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Abstract:
Current treatments for advanced prostate cancer (PCa) primarily target the androgen receptor (AR) pathway. However, the emergence of castration-resistant prostate cancer (CRPC) and resistance to AR pathway inhibitors (APPIs) remains ongoing challenges. Here, we present BSJ-5-63, a proteolysis-targeting chimera (PROTAC) targeting cyclin-dependent kinases (CDKs) CDK12, CDK7, and CDK9, offering a multipronged approach to CRPC therapy. BSJ-5-63 degrades CDK12, diminishing BRCA1 and BRCA2 expression and inducing a sustained "BRCAness" state. This sensitizes cancer cells to PARP inhibitors (PARPis) regardless of their homologous recombination repair (HRR) status. Furthermore, CDK7 and CDK9 degradation attenuates AR signaling, enhancing its therapeutic efficacy. Preclinical studies, including both in vitro and in vivo CRPC models, demonstrate that BSJ-5-63 exerts potent antitumor activity in both AR-positive and AR-negative setting. This study introduces BSJ-5-63 as a promising therapeutic agent that addresses both DNA repair and AR signaling mechanisms, with potential benefits for a board patient population.
Insights
A novel PROTAC, BSJ-5-63, degrades key CDKs to induce BRCAness and attenuate AR signaling. This dual-action approach shows potent antitumor activity in preclinical models of castration-resistant prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Advanced prostate cancer (PCa) treatments target the androgen receptor (AR) pathway.
- Castration-resistant prostate cancer (CRPC) and resistance to AR pathway inhibitors (APPIs) are significant clinical challenges.
Purpose of the Study:
- To introduce BSJ-5-63, a novel proteolysis-targeting chimera (PROTAC) designed to overcome resistance in advanced prostate cancer.
- To evaluate the therapeutic potential of BSJ-5-63 by targeting multiple key pathways.
Main Methods:
- BSJ-5-63, a PROTAC, was designed to degrade cyclin-dependent kinases (CDKs) CDK12, CDK7, and CDK9.
- Assessment of BSJ-5-63's effects on BRCA1/BRCA2 expression, DNA repair (BRCAness), AR signaling, and antitumor activity in vitro and in vivo CRPC models.
Main Results:
- BSJ-5-63 degrades CDK12, leading to reduced BRCA1/BRCA2 expression and a "BRCAness" state, sensitizing cells to PARP inhibitors (PARPis).
- Degradation of CDK7 and CDK9 by BSJ-5-63 attenuates AR signaling, enhancing therapeutic efficacy.
- BSJ-5-63 demonstrated potent antitumor activity in both AR-positive and AR-negative CRPC models.
Conclusions:
- BSJ-5-63 represents a promising therapeutic strategy for CRPC by simultaneously targeting DNA repair mechanisms and AR signaling.
- This dual-action approach offers potential benefits for a broad patient population with advanced prostate cancer, addressing resistance to current therapies.
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