Drug target proteome profiling identifies HES1-driven mitotic catastrophe in ovarian serous carcinoma

Jie Bao1, Sanna Pikkusaari1, Jun Dai1

  • 1Research Program in Systems Oncology, University of Helsinki, Helsinki, Finland.

Insights

The PDPK1 inhibitor BX-912 shows promise against ovarian high-grade serous cancer (HGSC), working alone or with olaparib. It uniquely causes multinucleation by affecting HES1, leading to mitotic catastrophe and enhanced DNA damage.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Ovarian high-grade serous cancer (HGSC) is an aggressive subtype with limited therapeutic strategies.
  • Current treatments often face resistance, necessitating novel therapeutic approaches.

Purpose of the Study:

  • To identify novel therapeutic targets and agents for HGSC.
  • To investigate the mechanism of action of the PDPK1 inhibitor BX-912 in HGSC.
  • To evaluate the synergistic potential of BX-912 with PARP inhibitors.

Main Methods:

  • Screening of PDPK1 inhibitors for anti-cancer activity in HGSC models.
  • Proteome Integral Solubility Alteration (PISA) assay to identify off-target interactions.
  • Structural modeling to elucidate drug-target engagement.
  • Cell-cycle analysis and DNA damage assays to assess drug effects.
  • Combination studies with olaparib, a PARP inhibitor.

Main Results:

  • BX-912 demonstrated significant single-agent activity and synergistic effects with olaparib in HGSC, irrespective of BRCA mutation status.
  • BX-912 uniquely induced multinucleation, a phenotype linked to HES1 as a functional off-target.
  • The drug acts as a protein-protein interaction modulator, causing nuclear accumulation of HES1 complexes and mitotic catastrophe.
  • Combination therapy enhanced DNA damage response and induced G2/M cell-cycle arrest.

Conclusions:

  • BX-912 represents a promising therapeutic candidate for HGSC, with a novel mechanism involving HES1 inhibition.
  • Targeting HES1 offers a potential therapeutic strategy for HGSC.
  • Proteomics can uncover unexpected drug activities and mechanisms.
  • Sequential cell-cycle targeting may improve treatment efficacy in HGSC.