Molecular Glue cc-885 Inhibits VHL-Deficient Clear Cell Renal Cell Carcinoma via ETS1 Degradation

Taowei Yang1, Qihao Li1, Kun Ye1

  • 1Department of Urology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.

Insights

A new drug, cc-885, targets ETS1 degradation to treat VHL-deficient clear cell renal cell carcinoma (ccRCC). Combining cc-885 with belzutifan enhances anti-tumor effects in this aggressive kidney cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Clear cell renal cell carcinoma (ccRCC) is an aggressive kidney cancer often driven by VHL mutations.
  • VHL mutations disrupt hypoxia-inducible factors (HIFs), activating oncogenic pathways and posing therapeutic challenges.

Purpose of the Study:

  • To identify novel therapeutic strategies for VHL-deficient ccRCC.
  • To investigate the potential of cc-885, a molecular glue degrader, as a selective inhibitor.

Main Methods:

  • Identified cc-885 as a selective inhibitor of VHL-deficient ccRCC.
  • Demonstrated cc-885 promotes ubiquitination and degradation of transcription factor ETS1.
  • Investigated the interaction between ETS1 and EPAS1 (HIF-2α).
  • Assessed the efficacy of cc-885 alone and in combination with belzutifan (an EPAS1 inhibitor).

Main Results:

  • cc-885 selectively targets ETS1 isoforms (p51 and p42), disrupting p27/p51 balance and suppressing ETS1 activity.
  • cc-885 promotes ETS1 degradation, a key factor cooperating with EPAS1 in tumorigenesis.
  • Combination therapy with cc-885 and belzutifan significantly enhanced anti-tumor efficacy.

Conclusions:

  • cc-885 offers a novel therapeutic strategy for VHL-deficient ccRCC by targeting ETS1 degradation.
  • Disrupting the ETS1-EPAS1 complex presents a precise approach for treating this challenging cancer.
  • Combination therapy shows enhanced efficacy, suggesting a promising clinical application.

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