1. Suppression of stress induction of the 78-kilodalton glucose regulated protein (GRP78) in cancer by IT-139, an anti-tumor ruthenium small molecule inhibitor
- Author
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Richard Crouse, Jyothi Sethuraman, Tara Lee Costich, Emma Hadley, Xingliang Zhou, Suzanne Bakewell, Amy S. Lee, Peter W. Nichols, Dat P. Ha, and Daisy F. Rangel
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GRP78 ,0301 basic medicine ,Combination therapy ,Glucose-regulated protein ,03 medical and health sciences ,0302 clinical medicine ,Downregulation and upregulation ,medicine ,cancer ,IT-139 ,biology ,Chemistry ,Endoplasmic reticulum ,small molecule inhibitor ,Cancer ,medicine.disease ,Small molecule ,3. Good health ,030104 developmental biology ,Oncology ,030220 oncology & carcinogenesis ,Toxicity ,Unfolded protein response ,biology.protein ,Cancer research ,ER stress ,Research Paper - Abstract
In many cancers, combination therapy regimens are successfully improving response and survival rates, but the challenges of toxicity remain. GRP78, the master regulator of the unfolded protein response, is emerging as a target that is upregulated in tumors, specifically following treatment, and one that impacts tumor cell survival and disease recurrence. Here, we show IT-139, an antitumor small molecule inhibitor, suppresses induction of GRP78 from different types of endoplasmic reticulum (ER) stress in a variety of cancer cell lines, including those that have acquired therapeutic resistance, but not in the non-cancer cells being tested. We further determined that IT-139 treatment exacerbates ER stress while at the same time suppresses GRP78 induction at the transcriptional level. Our studies revealed a differential effect of IT-139 on chaperone protein family expression at multiple levels in different cancer cell lines. In xenograft studies, IT-139 decreased BRAF inhibitor upregulation of GRP78 expression in the tumor, while having minimal effect on GRP78 expression in the adjacent normal cells. The preferential decrease in GRP78 levels in tumor cells over normal cells, supported by the manageable safety profile seen in the Phase 1 clinical trial, reinforce the value IT-139 brings to combination therapies as it continues its clinical development.
- Published
- 2018
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