1. Drug Design Targeting T-Cell Factor-Driven Epithelial-Mesenchymal Transition as a Therapeutic Strategy for Colorectal Cancer.
- Author
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Abraham AD, Esquer H, Zhou Q, Tomlinson N, Hamill BD, Abbott JM, Li L, Pike LA, Rinaldetti S, Ramirez DA, Lunghofer PJ, Gomez JD, Schaack J, Nemkov T, D'Alessandro A, Hansen KC, Gustafson DL, Messersmith WA, and LaBarbera DV
- Subjects
- Adenosine Triphosphate metabolism, Animals, Binding, Competitive, Cell Line, Tumor, Colorectal Neoplasms pathology, DNA Topoisomerases, Type II metabolism, Drug Design, Drug Screening Assays, Antitumor, Humans, Mice, Molecular Targeted Therapy, Poly-ADP-Ribose Binding Proteins metabolism, Structure-Activity Relationship, TCF Transcription Factors metabolism, Topoisomerase II Inhibitors pharmacokinetics, Transcription, Genetic, Colorectal Neoplasms drug therapy, Epithelial-Mesenchymal Transition drug effects, TCF Transcription Factors genetics, Topoisomerase II Inhibitors chemistry, Topoisomerase II Inhibitors pharmacology
- Abstract
Metastasis is the cause of 90% of mortality in cancer patients. For metastatic colorectal cancer (mCRC), the standard-of-care drug therapies only palliate the symptoms but are ineffective, evidenced by a low survival rate of ∼11%. T-cell factor (TCF) transcription is a major driving force in CRC, and we have characterized it to be a master regulator of epithelial-mesenchymal transition (EMT). EMT transforms relatively benign epithelial tumor cells into quasi-mesenchymal or mesenchymal cells that possess cancer stem cell properties, promoting multidrug resistance and metastasis. We have identified topoisomerase IIα (TOP2A) as a DNA-binding factor required for TCF-transcription. Herein, we describe the design, synthesis, biological evaluation, and in vitro and in vivo pharmacokinetic analysis of TOP2A ATP-competitive inhibitors that prevent TCF-transcription and modulate or reverse EMT in mCRC. Unlike TOP2A poisons, ATP-competitive inhibitors do not damage DNA, potentially limiting adverse effects. This work demonstrates a new therapeutic strategy targeting TOP2A for the treatment of mCRC and potentially other types of cancers.
- Published
- 2019
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