LBPO.ET03 · 实验与分子治疗 · Late-Breaking

首创hSSB2激活剂作为一种双重治疗策略,克服RAS/MAPK抑制剂耐药性同时保护侵袭性癌症中的正常上皮

First in class hSSB2 activator as a dual therapeutic strategy for overcoming RAS/MAPK inhibitor resistance while protecting normal epithelia in aggressive cancers

编号 LB352 展板 9 时间 4/21 02:00–05:00 区域 Section 53 主讲 Andrew Norris, PhD
分会场 Late-Breaking Research: Experimental and Molecular Therapeutics 3
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作者与单位 Authors & Affiliations

Elizabeth M. Singer1, Rishi M. Chugh2, Payel Bhanja2, Julian P. Whitelegge3, William H. McBride3, Jesus Rodriguez1, Anusha Ravisankar1, Mandeep Kumari1, Andrew John Norris1, Subhrajit Saha2

1BCN Biosciences, Pasadena, CA,2The University of Kansas Medical Center, Kansas City, KS,3University of California Los Angeles, Los Angeles, CA

摘要 Abstract

中文摘要
BCN077是一种首创的人单链DNA结合复合物hSSB2/1的小分子激活剂,hSSB2/1是复制应激反应和DNA修复的关键调控因子。在基线复制应激高且细胞周期检查点缺陷的癌细胞中,BCN077对hSSB2/1的药理学激活会驱动过度的复制叉加工和未修复双链断裂的累积,迫使受损细胞进入有丝分裂并触发有丝分裂灾难。相反,检查点完整的正常干细胞和祖细胞利用hSSB2/1激活来暂停、更高效地修复治疗诱导的DNA损伤并存活,从而在肿瘤杀伤与正常组织保护之间形成治疗上有利的差异。这种双重机制使BCN077成为一类新型DNA损伤反应药物,将基因组不稳定肿瘤中的合成致死与正常组织的同步放/化疗保护相结合。在使用雄性无胸腺BALB/c nu/nu小鼠的RKO异种移植BRAFV600E结直肠癌模型中,我们在初治和治疗耐药两种情形下评估新型药物BCN077。RKO通常表现出免疫抑制性微环境,T细胞存在减少而髓源性抑制细胞活性高。将小鼠随机分为四组:溶媒对照、BCN077单药、标准FOLFOX加Encorafenib(Braftovi®)和cetuximab,或同一三联方案联合BCN077。此外,我们评估了BCN077对细胞死亡方式的影响,确认有丝分裂灾难是细胞死亡形式,不仅在RKO中,还在Panc-1和其他癌细胞系中,表现为Histone H-3、gamma H2AX染色阳性、彗星试验以及Bub1和MAD1染色等关键生物标志物。还在NCI-60细胞组中开展了跨癌种研究,显示其在各癌种中有效,具有生长抑制(GI50)、致死浓度(LC50)和总生长抑制(TGI)数据。正常细胞系HEK293在相同条件下未显示阳性,因其具有完整的细胞周期检查点控制。最后,体内数据清楚地表明,BCN077对癌症治疗中使用的细胞毒性疗法(如放射)具有深远的保护作用。hSSB2是一个新型靶点,在癌症治疗中具有巨大前景,特别是在对MAPK通路靶向治疗(如RAS、BRAF、MEK抑制剂)产生耐药、耐药性使细胞周期检查点得以逃逸的情况下。
查看英文原文 English abstract
BCN077 is a first-in-class small-molecule activator of the human single-stranded DNA binding complex hSSB2/1, a key regulator of replication stress responses and DNA repair. In cancer cells with high baseline replication stress and defective cell-cycle checkpoints, pharmacologic activation of hSSB2/1 by BCN077 drives excessive replication fork processing and accumulation of unrepaired double-strand breaks, forcing damaged cells through mitosis and triggering mitotic catastrophe. In contrast, normal stem and progenitor cells with intact checkpoints use hSSB2/1 activation to pause, repair therapy-induced DNA damage more efficiently, and survive, creating a therapeutically favorable differential between tumor killing and normal tissue protection. This dual mechanism positions BCN077 represents a novel DNA damage-response drug class that couples synthetic lethality in genomically unstable tumors with concurrent radio/chemo-protection of normal tissues. In a BRAFV600E colorectal cancer model using RKO xenografts in male athymic BALB/c nu/nu mice, we are evaluating the novel agent BCN077 in both naïve and treatment-resistant settings. RKO typically exhibits immunosuppressive microenvironments with reduced T-cell presence and high myeloid-derived suppressor cell activity. Mice were randomized to four arms: vehicle control, BCN077 monotherapy, standard FOLFOX plus Encorafenib (Braftovi®) and cetuximab, or the same triplet regimen combined with BCN077. Further we have evaluated the effect of BCN077 with respect to method of cell death confirming mitotic catastrophe as the form of cell death not only in RKO but also Panc-1 and other cancer cell lines showing positive Histone H-3, gamma H2AX stain, comet assay Bub1 and MAD1 staining among other key biomarkers. The NCI-60 panel also was conducted across cancer types showing effectiveness across cancer types with growth inhibition (GI50), Lethal concentration (LC50) and total growth inhibition (TGI) data. The normal cell line HEK293 did not show positive under the same conditions having intact cell cycle checkpoint control. Lastly, in vivo data clearly indicate that BCN077 has profound protective effects from cytotoxic therapy employed in cancer treatment such as radiation. hSSB2 is a novel target and holds great promise for use in cancer therapy, in particular where there is resistance to targeted therapeutics in the MAPK pathway such as RAS, BRAF, MEK inhibitors where resistance enables cell cycle checkpoint evasion.
利益披露 Disclosure
E. M. Singer, None.. R. M. Chugh, None.. P. Bhanja, None.. J. P. Whitelegge, None.. W. H. McBride, None.. J. Rodriguez, None.. A. Ravisankar, None.. M. Kumari, None.. A. J. Norris, None.. S. Saha, None.

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