KDM1A inhibitors as novel therapeutics for glioblastoma

胶质母细胞瘤（GBM）是最常见和最致命的原发性脑肿瘤， 疾病虽然GBM最初对标准放疗和化疗有反应，但肿瘤复发和治疗 耐药性是GBM治疗的主要障碍。胶质瘤干细胞（GSC）具有高度致瘤性， 肿瘤生长，促进肿瘤血管生成，并且与对标准疗法的不良反应有关。的 赖氨酸脱甲基酶KDM1A是一种有助于表观遗传变化的酶;最近的研究报告 它在GBM和GSC中高度表达。这项研究的基本原理是基于我们的初步结果 这表明KDM1A通过促进表观遗传变化来调节GSC的干性和分化。 本提案的目的是阐明KDM1A的功能作用，并测试可能的临床策略 使用KDM1A特异性抑制剂根除GSC。我们的中心假设是，KDM1A是必不可少的 GSC干性、缺氧反应、治疗抗性; KDM1A特异性抑制剂靶向GSC 减少干细胞，诱导分化，凋亡，并对化疗和放疗增敏 从而提高治疗效果。我们小组最近开发了新型抑制剂NCL-1和NCD-38， 抑制KDM1A。在这个提议中，我们将使用这些新的抑制剂，并使用 三个具体目标。在目标1中，我们将定义KDM1A抑制剂如何促进GSC的分化和凋亡。 在目标2中，我们将确定KDM1A抑制在缺氧诱导的干性、血管生成和治疗中的作用。 阻力在目标3中，我们将测试单独的KDM1A抑制剂和KDM1A抑制剂与KDM1A抑制剂的组合的治疗功效。 目前标准的化疗和放疗这些研究具有临床意义， 建立GSC中KDM1A信号传导的机制，并测试KDM1A抑制剂的治疗潜力 治疗GBM由于新的KDM1A抑制剂，拟议的研究是创新的;由于新的 研究KDM1A在未折叠蛋白反应、缺氧反应和治疗中的作用的概念 阻力AIMS的成功测试将使KDM1A抑制剂成为一类新的治疗药物 的GBM。使用KDM1A抑制剂作为靶向GSC的表观遗传疗法将实质上偏离传统疗法。 传统疗法，并可能改变目前GBM的治疗选择不足。

Glioblastomas (GBM) are the most common and deadliest primary brain tumors that remain an incurable disease. Although GBM respond initially to standard radiation and chemotherapy, tumor relapse and therapy resistance are major obstacles for GBM treatment. Glioma stem cells (GSCs) are highly tumorigenic, sustain tumor growth, promote tumor angiogenesis, and are implicated in the poor response to standard therapies. The lysine demethylase KDM1A is an enzyme that contributes to epigenetic changes; and recent studies reported that it is highly expressed in GBM and GSCs. The rationale for this study is based on our preliminary results demonstrating that KDM1A modulates GSCs stemness and differentiation by promoting epigenetic changes. The objective of this proposal is to elucidate the functional role of KDM1A and test a possible clinical strategy to eradicate GSCs employing KDM1A-specific inhibitors. Our central hypothesis is that KDM1A is essential for GSCs stemness, hypoxia responses, therapy resistance; targeting of GSCs with KDM1A specific inhibitors reduces the stemness, induce differentiation, apoptosis, and sensitize to chemotherapy and radiation treatment leading to improved therapeutic efficacy. Our group recently developed novel inhibitors NCL-1 and NCD-38 that specifically inhibits KDM1A. In this proposal, we will use these novel inhibitors and test the hypothesis using three specific aims. In Aim 1, we will define how KDM1A inhibitors promote differentiation and apoptosis of GSCs. In Aim 2, we will determine the role of KDM1A inhibition in hypoxia-induced stemness, angiogenesis, and therapy resistance. In Aim 3, we will test the therapeutic efficacy of the KDM1A inhibitors alone and in combination with current standard-of-care chemo and radiation therapy. These studies are clinically significant as they will establish the mechanisms of KDM1A signaling in GSCs, and test the therapeutic potential of KDM1A inhibitors in treating GBM. The proposed research is innovative because of novel KDM1A inhibitors; and due to new concepts that investigate the KDM1A role in unfolded protein response, hypoxic response and therapy resistance. Successful testing of aims will establish KDM1A inhibitors as a novel class of drugs for the treatment of GBM. Using KDM1A inhibitors as an epigenetic therapy to target GSCs would be a substantial departure from traditional therapy, and could transform the currently inadequate treatment options for GBM.