Novel DNA damage response inhibitor and alkylator combinations for GBM

用于 GBM 的新型 DNA 损伤反应抑制剂和烷化剂组合

基本信息

批准号：
10492774
负责人：
Ranjit Bindra
金额：
$ 24.47万
依托单位：
MAYO CLINIC ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2026-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10492774
关键词：
ATM activation ATR gene Address Alkylating Agents Alkylation Apoptosis Biological Markers Blood - brain barrier anatomy Brain Brain Neoplasms Cancer Therapy Evaluation Program Carmustine Cell Cycle Cells Clinic Clinical Trials Clinical Trials Design Combined Modality Therapy DNA DNA Damage DNA Double Strand Break DNA Repair DNA Repair Pathway DNA analysis DNA lesion Data Defect Disease Dose Double Strand Break Repair Drug Kinetics FDA approved Futile Cycling Glioblastoma Goals In Situ In Vitro Lead Lesion Lomustine Mediating Methylation Methyltransferase Methyltransferase Gene Mismatch Repair Modeling Molecular Molecular Profiling Newly Diagnosed Newly Diagnosed Disease Operative Surgical Procedures Pathway interactions Patients Pharmacologic Substance Phase Phase 0/1 Trial Phosphotransferases Proteins Radiation therapy Recurrence Recurrent disease Research Resistance Sampling Studies Signal Transduction Site Therapeutic Therapeutic Index Tissues Translations Vertebral column Work adduct ataxia telangiectasia mutated protein base chemotherapy clinically relevant crosslink cytotoxicity design genotoxicity improved in vivo inhibitor innovation multidisciplinary novel novel therapeutic intervention patient derived xenograft model phosphoproteomics promoter repaired replication stress response safety testing standard of care synergism temozolomide tumor

项目摘要

PROJECT DESCRIPTION/ABSTRACT – PROJECT 1 Alkylating chemotherapies are part of the backbone of standard-of-care therapy in newly diagnosed disease, and they are also used in the recurrent setting. We and others have demonstrated that these agents each induce unique spectra of DNA damage, which engage specific DNA damage response (DDR) pathways depending on the status of key DNA repair pathways. The most commonly used agents are temozolomide (TMZ), a monofunctional alkylator that induces methyl-adducts on discrete DNA base sites, and lomustine and carmustine, which are bifunctional alkylators that induce both mono-adducts and DNA cross-links. The different DNA lesions induced by these and other alkylating therapies trigger distinct DNA damage responses critically modulated by ataxia-telangiectasia mutated (ATM) and ATM/Rad3-related (ATR) kinases, which orchestrate the cellular response to a broad array of genotoxic insults. Over the past few years, we have collaborated with the NCI Cancer Therapy Evaluation Program and multiple pharmaceutical companies (AstraZeneca, Vertex, Merck KGaA, Bayer) to evaluate multiple highly brain penetrant ATM and ATR inhibitors in combination with radiation therapy and alkylating chemotherapies. Our preliminary data demonstrate robust synergy between TMZ and ATR inhibitors, specifically in GBM models lacking. Mechanistically, unrepaired O6-methyguanine lesions induced by TMZ cause replication stress and activation of the ATR signaling axis. In contrast, synergistic interactions of ATR inhibitors with lomustine were independent of MGMT status, which reflects a distinct set of alkylation lesions that are relatively unaffected by MGMT repair activity. Overall, our extensive preliminary data support the fundamental scientific premise that monofunctional and bifunctional alkylator therapies trigger distinct functional and temporal activation of DNA damage response pathways governed by ATM and ATR. Understanding these relationships can be used to define optimal combinations of ATR or ATM inhibitors with various alkylating agents for GBM.

项目描述/摘要 - 项目1 烷基化化学疗法是新诊断疾病的护理标准疗法骨干的一部分，它们也用于复发设置。我们和其他人已经证明了这些代理人的影响 DNA损伤的独特光谱，该光谱会引起特定的DNA损伤响应（DDR）途径关键DNA修复途径的状态。最常用的药物是替莫唑胺（TMZ），A 在离散的DNA碱基部位以及Lomustine和Lomustine和卡莫斯汀（Carmustine）是双功能的烷基，可诱导单核和DNA交联。不同的这些和其他烷基化疗法诱导的DNA病变触发了不同的DNA损伤反应由共济失调 - 凝血促血管症进行调节（ATM）和ATM/RAD3相关（ATR）激酶，该激酶协调了细胞对广泛的遗传毒性损伤的反应。在过去的几年中，我们与 NCI癌症治疗评估计划和多家制药公司（阿斯利康，顶点，默克 KGAA，拜耳）评估多个高度脑渗透ATM和ATR抑制剂与辐射结合疗法和藻类化学疗法。我们的初步数据证明了TMZ和 ATR抑制剂，特别是在缺乏GBM模型中。机械上，未修复的O6-甲基鸟嘌呤病变由TMZ诱导会导致复制应力和ATR信号轴的激活。相反，协同作用 ATR抑制剂与Lomustine的相互作用与MGMT状态无关，这反映了一组独特的集合烷基化病变相对不受MGMT修复活性的影响。总体而言，我们广泛的初步数据支持基本的科学前提，即单功能和双功能烷基疗法触发不同的科学前提由ATM和ATR控制的DNA损伤响应途径的功能和临时激活。了解这些关系可用于定义ATR或ATM抑制剂的最佳组合 GBM的各种烷基化剂。