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Targeting LSD1 in Neuroendocrine Prostate Cancer

靶向 LSD1 治疗神经内分泌前列腺癌

基本信息

批准号：
10266055
负责人：
Joshi James Alumkal
金额：
$ 27.41万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-11 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10266055
关键词：
Address Androgen Receptor Apoptosis Binding Biological Cancer Patient Cell Survival Cells ChIP-seq Chromatin Clinical Data Clinical Trials Complex Development Differentiated Gene Differentiation and Growth Dose Drug Combinations Epithelial Frequencies Future Gene Activation Gene Expression Genes Growth HDAC1 gene HDAC2 gene Histone Acetylation Histone Deacetylase Histones Impairment Implant KDM1A gene Link Malignant Neoplasms Malignant neoplasm of prostate Measures Michigan Mus Neuroendocrine Prostate Cancer Outcome Study Pathway interactions Patients Pharmaceutical Preparations Phase Phase I Clinical Trials Phenotype Play Prostate Prostate Adenocarcinoma Prostate Cancer therapy Prostatic Epithelium Proteins Quality of life RNA Interference Repressor Proteins Role Testing Transcription Coactivator Virulent Work abiraterone cancer survival effective therapy genetic corepressor histone demethylase in vivo inhibitor/antagonist men novel outcome prediction phase I trial pre-clinical prostate cancer cell prostate cancer cell line resistance mechanism response response biomarker sarcoma stem cells targeted agent targeted treatment therapeutically effective transcription factor transcriptome sequencing tumor tumor growth

项目摘要

Project Summary/Abstract Neuroendocrine prostate cancer (NEPC) is the most virulent subtype, and the frequency of NEPC is increasing due to more widespread use of potent androgen receptor (AR)-targeting agents like abiraterone and enzalutamide (enza). Currently, there are no effective treatments for NEPC, and men with NEPC are commonly excluded from clinical trials due to NEPC’s aggressiveness, demonstrating an urgent need to develop more effective therapies for NEPC patients. Our supporting studies demonstrate NEPC tumors may be particularly reliant on the protein lysine specific demethylase 1 (LSD1) and that LSD1 inhibition is a promising strategy to treat NEPC. However, before LSD1 inhibitor trials may begin in NEPC patients, several critical questions must be answered that this proposal will address. LSD1 is a histone demethylase and regulator of differentiation in stem cells and cancer. Previously, we determined LSD1 cooperates with co-activators to primarily activate gene expression in prostate adenocarcinoma (adenoca) cells and that LSD1’s catalytic function was not critical. Importantly, our studies in NEPC demonstrate: LSD1 is even more highly expressed vs. adenoca; in NEPC, LSD1 primarily represses expression of genes linked with prostatic epithelial differentiation—not with its catalytic function but rather by cooperating with co-repressor proteins; NEPC cells are particularly susceptible to an allosteric LSD1 inhibitor that re-activates expression of prostatic epithelial differentiation genes and re-sensitizes AR+ NEPC cells to enza. We hypothesize that LSD1 promotes NEPC survival by repressing factors and pathways that promote epithelial differentiation and activating other factors and pathways that promote NEPC differentiation. LSD1 inhibition is a promising approach to block NEPC cell survival. The objectives of this proposal are to clarify mechanisms by which LSD1 promotes survival of NEPC so we may develop a novel, safe, and effective therapeutic strategy— LSD1 inhibition. Aim 1: Identify an LSD1 inhibitor gene response signature and determine mechanisms by which LSD1 blocks gene expression in NEPC. Aim 2: Treat NEPC tumors in vivo with LSD1 inhibition and determine the effect on tumor growth and differentiation. A predicted outcome of these studies is: clarification of how LSD1 promotes the lineage switch to NEPC tumors so we can target that switch, identification of LSD1 inhibition response biomarkers to determine the biologically optimal dose in future phase I trials, and development of rational LSD1 inhibitor drug combinations to maximize tumor control, quality of life, and survival for patients with NEPC tumors in the near-term.

项目总结/文摘