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Cancer Research - Europa

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DEPPICT<br />

Designing Therapeutic Protein-Protein<br />

Inhibitors for Brain <strong>Cancer</strong> Treatments<br />

Summary<br />

Keywords | Protein-Protein interactions | small molecule inhibitors | knowledge driven drug design |<br />

blood/brain | tumour penetrant |<br />

Protein-Protein interactions (PPI) are central elements in<br />

cellular processes and important targets for selective therapeutic<br />

agents. They constitute a rich area for discovery<br />

of novel small ligand-based therapies. This proposal seeks<br />

to utilise such interactions, in particular those featuring<br />

a a-helix binding groove such as p53-MDM2, or more novel<br />

targets, e.g. nm23-prune, to develop targeted small-molecule<br />

libraries with physico-chemical properties appropriate<br />

for therapeutic eff ect against various tumour types such as<br />

the brain cancers of glioblastoma and medulloblastoma.<br />

Combination of the concepts below should provide an<br />

opportunity to unlock the potential of protein interactions<br />

as key components in signalling pathways via design of<br />

selective small-molecule modulators targeting the kinaseeff<br />

ector interaction instead of the ATP active site.<br />

• Develop an understanding of the elements controlling<br />

selectivity in Protein-Protein signalling networks by<br />

developing approaches for design of small molecules<br />

that target a-helix binding groove interactions through<br />

use of structure-based and fragment-based approaches.<br />

• Data-mining of ADME and drug-drug interactions to<br />

build a predictive database for library design.<br />

• Develop quantitative structure/property relationships,<br />

with an emphasis on CYP-mediated metabolism, ABC<br />

transporters at the blood/brain and brain/tumour<br />

interfaces, mutagenicity, solubility, pKa, and passive<br />

permeability, and predictive tools for mutagenicity and<br />

other genetic toxicology end-points.<br />

• Develop predictive PK and PBPK models to improve<br />

understanding of BBB and tumour penetration.<br />

• In vitro and in vivo PK/PD and TK/TD characterisation<br />

of compounds, to increase understanding of their mechanism<br />

of action and reduce the use of laboratory<br />

animals.<br />

Such knowledge-based approaches will also be applicable<br />

to design of small molecules for other Protein-Protein interactions<br />

utilising a a-helix binding groove both for peripheral<br />

tumours and other therapeutic areas.<br />

Problem<br />

Amongst the range of cancer types, brain and perhaps pancreatic<br />

cancers are especially lacking in eff ective treatments.<br />

In particular brain tumours are:<br />

• the leading cause of death from childhood cancers<br />

among persons under 19;<br />

• the second leading cause of cancer-related deaths in<br />

males aged 20-39;<br />

• the fi fth leading cause of cancer-related deaths in women<br />

aged 20-39.<br />

Although onset of disease varies with tumour type, it can<br />

occur at a relatively young age causing additional and signifi<br />

cant social and economic problems for both patients and<br />

their families.<br />

Current standard treatments include surgery, radiation therapy<br />

and chemotherapy. These may be used either individually<br />

or typically in combination. Brain cancers however present<br />

unique problems due to the location of the tumours: surgery<br />

and radiotherapy carry considerable risk to the patient and<br />

resection is not always possible. Chemotherapy is faced with<br />

the problem of penetration of drugs across the blood-brain<br />

barrier (BBB) and of lack of specifi city. The focus for these<br />

patients is therefore on more eff ective therapies to prevent<br />

relapse, and on more effi cient screening and diagnosis to<br />

halt the disease at an early stage.<br />

Aim<br />

The main objective of the proposed project is to provide<br />

more eff ective anti-tumour therapies by developing targeted<br />

small ligand libraries with appropriate physico-chemical<br />

properties for therapeutic eff ect targeted against Protein-<br />

Protein interactions implicated in various tumour types. The<br />

research activities will concentrate on knowledge-based<br />

approaches supporting translational research aimed at<br />

bringing basic knowledge through to applications in clinical<br />

practice and public health. The project will thus focus on<br />

providing small molecule ligands with minimal side eff ects<br />

as treatments for the brain tumours glioblastoma (GBM)<br />

and medulloblastoma.<br />

Expected results<br />

The successful integration of the various aspects of this proposal<br />

will provide a robust knowledge-based strategy for<br />

exploiting Protein-Protein interactions as drug targets in the<br />

treatment of brain tumours. The strategy should however be<br />

suffi ciently generic to be transferable to other disease areas,<br />

especially within the CNS, where Protein-Protein interactions<br />

provide an entry point into disease-modifying therapies.<br />

188 CANCER RESEARCH PROJECTS FUNDED UNDER THE SIXTH FRAMEWORK PROGRAMME

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