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EPITRON<br />
Epigenetic treatment<br />
of neoplastic disease<br />
34<br />
Summary<br />
Chromatin is epigenetically modifi ed to regulate gene<br />
expression. Upstream signals induce complex patterns of<br />
enzyme-catalysed modifi cations of DNA and histones,<br />
key protein components of chromatin. These epigenetic<br />
modifi cations create docking sites and form a code that<br />
specifi es transient or permanent (and heritable) patterns<br />
of genome function. In addition, epigenetic enzymes<br />
modify the activity of major transcription factors. Emerging<br />
evidence causally links altered epigenetic functions<br />
to oncogenesis, and suggests that chromatin regulators<br />
and upstream pathways are critical targets for developing<br />
novel anti-cancer drugs (epi-drugs). EPITRON will<br />
defi ne and validate the concept of ‘epigenetic cancer<br />
treatment’ from the molecular mechanism(s) to animal<br />
models reproducing human cancers. EPITRON will establish<br />
a programme from drug target exploration and drug<br />
development to preclinical validation in vitro, ex vivo and<br />
in vivo. Epi-drugs are amongst the most important novel<br />
drugs that have been generated to treat cancer, as can be<br />
concluded already from the existing results obtained with<br />
HDACi’s, some of which performed very well in phase I<br />
and phase II clinical trials. EPITRON is unique in its eff orts<br />
to strengthen European biomedical and pharmaceutical<br />
competitiveness. It fosters an exchange of biomedical<br />
knowledge, technology and materials among European<br />
laboratories, provides opportunities for education and<br />
training – and creates jobs.<br />
Problem<br />
Keywords | Epigenetic | apoptosis | diff erentiation |<br />
Elucidating the ‘signatures’ of cancer cells is one of the four<br />
so-called ‘extraordinary opportunities for immediate investment’<br />
defi ned by the National <strong>Cancer</strong> Institute of the United<br />
States of America. These four priorities (defi ning the signatures<br />
of cancer cells, cancer genetics, preclinical models of<br />
cancer and imaging technologies) were selected as top priorities<br />
to receive privileged attention and funding. Thus the<br />
EPITRON project aims to contribute at multiple levels to the<br />
defi nition of epigenetic signatures of cancer.<br />
Aim<br />
The overall goal of EPITRON is to validate and extend the<br />
concept of ‘epigenetic therapy’ of cancer. For this a pipeline<br />
will be established, which extends from the analysis of epigenetic<br />
(de)regulation in cancer to the study and generation<br />
of epi-drugs in a multiplicity of in vitro, ex vivo and in vivo<br />
mouse models. We will develop and use mouse models that<br />
accurately reproduce the human disease. The particular<br />
goals of EPITRON are:<br />
• to study the epigenetics of cancer cells (with a focus on<br />
leukaemia, breast and colon cancer), and defi ne the<br />
mechanisms of (cancer selective) action of epi-drugs;<br />
• to establish the basis of the cancer-selectivity of TRAIL/<br />
TRAIL receptor action;<br />
• to identify novel epi-drug targets;<br />
• to synthesise novel epi-drugs with increased effi cacy/<br />
tumour selectivity;<br />
• to validate epi-drug target therapy of cancer in vitro<br />
(primary normal and tumour cells), ex vivo (leukaemic<br />
blasts vs. normal progenitors) and in vivo (mouse models<br />
which accurately reproduce human cancer; the focus<br />
will be on APL/AML but also solid cancer models will be<br />
used or established).<br />
Taken together, EPITRON will not only provide information<br />
about epigenetic modifi cation imposed upon cancer cells,<br />
validate existing and generate novel epi-drugs, but most<br />
importantly engage upon a major challenge of cancer therapy<br />
by devising treatments that kill cancer, but not normal cells.<br />
Expected results<br />
To validate and extend the concept of ‘epigenetic cancer<br />
therapy’, EPITRON will follow six axes of research, focused<br />
on preclinical models.<br />
• Mechanisms of anti-leukaemic action of epigenetic<br />
drugs. We will defi ne the anti-leukaemogenic potential<br />
and the corresponding mechanistic basis of existing epigenetic<br />
drugs used alone or in combination, and in<br />
combination with other signalling drugs, such as nuclear<br />
receptor ligands. The impact of chromatin modifi cation<br />
(DNA, histones) that correlates with tumourigenesis and<br />
underlying recognition principles will be studied.<br />
• Oncofusion genetic and epigenetic programmes. We will<br />
use cell lines, patients’ blasts and mouse models to<br />
understand the altered gene programming due to the<br />
oncogenic fusion protein(s).<br />
CANCER RESEARCH PROJECTS FUNDED UNDER THE SIXTH FRAMEWORK PROGRAMME