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GROWTHSTOP<br />
Identifi cation, development and<br />
validation of novel therapeutics<br />
targeting programmed cell death<br />
in tumours<br />
Summary<br />
Mounting evidence indicates that the acquired ability to<br />
resist apoptosis is a hallmark of most, and perhaps all types<br />
of cancer. As scientists learn more about how apoptosis is<br />
thwarted by cancer cells, they are also gaining a greater<br />
understanding of why many tumours are resistant to the<br />
apoptosis-inducing eff ects of radiation and chemotherapy.<br />
These insights will guide eff orts to overcome treatment<br />
resistance and off er important clues about new drugs that<br />
target genes and protein products in the apoptosis pathways<br />
to encourage selective cell death.<br />
GROWTHSTOP is exploring how apoptosis is regulated and<br />
how it can be selectively triggered to induce suicide in cancer<br />
cells while sparing normal cells. The GROWTHSTOP<br />
Consortium applies a combination of high resolution bioimaging<br />
techniques, proteomics, cellular models, and in vivo<br />
tumour models towards:<br />
• the understanding of the pathways that signal apoptosis<br />
in solid tumours;<br />
• their validation as viable targets for tumour suppression<br />
or regression in animal models in vivo;<br />
• the discovery and validation of a novel, alternative class<br />
of inhibitors that specifi cally targets protein interactions<br />
rather than, or in addition to, enzyme activity. The goal<br />
of the GROWTHSTOP project is to exploit apoptotic<br />
pathways as a viable therapeutic strategy.<br />
Importantly, more than 30 % of the applied EU budget will<br />
be reserved for SMEs that deliver expertise and chemical<br />
screening in order to ensure a rapid translation of novel<br />
screens and assays into an effi cient search for specifi c drugs<br />
manipulating pro-apoptotic pathways.<br />
40<br />
Keywords | Apoptosis | cell death | cell imaging | tumour models | kinase inhibitors | pharmacophore inhibitors |<br />
scaff old inhibitors |<br />
Problem<br />
<strong>Cancer</strong> is a major challenge to European health care. Each<br />
year nearly two million people are diagnosed with cancer in<br />
the EU, and over one million deaths result from this disease.<br />
Each case can have a tremendous impact on the health and<br />
wellbeing of the aff ected person, his or her family and personal<br />
environment. In addition, a high percentage of cases<br />
have major economic impacts, both for the individual and<br />
for the health care provider. As a result, improvements in<br />
cancer therapy remain of prime importance for the wellbeing<br />
of Europeans and for the future development of the<br />
Union.<br />
<strong>Cancer</strong> is caused by mutations in a relatively small and identifi<br />
able number of genes, which fall into two categories:<br />
proto-oncogenes, which provide critical proliferative or survival<br />
signals to cells and which are inappropriately activated<br />
by mutation during tumourigenesis; and tumour-suppressor<br />
genes, which restrain cell growth and proliferation, and which<br />
are lost or inactivated by mutations during the development<br />
of a tumour.<br />
Importantly, mutations in individual genes do not cause<br />
tumours, since the human genome harbours failsafe mechanisms<br />
that protect normal cells from the consequences of<br />
deregulated proliferative stimuli. Two such failsafe mechanisms<br />
are known. The fi rst is an irreversible growth arrest,<br />
termed cellular senescence, which is activated by deregulated<br />
oncogenic signals through the Ras pathway: one key<br />
example is the often lifelong lack of proliferation of melanocytic<br />
naevi despite the presence of mutations in B-Raf,<br />
a downstream eff ector of Ras proteins. The second is apoptosis,<br />
or programmed cell death, which is activated by many<br />
forms of de-regulated proliferative signals. Tumours can<br />
only develop when secondary mutations that disable these<br />
failsafe programmes arise; as a consequence, many mutations<br />
that are found in human tumours are involved in<br />
pathways that control either senescence or apoptosis.<br />
Aim<br />
Strategies that aim at restoring these failsafe programmes,<br />
in particular apoptosis, in established solid tumours have<br />
emerged as an important approach to cancer therapy. The<br />
promise of this approach is that such strategies create<br />
a therapeutic window, killing tumour cells while sparing<br />
normal cells. The key aim of this project is therefore to<br />
devise, test and implement strategies that restore apoptosis<br />
as a failsafe programme to solid human tumours.<br />
CANCER RESEARCH PROJECTS FUNDED UNDER THE SIXTH FRAMEWORK PROGRAMME