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Cancer Research - Europa

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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

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