Novel DNA damage response inhibitor and alkylator combinations for GBM

用于 GBM 的新型 DNA 损伤反应抑制剂和烷化剂组合

基本信息

批准号：
10305365
负责人：
Ranjit Bindra
金额：
$ 21.02万
依托单位：
MAYO CLINIC ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2026-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10305365
关键词：
ATM activation ATR gene Address Alkylating Agents Alkylation Apoptosis Biological Markers Blood - brain barrier anatomy Brain Brain Neoplasms Cancer Therapy Evaluation Program Carmustine Cell Cycle Cells Clinic Clinical Trials Clinical Trials Design Combined Modality Therapy DNA DNA Damage DNA Double Strand Break DNA Repair DNA Repair Pathway DNA analysis DNA lesion Data Defect Disease Dose Double Strand Break Repair Drug Kinetics FDA approved Futile Cycling Glioblastoma Goals In Situ In Vitro Lead Lesion Lomustine Mediating Methylation Methyltransferase Methyltransferase Gene Mismatch Repair Modeling Molecular Molecular Profiling Newly Diagnosed Newly Diagnosed Disease Operative Surgical Procedures Pathway interactions Patients Pharmacologic Substance Phase Phase 0/1 Trial Phosphotransferases Proteins Radiation therapy Recurrence Recurrent disease Research Resistance Sampling Studies Signal Transduction Site Therapeutic Therapeutic Index Tissues Translations Vertebral column Work adduct ataxia telangiectasia mutated protein base chemotherapy clinically relevant crosslink cytotoxicity design genotoxicity improved in vivo inhibitor/antagonist innovation multidisciplinary novel novel therapeutic intervention patient derived xenograft model phosphoproteomics promoter repaired replication stress response safety testing standard of care synergism temozolomide tumor

项目摘要

PROJECT DESCRIPTION/ABSTRACT – PROJECT 1 Alkylating chemotherapies are part of the backbone of standard-of-care therapy in newly diagnosed disease, and they are also used in the recurrent setting. We and others have demonstrated that these agents each induce unique spectra of DNA damage, which engage specific DNA damage response (DDR) pathways depending on the status of key DNA repair pathways. The most commonly used agents are temozolomide (TMZ), a monofunctional alkylator that induces methyl-adducts on discrete DNA base sites, and lomustine and carmustine, which are bifunctional alkylators that induce both mono-adducts and DNA cross-links. The different DNA lesions induced by these and other alkylating therapies trigger distinct DNA damage responses critically modulated by ataxia-telangiectasia mutated (ATM) and ATM/Rad3-related (ATR) kinases, which orchestrate the cellular response to a broad array of genotoxic insults. Over the past few years, we have collaborated with the NCI Cancer Therapy Evaluation Program and multiple pharmaceutical companies (AstraZeneca, Vertex, Merck KGaA, Bayer) to evaluate multiple highly brain penetrant ATM and ATR inhibitors in combination with radiation therapy and alkylating chemotherapies. Our preliminary data demonstrate robust synergy between TMZ and ATR inhibitors, specifically in GBM models lacking. Mechanistically, unrepaired O6-methyguanine lesions induced by TMZ cause replication stress and activation of the ATR signaling axis. In contrast, synergistic interactions of ATR inhibitors with lomustine were independent of MGMT status, which reflects a distinct set of alkylation lesions that are relatively unaffected by MGMT repair activity. Overall, our extensive preliminary data support the fundamental scientific premise that monofunctional and bifunctional alkylator therapies trigger distinct functional and temporal activation of DNA damage response pathways governed by ATM and ATR. Understanding these relationships can be used to define optimal combinations of ATR or ATM inhibitors with various alkylating agents for GBM.

项目描述/摘要 – 项目 1 烷基化化疗是新诊断疾病标准护理治疗的支柱的一部分，我们和其他人已经证明这些药物各自诱导。 DNA 损伤的独特光谱，涉及特定的 DNA 损伤反应 (DDR) 途径，具体取决于最常用的药物是替莫唑胺 (TMZ)，这是一种关键 DNA 修复途径的状态。单功能烷基化剂，在离散的 DNA 碱基位点上诱导甲基加合物，洛莫司汀和卡莫司汀，是一种双功能烷基化剂，可诱导单加合物和 DNA 交联。这些和其他烷化疗法引起的 DNA 损伤会严重触发不同的 DNA 损伤反应由共济失调毛细血管扩张突变 (ATM) 和 ATM/Rad3 相关 (ATR) 激酶调节，这些激酶协调在过去的几年里，我们与细胞对一系列基因毒性损伤的反应进行了合作。 NCI 癌症治疗评估计划和多家制药公司（AstraZeneca、Vertex、Merck KGaA、拜耳）评估多种高脑渗透性 ATM 和 ATR 抑制剂与放射治疗的结合我们的初步数据表明 TMZ 和烷化化疗之间具有强大的协同作用。 ATR 抑制剂，特别是在机制上缺乏未修复的 O6-甲基鸟嘌呤损伤的 GBM 模型中。 TMZ 诱导的复制应激和 ATR 信号轴的激活相反，具有协同作用。 ATR 抑制剂与洛莫司汀的相互作用与 MGMT 状态无关，这反映了一组不同的总体而言，我们广泛的初步数据表明，烷基化病变相对不受 MGMT 修复活性的影响。支持基本的科学前提，即单功能和双功能烷化剂疗法会引发不同的由 ATM 和 ATR 引导的 DNA 损伤反应途径的功能和时间激活。了解这些关系可用于定义 ATR 或 ATM 抑制剂与 GBM 的各种烷化剂。