Abnormal activity of a subset of transcriptional factors (TF) is a nearly universal property of tumor cells. However, development of drugs targeting TF remains unresolved problem due to complex interface of TF/DNA interactions. Furthermore, many TFs have functionally redundant activities and modulation of several tumor-related TF is a highly desirable strategy with no obvious rational solution. Presuming the existence of presently unknown targetable mechanisms enabling simultaneous modulation of several cancer-related TFs, we used cell phenotype-based screening of small molecules capable of simultaneous activation of tumor suppressor p53 and inhibition of pro-survival TF, NF-?B. Identified molecules, curaxins (CXs), demonstrated remarkable anti-cancer activity in a broad set of preclinical models and a pharmacologically optimized CX compound, CBL0137, is now being evaluated in Phase I clinical trials (NCT01905228). Study of the mechanism of action of CX revealed that they inhibit activity of chromatin remodeling complex FACT (Facilitates Chromatin Transcription).We found that FACT is not needed for general transcription but cooperates with several specific TF that are normally involved in embryonic development, response to stresses and commonly deregulated in cancer. In line with this, we found that FACT is essential for the survival of tumor cells, including tumor initiating cells (TIC), but not for nrmal cells, including normal hematopoietic stem cells (HSC). Since CX possess FACT-modulating activity, we hypothesize that its anti-cancer effect is exerted through FACT inhibition that result in simultaneous modulation of activity of several TF, critically important for the tumor, but not normal cells. The goal of this study is to facilitate clinical advancement of CX through development of predictive and pharmacodynamics markers of curaxins efficacy and better understanding of selective toxicity of CX to tumor vs normal cells. We chose to focus this study on acute myeloid leukemia (AML) which is among major candidate indications for Phase II trial of CBL0137 due to: (i) unmet clinical need; (ii) strong efficacy of CX in preclinical testing, (iii mostly wild type p53 status, and (iv) evidence of powerful induction of p53 in PBMC in patients in Phase I trial. We propose to: 1. Explain the reasons of differential toxicity of CX to leukemia initiating cells and HSC; 2. Evaluate FACT as a prognostic marker of tumor sensitivity to CX treatment. 3. Develop pharmacodynamic (PD) marker of CX activity in vivo.

Public Health Relevance

This project will generate data to optimize clinical development of novel anti-cancer agent, curaxins. This drug belongs to a new class of anti-cancer agents targeting so-far unexplored class of biochemical factors, histone chaperones. This study is needed to better understand what category of cancer patients will benefit most from curaxins treatment, to understand early in the process of treatment whether curaxins has anti-cancer effect in a patient and how curaxins kill tumor initiating cells, while do not affect normal stem cells.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA197967-05
Application #
9752240
Study Section
Developmental Therapeutics Study Section (DT)
Program Officer
Alley, Michael C
Project Start
2015-08-01
Project End
2020-07-31
Budget Start
2019-08-01
Budget End
2020-07-31
Support Year
5
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Roswell Park Cancer Institute Corp
Department
Type
DUNS #
824771034
City
Buffalo
State
NY
Country
United States
Zip Code
14263
Sandlesh, Poorva; Juang, Thierry; Safina, Alfiya et al. (2018) Uncovering the fine print of the CreERT2-LoxP system while generating a conditional knockout mouse model of Ssrp1 gene. PLoS One 13:e0199785
Gurova, Katerina; Chang, Han-Wen; Valieva, Maria E et al. (2018) Structure and function of the histone chaperone FACT - Resolving FACTual issues. Biochim Biophys Acta Gene Regul Mech :
Chang, Han-Wen; Valieva, Maria E; Safina, Alfiya et al. (2018) Mechanism of FACT removal from transcribed genes by anticancer drugs curaxins. Sci Adv 4:eaav2131
Leonova, Katerina; Safina, Alfiya; Nesher, Elimelech et al. (2018) TRAIN (Transcription of Repeats Activates INterferon) in response to chromatin destabilization induced by small molecules in mammalian cells. Elife 7:
Nesher, Elimelech; Safina, Alfiya; Aljahdali, Ieman et al. (2018) Role of Chromatin Damage and Chromatin Trapping of FACT in Mediating the Anticancer Cytotoxicity of DNA-Binding Small-Molecule Drugs. Cancer Res 78:1431-1443
Fleyshman, Daria; Prendergast, Laura; Safina, Alfiya et al. (2017) Level of FACT defines the transcriptional landscape and aggressive phenotype of breast cancer cells. Oncotarget 8:20525-20542
Barone, Tara A; Burkhart, Catherine A; Safina, Alfiya et al. (2017) Anticancer drug candidate CBL0137, which inhibits histone chaperone FACT, is efficacious in preclinical orthotopic models of temozolomide-responsive and -resistant glioblastoma. Neuro Oncol 19:186-196
Attwood, Kristopher; Fleyshman, Daria; Prendergast, Laura et al. (2017) Prognostic value of histone chaperone FACT subunits expression in breast cancer. Breast Cancer (Dove Med Press) 9:301-311
Safina, Alfiya; Cheney, Peter; Pal, Mahadeb et al. (2017) FACT is a sensor of DNA torsional stress in eukaryotic cells. Nucleic Acids Res 45:1925-1945
Kim, Minhyung; Neznanov, Nickolay; Wilfong, Chandler D et al. (2016) Preclinical Validation of a Single-Treatment Infusion Modality That Can Eradicate Extremity Melanomas. Cancer Res 76:6620-6630

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