Dysregulated expression of specific growth factors and their receptors contributes to the aberrant growth of the prostate. One such receptor is the p75NTR, a cell surface protein that binds the neurotrophins (e.g. nerve growth factor). The p75NTR is a member of the tumor necrosis factor receptor super-family, of which many members share an intracellular sequence motif designated the """"""""death domain"""""""" that can initiate apoptosis. Concomitantly, the p75NTR exhibits both tumor suppressor and metastasis suppressor activity in the prostate. During malignant progression of the prostate, we have shown reduced expression of the p75NTR protein facilitates aberrant growth. Conversely, ectopic re-expression of p75NTR in cells inhibits growth by induction of apoptosis. Significantly, even though expression of the p75NTR protein is suppressed in these cells, the gene encoding p75NTR is intact. Hence, increased p75NTR expression in cells, either by ectopic re-expression, or by alternate novel mechanisms, such as by induction with select aryl propionic acids such as carprofen, ibuprofen and r-flurbiprofen, restores its growth inhibitory activity. We show that the aryl propionic acid class of compounds is able to differentially restore p75NTR protein expression, which correlates with a significant decrease in the survival of the cells. Of all the aryl propionic acids tested for this activity, we have identified carprofen as a lead molecule with superior efficacy for induction of p75NTR dependent inhibition of growth. Hence, the synthesis of carprofen analogs can be used to produce unique compounds with a novel mechanism of action for p75NTR- dependent inhibition of growth. Significantly, our identification of a novel chemotherapeutic target, the p75NTR induced by carprofen analogs, meets a major need of drug discovery programs, that is, the desire for new molecular entities with a new mechanism of action. Based upon our publications and preliminary data, and in collaboration with a medicinal chemist (Dr. Alan Kozikowski) from the Drug Discovery Program, University of Illinois Chicago, we propose to test the hypothesis that the unique mechanism of action of carprofen analog induction of p75NTR tumor suppressor dependent inhibition of cell survival forms a basis for development of novel chemotherapeutic drugs for treatment of prostate cancer. This hypothesis will be evaluated in the following five specific aims.
Aim 1 : Use structure-activity relationships to drive medicinal chemistry of unique analogs of carprofen with enhanced efficacy for p75NTR dependent inhibition of growth.
Aim 2 : To demonstrate that carprofen analog(s) inhibition of prostate cancer cell growth is dependent on p75NTR expression.
Aim 3 : To demonstrate that carprofen analog(s) inhibition of prostate cancer cell growth is mediated via the p38 MAPK signal transduction pathway and is independent of cyclooxygenases (COXs).
Aim 4 : Screen a lead carprofen analog compound for maximum tolerable dose and toxicity/safety profile.
Aim 5 : Test a novel carprofen analog for inhibition of prostate cancer growth in the TRAMP murine model. By lead compound optimization, we anticipate the development of novel chemotherapeutics with a novel mechanism of action for the treatment of prostate cancer.

Public Health Relevance

Abnormal expression of certain growth factors and their receptors contributes to the growth of the prostate. One such receptor is the p75NTR, a cell surface protein that binds the neurotrophins (e.g. nerve growth factor). The p75NTR is a member of the tumor necrosis factor receptor super-family that can kill cancer cells. This receptor also exhibits both tumor suppressor and metastasis suppressor activity in the prostate. During progression of prostate cancer we have shown that reduced expression of the p75NTR protein facilitates abnormal growth. Conversely, re-expression of p75NTR kills cancer cells. Significantly, even though expression of the p75NTR protein is suppressed in cancer cells, the gene for p75NTR is intact. Hence, increased p75NTR expression in prostate cancer cells by novel mechanisms such as by induction with drugs such as aryl propionic acids (profens), restores its growth inhibitory activity. We show that the aryl propionic class of compounds is able to selectively restore p75NTR protein expression, which correlates with a significant decrease in the survival of the cancer cells. Of all the aryl propionic acids tested for this activity, we have identified the compound carprofen as a lead molecule with superior ability to induction p75NTR and inhibit growth of cancer cells. Hence, the synthesis of compounds related to carprofen can be used to produce unique compounds with a novel mechanism of action for p75NTR-dependent inhibition of growth. Significantly, our identification of a novel chemotherapeutic target, the p75NTR induced by carprofen analogs, meets a major need of drug discovery programs, that is, the desire for new compounds that function in a unique way to kill cancer cells. Hence, in collaboration with a medicinal chemist (Dr. Alan Kozikowski) from the Drug Discovery Program, University of Illinois Chicago, we propose to test whether we can synthesize new compounds based on carprofen that induce p75NTR and kill cancer cells. This hypothesis will be evaluated in the following five specific aims. Aim 1: Use medicinal chemistry to synthesize compounds related to carprofen that can inhibit growth of cancer cells. Aim 2: To demonstrate that these new compounds inhibit prostate cancer cell growth by inducing the p75NTR protein. Aim 3: To demonstrate that these new compounds act through the p38 MAPK biochemical pathway and do not inhibit growth by inhibiting the cyclooxygenases (COXs). Aim 4: Screen new compounds for maximum tolerable dose and toxicity/safety profile. Aim 5: Test new compounds for inhibition of prostate cancer growth in mice that develop prostate cancer. We anticipate the development of new drugs that work in a new way (i.e. induce p75NTR) to inhibit the growth of prostate cancer.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
High Priority, Short Term Project Award (R56)
Project #
2R56DK052626-08A2
Application #
7902706
Study Section
Urologic and Kidney Development and Genitourinary Diseases Study Section (UKGD)
Program Officer
Rankin, Tracy L
Project Start
1999-05-01
Project End
2012-02-29
Budget Start
2009-09-01
Budget End
2012-02-29
Support Year
8
Fiscal Year
2009
Total Cost
$399,579
Indirect Cost
Name
Georgetown University
Department
Biochemistry
Type
Schools of Medicine
DUNS #
049515844
City
Washington
State
DC
Country
United States
Zip Code
20057