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Vetenskaplig rapport, Dnr 120261 Utveckling av en ny målinriktad behandling för SMARCB1-negativa tumörer In this project, we identified a new drug combination for SMARCB1-negative tumors. Two drugs (the proteasome inhibitor Bortezomib and the histone deacetylase inhibitor suberoylanilide hydroxamic acid [SAHA, Vorinostat]) synergistically inhibit in vitro and in vivo growth of human SMARCB1-negative tumor cells. This negative effect is accompanied by increased apoptosis of tumor cells. Based on our results we suggest the development of a diagnostic test for tumor patients with suspected loss of SMARCB1 function to select those individuals that may respond to this combination therapy. Since SMARCB1 protein levels are reduced or absent in the majority of rhabdoid and other SMARCB1-negative tumors, such a test could be based on immunohistochemistry of tumor tissue sections. Non-tumorigenic cells that are abundant in such tissue sections (e.g. blood vessel cells) could serve as internal positive control. Initially, we performed subcutaneous transplantations of human tumor cell lines into immunodeficient mice and used this system as in vivo model for drug treatment studies. To better understand the nature of the synergistic action of Bortezomib and SAHA in vivo and to assess the effect of these drugs in immunocompetent animals, we started to develop a suitable mouse model for SMARCB1-negative brain tumors by combining three mouse lines. SMARCB1-negative tumors of the brain mainly affect infants and young children and are classified as embryonal tumors. We therefore set out to delete the Smarcb1 gene in neural stem/progenitor cells of the developing and early postnatal brain in mice that already lack one Smarcb1 allele. This was done by crossing NesCreErtm animals (Tamoxifen-inducible Cre recombinase expressed in Nestin-positive cells; obtained from Jonas Frisen, KI) with Smarcb1+/- animals (obtained from Stephen Jones, University of Massachusetts Medical School, USA) and Smarcb1fl/fl animals (obtained from Charles Roberts, Harvard Medical School, USA). In this way we achieve a sequential inactivation of the two Smarcb1 alleles, as is thought to occur during tumorigenesis in humans. To this end, we have generated triple transgenic mice and are currently testing different Tamoxifen doses to trigger an efficient deletion of Smarcb1 in Nestin-positive neural stem/progenitor cells. The next aim will be to monitor such animals for tumor development and to then investigate cellular effects of Bortezomib and SAHA on developed tumors. The application of Bortezomib as a novel cancer therapy for SMARCB1-negative tumors led to various patent applications with Lund University Innovation: Case Ref. Country Application No. P012199PCT1 PCT PCT/EP2012/059160 WO 2012/156463 A1 PCT Stage completed Publication No. Case Status P012199PCTCN1 China 201280023500.6 CN 103619337A Pending-Reply to Exam Report filed P012199PCTEP1 12724105.7 2709629 Pending-Client's reply received European Patent Office P012199PCTKR1 Republic of Korea 10-2013-7032129 P012199US1 13/683,179 United States of America Pending -Application filed 2014-0179618 Pending-Reply to Exam Report filed