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Of Mice and Men: The Art and Science of Finding, Making, and Testing Anti-Tumor Agents William A. Price, Ph.D. Department of Chemistry & Biochemistry Sponsored by C.A.R.E. Chymian Society Number of Deaths/100,000 in U.S.A. Year 1950 1970 1990 2002 Heart Disease 590 490 410 240 Cancer 195 200 210 200 Since 1950: Heart disease rates cut by 59% Stroke rates cut by 69% $200,000,000,000 spent since 1970 for cancer research Care to Smoke? 87% of lung cancers and 30% of all cancers are due to smoking. 438,000 people die each year in the U.S. as a result of smoking. Half of all smokers will die prematurely – half of those will die of cancer. Smoking causes reduced fertility in women, together with higher risks of miscarriage, stillbirth and low birth weight. A Public Health Issue In the Year 2000, the CDC estimates that 8.6 million people were suffering from chronic illnesses due to smoking. Addiction to nicotine, a CNS stimulant, significantly contributes to the public health problem. N H N nicotine CH3 Nicotine mimics Acetylcholine Activates neurological reward pathways similar to cocaine and MDMA These cholinergic pathways are artificially stimulated and cause an unnatural release of dopamine (pleasure) thus causing a need for more of these “pseudo-neurotransmitters”. Biochemical addiction What is Cancer? Develops from a single cell that has undergone a genetic mutation Rapid, unregulated cell division is stimulated by a combination of genetic and environmental influences. Begins locally and usually spreads through lymph nodes – metastasis There over 150 different types of cancer. What is an Anti-Tumor Agent? Toxic compound that can penetrate a cell wall, Can disrupt the physiology and/or chemistry of DNA in order to prevent cell replication by either: covalently and irreparably binding to DNA inhibiting enzymes or proteins responsible for premitotic DNA unraveling causing hyper-coiling of chromatin around histones by affecting phosphorylation or acetylation cutting off blood supply to tumors (angiogenesis) Ideally… Antitumor agents are: non-toxic to healthy cells, are particularly toxic to rapidly-dividing cells delivered safely (e.g. IV, injection, organ-targeted pill) and preferably to the afflicted cells. Weed Killer and Rat Poison Trisenox As2O3 is still used to treat acute promyelocytic leukemia, APL, a cancer of the bone marrow due to a chromosomal translocation. Patient receives roughly 60 daily injections of ~10mg doses over a period of 2 months. Side effects include suppressed immune system, heart irregularities, internal bleeding, high blood pressure, confusion, fainting, dizziness, eye pain, blurred vision, excessive weakness, excessive fatigue, or excessive drowsiness. Yikes! How do We Find Cancer Drugs? We take a cue from Nature. Compounds found in plants, mold, bacteria, algae, some insects, marine mammals and even snake venom are often excellent growth inhibitors. From the Pacific Yew tree, some 300 different organic compounds were isolated and characterized and tested. From the Bark of the Pacific Yew Tree O O O NH OH O O O OH O OH O O O Taxus brevifolia O How Taxol Works A large number of microtubules are formed at the start of cell division, and as cell division comes to an end, these microtubules are normally broken down into tubulin – a protein responsible for the cell’s structural stability. Taxol binds to the microtubules and inhibits their depolymerization into tubulin. The cell can't divide into daughter cells and therefore the cancer can’t spread. Tubulin with Taxol bound to one of the Functional Domains Taxol Causes Cells’ Tubulin Skeleton to Aggregate in Spindles May be More Effective than Taxol Epothilone B inhibits tubulin aggregation O S H OH N O O OH O DNA Cross-linker 21 O CH3O O O O O N CH3 OH N H AcO H N 10 HO Azinomycin B Streptomyces sahachiroi O Replication Prevents DNA from Unraveling O O OH OH OH OCH3 O OH O CH3 NH2 Doxorubicin (adriamycin) OH Binds to DNA and inhibits the enzyme topoisomerase II Radiosensitization and Chromatin Compaction At FCCC, our group studied the effects of compounds that affected a cell’s chemistry by inhibiting enzymes that allow for specific chemical reactions to occur. Without these reactions occurring, the DNA in the cells tended to hyper-coil around proteins called histones. Compacted Chromatin With a preponderance of our cancer cells now hypercoiled, they presented an unusually dense target for ionizing radiation. Hence these cells were radiosensitized. FR 901228 Histone Deacetylase Inhibitor H O N H N O S O S N H N H O O O from Chromobacterium violaceum A Radiosensitizer Protein Phosphatase Type 1 and 2a Inhibitor HOOC O O OH O OH H H OH O O H O H O OH Okadaic acid Marine natural product causes diarrhetic shellfish poisoning Two Phosphatase Inhibitors O O O O O S O O CH3 CH3 Cantharidin H H LS-5 LS-16 exo, exo, exo 6,7-dicarbomethoxy-3,8-diaxatricyclo[3.2.1.0 2,4 ]octane Animal Models Researchers use SCID mice onto which human tumors can be xenografted. Cytotoxicity of asynchronous DU-145 prostate cancer cells exposed to drug for o 2-h at 37 C . Cantharidin Cantharidic acid LS-5 Survival Curves HT-29 colon cancer cells Irradiated after 2-h exp. to 2 M drug . Control (no drug) LS-1 LS-2 LS-5 LS-5 (1 M) Survival Curves of G1 phase HT-29 cells after 2-h exposure to LS-5 . Control (no drug) 0.2 M 0.5 M 1.0 M 2.0 M Radiation Inactivation of DU-145 cells by 4 Gy Cs-137 after treatment with 30 M drug LS numbers Thank You! J.D. Chapman, R. Schneider, C. C. Stobbe Fox Chase Cancer Center CHM 320 class Michael Prushan, Ph.D. National Institutes of Health (#CA06927) La Salle University