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Global Translational Medicine                                           Role of HTS in cancer therapeutics



            catenin complexes  in  vitro, inhibition of colon cancer   gain of secondary target mutations, gene amplification,
            cell proliferation, β-catenin-regulated transcription, and   and compensatory activation of prosurvival signaling
            β-catenin-mediated axis duplication in Xenopus embryos.   pathways. A recent study by Liu et al. has shown that the
            Another  study  by  Yu  et al. highlighted the special   resistance to a MEK inhibitor trametinib can be overcome
            AT‑rich binding protein‑2 (SATB2)/β‑catenin/TCF‑LEF   through epigenetic reprogramming using histone
            pathway in transformation and carcinogenesis.  SATB2   deacetylase (HDAC) inhibitors, for example, trichostatin
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            is a transcription factor and epigenetic regulator that   A  (TSA),  suberoylanilide  hydroxamic  acid  (SAHA),
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            is  mostly overexpressed in colorectal  cancer. Silencing   LBH589, and PXD101 in advanced ovarian cancer.  The
            of  SATB2  inhibits  TCF/LEF  activity  and  its  targets.   novelty of this study lies in the establishment of a series of
            Hence, these studies suggest a critical role of Wnt   patient-derived advanced ovarian cancer models that were
            signaling pathway in cancer development, and targeting   sensitive or resistant to trametinib. This model illustrated
            this pathway, in combination with current available   that enhancer reprogramming led to sustained activation
            chemotherapies, might be beneficial for controlling the   of the MAPK pathway, which plays a crucial role in MEK
            cancer.                                            inhibitor resistance. They also performed combinatorial
              Another important signaling pathway is EGFR      drug screening with a customized epigenetics compound
            signaling that controls cellular and molecular pathways,   library  from  Selleck  Chemicals  in  A2780‑R  and
            and any alterations to this signaling can lead to   SKOV3  cells.  LBH589  (Panobinostat,  HDAC  inhibitor)
            carcinogenesis. This receptor tyrosine kinase belongs the   in combination with trametinib maximizes the clinical
            ERBB  family  of  receptors,  and  its  activation  regulates   benefit. They found that the combinatorial treatment
            KRAS and PI3K/PTEN pathways. Torrance  et al.      retarded tumor growth in the SKOV3 xenograft model.
            identified triphenyl tetrazolium (TPT) and a sulfinyl-  These  findings  demonstrated  that  HDAC  inhibitors
            to‑cytidine derivative (SC‑D) as novel KRAS pathways   overcome resistance through the suppression of ERK
            inhibitors  in  DLD‑1  colorectal  cancer  cells  in  which   restoration.
            key tumorigenic genes had been deleted by targeted   IFNs such as IFN-α and IFN-β play a key role in
            homologous recombination and yellow fluorescent    cancer and several chronic diseases after binding to their
            protein were expressed, while a blue fluorescent protein   respective receptors, IFNAR1 and IFNAR2. This receptor
            expression vector was  introduced into  an  isogenic   complex activates Janus-activated kinases (JAKs) and
            derivative  (lines  (HCT116/HKH)  in  which  the  mutant   signal transducers and activators of transcription (STAT)
            K-Ras  allele  had been  deleted.   TPT  and  SC‑D  were   pathways.  HTS  against  type-I  IFN  with  the  secreted
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            identified  among  30,000  compounds  through  large   embryonic alkaline phosphatase (SEAP) reporter gene assay
            screening, which displayed selective activity  in  vitro   involving 32,000 compounds resulted in 25 confirmed hits.
            and inhibited tumor xenografts containing mutant Ras.   Further screening by cytotoxicity assay in neuroblastoma
            Similarly, another HTS study identified two series of   cell  line  SH‑SY5Y  showed  two  hits  (CD2093‑G007  and
            substituted 4-anilino-3-quinolinecarbonitriles as potent   RUS0903‑C006) that decreased viability to less than 50%.
            mitogen-activated protein/extracellular signal-regulated   Finally, RUS0910-G009 exhibited inhibition of STAT1 and
            kinase 1 (MEK1) inhibitors.  These compounds had the   STAT3 phosphorylation and suppression of IRF7 mRNA
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            same cyanoquinoline cores but differed in their respective   transcription. 163
            aniline groups. Both classes inhibited in vitro growth of   Several investigations were conducted to find DNA
            human tumor cell lines while class 2 that is 3-chloro-4-  repair  factors  through  HTS  assays  to  screen  inhibitors
            (1-methylimidazol-2-sulfanyl)aniline inhibited kinase   targeting  PARP-1,  Ape1,  RecA,  and  Rad51. 164-168
            activity upstream of Raf and had dual effect on MEK   Dillon et al. have notably developed a novel FlashPlate
            and MAPK phosphorylation and inhibited growth of the   scintillation proximity assay of large compound libraries
            human colon tumor cell line LoVo (at 50 and 100 mg/kg   for HTS to identify inhibitors of PARP-1.  This assay
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            BID) in a nude mouse xenograft model). 158         was originally developed for the 96-well FlashPlate, but
              MEK inhibitors such as trametinib and selumetinib   the authors have transformed it into a 384-well format
            have been clinically approved for use in several tumor   with  sufficient  sensitivity  to  determine  accurate  IC50
            types of cancers such as melanoma, non-small cell   values and adaptability for kinetic evaluation of lead
            lung  cancer,  and  low-grade serous  ovarian  cancer. 159-161    molecules. Further, Peterson  et al. developed a robust
            Despite having promising therapeutic efficacy, these   method to screen large number of small molecules
            inhibitors showed limited success clinically due to the   in HTS against RecA using commercial reagents
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            rapid development of resistance that might be caused by   (Transcreener( )  adenosine  5’-O-diphosphate  [ADP]

            Volume 3 Issue 1 (2024)                         11                       https://doi.org/10.36922/gtm.2448
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