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Tumor Discovery                                                  RNA-protein complexes deregulated in cancer



            established and validated epigenetic drugs. Concurrently,   In pancreatic cancer, the inhibitor ZW-115 targets the
            small molecules targeting RNAs and their interacting   stress-inducible nuclear protein 1 (NUPR1), an intrinsically
            partners are being explored for applications in RNA   disordered protein, triggering apoptosis in PDAC cells that
            therapeutics.                                      depend on K-RAS expression. 259,260
              Drugs that inhibit enzymes involved in PTMs can    The androgen receptor (AR), involved in nuclear
            influence condensate behavior and modify oncogenic   condensates,  has  transiently  stable  secondary  structures
            activities localized in these condensates. Alterations in   that are targeted by small molecules. Antiandrogens and
            the charges of residues within protein–protein interaction   abiraterone used in androgen-deprivation therapy induce
            domains can impact proteins with IDR or prion-like   the expression of constitutively active AR splice variants
            domains ability to form BCs and undergo LLPS.      (AR-Vs),  which  promote  resistance  to  radiotherapy
              While chemotherapies aim to induce cancer cell death,   by aiding DDR. Small molecules such as EPI-001
            certain drugs (e.g., bortezomib, sorafenib, 5-fluorouracil   (ralaniten) selectively bind to the transactivation domain
            (5-FU), lapatinib, morusin, 5-azacytidine, 6-thioguanine,   of AR, forming a binding pocket that blocks AR-DNA
            cisplatin, oxaliplatin, doxorubicin, and sodium selenite)   interaction. Other molecules like ETI-516 and EPI-7170
            paradoxically enhance cancer cell survival by promoting   (a derivative of EPI-001) also block AR  transcriptional
            SG  formation.  For  instance,  K-RAS-dependent  tumors   activity and condensate formation in prostate cancer. EPI-
                                                                                                        266
            upregulate SG formation.  Targeting or reducing SGs and   7170 is currently in clinical trials (NCT04421222).  The
                                261
            their functions may yield therapeutic benefits. A notable   ReACp53 peptide (patent WO2014182961A1) inhibits p53
            PTM affecting condensate formation is myristoylation.   amyloid-like aggregation, effectively targeting high-grade
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            In lung cancer cells, EZH2 myristoylation induces phase-  serous ovarian carcinomas (HGSOC).  BAY 249716
            separated liquid droplets containing EZH2, leading to   stabilizes both wild-type p53 and its mutants (R175H and
            compartmentalization, activation of STAT3, and enhanced   Y220C), 11,268  while ADH-6 rescues mutant p53 activity.
            cell proliferation. 262,263  Inhibiting myristoylation may   The aminothiazole compound BAY 1892005 covalently
            potentially suppress cell growth. The subsequent section   binds to mutant p53 variants (e.g., R175H, R282W, and
            will discuss approaches for SG inhibition and specific cases   Y220C) and dissolves nuclear condensates. In addition,
            of oncogenic protein chimeras impacting BCs in cancer.  PRIMA-1 reactivates mutated p53, inducing apoptosis
                                                               under normoxic and hypoxic conditions, whereas nutlin-3
            4.5. Targeting the interaction between intrinsically   inhibits the MDM2-p53 interaction, increasing p53
            disordered proteins and their partners             stability and longevity.
            Proteins essential for BC formation, such as G3BP1, which   Small molecule ligands have been screened from
            assembles SGs, are promising targets for interfering with   libraries of backbone-modified compounds for their RNA-
            stress responses in cancer. 168,176  Key residues like V11   binding capabilities. For example, diphenylfuran (DPF)
            in G3BP are necessary for the formation of the G3BP–  compounds targeting MALAT1 bind to its triple helix,
            Caprin-1 complex; mutations at these sites block SG   inducing RNA degradation. 269
            assembly. This opens the possibility for small compounds
            targeting protein interactions and specific G3BP domains   Small molecules targeting RNAs are under development
            to disrupt SG and BC formation or stability. 176,264  Small   with promising therapeutic applications. In alignment
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            molecule interactors of SG proteins have shown potential   with the experimental work by Kovachka,  Meyer et al.
            in addressing cancer resistance to environmental   described receptor tyrosine kinase inhibitors (RTKis).
            stresses. 264,265                                  RTKis can serve as RNA binders and can be reprogrammed
                                                               and repurposed, given that they are FDA-approved drugs.
              SG inhibitory peptides (SIPs), derived from Caprin1   For instance, the RTKi dovitinib inhibited the biogenesis
            and USP10, have been fused with cell-penetrating peptides   of oncogenic miR-21 through direct interaction,  paving
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            to create cancer inhibitors such as TAT-SIP-C1/2 and   the way for designing small molecule RNA inhibitors to
            SIP-U1-Antp. These SIPs disrupt SGs  and enhance the   minimize off-target effects. Recently, the FDA approved a
                                          265
            sensitivity of cancer cells to sorafenib.          small molecule capable of interacting with the U1 snRNP
              Inhibitors based on small compounds targeting the   complex of the splicing machinery. Risdiplam, tested
            disordered regions of proteins have shown promise, with   in clinical trials for both infantile and later-onset spinal
            some progressing to clinical trials or therapeutic approval.   muscular atrophy (SMA), is now an orally administered
            For example, AC1Q3QWB selectively disrupts HOTAIR-  drug for SMA treatment.  Furthermore, small molecules
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            mediated PRC2 recruitment, preventing silencing of gene   targeting RNA  G-quadruplexes have  been  explored  for
            promoters. 206                                     the downregulation of K-RAS and N-RAS mRNAs and


            Volume 3 Issue 4 (2024)                         19                                doi: 10.36922/td.4657
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