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DRUG CLASS:

Chk2 inhibitor

17d
Chk2 Modulates Bmi1-Deficiency-Induced Renal Aging and Fibrosis via Oxidative Stress, DNA Damage, and p53/TGFβ1-Induced Epithelial-Mesenchymal Transition. (PubMed, Int J Biol Sci)
Our study reveals mechanisms whereby Bmi1 preserves renal structure and function during aging by suppressing DDR and p53/TGFβ1-mediated EMT. These pathways represent potential targets for detecting and attenuating age-related renal decline.
Journal
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TP53 (Tumor protein P53) • CHEK2 (Checkpoint kinase 2) • BMI1 (BMI1 proto-oncogene, polycomb ring finger) • TGFB1 (Transforming Growth Factor Beta 1)
1m
The CHK1 inhibitor prexasertib in BRCA wild-type platinum-resistant recurrent high-grade serous ovarian carcinoma: a phase 2 trial. (PubMed, Nat Commun)
Subsequent preclinical experiments demonstrated significant cytotoxicity of POLA1 silencing in combination with CHK1i in platinum-resistant HGSOC cell line models. Therefore, POLA1 expression may be predictive for CHK1i resistance, and the concurrent POLA1 inhibition may improve the efficacy of CHK1i monotherapy in this hard-to-treat population, deserving further investigation.
P2 data • Journal • BRCA Biomarker
|
BRCA (Breast cancer early onset) • POLA1 (DNA Polymerase Alpha 1)
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BRCA wild-type
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prexasertib (ACR-368)
1m
Trial completion date • Combination therapy
|
gemcitabine • cyclophosphamide • prexasertib (ACR-368) • Neulasta (pegfilgrastim) • Neupogen (filgrastim)
2ms
Acrivon predictive precision proteomics (AP3) uncovers mechanism of resistance to ACR-368, a clinical-stage CHK1/2 inhibitor, and identifies rational combination treatment (AACR 2024)
Here, we demonstrate the utility of AP3 for the identification of a key druggable resistance mechanism to ACR-368 and how to overcome that with low dose gemcitabine (gem), providing OncoSignature negative patients with a new potential therapeutic option. These data supported a dose escalation Phase 1b/2 clinical study of low dose gem with ACR-368 to evaluate the efficacy and safety of the combination in ACR-368 OncoSignature negative patients (NCT05548296). This shows the potential of AP3 for unbiased elucidation of actionable drug resistance mechanisms and rapid clinical implementation in our trials, which have recently confirmed clinical activity.
Clinical
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OncoSignature® Test
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gemcitabine • prexasertib (ACR-368)
2ms
Relationship between the Expression of CHK2 and p53 in Tumor Tissue and the Course of Papillary Thyroid Cancer in Patients with CHEK2 Germline Mutations. (PubMed, Cancers (Basel))
Higher CHK2 expression was associated with poorer treatment responses and disease outcomes. Higher CHK2 expression and positive p53 together with a TP53 deletion could be a prognostic marker of unfavorable disease outcomes in patients with germline truncating mutations in CHEK2.
Journal
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TP53 (Tumor protein P53) • CHEK2 (Checkpoint kinase 2)
|
TP53 mutation • TP53 deletion • CHEK2 mutation • TP53 expression
3ms
Actin filament-associated protein 1-antisense RNA1 promotes the development and invasion of tongue squamous cell carcinoma via the AFAP1-AS1/miR-133a-5p/ZIC2 axis. (PubMed, J Gene Med)
The upregulation of lncRNA AFAP1-AS1, which increases TSCC cell viability, migration, proliferation and invasion via the AFAP1-AS1/miR-133a-5p/ZIC2 axis, aids in the progression of TSCC.
Journal
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AFAP1-AS1 (AFAP1 Antisense RNA 1) • ZIC2 (Zic Family Member 2)
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AFAP1-AS1 overexpression
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docetaxel • Tasigna (nilotinib) • fexagratinib (ABSK091) • AZD-7762
5ms
In silico and structure-based evaluation of deleterious mutations identified in human Chk1, Chk2, and Wee1 protein kinase. (PubMed, J Cell Biochem)
Furthermore, 25 mutations in Chk1, 189 in Chk2, and 14 in Wee1 were highly conserved, possessing deleterious effect and also influencing the protein structure and function. These identified mutations may provide underlying genetic intricacies to serve as potential targets for therapeutic inventions and clinical management.
Journal
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CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1)
5ms
Evaluation of Synergistic Anti-Leukemic Efficacy of PHI-101 in Preclinical Model of FLT3-ITD Acute Myeloid Leukemia (ASH 2023)
Study Design and Combination effects of simultaneous versus sequential treatment of PHI-101 with other agents, including daunorubicin, cytarabine, venetoclax (Ven), and azacytidine (Aza) were tested using human leukemia cell lines harboring FLT3-ITD mutations (MV4-11, Molm13, Molm14) or FLT3-wild type as controls...The GI 50 of the gilteritinib was 5... Treatment of AML cells with the combination of Ven or Aza with PHI-101 in vitro induced rapid induction of apoptosis and inhibition of cell growth that showed significant synergy. In vivo data showed improved efficacy for the combination treatment with these agents. In vitro and in vivo data from the preclinical AML models provides a rationale to evaluate the activity of PHI-101 in combination for patients who are ineligible for more intensive chemotherapeutic induction therapy.
Preclinical • PARP Biomarker • IO biomarker
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FLT3 (Fms-related tyrosine kinase 3) • BCL2 (B-cell CLL/lymphoma 2) • ANXA5 (Annexin A5)
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FLT3-ITD mutation • FLT3 mutation • BCL2 expression • FLT3 wild-type
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Venclexta (venetoclax) • Xospata (gilteritinib) • azacitidine • daunorubicin • PHI-101
5ms
Acrivon Therapeutics Announces FDA has Granted Breakthrough Device Designation for ACR-368 OncoSignature Assay for Ovarian Cancer (GlobeNewswire)
"Acrivon Therapeutics, Inc...announced the U.S. Food and Drug Administration (FDA) has granted Breakthrough Device designation for the ACR-368 OncoSignature assay, a multiplex immunofluorescence assay for the identification of ovarian cancer patients who may benefit from ACR-368 treatment. The designation reflects FDA’s determination that the device is reasonably expected to provide for more effective treatment or diagnosis of life-threatening or irreversibly debilitating human disease or conditions."
FDA event
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OncoSignature® Test
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prexasertib (ACR-368)
6ms
A Study of ACR-368 in Ovarian Carcinoma, Endometrial Adenocarcinoma, and Urothelial Carcinoma (clinicaltrials.gov)
P1/2, N=390, Recruiting, Acrivon Therapeutics | Phase classification: P1b/2 --> P1/2
Phase classification • Combination therapy • Pan tumor
|
gemcitabine • prexasertib (ACR-368)
6ms
Mitotic Dysregulation Sensitizes Malignant Stem Cells to CHK1 Inhibition in SF3B1-Mutant Myeloid Neoplasms (ASH 2023)
In conclusion, we developed a precise gene editing strategy of human HSCs to identify prexasertib as a promising therapy for SF3B1m myeloid neoplasms, and implicate the mitotic function of CHK1 as a SF3B1m sensitivity. The safety and toxicity profiles displayed in early phase clinical trials make prexasertib a suitable agent for further clinical investigation in SF3B1m MDS and its advanced stages.
IO biomarker
|
RUNX1 (RUNX Family Transcription Factor 1) • SF3B1 (Splicing Factor 3b Subunit 1) • CD38 (CD38 Molecule) • CD34 (CD34 molecule) • STAG2 (Stromal Antigen 2) • BUB1B (BUB1 Mitotic Checkpoint Serine/Threonine Kinase B) • CDC27 (Cell Division Cycle 27)
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RUNX1 mutation • SF3B1 mutation • SF3B1 K700E
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prexasertib (ACR-368)
7ms
A Study of the Drugs Prexasertib, Irinotecan, and Temozolomide in People With Desmoplastic Small Round Cell Tumor and Rhabdomyosarcoma (clinicaltrials.gov)
P1/2, N=21, Active, not recruiting, Memorial Sloan Kettering Cancer Center | Trial completion date: Sep 2023 --> Sep 2024 | Trial primary completion date: Sep 2023 --> Sep 2024
Trial completion date • Trial primary completion date • Combination therapy
|
temozolomide • irinotecan • prexasertib (ACR-368)
7ms
Immune perturbation network identifies an EMT subtype with chromosomal instability and tumor immune-desert microenvironment. (PubMed, iScience)
This subtype tended to metastasize and was resistant to respond to immunotherapy. Pharmacogenomics analysis showed three therapeutic agents (NVP-BEZ235, LY2606368, and rutin) were potential interventions for MNG-4.
Journal • Tumor mutational burden • IO biomarker
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TMB (Tumor Mutational Burden)
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TMB-L
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dactolisib (RTB101) • prexasertib (ACR-368)
8ms
ExIST: LY3023414 and Prexasertib in Metastatic Triple-negative Breast Cancer (clinicaltrials.gov)
P2, N=10, Completed, Baylor Research Institute | Active, not recruiting --> Completed | Trial completion date: Dec 2023 --> Nov 2022
Trial completion • Trial completion date • Metastases
|
ER (Estrogen receptor)
|
ER negative
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prexasertib (ACR-368) • samotolisib (LY3023414)
11ms
Chk2 Inhibitor for Recurrent EpitheliAl periToneal, fallopIan or oVarian cancEr (CREATIVE Phase IA Trial) (clinicaltrials.gov)
P1, N=36, Recruiting, Seoul National University Hospital | Trial completion date: Dec 2022 --> Dec 2023 | Trial primary completion date: Dec 2021 --> Dec 2023
Trial completion date • Trial primary completion date
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HRD (Homologous Recombination Deficiency)
|
HRD
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PHI-101
11ms
BLM overexpression as a predictive biomarker for CHK1 inhibitor response in PARP inhibitor-resistant BRCA-mutant ovarian cancer. (PubMed, Sci Transl Med)
Using high-throughput drug screens, we identified ataxia telangiectasia and rad3-related protein/checkpoint kinase 1 (CHK1) pathway inhibitors as cytotoxic and further validated the activity of the CHK1 inhibitor (CHK1i) prexasertib in PARPi-sensitive and -resistant BRCA-mutant HGSC cells and xenograft mouse models...BRCA reversion mutation in previously PARPi-treated BRCA-mutant patients was not associated with resistance to CHK1i. Our findings suggest that replication fork-related genes should be further evaluated as biomarkers for CHK1i sensitivity in patients with BRCA-mutant HGSC.
Journal • BRCA Biomarker • PARP Biomarker
|
CCNE1 (Cyclin E1) • BRCA (Breast cancer early onset) • ATR (Ataxia telangiectasia and Rad3-related protein) • BLM (BLM RecQ Like Helicase)
|
CCNE1 overexpression • BRCA mutation
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prexasertib (ACR-368)
11ms
Long noncoding RNA LINC00173 induces radioresistance in nasopharyngeal carcinoma via inhibiting CHK2/P53 pathway. (PubMed, Cancer Gene Ther)
Mechanistically, LINC00173 bound with checkpoint kinase 2 (CHK2) in nucleus, and impaired the irradiation-induced CHK2 phosphorylation, then suppressed the activation of P53 signalling pathway, which eventually inhibiting apoptosis and leading to radioresistance in NPC cells. In summary, LINC00173 decreases the occurrence of apoptosis through inhibiting the CHK2/P53 pathway, leads to NPC radioresistance and could be considered as a novel predictor and therapeutic target in NPC.
Journal
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CHEK2 (Checkpoint kinase 2) • LINC00173 (Long Intergenic Non-Protein Coding RNA 173)
1year
The role of innate immune system in modulating CHK1 inhibitor (CHK1i) response in BRCA wild-type (BRCAwt), platinum-resistant high-grade serous ovarian cancer (PR-HGSOC): Exploratory analysis from a phase II study of CHK1i prexasertib. (ASCO 2023)
Collectively, our data suggest the possible involvement of innate immunity in modulating CHK1i response. Increasing peripheral immunosuppressive cells and lower immunocompetence of the innate immune system may contribute to CHK1i resistance, whereas the functionality of DCs may be involved in the response. Enhancing innate immunity may represent a strategy to increase CHK1i response in this hard-to-treat population.
P2 data • BRCA Biomarker • PD(L)-1 Biomarker • IO biomarker
|
BRCA (Breast cancer early onset) • CD1C (CD1c Molecule)
|
BRCA wild-type
|
prexasertib (ACR-368)
1year
ExIST: LY3023414 and Prexasertib in Metastatic Triple-negative Breast Cancer (clinicaltrials.gov)
P2, N=10, Active, not recruiting, Baylor Research Institute | Trial completion date: Dec 2022 --> Dec 2023
Trial completion date • Metastases
|
ER (Estrogen receptor)
|
ER negative
|
prexasertib (ACR-368) • samotolisib (LY3023414)
1year
Constructing a novel mitochondrial-related gene signature for evaluating the tumor immune microenvironment and predicting survival in stomach adenocarcinoma. (PubMed, J Transl Med)
Our results suggest that the mitochondrial-related risk model could be a reliable prognostic biomarker for personalized treatment of STAD patients.
Journal • Tumor mutational burden • Gene Signature • IO biomarker
|
TMB (Tumor Mutational Burden) • NOX4 (NADPH Oxidase 4) • FKBP10 (FKBP Prolyl Isomerase 10)
|
dasatinib • methotrexate • mirdametinib (PD-0325901) • sirolimus • lestaurtinib (CEP-701) • AZD-7762
1year
Nanoengineered Gallium Ion Incorporated Formulation for Safe and Efficient Reversal of PARP Inhibition and Platinum Resistance in Ovarian Cancer. (PubMed, Research (Wash D C))
In addition, effective therapeutic responses to olaparib-Ga and cisplatin combination or olaparib-Ga and carboplatin combination were observed in SKOV3-cis tumor-bearing animal models. Altogether, the present findings demonstrate that olaparib-Ga has therapeutic implications in platinum-resistant OC cells, and the combination of olaparib-Ga with cisplatin or carboplatin may be promising for treating patients with OC who exhibit resistance to both PARPi and platinum.
Journal • PARP Biomarker
|
CHEK1 (Checkpoint kinase 1)
|
Lynparza (olaparib) • cisplatin • carboplatin
1year
Sulforaphane Potentiates Gemcitabine-Mediated Anti-Cancer Effects against Intrahepatic Cholangiocarcinoma by Inhibiting HDAC Activity. (PubMed, Cells)
Moreover, treatment with SFN inhibited CD34-positive neovascularization with decreased VEGF expression and GEM-induced EMT in iCCA-derived xenografted tumors. In conclusion, these results suggest that combination therapy with SFN with GEM is a potential novel option for iCCA treatment.
Journal
|
KDR (Kinase insert domain receptor) • HIF1A (Hypoxia inducible factor 1, alpha subunit) • CHEK2 (Checkpoint kinase 2) • CD34 (CD34 molecule) • CASP3 (Caspase 3) • CDC25C (Cell Division Cycle 25C) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • NOS3 (Nitric oxide synthase 3) • GNRP (Ras-Specific Guanine Nucleotide-Releasing Factor 1)
|
KDR expression • CD34 positive • HIF1A expression • VEGFA expression
|
gemcitabine
1year
Correlative biomarker analysis of the phase II study of prexasertib, a cell cycle checkpoint kinase 1 (CHK1) inhibitor, in BRCA wild-type (BRCAwt), platinum-resistant recurrent, high-grade serous ovarian cancer (PR-HGSOC) (AACR 2023)
CHK1i yields promising clinical benefit in BRCAwt, PR-HGSOC, hard-to-treat population. Our preliminary biomarker analyses suggest that tumoral upregulation of IGF1/insulin and DNA repair pathways as well as a systemic increase of immunosuppressive cells, e.g., M-MDSCs may negatively impact CHK1i response.
P2 data • BRCA Biomarker
|
BRCA (Breast cancer early onset) • IGF1 (Insulin-like growth factor 1) • IGF2BP3 (Insulin Like Growth Factor 2 MRNA Binding Protein 3) • SLC2A4 (Solute Carrier Family 2 Member 4)
|
BRCA wild-type
|
prexasertib (ACR-368)
1year
Bisphenol A exposure inhibits vascular smooth muscle cell responses: involvement of proliferation, migration, and invasion. (PubMed, Environ Toxicol Pharmacol)
Additionally, the phosphorylation of ERK, JNK, and p38 MAPK was suppressed when the cells were treated with their respective inhibitors (U0126, SP600125, and SB203580)...These data demonstrate that BPA interferes with the proliferation, migration, and invasion capacities of VSMCs. Therefore, our findings suggest that overexposure to BPA can lead to cardiovascular damage due to dysregulated VSMC responses.
Journal
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CHEK2 (Checkpoint kinase 2) • MMP9 (Matrix metallopeptidase 9) • CDC25C (Cell Division Cycle 25C) • CDK1 (Cyclin-dependent kinase 1) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • GNRP (Ras-Specific Guanine Nucleotide-Releasing Factor 1)
|
SP600125
1year
Baicalein Induces G/M Cell Cycle Arrest Associated with ROS Generation and CHK2 Activation in Highly Invasive Human Ovarian Cancer Cells. (PubMed, Molecules)
All the results suggest that baicalein has another novel growth inhibitory effect on highly invasive ovarian cancer cells, which is partly related to G/M cell cycle arrest through the ROS-mediated DNA breakage damage and CHK2 activation. Collectively, our findings provide a molecular basis for the potential of baicalein as an adjuvant therapeutic agent in the treatment of metastatic ovarian cancer.
Journal
|
CHEK2 (Checkpoint kinase 2)
over1year
DNA damage triggers squamous metaplasia in human lung and mammary cells via mitotic checkpoints. (PubMed, Cell Death Discov)
Here we show that human lung or mammary cells strikingly undergo SQM with polyploidisation when they are exposed to genotoxic or mitotic drugs, such as Doxorubicin or the cigarette carcinogen DMBA, Nocodazole, Taxol or inhibitors of Aurora-B kinase or Polo-like kinase. The results show that DNA damage has the potential to drive SQM via mitotic checkpoints, thus providing novel molecular candidate targets to tackle lung SCC. Our findings might also explain why SCC is frequent in the lung, but not in the mammary gland and why chemotherapy often causes complicating skin toxicity.
Journal
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CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1)
|
paclitaxel • doxorubicin hydrochloride
over1year
Fu Fang Gang Liu aqueous extract inhibits the proliferation of HeLa cells by causing deoxyribonucleic acid damage. (PubMed, J Ethnopharmacol)
FFGL can inhibit cervical cancer cell proliferation. Furthermore, it can increase CDK1 phosphorylation, block the cell cycle by causing DNA damage, and inhibit HeLa cell proliferation.
Journal
|
CHEK2 (Checkpoint kinase 2) • CDC25C (Cell Division Cycle 25C) • CDK1 (Cyclin-dependent kinase 1) • CCNB1 (Cyclin B1) • GNRP (Ras-Specific Guanine Nucleotide-Releasing Factor 1)
over1year
Discovery of a Novel Bloom's Syndrome Protein (BLM) Inhibitor Suppressing Growth and Metastasis of Prostate Cancer. (PubMed, Int J Mol Sci)
Cellular evaluation indicated that AO/854-suppressed tumor growth and metastasis in PC3 cells by enhancing DNA damage, phosphorylating Chk1/Chk2, and altering the p53 signaling pathway. Collectively, the study highlights the potential of BLM as a therapeutic target in PCa and reveals a distinct mechanism by which AO/854 competitively inhibits the function of BLM.
Journal
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CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1)
over1year
The CHK2 kinase is recurrently mutated and functionally impaired in the germline of pediatric cancer patients. (PubMed, Int J Cancer)
In conclusion, we detected germline CHEK2 variants in 7.7% of all pediatric cancer patients, of which a minority but still relevant fraction of approximately 20% had a profound impact on protein expression or its phosphorylation after irradiation-induced DNA damage. Accordingly, we conclude that CHEK2 variants increase the risk for not only adult-onset but also pediatric cancer.
Journal
|
CHEK2 (Checkpoint kinase 2)
over1year
Investigation of mRNA Expression Levels of Tip60 and Related DNA Repair Genes in Molecular Subtypes of Breast Cancer. (PubMed, Clin Breast Cancer)
In general, the decrease in the expression of DNA damage repair genes in tumor tissue indicates that these genes may have a role in the development of BC. Our study results also suggest that CHK2 may be a candidate marker in the molecular classification of breast cancer.
Journal • BRCA Biomarker
|
HER-2 (Human epidermal growth factor receptor 2) • BRCA1 (Breast cancer 1, early onset) • CHEK2 (Checkpoint kinase 2)
over1year
The miR-34a-5p-c-MYC-CHK1/CHK2 Axis Counteracts Cancer Stem Cell-Like Properties and Enhances Radiosensitivity in Hepatocellular Cancer Through Repression of the DNA Damage Response. (PubMed, Radiat Res)
Repression of the miR-34a-5p-c-MYC-CHK1/CHK2 axis contributes to the acquisition of radioresistance in HCC cells. In summary, the miR-34a-5p-c-MYC-CHK1/CHK2 axis counteracts cancer stem cell-like properties and enhances radiosensitivity in hepatocellular cancer through repression of the DNA damage response.
Journal
|
MYC (V-myc avian myelocytomatosis viral oncogene homolog) • CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1) • MIR34A (MicroRNA 34a-5p)
|
MYC overexpression • miR-34a overexpression • miR-34a underexpression
over1year
Nanoparticle-Mediated PRDX2 Inhibition for Specific Targeting of CHK2-Null Colorectal Cancer. (PubMed, ACS Biomater Sci Eng)
In the form of an NCA-chitosan nanoformulation, the efficacy was enhanced by about 8 times compared to free form of NCA towards selective killing of CHK2-null HCT116 cells as compared to HCT116 cells. The chitosan-based nanoformulation for NCA was developed to augment the efficacy of the NCA for enhanced cell death of colorectal cancer cells having CHK2 defects.
Journal
|
CHEK2 (Checkpoint kinase 2) • PRDX2 (Peroxiredoxin 2)
over1year
p53 triggers mitochondrial apoptosis following DNA damage-dependent replication stress by the hepatotoxin methyleugenol. (PubMed, Cell Death Dis)
We finally demonstrated the crucial role of p53 for OH-ME triggered cell death as evidenced by reduced pro-apoptotic gene expression, strongly attenuated Bax activation and cell death inhibition upon genetic knockdown or pharmacological inhibition of p53. Taken together, our study demonstrates for the first time that ME-derived DNA damage causes replication stress and triggers mitochondrial apoptosis via the p53-Bax pathway.
Journal
|
CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1) • BAX (BCL2-associated X protein) • CASP3 (Caspase 3) • CASP9 (Caspase 9) • SULT1A1 (Sulfotransferase Family 1A Member 1)
|
TP53 wild-type • BAX expression
over1year
Glutathione-sensitive nanoparticles enhance the combined therapeutic effect of checkpoint kinase 1 inhibitor and cisplatin in prostate cancer. (PubMed, APL Bioeng)
Furthermore, we show that the glutathione-targeted Cys8E nanoparticles we synthesized, which have high drug-loading capacity, remarkable stability, and satisfactory release efficiency, enhanced the therapeutic efficacy of this treatment and reduced the required dosages of these drugs both in vitro and in vivo. Overall, we propose combination therapy of cisplatin and AZD7762 for PCa and facilitate it using Cys8E nanoparticles, which allow for better drug loading release, higher release efficiency, and more accurate tumor-targeting efficacy.
Journal
|
CHEK1 (Checkpoint kinase 1)
|
cisplatin • AZD-7762
over1year
Teloxantron inhibits the processivity of telomerase with preferential DNA damage on telomeres. (PubMed, Cell Death Dis)
Additionally, the compounds induced apoptotic cell death through extrinsic and intrinsic pathways in lung cancer cells. Taken together, our study demonstrated that anthraquinone derivatives can be further developed into novel telomerase-related anticancer agents.
Journal
|
TERT (Telomerase Reverse Transcriptase) • CHEK2 (Checkpoint kinase 2) • CHEK1 (Checkpoint kinase 1)