New VHL Regulatory Pathways and Therapeutic Implications in ccRCC - - PowerPoint PPT Presentation

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New VHL Regulatory Pathways and Therapeutic Implications in ccRCC - - PowerPoint PPT Presentation

14 th International VHL Medical/Research Symposium New VHL Regulatory Pathways and Therapeutic Implications in ccRCC Qing Zhang, Ph.D Associate Professor, Dept. Pathology UT Southwestern Medical Center 10/29/2020 Somatic Mutation of clear


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New VHL Regulatory Pathways and Therapeutic Implications in ccRCC

Qing Zhang, Ph.D Associate Professor, Dept. Pathology UT Southwestern Medical Center 10/29/2020

14th International VHL Medical/Research Symposium

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Somatic Mutation of clear cell Renal Cell Carcinoma (ccRCC)

(Sato Y. et al., Nat Genet, 2013)

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Choueiri TK and Kaelin WG., Nature Medicine, 2020

Target Therapies in Kidney Cancer

William Kaelin Toni Choueiri

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Targeting VEGFR/PDGFR in Kidney Cancer

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“...we are ignoring other aspects of ccRCC that may need to be targeted to achieve maximal therapeutic efficacy....”

Linehan WM et al., Nature Reviews Clinical Oncology 10, 614–615, (2013)

Can we identify additional therapeutic avenues in ccRCC regulated by VHL? How?

  • W. Marston Linehan (NCI)

Berton Zbar (NCI)

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VHL and P-OH HIF1α-564 Binding

Based on the work from Kaelin, Ratcliffe and Pavletich

Hydroxylation of HIF1α on proline residue 564 (p-OH HIF) primes its binding with VHL ubiquitin E3 ligase complex (including pVHL, Elogin B and C, VBC)

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~17,000 cDNA ORF bacterial stock 24 unique cDNA/pool, 700 pools 96 well plate, 8 plates

35S Methionine

In Vitro Translated Proteins Mini-Preps

A Genome-Wide In Vitro Expression Cloning Strategy

Marc Kirschner, HMS William Kaelin, DFCI

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35S Labeled Proteins

700 pools (24 genes/pool) GST-VHL complex

x

P-OH HIF Peptide WT HIF Peptide

x

IVT GST-VHL complex WT P-OH

Run SDS-PAGE & autoradiography De-convolution Individual binding assay Identification of novel VHL substrates

Screening Strategy for Potential VHL Substrates

ZHX2 SFMBT1

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Zhang J et al., Science, 2018, PMID 30026228

Zinc fingers and homoboxes protein 2 (ZHX2)

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Scm-Like With Four Malignant Brain Tumor Domains Protein 1 (SFMBT1)

Nady N et al., Journal of Molecular Biology, 2012

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VHL Regulates SFMBT1 Protein Levels

11/2/2020 13

Xijuan Liu, Ph.D

Mol Cell , Feb 4th, 2020

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SFMBT1 Depletion Leads to Decreased ccRCC Cell Growth

11/2/2020 14

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SFMBT1 Depletion Leads to Decreased ccRCC Tumor Growth

11/2/2020 15

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VHL mutant ccRCC Tumors Displays Upregulated SFMBT1 Protein Levels

Missense VHL mutant

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Integrated Analyses for SFMBT1 Regulated Events in ccRCC

Jeremy Simon Chris Fan

SPHK1

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SPHK1 is an SFMBT1 Direct Target Gene in ccRCC

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11/2/2020 19

SPHK1 is a Key SFMBT1 Downstream Target Gene in ccRCC

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11/2/2020 20

SPHK1 Inhibitor Represses ccRCC Cell Proliferation

PF-543: SPHK1 inhibitor

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SPHK1 Inhibitor Represses ccRCC Tumorigenesis

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Summary 1: VHL-SFMBT1-SPHK1 Signaling Drives Oncogenesis in ccRCC

Mol Cell, 2020, PMID 32023483

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How to Target ccRCC that are Mostly VHL Null

  • 1. Target VHL regulated pathways, such as HIF2α, ZHX2 and SFMBT1

Challenge: It is difficult to target transcriptional factors Not all of ccRCC cell lines respond to HIF2α inhibitors (~50%)

  • 2. Target synthetic lethality pathways for VHL loss
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Synthetic Lethality Targeting in Cancer

Brunen D and Bernards R., Nature Reviews Clinical Oncology 2017

VHL TBK1

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TBK1 in Innate Immunity

Liu s et al., Science, 2015

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TBK1 May be a Synthetic Lethality Partner for VHL Loss in ccRCC

Lianxin Hu, Ph.D

Cancer Discovery, 2020, PMID: 31810986

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TBK1 VHL WT

  • r Normoxia

TBK1

OH

P

VHL

P

EglN1

A

TBK1

TBK1 P

OH

PPM1B

P

VHL Loss/Hypoxia Activates TBK1 Oncogenic Signaling in ccRCC

VHL Loss TBK1

P

TBK1

P

TBK1

OH

P

Hypoxia TBK1

P

TBK1

OH

P

EglN1 EglN1 VHL

PPM1B

B

Tumorigenesis

℗-p62

Cancer Discovery, 2020, PMID: 31810986

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11/2/2020 28

ccRCC Tumors Display Higher TBK1 Activity Compared to Paired Normals

Normal Tumor TBK1 pTBK1 Patient #1 Normal Tumor Patient #2

P=0.0016 P=0.0062 P=0.0062

TMA1 TMA2

Collaboration with Kan Gong, Peking University

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TBK1 Depletion Leads to Decreased ccRCC Tumor Growth and Metastasis

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DMSO CMPD1

0.0 0.5 1.0 1.5

Ev VHL

**

Fold change

TBK1 Inhibitor Selectively Suppresses VHL Null Cancer Cells

EV VHL UMRC6

Jenkins, R. W. et al., Cancer Discov 8 (2018).

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TBK1 PROTACs Selectively Suppresses VHL Null ccRCC Cell Growth

Frances Potjewyd, Ph.D Lindsey James, Ph.D

DMSO UNC6587

0.0 0.5 1.0 1.5 2.0

Ev VHL

**

Fold change

Cereblon

DMSO UNC6587 EV VHL UMRC6 DMSO UNC6587

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Summary II and Overall Future Directions

  • 1. VHL Null cells are sensitive to TBK1 depletion/inhibition
  • 2. VHL loss leads to hyper-activation of TBK1
  • 3. ccRCC patients display increased TBK1 phosphorylation
  • 4. TBK1 is essential for ccRCC tumorigenesis by phosphorylating p62 on Ser366

Study SFMBT1 signaling axis and its therapeutic implication in ccRCC Study the role of TBK1 on tumor and tumor microenvironment in ccRCC Potential combination therapies in kidney cancer

Future Directions

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Acknowledgement

Jing Zhang (former) Lianxin Hu Giada Zurlo Chengheng Liao Xijuan Liu (UNC) Kai Hong (former) Jin Zhou Haibiao Xie Weilong Chen Hongwei Yao

Lab Members UNC-Chapel Hill

Al Baldwin Cheng Fan Chuck M. Perou Jeremy Simon William Kim Xian Chen Lindsey James Frances Potjewyd R01 CA211732

Harvard Medical School

William Kaelin Marc Kirschner University of Edinburgh Alex Von Kriegsheim

UTSW

James Brugarolas Weibo Luo Payal Kapur Rolf Brekken Peking University Kan Gong