Pandolfi, Pier Paolo, M.D., Ph.D.
CA84292- The APL Paradigm for Aberrant Transcription, Cancer and Therapy
Acute Promyelocytic Leukemia (APL) has become a paradigm for the study of
cancer pathogenesis and cancer therapy for its distinctive features: i) a distinct block of differentiation at the promyelocytic stage of myeloid
hemopoiesis; ii) the invariable association with specific translocations
which always involve a prototypical transcription factor such as the
Retinoic Acid Receptor alpha (RARcQ; iii) the exquisite sensitivity of
APL blasts to the differentiating action of Retinoic Acid (RA) and
Arsenicals. Furthermore, our more recent analysis of the aberrant transcriptional mechanisms underlying APL pathogenesis has led us to
investigate the efficacy, in this leukemia and other cancers, of chromatin remodeling drugs such as Histone Deacetylase Inhibitors (HDACIs).
Here we propose to define genetically, in vivo, through the use,
generation and validation of several mouse models of APL, how aberrant transcriptional activity and inappropriate chromatin remodeling can lead
to cancer and resistance to therapy. We will test whether the
pharmacological interference with these altered transcriptional
processes can be exploited for cancer treatment and prevention by testing
in these mouse models of APL the clinical efficacy of HDACIs also in
combination with other anti-neoplastic agents. Furthermore, we will
generate and validate additional murine models of leukemia and lymphoma
caused by aberrant chromatin remodeling and transcription, and test the
efficacy of this new category of anti-tumoral agents in these new cancer
models. HDACIs and/or anti-neoplastic drug combinations will also be
tested as broad anti-neoplastic and/or chemopreventive agents in solid
tumor mouse models such as our recently generated Pten mice and p53 mice.
We also propose to synthesize new HDACIs, which we will design through a
crystal structure/function analysis of the various mammalian HDACs and
HDAC complexes. The clinical relevance of these new and more specific
HDACIs will subsequently be tested in our mouse models of cancer.
Furthermore, we propose to identify the pre-programmed set of genes whose
transcriptional modulation induces cell-cycle arrest, apoptosis and
cellular differentiation in response to HDACIs and/or RA using two
methods: 1) immunoselection of target genes by chromatin
immunoprecipitation (ChIP assay) of a) acetylated histones and b) RARo and
X-RARo oncoproteins; and 2) differential expression of RNA using DNA
arrays. These genes might constitute new "markers of response" to HDACIs/
RA treatment, new target genes for further therapeutic intervention, and
will define the mechanisms underlying the anti-tumoral action of these
drugs.
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