Notes
Slide Show
Outline
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Cancer Strategy: Women’s Cancer, Prostate Cancer




Novel Targets for Cancer Therapy:
Focus on Resistance
  • RCCoombes
  • Head, Dept Oncology
  • Director, CRUK Laboratories,
  • Theme Leader, Cancer,
  • Imperial College
  • London
  • c.coombes@ic.ac.uk.
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IES : Sequential Use of Endocrine Therapy
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Cumulative Hazard Rate - OS
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Estrogen Receptor-a Phosphorylation Sites
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[11C]choline

  •      CH3


  • CH3---N+---CH2---CH2---OH


  •        11 CH3


  • [11C]choline                                                                   [11C]-phosphocholine




  •    [11C] betaine (liver, kidneys)
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[11C]choline-PET image of breast cancer
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Choline activity normalised to proliferation (Kicho/AUCFLT)
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ERα Serine 118 Phosphorylation
in Breast Cancer
  • Mediated by MAPKinase, Cdk7, ?GSK3β
  • Mutation markedly impairs function
  • Correlates with p-MAPK, p-p90RSK
  • Increased in some patients becoming resistant to tamoxifen
  • Reduced by inhibition of EGFR in the some, but not all,  responders
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Phosphorylation of Serine 118
is Mediated by MAPK and Cdk7
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Cyclin-dependent kinase Cdk7 Stimulates ERa Activity
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Is Cdk7 responsible for ER Phosphorylation via the residual estrogen following AI’s?
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Collaboration with Chemistry
Imperial Collge
  • Medicinal chemistry PhD programme
  • Small molecule programme grant
  • CADD facility


  • Structural programme and bio-informatics
  • Probe programme for PET
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Inhibitors in CDK7
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BS181 Characteristics
  •                                          CDK7           CDK2
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FoxM
  • Regulates G1-S and G2M transition
  • Cytoplasmic during G1-S
  • Activated by MAPKinase phosphorylation and this results in nuclear translocation  during G2M
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"FoxM1 is a physiological regulator..."
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Hypothesis
  • Tamoxifen resistance accompanied by increased MAPKinase
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Gamma Secretase as a Potential Mediator of Resistance
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-GS Activity Increases with Inhibition of MapKinase-
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Target Identification in Prostate,
Ovarian, Lung cancer
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Drug development to reverse platinum resistance: Ovarian Cancer
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"Thanks to"