DNA-PK, the DNA-dependent protein kinase, is a validated target for cancer therapeutics that drives the DNA damage response and plays a critical role in the non-homologous end joining (NHEJ) DNA repair pathway. NHEJ is responsible for the repair of DNA double strand breaks (DSB), particularly those induced by ionizing radiation (IR). The generation of DNA DSBs is the mechanism of clinical efficacy of radiation therapy and numerous DNA damaging chemotherapeutic drugs used to treat cancer. Modulating the pathway responsible for repairing these breaks has been shown to have a profound impact on the efficacy of IR or chemotherapy in the clinic. We have taken a completely unique and novel approach to inhibiting DNA-PK that is based on our extensive knowledge about how the kinase is activated and affords considerable advantages to current approaches in DNA-PK inhibition. In the NHEJ pathway, the prerequisite event for all subsequent steps is the binding of the Ku70/80 heterodimer to DNA ends, and the Ku heterodimer is the key DNA-binding component of the catalytic subunit of DNA-PK. As DNA-PKcs requires Ku to first bind the DNA terminus of the DSB, which then recruits and activates the kinase, we have targeted this Ku-DNA interaction as a novel mechanism to inhibit DNA-PK. We have discovered and developed a series of highly potent and selective DNA-PK inhibitors that act via disrupting the binding of Ku to DNA. The lead compound from this series of molecules inhibits DNA-PK catalytic activity at sub-micromolar concentrations, has single-agent anti-cancer activity in cancer cell lines, and potentiates cellular sensitivity to IR treatment. We propose two specific aims that expand upon our identified DNA-PK inhibitors and advance the development of these molecules for use as anti-cancer therapeutics and to increase the efficacy of radiation and chemotherapy.
Public Health Relevance Statement: Health Relevance The research described in this application has direct relevance to human health in that we are proposing the development of novel agents to be used with ionizing radiation in the treatment of human cancer.
Project Terms: Active Sites; Advanced Development; Adverse effects; anti-cancer therapeutic; Antineoplastic Agents; base; Binding; cancer cell; Cancer cell line; cancer therapy; Catalytic Domain; Cell Death; Cell Line; chemotherapy; Chemotherapy-Oncologic Procedure; Clinic; Clinical; clinical efficacy; Clinical Trials; Complex; Data; Development; DNA; DNA Binding; DNA Damage; DNA Double Strand Break; DNA Repair; DNA Repair Pathway; DNA-dependent protein kinase; DNA-PKcs; Dose; Drug Sensitization; Drug usage; Event; experimental study; G22P1 gene; Generations; Health; Human; inhibitor/antagonist; Ionizing radiation; kinase inhibitor; Knowledge; Lead; Left; Malignant Neoplasms; Measures; mimetics; Modality; Modeling; Molecular; Nonhomologous DNA End Joining; Normal tissue morphology; novel; novel strategies; Outcome; Pathway interactions; Phase; Phosphotransferases; Play; Radiation; Radiation therapy; Radiation-Sensitizing Agents; Radiosensitization; radiosensitizing; Recruitment Activity; repaired; Research; response; Role; Safety; Series; Specificity; Therapeutic; Therapeutic Effect; tissue culture; Toxic effect; Treatment Efficacy; tumor
