"We observed broad efficacy against a range of cancer cell lines with very low concentrations of 6-thiodG, as well as tumor burden shrinkage in mice," said Dr. Shay, Associate Director of the Harold C. Simmons Comprehensive Cancer Center.
Dr. Shay and Dr. Wright, who hold The Southland Financial Corporation Distinguished Chair in Geriatrics, are co-senior authors of the paper appearing in the journal Cancer Discovery.
6-thiodG acts by targeting a unique mechanism that is thought to regulate how long cells can stay alive, a type of aging clock. This biological clock is defined by DNA structures known as telomeres, which cap the ends of the cell's chromosomes to protect them from damage, and which become shorter every time the cell divides. Once telomeres have shortened to a critical length, the cell can no longer divide and dies though a process known as apoptosis.
Cancer cells are protected from this death by an RNA protein complex called telomerase, which ensures that telomeres do not shorten with every division. Telomerase has therefore been the subject of intense research as a target for cancer therapy. Drugs that successfully block its action have been developed, but these drugs have to be administered for long periods of time to successfully trigger cell death and shrink tumors, leading to considerable toxicities. This outcome is partially because cells in any one tumor have chromosomes with different telomere lengths and any one cell's telomeres must be critically shortened to induce death.
6-thiodG is preferentially used as a substrate by telomerase and disrupts the normal way cells maintain telomere length. Because 6-thiodG is not normally used in telomeres, the presence of the compound acts as an 'alarm' signal that is recognized by the cell as damage. As a result, the cell stops dividing and dies.
Telomerase is an almost universal oncology target, yet there are few telomerase-directed therapies in human clinical trials, researchers noted.
"Using telomerase to incorporate toxic products into telomeres is remarkably encouraging at this point," said Dr. Wright.
Importantly, unlike many other telomerase-inhibiting compounds, the researchers did not observe serious side effects in the blood, liver and kidneys of the mice that were treated with 6-thiodG.
"Since telomerase is expressed in almost all human cancers, this work represents a potentially innovative approach to targeting telomerase-expressing cancer cells with minimal side effects on normal cells," said Dr. Shay. "We believe this small molecule will address an unmet cancer need in an underexplored area that will be rapidly applicable to the clinic."
UT Southwestern researchers collaborated with researchers in the Department of Biochemistry at Hacettepe University in Ankara, Turkey, including Ilgen Mender, Visiting Junior Researcher at UT Southwestern, and Zeliha Dikmen; and Dr. Sergei Gryaznov, Chief Technology Officer with AuraSense Therapeutics.
The work is supported by a SPORE (Specialized Program of Research Excellence) grant from the National Cancer Institute, the Harold C. Simmons Comprehensive Cancer Center, and the Southland Financial Corporation Distinguished Chair in Geriatric Research.