Targeting the AAA ATPase p97 as an Approach to Treat Cancer through Disruption of Protein Homeostasis

Cancer Cell. 2015 Nov 9;28(5):653-665. doi: 10.1016/j.ccell.2015.10.002.

Abstract

p97 is a AAA-ATPase with multiple cellular functions, one of which is critical regulation of protein homeostasis pathways. We describe the characterization of CB-5083, a potent, selective, and orally bioavailable inhibitor of p97. Treatment of tumor cells with CB-5083 leads to accumulation of poly-ubiquitinated proteins, retention of endoplasmic reticulum-associated degradation (ERAD) substrates, and generation of irresolvable proteotoxic stress, leading to activation of the apoptotic arm of the unfolded protein response. In xenograft models, CB-5083 causes modulation of key p97-related pathways, induces apoptosis, and has antitumor activity in a broad range of both hematological and solid tumor models. Molecular determinants of CB-5083 activity include expression of genes in the ERAD pathway, providing a potential strategy for patient selection.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphatases / antagonists & inhibitors*
  • Adenosine Triphosphatases / genetics
  • Adenosine Triphosphatases / metabolism
  • Animals
  • Apoptosis / drug effects
  • Blotting, Western
  • CRISPR-Cas Systems
  • Cell Line, Tumor
  • Endoplasmic Reticulum-Associated Degradation / drug effects
  • Enzyme Inhibitors / chemistry
  • Enzyme Inhibitors / pharmacology*
  • Gene Expression Regulation, Neoplastic / drug effects
  • HCT116 Cells
  • HEK293 Cells
  • Homeostasis / drug effects*
  • Humans
  • Indoles / chemistry
  • Indoles / pharmacology
  • K562 Cells
  • Mice, Nude
  • Mice, SCID
  • Molecular Structure
  • Molecular Targeted Therapy / methods
  • Neoplasms / drug therapy*
  • Neoplasms / genetics
  • Neoplasms / metabolism
  • Nuclear Proteins / antagonists & inhibitors*
  • Nuclear Proteins / genetics
  • Nuclear Proteins / metabolism
  • Pyrimidines / chemistry
  • Pyrimidines / pharmacology
  • RNA Interference
  • Reverse Transcriptase Polymerase Chain Reaction
  • Ubiquitinated Proteins / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • CB-5083
  • Enzyme Inhibitors
  • Indoles
  • Nuclear Proteins
  • Pyrimidines
  • Ubiquitinated Proteins
  • Adenosine Triphosphatases
  • p97 ATPase

Associated data

  • GEO/GSE73588