Precision Targeting of BFL-1/A1 and an ATM Co-dependency in Human Cancer.
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| Abstract | Cancer cells overexpress a diversity of anti-apoptotic BCL-2 family proteins, such as BCL-2, MCL-1, and BFL-1/A1, to enforce cellular immortality. Thus, intensive drug development efforts have focused on targeting this class of oncogenic proteins to overcome treatment resistance. Whereas a selective BCL-2 inhibitor has been FDA approved and several small molecule inhibitors of MCL-1 have recently entered phase I clinical testing, BFL-1/A1 remains undrugged. Here, we developed a series of stapled peptide design principles to engineer a functionally selective and cell-permeable BFL-1/A1 inhibitor that is specifically cytotoxic to BFL-1/A1-dependent human cancer cells. Because cancers harbor a diversity of resistance mechanisms and typically require multi-agent treatment, we further investigated BFL-1/A1 co-dependencies by mining a genome-scale CRISPR-Cas9 screen. We identified ataxia-telangiectasia-mutated (ATM) kinase as a BFL-1/A1 co-dependency in acute myeloid leukemia (AML), which informed the validation of BFL-1/A1 and ATM inhibitor co-treatment as a synergistic approach to subverting apoptotic resistance in cancer. |
| Year of Publication | 2018
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| Journal | Cell Rep
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| Volume | 24
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| Issue | 13
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| Pages | 3393-3403.e5
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| Date Published | 2018 09 25
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| ISSN | 2211-1247
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| DOI | 10.1016/j.celrep.2018.08.089
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| PubMed ID | 30257201
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| PubMed Central ID | PMC6365304
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| Grant list | F31 CA210592 / CA / NCI NIH HHS / United States
T32 CA136432 / CA / NCI NIH HHS / United States
R21 CA209358 / CA / NCI NIH HHS / United States
R35 CA210030 / CA / NCI NIH HHS / United States
R35 CA197583 / CA / NCI NIH HHS / United States
R50 CA211399 / CA / NCI NIH HHS / United States
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