Novel agents targeting the apoptosis pathway

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Novel agents targeting the apoptosis pathway Aaron D. Schimmer MD, PhD, FRCPC Princess Margaret Hospital Toronto, Canada

description

Novel agents targeting the apoptosis pathway. Aaron D. Schimmer MD, PhD, FRCPC Princess Margaret Hospital Toronto, Canada. Cancer is an Elephant. Cancer is a defect In apoptosis. Therapy. Biology. Apoptosis. Survival. Survival. Survival. Survival. Death. Death. Death. Death. - PowerPoint PPT Presentation

Transcript of Novel agents targeting the apoptosis pathway

Page 1: Novel agents targeting the apoptosis pathway

Novel agents targeting the apoptosis pathway

Aaron D. Schimmer MD, PhD, FRCPCPrincess Margaret HospitalToronto, Canada

Page 2: Novel agents targeting the apoptosis pathway

Cancer is an Elephant

Cancer is a defectIn apoptosis

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Therapy Biology

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Apoptosis

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Ask1Ask1

FADD ApafApaf --11Casp -9Casp -9

Casp -3Casp -3

Casp -7Casp -7Casp -6Casp -6

BADBADCasp -8

AktAkt

Cyt-c

p53

Death SubstratesDeath SubstratesICAD/DFF; PARP; ICAD/DFF; PARP; GelsolvinGelsolvin , etc., etc.

IAPsIAPs

BAXBcl -2

Bcl -XLBfl-1

PUMA NOXA

NF-kB

IkB

IKK

PI3K

FasFas --L geneL gene

FKHDFKHD

Nur77(TR3)

FasDR5

NF-kB

FlipPTEN

DeathDeathReceptorsReceptors

SurvivalSurvivalReceptorsReceptors

Reed JC, NDDR, 2002

Ask1Ask1

FADD ApafApaf --11Casp -9Casp -9

Casp -3Casp -3

Casp -7Casp -7Casp -6Casp -6

BADBADCasp -8

AktAkt

Cyt -c

p53

Death SubstratesDeath SubstratesICAD/DFF; PARP; ICAD/DFF; PARP; GelsolvinGelsolvin , etc., etc.

IAPsIAPs

BAXBcl -2

Bcl -XLBfl -1

PUMA NOXA

NF-B

IB

IKK

PI3K

FasFas -- L geneL gene

FKHDFKHD

Nur77(TR3)

FasDR5

NF-B

FlipPTEN

DeathDeathReceptorsReceptors

SurvivalSurvivalReceptorsReceptors

Reed JC, NDDR, 2002

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MitochondriaMitochondria

CytochromeCytochrome--CC

Caspase-9Caspase-

3

Caspase-8

Fadd/ mort1

FAS/TRAIL

+Apaf-

1

Mitochondrial –Mediated (Intrinsic Pathway)

Receptor Mediated (Extrinsic Pathway)

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MitochondriaMitochondria

CytochromeCytochrome--CC

Caspase-9Caspase-

3

Caspase-8

Fadd/ mort1

FAS/TRAIL

Granzyme BGranzyme B

+Apaf-

1

Mitochondrial –Mediated (Intrinsic Pathway)

Receptor Mediated (Extrinsic Pathway)

FLIP

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MitochondriaMitochondria

CytochromeCytochrome--CC

Caspase-9Caspase-

3

Caspase-8

Fadd/ mort1

FAS/TRAIL

Granzyme BGranzyme B

+Apaf-

1

Mitochondrial –Mediated (Intrinsic Pathway)

Receptor Mediated (Extrinsic Pathway)

XIAP

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? Casp –3/7inhibition

Ubiquitination

BIR 1BIR 1 RING BIR 2BIR 2 BIR 3BIR 3

Casp –9inhibition

XIAP structure –functionXIAP structure –function

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MitochondriaMitochondria

CytochromeCytochrome--CC

Caspase-9Caspase-

3

Caspase-8

Fadd/ mort1

FAS/TRAIL

Granzyme BGranzyme B

+Apaf-

1

Mitochondrial –Mediated (Intrinsic Pathway)

Receptor Mediated (Extrinsic Pathway)

Bcl-2

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MitochondriaMitochondria

CytochromeCytochrome--CC

Caspase-9Caspase-

3

Caspase-8

Fadd/ mort1

FAS/TRAIL

Granzyme BGranzyme B

+Apaf-

1

Mitochondrial –Mediated (Intrinsic Pathway)

Receptor Mediated (Extrinsic Pathway)

XIAP

FLIP

Bcl-2

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Bcl-2: apoptosis and cell Bcl-2: apoptosis and cell cyclecycle

MitochondriaMitochondria

Cyto-cCyto-c

Bcl-2Bcl-2

Bax

M

S

G1 G2

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Strategies to inhibit Bcl-2

Antisense Oligonucleotides

ChemicalBcl-2 Inhibitors

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Bcl-2 ProteinBcl-2 Protein

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Bcl-2 ProteinBcl-2 Protein(with BH3 Peptide)(with BH3 Peptide)