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White Papers:

An Update on Radio-Immunotherapy
Roger Macklis, M.D., Vipul Thakkar, M.D., and Damodar Gupta, Ph.D.

How to make dendritic cells work in cancer
Michael R. Shurin, Gurkamal S. Chatta. 

 

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Back-to-Back with Cancer Immunotherapeuitcs Conference

Day 2


September 21

7:15 Morning Coffee

7:55 Chairperson's Remarks
Dr. William Westlin, Vice President, Preclinical Research, Praecis Pharmaceuticals, Inc.

Anti – Angiogenesis

8:00 New Tumor Vascular Drug Targets from Human Tumor Endothelial Cells: Discovery and Validation
Dr. Rebecca Bagley, Staff Scientist II, Genzyme Corp
Through serial analysis of gene expression methodology of endothelial cells isolated from fresh samples of human tumor and normal tissues less than 24 hrs from the patient, new therapeutic targets have been identified. By examining the gene highly expressed in tumor endothelial cells from several tumor types compared to normal endothelial cells from the corresponding tissues, it has been possible to determine a small cohort of therapeutic targets that are very selectively expressed by the endothelium of malignant tissue. Interestingly, the cell-types classically used in the study of angiogenesis do not express these targets or express them at very low levels. Therefore, cells that better model tumor endothelium were identified for use in functional assays. While some of these targets are suitable for small molecule drug discovery, others of the targets were more suitable for monoclonal antibody therapeutics. In vivo efficacy testing in syngeneic tumor models and human tumor xenografts demonstrate that targets identified by this method can lead to potentially useful therapeutics.

8:25 Inhibitors of Methionine Aminopeptidase-2 in the Treatment of Non-Hodgkin's Lymphoma
Dr. William Westlin, Vice President, Preclinical Research, Praecis Pharmaceuticals, Inc.
Methionine aminopeptidase-2 (MetAP2) is an important regulator of cell proliferation in tumor cells and highly proliferative endothelial cells participating in the angiogenic process. MetAP2 is highly expressed in human germinal center B cells and their neoplastic counterparts, non-Hodgkin's lymphoma (NHL) cells such as Diffuse Large B Cell Lymphomas and Follicular Lymphomas. PPI-2458 is a selective and irreversible inhibitor of MetAP2 that has been demonstrated to reduce the formation of germinal centers in lymphoid tissues in vivo and has direct anti-proliferative activity on NHL cells in vitro and in vivo. The anti-tumor activity of PPI-2458 was dose-dependent in these models and is directly correlated with the level of molecular target MetAP2 enzyme inhibition in tumor tissues as determined by a sensitive pharmacodynamic assay. This molecularly targeted therapy is currently undergoing clinical evaluation for the treatment of NHL and advanced solid tumor indications.

HDAC

8:50 Novel Histone Deacetylase Inhibitors: Differential Effects on Protein Acetylation and HDAC Enzyme Selectivity 
Dr. Keith Glaser, Group Leader, Cancer Research, Abbott Laboratories
Histone deacetylase (HDAC) inhibitors induce the hyperacetylation of nucleosomal histones in carcinoma cells resulting in the expression of repressed genes that cause growth arrest, terminal differentiation and/or apoptosis. We have studied the in vitro selectivity of several novel hydroxamate HDAC inhibitors including succinimide macrocyclic hydroxamates and the non-hydroxamate a-ketoamide inhibitors using isolated enzyme preparations (HDAC1 /2, 3, 4/3, and 6) and did not observe HDAC enzyme selectivity for these HDAC inhibitors or the reference HDAC inhibitors, MS-275 and SAHA. In cellular assays these compounds cause the accumulation of acetylated histones H3 and H4; however, the succinimide macrocyclic hydroxamates and the a-ketoamides did not cause the accumulation of acetylated a-tubulin, similar to results with MS-275. This observation matches our previous findings where MS-275 was found to have a different gene expression profile compared to hydroxamate-based HDAC inhibitors. These data suggest "selectivity" can be observed at the cellular level with HDAC inhibitors and that the nature of the zinc-chelating moiety is an important determinant of activity against tubulin deacetylase and gene expression in response to that HDAC inhibitor.

9:15 Epigenetic Silencing of Tumor Suppressor Genes through Aberrant Acetylation of Associated Histones Plays an Important Role in the Etiology of Cancer
Dr. Jeffrey M. Besterman, Senior VP, R&D, MethylGene Inc.
Targeting histone deacetylases (HDACs) is a new approach in human cancer therapy. Several HDAC inhibitors have been advanced into human clinical trials including MGCD0103. We rationally designed MGCD0103, a non-hydroxamate small molecule HDAC inhibitor, as a novel anti-cancer therapeutic. MGCD0103 selectively targets certain specific class I HDAC isoforms at submicromolar IC50s in vitro and induces hyperacetylation of histones in vivo
Comparing MGCD0103 with other HDAC inhibitors in clinical development by cDNA array analysis indicates that MGCD0103 regulates transcription of a smaller set of genes, reflecting the isotype inhibitory specificity of MGCD0103 compared to the pan-inhibitory character of other HDAC inhibitors. In vivo, MGCD0103 significantly inhibits growth of human tumors in various xenograft models in nude mice in a dose-dependent manner with minimal toxicity. Phase I clinical trial results for MGCD0103 will be presented.

9:40 Poster Snapshots
Several poster presenters will be given the opportunity to present a brief oral presentation of their work. The presentations will be selected from all abstracts submitted prior to the deadline on August 29. 

10:00 Coffee Break, Poster  Viewing

Signal Transduction

11:00 Inhibition of IGF-1R Signaling and Tumor Cell Proliferation by a Fully Human Neutralizing anti-IGF-1R Antibody
Dr. Yan Wang, Principal Scientist, Department: Oncology, Schering-Plough Research Institute
Insulin-like growth factor 1 receptor (IGF-1R) plays an important role in tumor cell growth and survival. We describe development of a fully human anti-IGF-1R monoclonal antibody 19D12 that inhibits IGF binding and autophosphorylation of both IGF-1R:IGF-1R homo-dimers and IGF-1R:insulin receptor (IR) hetero-dimers. In addition to inhibiting IGF-1R autophosphorylation, 19D12 also inhibits IRS-1 phosphorylation and activation of the major downstream signaling molecules, AKT and ERK1/2. Furthermore, the antibody down-modulates the total IGF-1R protein level, and can induce ADCC in vitro in the presence of isolated human natural killer cells. In vivo, 19D12 inhibits the tumor growth of various xenograft models. These data support the development of the anti-IGF-1R monoclonal antibody as a promising anti-cancer agent.

11:25 TGFbRI Kinase Inhibitors for Cancer
Dr. Kam Cheung, Scientist, Validation Biology, Biogen Idec Inc.
The TGFbeta pathway has emerged as an attractive target in oncology. Recent findings show that potent, selective TGFbeta type I receptor kinase inhibitors can inhibit tumor growth and provide a novel approach to cancer therapy.

11:50 Immunoaffinity Profiling of Tyrosine Phosphorylation in Cancer Cells
Dr. Christopher Bunker, Director, New Business Development, Cell Signaling Technology Inc.
Tyrosine kinases play a prominent role in human cancer. Profiling tyrosine phosphorylation has been difficult due to low cellular levels of tyrosine phosphorylation. Global phosphoproteomic approaches typically reveal small numbers of peptides containing phosphotyrosine. We have developed a strategy that emphasizes the phosphotyrosine component of the phosphoproteome and identifies large numbers of tyrosine phosphorylation sites. Peptides containing phosphotyrosine are isolated directly from protease-digested cellular protein extracts with a phosphotyrosine-specific antibody and are identified by tandem mass spectrometry. Using this approach with cancer cell lines and tissues, we can identify activated protein kinases and downstream proteins, and when coupled to quantitative methods our technology can help identify phosphorylation signatures of drug response. In collaboration with Al Moritz, Kim Lee, Ailan Guo, Valerie Goss, Erik Spek, John Rush and Michael Comb.

12:15 Epitope Mapping and Binding Analysis of the Tumor-Associated Antigen Survivin by iTopia(tm) Epitope Discovery System

Sponsored by

Dr. Lynda Tussey, Program Leader, Immunotherapeutics, VaxInnate Corporation
The means to rapidly screen and characterize the binding epitopes derived from complex-tumor-associates antigens is an important enabling technology. The high-throughput iTopia Epitope Discovery System for Beckman Coulter was used to identify those peptides derived from the tumor-associated antigen survivin that bind 8 class I alleles. A library of overlapping nonamers spanning the entire length of the survivin protein was screened for peptides capable of binding each allele. Zero HLA-A*0101, nineteen HLA-A*0201, seven HLA-A*0301, twelve HLA-A*1101, twenty-four HLA-A*2402, six HLA-B*0702, six HLA-B*0801, and eight HLA-B*1501 binding peptides were identified and ranked by their potential immunogenicity. The information should help guide functional studies and future survivin epitope-based immunotherapies.

12:45 Networking Lunch 
Sponsored By
 

1:55 Chairperson's Remarks 
Dr. Christopher Bunker, Director, New Business Development, Cell Signaling Technology Inc.

2:00 Signal Transduction Targets in Hormone Refractory Prostate Cancer
Dr. Hari Koul, Professor and Director of Research, Department of Urology/ Surgery, University of Colorado, Cancer Center, University of Colorado at Denver and Health Sciences center
Conventional therapies produce a high rate of cure for patients with localized prostate cancer, but there is no cure once the disease has spread beyond prostate. Most of these men who initially respond to hormone ablation therapy fail and the disease progresses. There is at present no effective treatment for hormone-independent prostate cancer. I will discuss feed-back autocrine loop between membrane receptors and associated ligands that serves as an essential component of the growth, proliferation and metastasis of prostate cancer. This presentation will then focus on our rationalization that inhibiting these epigenetic events could serve as a rational approach in treatment of advanced prostate cancer. Next, I will discuss how peptide growth factors and cytokines that have been shown to drive prostate cancer are dependent on MAP kinase signal transduction pathways. I will also present recent data from our laboratory that support this notion and discuss strategies for new and novel therapy for prostate cancer.

2:25 PTEN and PI-3 Kinase Inhibitors in Cancer Therapeutics
Prof. Donald Durden, Director, Basic and Translational Research, AFLAC Center for Cancer Research, Emory University School of Medicine, Pediatrics; Scientific cofounder, Semafore Pharmaceuticals
In collaboration with Semafore pharmaceutics we have developed small molecule inhibitors of the PI-3 kinase and PTEN signaling pathways for cancer therapeutics. We will present data which supports the introduction of these inhibitors into Phase I/II clinical trials in multiple cancer types including prostate, breast and glioblastoma.


Personalized Immunotherapy

2:50 High Throughput Cloning and Selection of Cancer Antigens for Personalized Immunotherapy
Dr. Madhumita Chatterjee, Research Associate, molecular biology and human genetics, Karmanos Cancer Institute
Protein microarrays were used to select tumor antigens identified in high throughput assays as reacting with tumor specific IgGs from the serum of ovarian cancer patients but not healthy women. Using this panel of antigen biomarkers that can help detect early stage ovarian cancer presymptomatically. We are determining the ability of individual markers to activate cell-mediated immune response suitable for further development into personalized therapeutic vaccines. We envision that those women scoring positive in our presymptomatic testing for ovarian cancer may then be offered an antitumor vaccine tailored to their specific immunoprofile selected from a large panel of tumor antigens.

 

Small Molecule Therapeutics

3:15 Reactivation of the p53 Tumor Suppressor Function by Small Molecules
Prof. Galina Selivanova, PhD, Department of Microbiology and Tumor Biology Center, Karolinska Institute
The restoration of p53 function in tumors has been a focus of intensive drug development efforts. Selivanova's group identified small molecules that rescue impaired p53 function either by blocking p53's interaction with its natural inhibitor, HDM-2 in wtp53-expressing tumors or by rescuing the proper folding of mutant p53. A small molecule named RITA selectively kills tumor cells of various origins, which happen to retain wild-type p53, whereas PRIMA-1 induces apoptosis in tumor cells in a mutant p53­dependent manner. Both compounds demonstrate efficient tumor suppressor effect in vivo without apparent toxicity. They have a high potential for the development of a novel generation non-genotoxic and target-specific anticancer drugs.

3:40 Panel Discussion:
Current Bottlenecks in Targeted Cancer Therapeutics

4:15 Close of Conference

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