Flores Guillermo, Grohar Patrick J
Van Andel Research Institute, Grand Rapids, MI, USA.
Michigan State University, College of Human Medicine, USA.
J Bone Oncol. 2021 Dec 1;31:100404. doi: 10.1016/j.jbo.2021.100404. eCollection 2021 Dec.
EWS/FLI is the defining mutation of Ewing sarcoma. This oncogene drives malignant transformation and progression and occurs in a genetic background characterized by few other recurrent cooperating mutations. In addition, the tumor is absolutely dependent on the continued expression of EWS/FLI to maintain the malignant phenotype. However, EWS/FLI is a transcription factor and therefore a challenging drug target. The difficulty of directly targeting EWS/FLI stems from unique features of this fusion protein as well as the network of interacting proteins required to execute the transcriptional program. This network includes interacting proteins as well as upstream and downstream effectors that together reprogram the epigenome and transcriptome. While the vast number of proteins involved in this process challenge the development of a highly specific inhibitors, they also yield numerous therapeutic opportunities. In this report, we will review how this vast EWS-FLI transcriptional network has been exploited over the last two decades to identify compounds that directly target EWS/FLI and/or associated vulnerabilities.
EWS/FLI是尤因肉瘤的决定性突变。这种致癌基因驱动恶性转化和进展,且发生在一个几乎没有其他复发性协同突变的遗传背景中。此外,肿瘤绝对依赖于EWS/FLI的持续表达来维持恶性表型。然而,EWS/FLI是一种转录因子,因此是一个具有挑战性的药物靶点。直接靶向EWS/FLI的困难源于这种融合蛋白的独特特征以及执行转录程序所需的相互作用蛋白网络。该网络包括相互作用蛋白以及共同重新编程表观基因组和转录组的上游和下游效应器。虽然参与这一过程的大量蛋白质对开发高度特异性抑制剂构成挑战,但它们也带来了众多治疗机会。在本报告中,我们将回顾在过去二十年中如何利用这个庞大的EWS-FLI转录网络来鉴定直接靶向EWS/FLI和/或相关脆弱点的化合物。
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