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Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Page 1: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

Geldanamycin: A Novel Approach to Treating Cancer

Elisabeth von Moos

December 1, 2005

Page 2: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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• More than 100 different and distinct diseases.

What is Cancer?

Group of diseases characterized by the uncontrolled growth of cells or the failure of cells to die normally.

• An estimated 149,000 new cases of cancer will be diagnosed in Canada in 2005.

• 38% of Canadian women and 44% of Canadian men will develop cancer during their lifetimes.

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Chemotherapy

Current Cancer Therapies

Surgery

Radiation therapy

Biological therapy

Photodynamic therapy

Targeted cancer therapy

Many cancers have no cure.

Poor prognosis for patients with solid tumors.

Page 4: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Important Therapeutic Targets

Therapy Mutant p53

HIF-1

ErbB2

V-SrcAktRaf-1Bcr-Abl

Solublekinases

Transmembrane kinases

Transcription factors

Neckers, N. Trends Mol. Med. 2002, 8, S55.

Steroid receptors

PR, AR, GCR

Page 5: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Heat Shock Protein 90

Hsp90 Mutant p53

HIF-1

ErbB2

V-SrcAktRaf-1Bcr-Abl

Solublekinases

Transmembrane kinases

Transcription factors

Neckers, N. Trends Mol. Med. 2002, 8, S55.

Steroid receptors

PR, AR, GCR

Page 6: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Heat Shock Proteins

Prevent protein aggregation

Intracellular proteintransport

Fold nascentproteins or repair misfolded proteins

Repair denaturedproteins

Control regulatoryproteins

Degrade denatured proteins

Page 7: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Central Dogma of Molecular Biology

DNA

RNA

Protein

Transcription

Translation

Page 8: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Molecular Chaperones

+ + nascent protein mature protein

ATP ADP + Pi

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Heat Shock Proteins Protect Cells

stress

Denatured proteins detected

Heat shock proteins produced

Denatured proteins refolded

Stress denatures proteins

Page 10: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Heat Shock Protein 90

One of the most abundant cellular proteins

Functions in a multi-component complex

Captures and holds client proteins in intermediate states of folding

ATP-dependant

Prodromou, C. Nature Struct. Biol. 1997, 4, 477.

ATP

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One of the most abundant cellular proteins

Functions in a multi-component complex

Captures and holds client proteins in intermediate states of folding

ATP-dependant

Heat Shock Protein 90

Prodromou, C. Nature Struct. Biol. 1997, 4, 477.

ADP

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Mechanism of Action of Hsp90

Isaacs, J.S. Cancer Cell, 2003, 3, 213. Proteosome

client

client

Hip

Hsp70

Hsp40

p60Hop

BAG-1

PP5

ImmunoP’s

p23

Cyp40

p50Cdc37

ADPATP

ATP hydrolysis

ATP exchange

unfolded

folded

Page 13: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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The Ansamycin Antibiotics

O

ONH

O

O

MeO

MeOR2

Me

MeO

Me

MeR3

NH2

O

R1

Page 14: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Geldanamycin

DeBoer, C. et al. J. Antibiot. 1970, 33, 781. Merrell, P.H. et al. J. Am. Chem. Soc. 1970, 92, 7591.

O

ONH

O

O

MeOOMe Me

NH2

O

MeO

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

H

O

ONH

O

O

MeOOMeMeO

NH2

O

MeO

• Isolated in 1970 fromStreptomyces hygroscopicus• Shows anti-microbial, anti-viral, and anti-tumor activity

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Macbecin 1

O

ONH

O

O

MeOOMe Me

NH2

O

MeO

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

O

ONH

O

O

MeOOMeMeO

NH2

O

MeO

Tanida, S. et al. J. Antibiot. 1980, 33, 199. Muroi, M. et al. Tetrahedron, 1981, 37, 1123.

• Isolated in 1980 from Nocardia• Shows anti-microbial, anti-viral, and anti-tumor activity

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Herbimycin A

O

ONH

O

O

MeOOMe Me

NH2

O

MeO

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

O

ONH

O

O

MeOOMeMeO

NH2

O

MeO

Tanida, S. et al. J. Antibiot. 1980, 33, 199. Muroi, M. et al.Tetrahedron, 1981, 37, 1123.

• Isolated in 1980 from Nocardia• Shows anti-microbial, anti-viral, and anti-tumor activity

Page 17: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Herbimycin A – Tatsuta Synthesis

Tatsuta, K. et al. Tetrahedron Lett. 1991, 32, 6015.

O

ONH

O

O

MeOOMeMeO

NH2

O

MeO

OHC CHOOMe

OMe

OMe

LiOMe

NHTr

OHCOMe

OMe

OHCOMe OTBS

OMe

O

OMe

OH

HOHO

HO

+

15

16

34

154

Page 18: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Herbimycin A – Martin Synthesis

O

ONH

O

O

MeOOMeMeO

NH2

O

MeO OMe

LiOMe

NR2O O

OMe

MeOH

OTBDMS

OMe

+

OCHO

MeOH

OTBDMS

LiO

OMe

OMe

+

Martin, S.F. et al. Tetrahedron, 1999, 55, 3561.

OXn

OOHO

OR

OH

+

16

15

2

3

15

89

8

93

3159 8

Page 19: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Macbecin 1 – Evans Synthesis

O

O

MeOOMeMeO

NH2

O

MeO

O

ONH

MeOP(OCH2CF3)2

OO

HN

OMe

MeO

OTBSOOMe

N S

O S

OMe

OMe

OMeO2N

Evans, D.A. et al. J. Org. Chem. 1993, 57, 1067.

12

134

5

12

13

5

4

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Macbecin 1 – Panek Synthesis

O

ONH

O

O

MeOOMe

NH2

O

MeO

OMeO2N

OMe

OMe

OMe

CO2MeMe2SiPh

Bn

OMeO2N

OMe CO2Et

OMe OMe OPMB

OMe

Me2SiPh

OMe

CO2MeMe2SiPh

Panek, J.S; Xu, F. J. Am. Chem. Soc. 1995, 117, 19587.

14

14

10

10

5

5

14

10 5

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Geldanamycin – Andrus Synthesis

Andrus M.B. et al. Org. Lett. 2002, 4, 3549.

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

ArOMe

OTBSCHO

Ar CHO

CO2H

OMe

OTBS OTES

OMe

OMe

ONH2

MeO

Me

OO

O

RR

+

2

2

14

14

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Geldanamycin Synthesis

OMeMeO

OMe

OMe

NO2

MeO CHO

OMe

1) BuLi, DMF 68%2) HNO3 AcOH 83%

MeO

NO2

MeO

OMe

Br

1) NaBH4 98%2) PBr3, pyridine 93%

N O

OO

Bn

MeO

NO2

MeO

OMe

N O

OO

Bn

NHMDS, THF

-78oC 88% >19:1

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Geldanamycin Synthesis

N O

OO

Bn

MeO

NO2

MeO

OMe

CNHO

MeO

NO2

MeO

O

CN

Me

1) LiBH4 96%2) DEAD, PPh3

81%

DIBALH2O 92%

MeO

NO2

MeO

O

CHO

Me

Page 24: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Geldanamycin Synthesis

MeO

NO2

MeO

OOH

OO

O

PhOMePhOMe

Me

MeO

NO2

MeO

O

CHO

Me

OO

O

PhOMePhOMe

+

(c-Hex)2BOTf

Et3N, CH2Cl2

-78oC

70% 10:1

Page 25: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Synthesis of Pyrone

MeO

OMe

Ot-BuBr

OO

O

O

PhOMePhOMe

MeO

OMeOH

OH

AD-mix-t-BuOH:

H2O 1:1

81% >95%ee

n-Bu2SnO

PhH,

Bu4N+I-, TFA 80%

Page 26: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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MeO

NO2

MeO

OOH

OO

O

PhOMePhOMe

Me

MeO

NO2

MeO

O

CHO

Me

OO

O

PhOMePhOMe

+

(c-Hex)2BOTf

Et3N, CH2Cl2

-78oC

70% 10:1

Geldanamycin Synthesis

MeO

NO2

MeO

OOMe

CO2Me

O OH

MeOPh PhOMe

1) Me3OBF4 91%2) NaOMe, MeOH 90%

Me

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Geldanamycin Synthesis

OMe

OTBS

ArOH

1) DIBAL 90%2) AlMe3 80%

MeO

NO2

MeO

OOMe

CO2Me

O OH

MeOPh PhOMe

MeOMe

CO2Me

OTBS

Ar

1) CAN 93%2) TBSCl, imid. 93%

OMe

OTBS

Ar

1) DMP 93%2) Ph3P=CH2 95%

Page 28: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Geldanamycin Synthesis

OMe

OTBS

ArCO2Et

Ph3P CO2Et

1) TBSCl, imid. 2) CSA 76% (2 steps)3) DMP 94%4)

98% 16:1

OMe

OH

Ar

OH

OMe

OTBS

Ar

1) HF.pyr 97%

2) BH3.THF

95% 5:1

OMe

OTBS

ArCHO

1) DIBAL2) Swern 77% (2 steps)

Page 29: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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OMe

OTBS

ArCO2Me

OMe

OH1) LiOH2) TMSCHN2

PhH:MeOH 4:187% (2 steps)

Geldanamycin Synthesis

OMe

OTBS

ArCHO

OMeO

O

NSO2MesBn

MePh

c-Hex2BOTf, Et3N

-78oC 90% > 20:1OMe

OTBS

Ar Aux

O

OMe

OH

Page 30: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Geldanamycin Synthesis

OMe

OTBS

Ar

OTES

OMe CO2Me

OMe

OTBS

Ar

OHCO2Me

OMe

P CO2Me(F3CCH2O)2

O

1) TESOTf, lut. 95%2) DIBAL3) KH, 18-crown-6

13:1 81%

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Geldanamycin Synthesis

OMe

OTBS

Ar

OTES

OMe CO2Me

OMe

OTBS

Ar

OTES

OMe

O O-allyl

(EtO)2P

O

O O

1) DIBAL 91%2) DMP 89%3)

DBU, LiCl 19:1 93%

Page 32: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Geldanamycin Synthesis

OMe

OTBS OTES

OMe

O O-allyl

MeO

NO2

MeO

OMe

OMe

OTBS OTES

OMe

O OH

MeO

NH2

MeO

OMe

1) NaBH4.S

2) Pd(PPh3)4

morph. 85%

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Geldanamycin Synthesis

OMe

OTBS OTES

OMe

CO2H

OMe

NH2

MeO

OMe

OMe

OMeNH

O

OTES

MeOOTBS

MeO

MeO

OMe

OMeNH

O

O

MeOOH

MeO

MeO

NH2

O

BOP-Cl, i-Pr2NEt

tol. 85oC 76%

1) TBAF 90%2) Cl3CCONCO/MeOH K2CO3 89%3) HF 95%

Page 34: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Geldanamycin SynthesisOMe

OMeNH

O

O

MeOOH

MeO

MeO

NH2

O

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

O

OMeNH

O

O

MeOOH

O

MeO

NH2

O

+

1:10

HNO3AcOH55%

Page 35: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

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Evaluation of Geldanamycin as a Possible Anti-Cancer Drug

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

Cancer cellproliferation

Tyrosine kinase

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Geldanamycin Binds a Specific Protein

GA

GA

GA

GA

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

Agarose BeadGeldanamycinGA

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Cell Lysis to Obtain Cellular Contents

Cell lysis

Lysate obtained for study

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

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Geldanamycin Binds a Specific Protein

Agarose BeadGeldanamycin

GA

GA

GA

GA

GA

GA

GA

GA

GA

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

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Cells Incubated with Geldanamycin

Cell lysis

GA

GA

GAGA

Cells exposed togeldanamycin

Lysate obtained for study

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

GA

GA

GAGA

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Geldamycin Binding Occurs in vivo

Agarose BeadGeldanamycin

GA

GA

GA

GA

GA

Lysate incubated with GA-coupled beads

GA

GA

GA

GA

GA

GA

GA

GA

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

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Immunoblotting

GA

GA

GA

GA

control

Hsp90 monoclonal antibody added

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

Hsp90Protein eluted fromGA-coupled beads

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Metabolic Labelling of Protein

35S

35S

35S

35S

35S 35S

35S35S

35S

Cell lysis

Cells “fed” methioninecontaining 35S

Protein labelled with 35S Lysate obtained for study

35S

35S

35S

35S

35S 35S

35S35S

35S

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

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Radiolabelling

GA

GA

GA

GA

35S

35S

35S

35S

GA

GA

GA

GA

Cell lysate was incubated with GA-coupled beads

35S

35S

35S

35S35S

35S35S

35S35S

35S

35S35S 35S

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

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12 Major cellular protein3 After heat shock

Radiolabelling

1 2 3

GA

GA

GA

GA

35S

35S

35S

35S

35S

35S

35S

35S

35S

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

SDS-PAGE

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Proteolytic Digestion

SDS-PAGE

RESULT: all bands represent the same protein

V8

Proteins were partially digested with V8 proteolytic enzyme

=

Whitesell, L. et al. Proc. Natl. Acad. Sci. 1994, 91, 8324.

RESULT: Geldnamycin binds heat shock protein 90

1 2 3

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Preclinical Studies of Geldanamycin

Anti-Tumor Activity

Hepatotoxicity

O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

Supko, J.G. et al. Cancer Chemo. Pharmacol. 1995, 36, 305.

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O

ONH

O

O

MeOOH

MeO

MeO

NH2

O

Structure Activity Relationship

19-substituents not tolerated

Schnur, R.C. et al. J. Med. Chem. 1995, 38, 3806.

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Structure Activity Relationship

Bicyclic and tricyclic quinoneswere active

19-substituents not tolerated

Schnur, R.C. et al. J. Med. Chem.1995, 38, 3806.

19

ONH

O

O

MeOOH MeO

NH2

O

NN

NMe

Me

Page 49: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

49

O

ONH

O

O

MeOOH

HN

MeO

NH2

O

Structure Activity Relationship

Small alkylamino groups:- unfunctionalized- bearing hydroxy oramino groups

Schnur, R.C. et al. J. Med. Chem.1995, 38, 3806.

19-substituents not tolerated

Bicyclic and tricyclic quinoneswere active

1917

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O

ONH

O

O

MeOOH

HN

MeO

NH2

O

H

O

ONH

O

O

MeOOH

HN

MeO

NH2

O

H

Structure Activity Relationship

17AAG: 17-(allylamino)-17-demethoxygeldanamycin

Schnur, R.C. et al. J. Med. Chem. 1995, 38, 3813.

Carbamate and 2,3-double bond essential for activity

17

23

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51

17AAG potential limitations:

• Limited solubility• Cumbersome formulation• Dose and schedule dependant liver toxicity

PHASE 2

Clinical Trials of 17AAG

Prolonged disease stabilization• Cytostatic drug effect

PHASE 1

Dose recommendations were made

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52

Genetic Plasticity of Cancer Cells

Hsp90 Mutant p53

HIF-1

ErbB2

V-SrcAktRaf-1Bcr-Abl

Solublekinases

Transmembrane kinases

Transcription factors

Neckers, N. Trends Mol. Med. 2002, 8, S55.

Steroid receptors

PR, AR, GCR

Page 53: Geldanamycin: A Novel Approach to Treating Cancer Elisabeth von Moos December 1, 2005

53

Benign mutation Normal Protein FunctionLethal mutation Cell Death

Hsp90 Safeguards Against Mutations

Normal Protein Synthesis

Faulty Protein Synthesis

Neckers, L. et al. Proc. Natl. Acad. Sci. 1996, 93, 8379.

mutant p53

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Specificity of Hsp90 Inhibitors

17AAG has up to 100x higher affinity for tumor cells as compared to normal cells.

Hsp90 is abundantly expressed in both normal and tumor cells.

normal cell tumor cell

constitutively expressed

WHY?

normal cell tumor cellKamal, A. et al. Nature 2003, 425, 407.

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55

Future Work

Improved pharmacologicaland toxicity profiles

Llauger, L. et al. J. Med. Chem. 2005, 48, 2892.Whitesell, L.; Lindquist, S.L. Nature Rev. Cancer 2005, 5, 761.Roe, S.M. et al. J. Med. Chem. 1999, 42, 260.

17AAGRadiation therapyChemotherapyImmunotherapy

Novel Hsp90 Inhibitors

CombinationTherapy

+

Conformation of Hsp90-bound geldanamycin

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56

Summary

• Hsp90 inhibitors are a novel class of anti-cancer drugs.

• Geldanamycin has important functions as a chemical probe.

• SAR studies led to 17AAG – phase 2 clinical trials.

• Novel Hsp90 inhibitors are currently being developed.

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Acknowledgements

Dr. Robert BenVincent BouvetFrank CeaseJenn ChaytorPawel CzechuraJessica JackmanNicole Le GrandAleks PaligaSuhuai LiuRoger TamIndira Thapa