P21-ACTIVATED KINASE: a NOVEL THERAPUETIC TARGET of CELECOXIB and THYROID CANCER

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P21-ACTIVATED KINASE: a NOVEL THERAPUETIC TARGET of CELECOXIB and THYROID CANCER p21-ACTIVATED KINASE: A NOVEL THERAPUETIC TARGET IN THYROID CANCER DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Leonardo M. Porchia, M.S. * * * * * The Ohio State University 2007 Dissertation Committee: Professor Matthew D. Ringel, Advisor Approved by Professor Robert Brueggemeier Professor Ching-Shih Chen Professor Lawrence S. Kirschner Advisor Ohio State Biochemistry Program ABSTRACT Follicular cell derived thyroid cancer (i.e. follicular, papillary and anaplastic thyroid cancer) is the most common endocrine malignancy. While patients with diagnosed with early stage disease have an excellent prognosis, patients with invasive or metastatic thyroid cancer have poor survival rates. Because progressive thyroid cancer is unresponsive to chemotherapy, there is a critical need to identify novel therapeutic targets. Genetic alterations that result in enhanced activation of the RAS-RAF-MEK and PI3K-AKT pathways occur in more than 50% of papillary (PTC), follicular (FTC), and anaplastic (ATC) thyroid cancers. However, the key regulators of thyroid cancer invasion and metastases are less certain. Many lines of evidence suggest important roles for PI3K signaling and the process of epithelial-to-mesenchymal transition (EMT) in thyroid cancer progression. Thus, we are working to develop inhibitors of these pathways for thyroid cancer. OSU-03012 (OSU) is a celecoxib derivative that was optimized to inhibit PDK-1, a key signaling kinase in the PI3K cascade. NPA (papillary), WRO (follicular), and ARO (anaplastic) thyroid cancer cell lines were used to study the effects of OSU on thyroid cancer cells in vitro. OSU inhibited proliferation and induced cytotoxicity at doses sufficient to inhibit PDK-1- mediated AKT phosphorylation. Unexpectedly, OSU inhibited cell motility in NPA cells at doses below its IC50 for PDK-1 and below those ii sufficient to reduce AKT phosphorylation, suggesting that that the inhibition of migration by OSU might be due to another mechanism. p21 activated kinases (PAK) are master regulators of cell motility and EMT that are regulated both by PDK1 and other signaling cascades. Phospho-PAK levels were reduced with 1 μM of OSU in motile NPA cells and WRO cells. PAK-dependent phosphorylation of vimentin, a key regulator of thyroid cell EMT, was decreased at similar doses, consistent with reduced activity in these cells. Subsequent in vitro kinase assays demonstrated that OSU competitively inhibits ATP binding to PAK. Finally, overexpression of constitutively active-PAK1 rescued the anti- migratory effects of OSU. These data demonstrate that PAK is a novel target of and that OSU might be a therapeutic option for tumors with PAK-dependent invasion and motility. Because of these findings, and because prior work by our group suggested that signaling through PAK might be dysregulated in thyroid cancer invasion, we undertook a study to determine if PAK expression or PAK activity were altered in thyroid cancer. Protein and total RNA was isolated from ten PTC tissue samples and from the normal tissue in the opposite lobes for Western blot and quantitative RT-PCR of all PAK isoforms. Of the six isoforms, PAK2 and PAK4 mRNA and protein expression levels were increased in the majority of PTCs. In addition, the levels of phosphorylated PAK were higher in 8 of 10 PTCs. Finally, molecular inhibition of PAK using cDNAs designed to inhibition PAKs1, 2, and 3 confirmed that thyroid cancer cells display PAK- dependent cell migration. Taken together, these data support a role for PAK activity in thyroid cancer and suggest it might be an appropriate therapeutic target for this disease in patients. iii The most common mutation of PTC is BRAF V600E. Expression of this mutant BRAF induces thyroid cell invasion and is associated with a more aggressive form of PTC clinically. PAK is known to functionally phosphorylate C-RAF, a closely related RAF family protein member, at serine 338. Nine potential PAK phosphorylation sites were found in the B-RAF protein sequence. One site aligned to serine 338 in C-RAF, suggesting this site might represent a PAK phosphorylation site on BRAF. Subsequent experiments demonstrated that B-RAF and PAK co-immunoprecipitate, suggesting they interact directly. This interaction was identified both in overexpression and endogenous systems. Further studies are planned to clarify if the BRAF-PAK interactions are functional and to identify specific phosphorylation sites Histone deacetylase inhibitors (HDACi) are a class of agents with broad cellular effects. HDAC42 is a novel HDACi that has been shown to be cytotoxic in a number of cell systems. This agent has also been shown to regulate expression and function of signaling molecules, including AKT. HDAC42 inhibited thyroid cancer cell line proliferation, and was cytotoxic at 48 hours. Distinct from OSU, this compound did not appear to inhibit migration. Treatment with HDAC42 increased acetyl-histone 4 at 24 hours and the level of AKT expression and activation were inhibited. However, while levels of PAK protein were reduced after 48 hours of exposure; levels of phospho-PAK at 24 hours were unaltered and increased at 48 hours. Based on these results, we hypothesize that the lack of PAK inhibition may be responsible for the inability of HDAC42 to block migration, suggesting that the combination of PAK and HDAC inhibitors could be a novel treatment for metastatic cancer. iv In summary, these results are the first to demonstrate that PAK is a novel target of OSU, and its inhibition is at least partially responsible for in vitro effects on migration. They are also the first to determine that PTCs are characterized by overexpression of PAKs 2 and -4, which PAK activity is frequently enhanced in PTC and is functionally involved in PTC cell biology in vitro. The additional finding that BRAF and PAK physically interact will lead to new experiments determining if there is an important role for interactions between these signaling molecules in PTC biology. Finally, the finding that HDAC42 increases phospho-PAK levels suggest that combination therapy with this OSU and this compound may be a rationale approach to thyroid cancer therapy. These results suggest that PAK may represent a novel therapeutic target for thyroid cancer, and that compounds based on OSU may be optimized to inhibit this pathway. v Dedicated to my mother and father and family vi ACKNOWLEDGMENTS • I would like to acknowledge Dr. Ringel for his guidance, immense understanding and support, and providing me the ability to work in his lab. • I would also like to acknowledge Dr. Chen for his guidance and support and originally giving the opportunity to study signal transduction and get a better prospective in a drug discovery lab. • Dr. Jiuxiang Zhu, whose help with planning experiments and analyzing data and leading me in the beginning. • Colleagues and friends: Dr. Sam Kulp, Dr. Motoyasu Saji, Dr. Allan Espinosa, Marcy Geurra, Dr. Motoo Shinohara, Dr. Jun Yea Chung, Yu-Chieh Wang, Ho- Pi Lin, Ya-ting Wang, for your help with experiments, analyzing data, and making lab an enjoyable experience. • Yunlong Zhang for his help with the computer modeling. • Susanna Pearce for helping edit and revising my writings. vii VITA 1998 – 2002 B.S Biochemistry Otterbein College, Westerville Ohio 2002 – 2006 M.S. Biochemistry The Ohio State University, Columbus, Ohio 2002 – Present Graduate Teaching and Research Associate College of Chemistry, The Ohio State University College of Pharmacy, The Ohio State University College of Medicine, The Ohio State University PUBLICATIONS 1. Porchia LM, Guerra M, Wang YC, Zhang Y, Espinosa AV, Shinohara M, Kulp SK, Kirschner LS, Saji M, Chen CS, Ringel MD. “OSU03012, A Celecoxib Derivative, Directly Targets p21 Activated Kinase.” Mol Pharmacol. 2007 Aug 2; [Epub] 2. Espinosa AV, Porchia L and Ringel MD. “Targeting BRAF in thyroid cancer.” British Journal of Cancer. 2007 Jan 15:96(1): 16-20. FIELDS OF STUDY Major Field: Biochemistry viii TABLE OF CONTENTS Page Abstract................................................................................................................................ii Dedication...........................................................................................................................iii Acknowledgments.............................................................................................................vii Vita...................................................................................................................................viii List of Tables.....................................................................................................................xii List of Figure....................................................................................................................xiii Abbreviations.....................................................................................................................xv Chapter 1 – Introduction......................................................................................................1 1.1 Normal Thyroid Function..................................................................................2 1.2 Thyroid Cancer .................................................................................................3 1.2.1 Oncogenic Causes of Thyroid Cancer................................................5 1.2.1.1 RET/PTC and B-RAF Alteration Lead to the Development
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