ATP-Competitive Inhibitors Block Protein Kinase Recruitment to the Hsp90-Cdc37 System
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
ANNUAL REVIEW 1 October 2005–30 September
WELLCOME TRUST ANNUAL REVIEW 1 October 2005–30 September 2006 ANNUAL REVIEW 2006 The Wellcome Trust is the largest charity in the UK and the second largest medical research charity in the world. It funds innovative biomedical research, in the UK and internationally, spending around £500 million each year to support the brightest scientists with the best ideas. The Wellcome Trust supports public debate about biomedical research and its impact on health and wellbeing. www.wellcome.ac.uk THE WELLCOME TRUST The Wellcome Trust is the largest charity in the UK and the second largest medical research charity in the world. 123 CONTENTS BOARD OF GOVERNORS 2 Director’s statement William Castell 4 Advancing knowledge Chairman 16 Using knowledge Martin Bobrow Deputy Chairman 24 Engaging society Adrian Bird 30 Developing people Leszek Borysiewicz 36 Facilitating research Patricia Hodgson 40 Developing our organisation Richard Hynes 41 Wellcome Trust 2005/06 Ronald Plasterk 42 Financial summary 2005/06 Alastair Ross Goobey 44 Funding developments 2005/06 Peter Smith 46 Streams funding 2005/06 Jean Thomas 48 Technology Transfer Edward Walker-Arnott 49 Wellcome Trust Genome Campus As at January 2007 50 Public Engagement 51 Library and information resources 52 Advisory committees Images 1 Surface of the gut. 3 Zebrafish. 5 Cells in a developing This Annual Review covers the 2 Young children in 4 A scene from Y fruit fly. Wellcome Trust’s financial year, from Kenya. Touring’s Every Breath. 6 Data management at the Sanger Institute. 1 October 2005 to 30 September 2006. CONTENTS 1 45 6 EXECUTIVE BOARD MAKING A DIFFERENCE Developing people: To foster a Mark Walport The Wellcome Trust’s mission is research community and individual Director to foster and promote research with researchers who can contribute to the advancement and use of knowledge Ted Bianco the aim of improving human and Director of Technology Transfer animal health. -
Holliday Junction Processing Enzymes in Eukaryotes. by Anthony John
Holliday junction processing enzymes in eukaryotes. By Anthony John Keeley Thesis submitted to the University of London, for the degree of Doctor of Philosophy, September 1999 ProQuest Number: 10609126 All rights reserved INFORMATION TO ALL USERS The quality of this reproduction is dependent upon the quality of the copy submitted. In the unlikely event that the author did not send a com plete manuscript and there are missing pages, these will be noted. Also, if material had to be removed, a note will indicate the deletion. uest ProQuest 10609126 Published by ProQuest LLC(2017). Copyright of the Dissertation is held by the Author. All rights reserved. This work is protected against unauthorized copying under Title 17, United States C ode Microform Edition © ProQuest LLC. ProQuest LLC. 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106- 1346 ACKNOWLEDGMENTS I would like to acknowledge some of the people that without their kind help and generosity this work would have been difficult. Firstly I would like to thank members of the laboratory group, Fikret for his help, tutoring in yeast genetics, some improved methods and some long coffee breaks explaining the finer details of recombination. Judit for her help in the laboratory and always having a spare lane on a gel and Mark for his assistance with sequencing gels. I would also like to thank the other members of staff at UCL for their help and positive response to favours, Jeremy Hioms’s group, Peter Piper’s group, Laurence Pearl’s group, David Saggerson’s group, Liz Shephard’s group, Jeremy Brockes’s group and Peter Shepherd’s group. -
Combined BRAF and MEK Inhibition with Vemurafenib and Cobimetinib for Patients with Advanced Melanoma
Review Melanoma Combined BRAF and MEK Inhibition with Vemurafenib and Cobimetinib for Patients with Advanced Melanoma Antonio M Grimaldi, Ester Simeone, Lucia Festino, Vito Vanella and Paolo A Ascierto Melanoma, Cancer Immunotherapy and Innovative Therapy Unit, Istituto Nazionale Tumori Fondazione “G. Pascale”, Napoli, Italy cquired resistance is the most common cause of BRAF inhibitor monotherapy treatment failure, with the majority of patients experiencing disease progression with a median progression-free survival of 6-8 months. As such, there has been considerable A focus on combined therapy with dual BRAF and MEK inhibition as a means to improve outcomes compared with monotherapy. In the COMBI-d and COMBI-v trials, combined dabrafenib and trametinib was associated with significant improvements in outcomes compared with dabrafenib or vemurafenib monotherapy, in patients with BRAF-mutant metastatic melanoma. The combination of vemurafenib and cobimetinib has also been investigated. In the phase III CoBRIM study in patients with unresectable stage III-IV BRAF-mutant melanoma, treatment with vemurafenib and cobimetinib resulted in significantly longer progression-free survival and overall survival (OS) compared with vemurafenib alone. One-year OS was 74.5% in the vemurafenib and cobimetinib group and 63.8% in the vemurafenib group, while 2-year OS rates were 48.3% and 38.0%, respectively. The combination was also well tolerated, with a lower incidence of cutaneous squamous-cell carcinoma and keratoacanthoma compared with monotherapy. Dual inhibition of both MEK and BRAF appears to provide a more potent and durable anti-tumour effect than BRAF monotherapy, helping to prevent acquired resistance as well as decreasing adverse events related to BRAF inhibitor-induced activation of the MAPK-pathway. -
Dangerous Liaisons: Flirtations Between Oncogenic BRAF and GRP78 in Drug-Resistant Melanomas
Dangerous liaisons: flirtations between oncogenic BRAF and GRP78 in drug-resistant melanomas Shirish Shenolikar J Clin Invest. 2014;124(3):973-976. https://doi.org/10.1172/JCI74609. Commentary BRAF mutations in aggressive melanomas result in kinase activation. BRAF inhibitors reduce BRAFV600E tumors, but rapid resistance follows. In this issue of the JCI, Ma and colleagues report that vemurafenib activates ER stress and autophagy in BRAFV600E melanoma cells, through sequestration of the ER chaperone GRP78 by the mutant BRAF and subsequent PERK activation. In preclinical studies, treating vemurafenib-resistant melanoma with a combination of vemurafenib and an autophagy inhibitor reduced tumor load. Further work is needed to establish clinical relevance of this resistance mechanism and demonstrate efficacy of autophagy and kinase inhibitor combinations in melanoma treatment. Find the latest version: https://jci.me/74609/pdf commentaries F2-2012–279017) and NEUROKINE net- from the brain maintains CNS immune tolerance. 17. Benner EJ, et al. Protective astrogenesis from the J Clin Invest. 2014;124(3):1228–1241. SVZ niche after injury is controlled by Notch mod- work (EU Framework 7 ITN project). 8. Sawamoto K, et al. New neurons follow the flow ulator Thbs4. Nature. 2013;497(7449):369–373. of cerebrospinal fluid in the adult brain. Science. 18. Sabelstrom H, et al. Resident neural stem cells Address correspondence to: Gianvito Mar- 2006;311(5761):629–632. restrict tissue damage and neuronal loss after spinal tino, Neuroimmunology Unit, Institute 9. Butti E, et al. Subventricular zone neural progeni- cord injury in mice. Science. 2013;342(6158):637–640. tors protect striatal neurons from glutamatergic 19. -
Darkening and Eruptive Nevi During Treatment with Erlotinib
CASE LETTER Darkening and Eruptive Nevi During Treatment With Erlotinib Stephen Hemperly, DO; Tanya Ermolovich, DO; Nektarios I. Lountzis, MD; Hina A. Sheikh, MD; Stephen M. Purcell, DO A 70-year-old man with NSCLCA presented with PRACTICE POINTS eruptive nevi and darkening of existing nevi 3 months after • Cutaneous side effects of erlotinib include acneform starting monotherapy with erlotinib. Physical examina- eruption, xerosis, paronychia, and pruritus. tion demonstrated the simultaneous appearance of scat- • Clinicians should monitor patients for darkening tered acneform papules and pustules; diffuse xerosis; and and/or eruptive nevi as well as melanoma during numerous dark copybrown to black nevi on the trunk, arms, treatment with erlotinib. and legs. Compared to prior clinical photographs taken in our office, darkening of existing medium brown nevi was noted, and new nevi developed in areas where no prior nevi had been visible (Figure 1). To the Editor: notThe patient’s medical history included 3 invasive mel- Erlotinib is a small-molecule selective tyrosine kinase anomas, all of which were diagnosed at least 7 years prior inhibitor that functions by blocking the intracellular por- to the initiation of erlotinib and were treated by surgical tion of the epidermal growth factor receptor (EGFR)Do1,2; excision alone. Prior treatment of NSCLCA consisted of a EGFR normally is expressed in the basal layer of the left lower lobectomy followed by docetaxel, carboplatin, epidermis, sweat glands, and hair follicles, and is over- pegfilgrastim, dexamethasone, and pemetrexed. A thor- expressed in some cancers.1,3 Normal activation of ough review of all of the patient’s medications revealed EGFR leads to signal transduction through the mitogen- no associations with changes in nevi. -
FOI Reference: FOI 414 - 2021
FOI Reference: FOI 414 - 2021 Title: Researching the Incidence and Treatment of Melanoma and Breast Cancer Date: February 2021 FOI Category: Pharmacy FOI Request: 1. How many patients are currently (in the past 3 months) undergoing treatment for melanoma, and how many of these are BRAF+? 2. In the past 3 months, how many melanoma patients (any stage) were treated with the following: • Cobimetinib • Dabrafenib • Dabrafenib AND Trametinib • Encorafenib AND Binimetinib • Ipilimumab • Ipilimumab AND Nivolumab • Nivolumab • Pembrolizumab • Trametinib • Vemurafenib • Vemurafenib AND Cobimetinib • Other active systemic anti-cancer therapy • Palliative care only 3. If possible, could you please provide the patients treated in the past 3 months with the following therapies for metastatic melanoma ONLY: • Ipilimumab • Ipilimumab AND Nivolumab • Nivolumab • Pembrolizumab • Any other therapies 4. In the past 3 months how many patients were treated with the following for breast cancer? • Abemaciclib + Anastrozole/Exemestane/Letrozole • Abemaciclib + Fulvestrant • Alpelisib + Fulvestrant • Atezolizumab • Bevacizumab [Type text] • Eribulin • Everolimus + Exemestane • Fulvestrant as a single agent • Gemcitabine + Paclitaxel • Lapatinib • Neratinib • Olaparib • Palbociclib + Anastrozole/Exemestane/Letrozole • Palbociclib + Fulvestrant • Pertuzumab + Trastuzumab + Docetaxel • Ribociclib + Anastrozole/Exemestane/Letrozole • Ribociclib + Fulvestrant • Talazoparib • Transtuzumab + Paclitaxel • Transtuzumab as a single agent • Trastuzumab emtansine • Any other -
Cotellic, INN-Cobimetinib
ANNEX I SUMMARY OF PRODUCT CHARACTERISTICS 1 1. NAME OF THE MEDICINAL PRODUCT Cotellic 20 mg film-coated tablets 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Each film-coated tablet contains cobimetinib hemifumarate equivalent to 20 mg cobimetinib. Excipient with known effect Each film-coated tablet contains 36 mg lactose monohydrate. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Film-coated tablet. White, round film-coated tablets of approximately 6.6 mm diameter, with “COB” debossed on one side. 4. CLINICAL PARTICULARS 4.1 Therapeutic indications Cotellic is indicated for use in combination with vemurafenib for the treatment of adult patients with unresectable or metastatic melanoma with a BRAF V600 mutation (see sections 4.4 and 5.1). 4.2 Posology and method of administration Treatment with Cotellic in combination with vemurafenib should only be initiated and supervised by a qualified physician experienced in the use of anticancer medicinal products. Before starting this treatment, patients must have BRAF V600 mutation-positive melanoma tumour status confirmed by a validated test (see sections 4.4 and 5.1). Posology The recommended dose of Cotellic is 60 mg (3 tablets of 20 mg) once daily. Cotellic is taken on a 28 day cycle. Each dose consists of three 20 mg tablets (60 mg) and should be taken once daily for 21 consecutive days (Days 1 to 21-treatment period); followed by a 7-day break (Days 22 to 28-treatment break). Each subsequent Cotellic treatment cycle should start after the 7-day treatment break has elapsed. For information on the posology of vemurafenib, please refer to its SmPC. -
Cobimetinib/Vemurafenib Combination Therapy for Melanoma: a Nursing Tool from the Melanoma Nursing Initiative (MNI)
Cobimetinib/Vemurafenib Combination Therapy for Melanoma: A Nursing Tool From The Melanoma Nursing Initiative (MNI) Cobimetinib (Cotellic®)/vemurafenib (Zelboraf®) combination therapy is indicated for the treatment of patients with unresectable or metastatic melanoma with BRAF V600E or V600K mutations. Cobimetinib is a MEK1 and MEK2 inhibitor, and vemurafenib is an inhibitor of some mutated forms of BRAF kinase, including BRAF V600E. About half of patients with melanoma have a mutated form of the BRAF protein in their tumors. Combination MEK/ BRAF inhibitor therapy is associated with superior tumor response and improved patient survival compared with single-agent BRAF inhibitor therapy. Using the combination also decreases the high rates of secondary cutaneous malignancies associated with single-agent BRAF inhibitory therapy. This document is part of an overall nursing toolkit intended to assist nurses in optimizing care of melanoma patients receiving newer anti-melanoma therapies. © 2017 The Melanoma Nursing Initiative. All rights reserved www.themelanomanurse.org Inspired By Patients . Empowered By Knowledge . Impacting Melanoma DRUG-DOSING/ADMINISTRATION • For advanced melanoma, both cobimetinib and vemurafenib are orally administered drugs. Cobimetinib is administered as 60 mg (three 20-mg tablets) once daily for 3 weeks, followed by a 1-week break, and vemurafenib as 960 mg (four 240-mg tablets) twice daily, for a total daily dosage of 1920 mg, each according to the regimens outlined below. The cobimetinib dose can be taken at the same time as one of the vemurafenib doses. The schedule repeats until disease progression or unacceptable toxicity occurs. • If the patient misses a dose of cobimetinib or vemurafenib, adjust as follows: » Cobimetinib: If ≤4 hours from scheduled dosing time, take the dose. -
New Century Health Policy Changes April 2021
Policy # Drug(s) Type of Change Brief Description of Policy Change new Pepaxto (melphalan flufenamide) n/a n/a new Fotivda (tivozanib) n/a n/a new Cosela (trilaciclib) n/a n/a Add inclusion criteria: NSCLC UM ONC_1089 Libtayo (cemiplimab‐rwlc) Negative change 2.Libtayo (cemiplimab) may be used as montherapy in members with locally advanced, recurrent/metastatic NSCLC, with PD‐L1 ≥ 50%, negative for actionable molecular markers (ALK, EGFR, or ROS‐1) Add inclusion criteria: a.As a part of primary/de�ni�ve/cura�ve‐intent concurrent chemo radia�on (Erbitux + Radia�on) as a single agent for members with a UM ONC_1133 Erbitux (Cetuximab) Positive change contraindication and/or intolerance to cisplatin use OR B.Head and Neck Cancers ‐ For recurrent/metasta�c disease as a single agent, or in combination with chemotherapy. Add inclusion criteria: UM ONC_1133 Erbitux (Cetuximab) Negative change NOTE: Erbitux (cetuximab) + Braftovi (encorafenib) is NCH preferred L1 pathway for second‐line or subsequent therapy in the metastatic setting, for BRAFV600E positive colorectal cancer.. Add inclusion criteria: B.HER‐2 Posi�ve Breast Cancer i.Note #1: For adjuvant (post‐opera�ve) use in members who did not receive neoadjuvant therapy/received neoadjuvant therapy and did not have any residual disease in the breast and/or axillary lymph nodes, Perjeta (pertuzumab) use is restricted to node positive stage II and III disease only. ii.Note #2: Perjeta (pertuzumab) use in the neoadjuvant (pre‐opera�ve) se�ng requires radiographic (e.g., breast MRI, CT) and/or pathologic confirmation of ipsilateral (same side) axillary nodal involvement. -
Trastuzumab Emtansine (T-DM1) and Stereotactic Radiation in the Management of HER2+ Breast Cancer Brain Metastases Matthew N
Mills et al. BMC Cancer (2021) 21:223 https://doi.org/10.1186/s12885-021-07971-w RESEARCH ARTICLE Open Access Trastuzumab Emtansine (T-DM1) and stereotactic radiation in the management of HER2+ breast cancer brain metastases Matthew N. Mills1* , Chelsea Walker2, Chetna Thawani2, Afrin Naz2, Nicholas B. Figura1, Sergiy Kushchayev3, Arnold Etame4, Hsiang-Hsuan Michael Yu1, Timothy J. Robinson1, James Liu4, Michael A. Vogelbaum4, Peter A. Forsyth4, Brian J. Czerniecki5, Hatem H. Soliman5, Hyo S. Han5 and Kamran A. Ahmed1 Abstract Background: Due to recent concerns about the toxicity of trastuzumab emtansine (T-DM1) with stereotactic radiation, we assessed our institutional outcomes treating HER2-positive breast cancer brain metastases (BCBM) with T-DM1 and stereotactic radiation. Methods: This is a single institution series of 16 patients with HER2-positive breast cancer who underwent 18 stereotactic sessions to 40 BCBM from 2013 to 2019 with T-DM1 delivered within 6 months. The Kaplan-Meier method was used to calculate overall survival (OS), local control (LC), distant intracranial control (DIC), and systemic progression-free survival (sPFS) from the date of SRS. A neuro-radiologist independently reviewed follow-up imaging. Results: One patient had invasive lobular carcinoma, and 15 patients had invasive ductal carcinoma. All cases were HER2-positive, while 10 were hormone receptor (HR) positive. Twenty-four lesions were treated with stereotactic radiosurgery (SRS) to a median dose of 21 Gy (14–24 Gy). Sixteen lesions were treated with fractionated stereotactic radiation (FSRT) with a median dose of 25 Gy (20-30Gy) delivered in 3 to 5 fractions. Stereotactic radiation was delivered concurrently with T-DM1 in 19 lesions (48%). -
Crystallography in the News Product Spotlight
- view this in your browser - Protein Crystallography Newsletter Volume 5, No. 9, September 2013 Crystallography in the news In this issue: September 4, 2013. Computer-designed proteins that can recognize and interact with small biological molecules are now a reality. Scientists have succeeded in creating a Crystallography in the news protein molecule that can be programmed to unite with three different steroids. Crystallographers in the news September 5, 2013. While on sabbatical at the Weizmann Institute of Science in 1993, Product spotlight: Minstrel's asymmetric lighting Paul H. Axelsen—currently a professor at the University of Pennsylvania's Perelman School Lab spotlight: Pearl lab of Medicine—helped figure out how a key enzyme plays a role in communication between Useful links for crystallography certain kinds of nerve cells—the very process that sarin gas interferes with so Webinar: crystallization catastrophically. Survey of the month September 11, 2013. By taking advantage of the fact that our body proteins and robot Science video of the month arms both move in a similar way, the department of mechanical engineering of the ECM delegates raise £1376 for Cancer Research UK UPV/EHU-University of the Basque Country has developed a program to simulate protein movements. Monthly crystallographic papers Book review September 13, 2013. The Royal Swedish Academy of Sciences has awarded the Gregori Aminoff Prize in Crystallography 2014 to Yigong Shi from Tsinghua Univ. in Beijing, China for his "groundbreaking crystallographic studies of proteins and protein complexes that Crystallographers in the News regulate programmed cell death." Max Perutz Prize September 16, 2013. Stopping short of a merger, the nonprofit Hauptman-Woodward The European Crystallographic Medical Research Institute is negotiating with the University at Buffalo School of Medicine Association has awarded the seventh & Biomedical Sciences to change the way the organization and its scientists are Max Perutz Prize to Prof. -
MAP Kinase Signaling and Inhibition in Melanoma
Oncogene (2013) 32, 2373–2379 & 2013 Macmillan Publishers Limited All rights reserved 0950-9232/13 www.nature.com/onc REVIEW MAP kinase signaling and inhibition in melanoma RJ Sullivan and K Flaherty The mitogen-activated protein kinase (MAPK) pathway is critical to oncogenic signaling in the majority of patients with malignant melanoma. Driver mutations in both NRAS and BRAF have important implications for prognosis and treatment. The development of inhibitors to mediators of the MAPK pathway, including those to CRAF, BRAF, and MEK, has led to major advances in the treatment of patients with melanoma. In particular, the selective BRAF inhibitor vemurafenib has been shown to improve overall survival in patients with tumors harboring BRAF mutations. However, the duration of benefit is limited in many patients and highlights the need for understanding the limitations of therapy in order to devise more effective strategies. MEK inhibitors have proven to particularly active in BRAF mutant melanomas also. Emerging knowledge about mechanisms of resistance as well as a more complete understanding of the biology of MAPK pathway signaling provides insight into rational combination regimens and sequences of molecularly targeted therapies. Oncogene (2013) 32, 2373–2379; doi:10.1038/onc.2012.345; published online 3 September 2012 Keywords: melanoma; targeted therapy; BRAF INTRODUCTION activation. The RAS GTPases are a critical link between activated The mitogen-activated protein kinase (MAPK) pathway is activated growth factor receptors and downstream signal transduction in the great majority of melanomas and typically occurs through pathways. In light of this central role, it is not surprising that three activating mutations of either NRAS (15–20% cutaneous melano- RAS isoforms (HRAS, KRAS and NRAS) collectively represent the mas) or BRAF (40–50%).1 These mutations can be identified in most commonly mutated oncogene in human malignancies and 13,14 benign melanocytic proliferation and all stages of invasive and distribute across a variety of cancers.