PMID- 24277854 OWN - NLM STAT- MEDLINE DCOM- 20140221 LR - 20231120 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 110 IP - 50 DP - 2013 Dec 10 TI - Targeting Wnt-driven cancer through the inhibition of Porcupine by LGK974. PG - 20224-9 LID - 10.1073/pnas.1314239110 [doi] AB - Wnt signaling is one of the key oncogenic pathways in multiple cancers, and targeting this pathway is an attractive therapeutic approach. However, therapeutic success has been limited because of the lack of therapeutic agents for targets in the Wnt pathway and the lack of a defined patient population that would be sensitive to a Wnt inhibitor. We developed a screen for small molecules that block Wnt secretion. This effort led to the discovery of LGK974, a potent and specific small-molecule Porcupine (PORCN) inhibitor. PORCN is a membrane-bound O-acyltransferase that is required for and dedicated to palmitoylation of Wnt ligands, a necessary step in the processing of Wnt ligand secretion. We show that LGK974 potently inhibits Wnt signaling in vitro and in vivo, including reduction of the Wnt-dependent LRP6 phosphorylation and the expression of Wnt target genes, such as AXIN2. LGK974 is potent and efficacious in multiple tumor models at well-tolerated doses in vivo, including murine and rat mechanistic breast cancer models driven by MMTV-Wnt1 and a human head and neck squamous cell carcinoma model (HN30). We also show that head and neck cancer cell lines with loss-of-function mutations in the Notch signaling pathway have a high response rate to LGK974. Together, these findings provide both a strategy and tools for targeting Wnt-driven cancers through the inhibition of PORCN. FAU - Liu, Jun AU - Liu J AD - Genomics Institute of Novartis Research Foundation, San Diego, CA 92121. FAU - Pan, Shifeng AU - Pan S FAU - Hsieh, Mindy H AU - Hsieh MH FAU - Ng, Nicholas AU - Ng N FAU - Sun, Fangxian AU - Sun F FAU - Wang, Tao AU - Wang T FAU - Kasibhatla, Shailaja AU - Kasibhatla S FAU - Schuller, Alwin G AU - Schuller AG FAU - Li, Allen G AU - Li AG FAU - Cheng, Dai AU - Cheng D FAU - Li, Jie AU - Li J FAU - Tompkins, Celin AU - Tompkins C FAU - Pferdekamper, AnneMarie AU - Pferdekamper A FAU - Steffy, Auzon AU - Steffy A FAU - Cheng, Jane AU - Cheng J FAU - Kowal, Colleen AU - Kowal C FAU - Phung, Van AU - Phung V FAU - Guo, Guirong AU - Guo G FAU - Wang, Yan AU - Wang Y FAU - Graham, Martin P AU - Graham MP FAU - Flynn, Shannon AU - Flynn S FAU - Brenner, J Chad AU - Brenner JC FAU - Li, Chun AU - Li C FAU - Villarroel, M Cristina AU - Villarroel MC FAU - Schultz, Peter G AU - Schultz PG FAU - Wu, Xu AU - Wu X FAU - McNamara, Peter AU - McNamara P FAU - Sellers, William R AU - Sellers WR FAU - Petruzzelli, Lilli AU - Petruzzelli L FAU - Boral, Anthony L AU - Boral AL FAU - Seidel, H Martin AU - Seidel HM FAU - McLaughlin, Margaret E AU - McLaughlin ME FAU - Che, Jianwei AU - Che J FAU - Carey, Thomas E AU - Carey TE FAU - Vanasse, Gary AU - Vanasse G FAU - Harris, Jennifer L AU - Harris JL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131125 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (AXIN2 protein, human) RN - 0 (Axin Protein) RN - 0 (Membrane Proteins) RN - 0 (Pyrazines) RN - 0 (Pyridines) RN - 0 (Receptors, Notch) RN - EC 2.3.- (Acyltransferases) RN - EC 2.3.1.- (PORCN protein, human) RN - U27F40013Q (LGK974) SB - IM MH - Acyltransferases MH - Animals MH - Axin Protein/antagonists & inhibitors MH - Blotting, Western MH - Cell Line, Tumor MH - Cloning, Molecular MH - High-Throughput Screening Assays MH - Humans MH - Membrane Proteins/*antagonists & inhibitors MH - Mice MH - Mutagenesis MH - Neoplasms/*drug therapy MH - Phosphorylation/drug effects MH - Pyrazines/*pharmacology/therapeutic use MH - Pyridines/*pharmacology/therapeutic use MH - Radioligand Assay MH - Rats MH - Receptors, Notch/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Wnt Signaling Pathway/*drug effects PMC - PMC3864356 OTO - NOTNLM OT - HNSCC OT - Wnt inhibition OT - beta-catenin COIS- Conflict of interest statement: J. Liu, S.P., M.H.H., N.N., T.W., S.K., D.C., J. Li, C.T., A.P., A.S., C.K., Y.W., C.L., P.M., W.R.S., L.P., A.L.B., H.M.S., M.E.M., J. Che, G.V., and J.L.H. are employees of Novartis. EDAT- 2013/11/28 06:00 MHDA- 2014/02/22 06:00 PMCR- 2014/06/10 CRDT- 2013/11/27 06:00 PHST- 2013/11/27 06:00 [entrez] PHST- 2013/11/28 06:00 [pubmed] PHST- 2014/02/22 06:00 [medline] PHST- 2014/06/10 00:00 [pmc-release] AID - 1314239110 [pii] AID - 201314239 [pii] AID - 10.1073/pnas.1314239110 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2013 Dec 10;110(50):20224-9. doi: 10.1073/pnas.1314239110. Epub 2013 Nov 25.