Development of first-in-class AAK1 PROTACs for ovarian cancer
openNCI - National Cancer Institute
PROJECT SUMMARY
Ovarian cancer remains the most lethal gynecologic cancer. Treatment strategies developed over the past four
decades, however, have only achieved limited success. The current standard of care is surgical debulking
followed by paclitaxel/platinum-based chemotherapy. Although patients respond initially, almost all will relapse
due to rapid development of chemotherapy resistance, the mechanism of which is still largely unknown.
Given the fact that protein kinases are critical in regulating pro-survival signaling, we conducted a kinome-
wide shRNA screening, which identified AP2 associated kinase 1 (AAK1) as a “synthetic lethal” partner of
paclitaxel. AAK1 is known for its role in regulating clathrin-dependent endocytosis. However, its role in cancer
remains unexplored. TCGA datamining revealed that high AAK1 levels are associated with poor overall and
progression-free survival in taxane-treated ovarian cancer patients, and AAK1 levels are higher in taxane non-
responders than in responders. Consistently, silencing AAK1 sensitized paclitaxel to ovarian cancer cell lines
and organoids, both in vitro and in vivo, demonstrating the critical role of AAK1 in promoting paclitaxel resistance.
To investigate how AAK1 regulates paclitaxel sensitivity, we first discovered that caspase 7, activated by paclitaxel,
cleaves AAK1 at D767, creating AAK1 (1-767) truncation form. We further identified CCR4-NOT complex as the
key downstream effector for AAK1 (1-767) to promote paclitaxel resistance. Collectively, these findings position
AAK1 as a promising target for enhancing paclitaxel efficacy in ovarian cancer. However, AAK1 inhibitors,
despite their high potency in inhibiting cellular AAK1 kinase activity, require high concentrations to sensitize
ovarian cancer cells to paclitaxel, indicating limited clinical translation potential for AAK1 inhibitors in ovarian
cancer treatment.
We hypothesize that the proteolysis targeting chimera (PROTAC) approach can more effectively target AAK1
for ovarian cancer treatment. Indeed, HC-332, a lead AAK1-targeting PROTAC, induces potent, selective, deep,
and long-lasting degradation of AAK1 in ovarian cancer cells, in vitro and in vivo. HC-332 also sensitizes
paclitaxel treatment in various ovarian cancer patient-derived organoids, primary cancer cells, and cell lines,
including paclitaxel-resistant sublines, indicating its potential to improve paclitaxel response in both naive and
recurred patients. Despite suboptimal PK properties, in vivo studies further demonstrated that HC-332 greatly
improves paclitaxel response in ovarian cancer cell line and PDXs without obvious systemic toxicity. Collectively,
our data supports the potential of AAK1 PROTACs in treating ovarian cancer. Thus, we plan to develop AAK1
PROTACS with high selectivity, potency, and druglike properties; and evaluate of the efficacy of AAK1
PROTAC/paclitaxel combination in ovarian cancer and elucidate the mechanism of action of PROTACs.
Up to $593K
health research