TITLE: Small Molecule Inhibitors of ERG and ETV1 in Prostate Cancer

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AD Award Number: W81XWH-12-1-0399 TITLE: Small Molecule Inhibitors of ERG and ETV1 in Prostate Cancer PRINCIPAL INVESTIGATOR: Colm Morrissey CONTRACTING ORGANIZATION: University of Washington Seattle WA 98195-0001 REPORT DATE: September 2013 TYPE OF REPORT: Annual Report PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE 2. REPORT TYPE September 2013 Annual Report 3. DATES COVERED 01 September 2012 31 August 2013 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Small Molecule Inhibitors of ERG and ETV1 in Prostate Cancer W81XWH-12-1-0399 5b. GRANT NUMBER W81XWH-12-1-0399 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Colm Morrissey 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER E-Mail: cmorriss@uw.edu 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER University of Washington 4333 Brooklyn Ave Seattle WA 98195-0001 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 11. SPONSOR/MONITOR S REPORT NUMBER(S) 12. DISTRIBUTION / AVAILABILITY STATEMENT Approved for Public Release; Distribution Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT The research involves laboratory studies utilizing xenograft models to test the hypothesis that targeting a member of the ETS transcription factor family with small molecules such as YK-4-279 may effectively treat prostate cancers. In year one Dr. Morrissey was to obtain internal Environmental Health and Safety (EH&S), Institutional Review Board (IRB), Institutional Animal Care and Use Committee (IACUC), Human Research Protections Office (HRPO) and Animal Care and Use Review Office (ACURO) approval. During this time Dr. Aykut Uren at Georgetown University was to screen more potential ETS transcription factor inhibitors for use in animal studies. Dr. Uren was to meet with and supply Dr. Morrissey with the inhibitor. All approvals have been applied for and obtained except for ACURO approval, which we have applied for and are currently awaiting. Dr. Uren has met with and delivered the inhibitor to Dr. Morrissey. The animal studies have been designed. Once ACURO approval is obtained the animal studies will begin. 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT a. REPORT U b. ABSTRACT U c. THIS PAGE U UU 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON USAMRMC 19b. TELEPHONE NUMBER (include area code)

Table of Contents Page Introduction.....1 Body..1 Key Research Accomplishments...1 Reportable Outcomes 2 Conclusion 2 References.3 Appendices NA

Introduction A group of chromosomal translocations were recently discovered in prostate cancer that fuses the 5` region of TMPRSS2 (a serine protease) gene to the 3` region of ETS transcription factor genes (1). TMPRSS2 is an androgen responsive gene and contributes only its promoter region and usually a very short exon-1 (2, 3). This causes aberrant expression of an ETS transcription factor in response to androgen. The most common ETS member involved in prostate cancer chromosomal translocations is ERG but other members such as ETV1, ETV4 and ETV5 have been also observed (4, 5). The more aggressive prostate cancers often contain these translocations, thus potentially increasing their utility as both diagnostic and prognostic marker (6-8). Cell culture and transgenic animal models suggest that increased expression of ETS members, as a result of the chromosomal translocations, increase cell invasion without affecting the proliferative potential (9-11). However, in some xenograft models reducing expression of TMPRSS2-ERG protein slows down prostate cancer growth (12, 13). Therefore, ETS proteins emerge as potential novel targets for treatment of primary and/or metastatic disease in prostate cancer. We developed small molecule inhibitors that target protein products of chromosomal translocations containing ETS transcription factors (14). We further established that our lead compound, YK-4-279, directly binds to both ERG and ETV1 proteins (15). YK-4-279 inhibits ERG and ETV1 mediated transcriptional activity and subsequent cellular invasive phenotype of prostate cancer cell lines. These effects were only observed in prostate cancer cell lines containing ETS chromosomal translocations such as VCaP and LNCaP and absent in the PC3 prostate cancer cell line that does not contain any ETS chromosomal translocations. Expression of ERG in PC3 cells from an expression vector sensitized them to YK-4-279 and inhibiting ERG expression in VCaP resulted in resistance to YK-4-279 effect (15). Therefore, we hypothesize that targeting ETS family of transcription factors by small molecules will inhibit malignant phenotypes of human prostate cancer cells. Body The research involves laboratory studies utilizing xenograft models to test the hypothesis that targeting a member of the ETS transcription factor family with small molecules such as YK-4-279 may effectively treat prostate cancers. In year 1 Dr. Uren was to screen ETS transcription factors to test in animal models of prostate cancer at the University of Washington. Dr. Morrissey was to obtain all approvals to start the animal studies in year 2, meet with Dr. Uren to discuss the fine details of the animal studies and obtain inhibitor from Dr. Uren for the animal studies. Dr. Morrissey received a 2% effort in year 1. Key Research Accomplishments 1. Dr. Uren has screened and tested a variety of ETS transcription factor inhibitors 2. Dr. Uren provided inhibitor to Dr. Morrissey 3. The animal studies have been designed 4. Dr. Morrissey has applied for all approvals and is awaiting ACURO approval No research studies were designated to Dr. Morrissey in year 1.

Reportable Outcomes In year one Dr. Morrissey was to obtain internal Environmental Health and Safety (EH&S), Institutional Review Board (IRB), Institutional Animal Care and Use Committee (IACUC), Human Research Protections Office (HRPO) and Animal Care and Use Review Office (ACURO) approval. During this time Dr. Aykut Uren at Georgetown University was to screen more potential ETS transcription factor inhibitors for use in animal studies. Dr. Uren was to meet with and supply Dr. Morrissey with the inhibitor. All approvals have been applied for and obtained except for ACURO approval, which we have applied for and are currently awaiting. Dr. Uren has met with Dr. Morrissey the details of the animal studies have been worked out and Dr. Uren has delivered the inhibitor to Dr. Morrissey. Conclusion Once ACURO approval is obtained the animal studies will begin at the University of Washington. We have no publications to report.

References 1. Tomlins SA, Rhodes DR, Perner S, Dhanasekaran SM, Mehra R, Sun XW, et al. Recurrent fusion of TMPRSS2 and ETS transcription factor genes in prostate cancer. Science. 2005;310:644-8. 2. Kumar-Sinha C, Tomlins SA, Chinnaiyan AM. Recurrent gene fusions in prostate cancer. Nat Rev Cancer. 2008;8:497-511. 3. Narod SA, Seth A, Nam R. Fusion in the ETS gene family and prostate cancer. Br J Cancer. 2008;99:847-51. 4. Helgeson BE, Tomlins SA, Shah N, Laxman B, Cao Q, Prensner JR, et al. Characterization of TMPRSS2:ETV5 and SLC45A3:ETV5 gene fusions in prostate cancer. Cancer Res. 2008;68:73-80. 5. Tomlins SA, Mehra R, Rhodes DR, Smith LR, Roulston D, Helgeson BE, et al. TMPRSS2:ETV4 gene fusions define a third molecular subtype of prostate cancer. Cancer Res. 2006;66:3396-400. 6. Demichelis F, Fall K, Perner S, Andren O, Schmidt F, Setlur SR, et al. TMPRSS2:ERG gene fusion associated with lethal prostate cancer in a watchful waiting cohort. Oncogene. 2007;26:4596-9. 7. Laxman B, Tomlins SA, Mehra R, Morris DS, Wang L, Helgeson BE, et al. Noninvasive detection of TMPRSS2:ERG fusion transcripts in the urine of men with prostate cancer. Neoplasia. 2006;8:885-8. 8. Wang J, Cai Y, Ren C, Ittmann M. Expression of variant TMPRSS2/ERG fusion messenger RNAs is associated with aggressive prostate cancer. Cancer Res. 2006;66:8347-51. 9. Carver BS, Tran J, Chen Z, Carracedo-Perez A, Alimonti A, Nardella C, et al. ETS rearrangements and prostate cancer initiation. Nature. 2009;457:E1; discussion E2-3. 10. Klezovitch O, Risk M, Coleman I, Lucas JM, Null M, True LD, et al. A causal role for ERG in neoplastic transformation of prostate epithelium. Proc Natl Acad Sci U S A. 2008;105:2105-10. 11. Tomlins SA, Laxman B, Dhanasekaran SM, Helgeson BE, Cao X, Morris DS, et al. Distinct classes of chromosomal rearrangements create oncogenic ETS gene fusions in prostate cancer. Nature. 2007;448:595-9. 12. Sun C, Dobi A, Mohamed A, Li H, Thangapazham RL, Furusato B, et al. TMPRSS2-ERG fusion, a common genomic alteration in prostate cancer activates C-MYC and abrogates prostate epithelial differentiation. Oncogene. 2008;27:5348-53. 13. Wang J, Cai Y, Yu W, Ren C, Spencer DM, Ittmann M. Pleiotropic biological activities of alternatively spliced TMPRSS2/ERG fusion gene transcripts. Cancer Res. 2008;68:8516-24. 14. Erkizan HV, Kong Y, Merchant M, Schlottmann S, Barber-Rotenberg JS, Yuan L, et al. A small molecule blocking oncogenic protein EWS-FLI1 interaction with RNA helicase A inhibits growth of Ewing's sarcoma. Nature medicine. 2009;15:750-6. 15. Rahim S, Beauchamp EM, Kong Y, Brown ML, Toretsky JA, Uren A. YK-4-279 Inhibits ERG and ETV1 Mediated Prostate Cancer Cell Invasion. PloS one. 2011;6:e19343.