TITLE: Inhibitors of Histone Deacetylases for Radiosensitization of Prostate Cancer

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AD Award Number: W81XWH-04-1-0170 TITLE: Inhibitors of Histone Deacetylases for Radiosensitization of Prostate Cancer PRINCIPAL INVESTIGATOR: Mira O. Jung, Ph.D. CONTRACTING ORGANIZATION: Georgetown University Washington, DC 20057-1411 REPORT DATE: April 2006 TYPE OF REPORT: Annual 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 (DD-MM-YYYY) 3. DATES COVERED (From - To) 2. REPORT TYPE Annual 01-02-2006 4. TITLE AND SUBTITLE Inhibitors of Histone Deacetylases for Radiosensitization of Prostate Cancer 12 Jan 2005 11 Jan 2006 5a. CONTRACT NUMBER 5b. GRANT NUMBER W81XWH-04-1-0170 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Mira O. Jung, Ph.D. 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER E-mail: jungm@georgetown.edu 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER Georgetown University Washington, DC 20057-1411 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 Failure of conventional treatment of prostate cancer with radiotherapy may be due to intrinsic resistance of the tumor cells. One of mechanisms underlying intrinsic radiation sensitivity is linked to the state of chromatin architecture. The long-term goal of this proposal is to develop a novel therapeutic strategy by enhancing radiosensitivity of prostate cancer cells by testing the hypothesis that an increase of cellular radiation sensitivity may be achieved by exposure of cells to specific HDAC inhibitors. During the second year of the research funding period, the major accomplishment and significance of the research include:(1) sirna HDAC isoform transfection and determination of efficacy of sirna HDAC isoforms on cellular radiation sensitivity. (2) Determination of gene expression profiling regulated by HDAC inhibitor, TSA, and by HDAC isoforms. 15. SUBJECT TERMS Radiation sensitivity, histone deacetylase, cytotoxicity 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT a. REPORT U b. ABSTRACT U 18. NUMBER OF PAGES c. THIS PAGE U UU 9 19a. NAME OF RESPONSIBLE PERSON USAMRMC 19b. TELEPHONE NUMBER (include area code) Standard Form 298 (Rev. 8-98) Prescribed by ANSI Std. Z39.18

Table of Contents Cover 1 SF 298.. 2 Introduction....4 Body.4 Key Research Accomplishments. 6 Reportable Outcomes.6 Conclusions..6 References 6 Appendices 7

INTRODUCTION M. Jung 4 Our long-term goal of this research is to develop a novel therapeutic strategy by enhancing the radiosensitivity of prostate cancer cells using low concentrations of radiosensitizer and radiation, thereby reducing radiation damage to normal tissue. The major hypothesis to be tested is that an increase of cellular radiation sensitivity may be achieved by exposure of cells to certain HDAC inhibitors, leading to a potential clinical translation in the combined modality treatment of prostate cancer. BODY During the second year of the research funding, as outlined in Task II of the statement of work (S.O.W.), we proposed to identify and validate potential target HDAC isoforms for actions of confined HDAC inhibitors. The experimental plans include: (a) identifying specific isoforms targeted by HDAC inhibitors to enhance radiosensitization of cells. (b) Limited target specificity of HDACs in response to various HDAC inhibitors will also be evaluated by analyses of gene expression profiles. The major accomplishments associated with Task II outlined in the S.O.W. include:(1) sirna HDAC isoform transfection and determination of efficacy of sirna HDAC isoforms on cellular radiation sensitivity. (2) Determination of gene expression profiling regulated by HDAC inhibitor, TSA, and by HDAC isoforms. Tranfection of sirna HDAC isoforms in PC3 cells: To determine the role of specific HDAC isoforms in cellular radiosensitivity, PC3 cells were transfected with sirna duplexes (Dharmacon). The inhibition of the target isoform expression was confirmed by performing immunoblotting and confocal microscopic analyses. The protein expression levels of a number of HDAC isoforms were markedly reduced. As shown in Figure 1, the class I HDAC 1, 2, 3, 8 and class II HDAC7 proteins were successfully depleted by sirna. We also acknowledged that this method does not apply to some of HDAC isoforms whose expressions are very low in this cell line, such as HDAC4 and HDAC8. Efficacy of sihdac1 or sihdac3 was further confirmed by immunocytochemistry and confocal analyses (shown in Appendices). Figure 1. Effects of sirna HDAC isoforms on the endogenous HDAC protein expressions. sirna HDAC oligomers were transfected for 72 hours in PC3 cells. The protein expression levels of corresponding proteins were determined by Western analyses. Cell extracts prepared from mock and negative sirna oligomers transfected and untreated cells were used as controls. An antibody to GAPDH was used as a loading control. Effects of candidate HDACIs and sirna HDAC isoforms on radiation clonogenic survivals: Previously, HDAC inhibitory activities of biarylalanine analogues of candidate HDAC inhibitors (SW55 and its derivatives, ST groups) were assessed. These compounds exhibited the IC 50 HDAC inhibition values at nano-molar concentrations. To test the ability of HDAC inhibitors to sensitize cells to radiation, effects of the compounds on cellular radiosensitivity were evaluated by performing clonogenic survival assays. Based on previous data, we focused on efficacy of SW55 and ST12, which confer the most potent inhibitory activity among derivatives tested. Radiation clonogenic survival assays were performed following treatment of cells with the IC 50 values of these HDAC inhibitors. Surviving colonies were scored and radiation

M. Jung 5 sensitivity was determined by using the single hit multiple-target and the linear quadratic models. In Table 1, radiosensitivity of PC3 cells with HDAC inhibitors, SW55 and ST12, was compared to parental cells (D 0 =1.5 Gy). The values of D 0 were significantly decreased in the combined treatment (showing radiation sensitization): 1.28 Gy by SW55 and 1.12 Gy by ST12. In addition, the efficiency of survival colony formation was only 10% by 1 Gy of gamma radiation in combination with SW or ST12 treatment while radiation alone confers 55% survivals, supporting our strategy of using the HDAC inhibitor as a radiosensitizer. We further examined transfected cells with sirna targeting specific HDAC isoforms to address which depletion of specific isoforms causes alterations in the biological phenotypes associated cellular radiosensitivity. As shown in Table 1, cells transfected with sirna HDAC1 as well as mock treated cells confer no change in radiation sensitivity (Do=1.52 Gy) while cells with sirna HDAC3 and HDAC7 exhibit moderately reduced sensitivities (Do=1.43 for sihdac3 and Do=1.37 Gy for sihdac7). The sensitization effect of sihdac7 was similar to that by SAHA. Taken together, these results suggest that the candidate HDAC inhibitors are effectively sensitize PC3 cells to radiation. It is of particular interest that there is a disparity in radiation sensitizing effectiveness between these compounds. Therefore, we will mainly focus on characterization of ST12 in further studies. Table 1. Effects of HDAC inhibitors in PC cells (D 0 =1.49 Gy) Compound 50% HDAC inhibition activity Cytotoxicity (IC 50 ) Radiation Sensitivity (Gy) TSA 10 nm 0.3 µm 1.10 Gy SAHA 170 nm 1 µm 1.32 Gy SW55 290 nm 1 µm 1.28 Gy ST12 30 nm 1.8 µm 1.12 Gy SiHDAC1 - - 1.52 Gy SiHDAC3 - - 1.43 Gy SiHDAC7 - - 1.37 Gy mock 1.54 Gy Identification of specific HDAC isoforms targeted by HDAC inhibitor, ST12: To identify specific HDAC isoforms targeted by candidate HDACIs, we focused on class I HDAC isoforms. In vitro HDAC activity assays were performed using immunoprecipitates (HDAC1, HDAC2, HDAC3) or recombinant protein (HDAC8) of class I HDAC isoforms. The data show that SW55 inhibited ~70-80% of HDAC1, HDAC2, HDAC3 activities and 20% of HDAC8 (TSA and SAHA confer 10% and no inhibitory activity, respectively). ST12 inhibited ~60-70% of HDAC1, HDAC2, HDAC3 and ~40% of HDAC8. These data suggest that the compounds, SW55 and ST12, non-specifically target class I HDAC1, HDAC2, and HDAC3. Such results are possibly due to the nature of immunoprecipitates, which brought down a complex form of these isoforms together. However, ST12 was more potent against recombinant HDAC8 while TSA and SAHA show little inhibitory activity. Therefore, these results need to be further confirmed in cultured cells. Effects of HDACs on Gene expression profiling: To explore the biological pathways in which the target is involved, we analyzed the gene expression profiles following exposure to HDAC inhibitors. Genes of interest will be confirmed for differential expression using Real-Time PCR and immunoblotting.

M. Jung 6 PC3 cells were initially analyzed by utilizing Affymetrix microarrays (U133A) after treatment with the HDAC inhibitor. crna fragments will be prepared as suggested by the manufacturer (Affymetrix). To obtain statistic significance, four replicates per experimental data point from independent experiments were run for each of samples. The computational programs for the data analyses include the Affymetrix Data Mining Tool, the GeneSpring program and MatLab, which are frequently used in our lab. Following normalization and filtering of each chip and gene, the gene expression levels were examined utilizing parametric Welch s parametric t-test (p 0.05) to compare samples. The fold change ratio was then computed relative to the cell lines initial expression level. Functional clustering was applied to the pool of genes that changes significantly at least once during treatment in samples. Venn diagramming was utilized to cross reference the genes that differed significantly at indicated intervals in order to select genes that change significantly after treatment. Interestingly, a number of genes changed only in cells transfected with sirna HDAC7 were significantly higher (1474 genes at 67% up-regulated and 33% down-regulated) than those by sirna HDAC1 (416 genes at 61% up-regulated and 39% down-regulated) and HDAC3 (420 genes at 60% up-regulated and 40% down-regulated). The data suggest that these HDAC isoforms function not only down regulating gene expressions, but are also involved in gene activation. Currently, we are confirming the data by measuring the expression levels of a number of genes, which are significantly up or down-regulated, using Real Time (RT)-PCR and biochemical methods. KEY RESEARCH ACCOMPLISHMENTS: 1. Determined the radiosensitizing effect of candidate HDAC inhibitors and HDAC isoforms. 2. Identified a potential role of HDAC7 in intrinsic cellular radiation sensitivity. 3. Identified specific HDAC isoforms targeted by the candidate HDAC inhibitors. 4. Identified gene expression profiling affected by HDAC1, HDAC3, and HDAC7. 5. Identified a lead compound for animal testing proposed in Task III. REPORTABLE OUTCOMES: 1. Manuscripts in preparation. CONCLUSIONS During the second year of the research funding, we examined radiosensitizing property of the candidate HDAC inhibitors in PC cells. As shown in Table 1, SW55 and ST12 significantly increased radiosensitization of cells. Cells transfected with sirna HDAC7 also exhibit radiosensitizing effect albeit at the moderate level. Although no propounding efficacy was observed, the radiosensitizing effect by sirna HDAC7 is significant in that such moderate effect is due to the heterogeneous cell population, some of which are escaped from sirna transfection. Furthermore, the candidate HDAC inhibitors, SW55 and ST12, target class I HDAC isoforms. In the remaining funding period, we will focus on charactering ST12 and validating a number of genes regulated by HDAC isoforms obtained from gene expression profiling analyses. We will also test ST12 as a lead compound in the animal model proposed in Task III. REFERENCES:

APPENDICES: M. Jung 7 1. Immunocytochemistry and confocal data: PC3 CELLS: HDAC1 TOPO-3 Merge NM HDAC3 TOPO-3 Merge NM PC3/SIHDAC1: HDAC1 TOPO-3 Merge NM PC3/SIHDAC3: HDAC3 TOPO-3 Merge NM

M. Jung 8 2. Gene expression data: PC cells transfected treated with TSA for 24 hours or with sirna HDAC1, HDAC3, or HDAC7 were analyzed for their gene expression profiling. Tables show % of up- or down-regulated genes and a number of genes in various functional groups. A. Significantly regulated genes following exposure of PC3 cells to TSA. Control = untreated PC3 cells Up-Reg Down-Reg # genes # genes (%) # genes (%) TSA vs Control: (p<= 0.05 AND Fold >= 2.0 AND Flag Filter) AND. TSA vs DMSO: (p<= 0.05 AND Fold >= 2.0 AND Flag Filter) 413 155 (38%) 258 (62%) B. Significantly regulated genes in various functional groups. TSA apoptosis regulator activity (GO:0016329) 10 catalytic activity (enzymes) 102 cell adhesion molecule activity (GO:0005194) 8 cell cycle (GO:0007049) 17 cell death (GO:0008219) 10 cell differentiation (GO:0030154) 21 cell growth (GO:0016049) 38 cell proliferation (GO:0008283) 10 chromatin binding (GO:0003682) 0 cytoskeleton (GO:0005856) 11 defense immunity protein activity (GO:0003793) 7 DNA Binding 36 plasma membrane (GO:0005886) 42 regulation of gene expression, epigenetic (GO:0040029) 41 signal transduction (GO:0007165) 28 structural molecule activity (GO:0005198) 16 transcription factor activity (GO:0003700) 36 transporter activity 41 mitochondrion (GO:0005739) 16 metabolism 100 extracellular (GO:0005576) 13

M. Jung 9 C. Significantly regulated genes in PC3 cells transfected with sirna targeting HDAC1, HDAC3, or HDAC7. Up-Reg Down-Reg # genes # genes (%) # genes (%) (sihd1 vs Control) only 416 252(61%) 164(39%) (sihd3 vs Control) only 420 252(60%) 168(40%) (sihd7 vs Control) only 1474 989(67%) 485(33%) (sihd1 vs Control) AND (sihd3 vs Control) 126 84(67%) 37(29%) (sihd1 vs Control) AND (sihd7 vs Control) 391 194(50%) 187(48%) (sihd3 vs Control) AND (sihd7 vs Control) 202 117(58%) 70(35%) (sihd1 vs Control) AND (sihd3 vs Control) AND (sihd7 vs Control) 254 182(72%) 62(24%) D. Significantly regulated genes in various functional groups. sihdac1 ONLY sihdac3 ONLY sihdac7 ONLY sihdac1 & sihdac3 sihdac1 & sihdac7 sihdac3 & sihdac7 sihdac1 & sihdac3 & sihdac7 apoptosis regulator activity (GO:0016329) 3 13 12 1 0 18 12 catalytic activity (enzymes) 119 95 432 28 116 58 61 cell adhesion molecule activity (GO:0005194) 15 19 44 3 14 15 8 cell cycle (GO:0007049) 26 25 82 14 28 13 24 cell death (GO:0008219) 15 19 48 7 12 21 8 cell differentiation (GO:0030154) 26 26 92 11 24 18 11 cell growth (GO:0016049) 50 51 168 14 52 25 31 cell proliferation (GO:0008283) 12 23 68 3 23 17 9 chromatin binding (GO:0003682) 1 11 10 3 2 2 6 cytoskeleton (GO:0005856) 13 16 55 4 25 7 8 defense immunity protein activity (GO:0003793) 25 9 45 2 10 17 13 DNA Binding 44 71 210 21 58 24 40 extracellular (GO:0005576) 16 27 69 8 22 26 9 metabolism 127 115 461 36 105 63 62 mitochondrion (GO:0005739) 12 13 64 2 13 5 8 plasma membrane (GO:0005886) 51 83 284 15 82 35 31 regulation of gene expression, epigenetic (GO:0040029) 63 91 218 22 52 47 48 signal transduction (GO:0007165) 50 64 166 12 68 25 15 structural molecule activity (GO:0005198) 11 24 63 6 19 13 13 transcription factor activity (GO:0003700) 44 60 204 19 57 22 36 transporter activity 44 54 144 16 46 28 14