Compunds and compositions that cause non-apoptotic cell death and uses thereof

The present invention relates to erastin analogs, particularly compounds of formulae I and II, including compounds 1-20, 22-24, 34, and 40. The invention also relates to pharmaceutical compositions containing such analogs and to methods of treating conditions in a mammal with such analogs and pharmaceutical compositions.

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Description
CLAIM TO BENEFIT

This application is a continuation-in-part of international application no. PCT/US2007/014360 filed Jun. 19, 2007, which international application is incorporated by reference as if recited in full herein. The international application claims the benefit of U.S. Provisional Application No. 60/814,864, filed Jun. 19, 2006, U.S. Provisional Application No. 60/817,665, filed Jun. 29, 2006, and U.S. Provisional Application No. 60/861,560, filed Nov. 29, 2006, each of which is incorporated by reference as if recited in full herein.

GOVERNMENT FUNDING

The work described herein was funded, in whole or in part, by National Cancer Institute Grant R01CA097061. The United States government may have certain rights in the invention.

FIELD OF THE INVENTION

The invention is directed to, inter alia, genotype-selective anti-tumor drugs that induce cell death by a non-apoptotic mechanism. The invention is further directed to uses of compounds and compositions to treat patients in need of such genotype-selective anti-tumor drugs.

BACKGROUND

Molecularly targeted therapeutics represent a promising approach to cancer drug discovery1; examples include Gleevec (imatinib mesylate)2, and Herceptin (trastuzumab)3. A limitation of this approach is that some oncogenic proteins are not amenable to inhibition with a small molecule. For example, the RAS oncoproteins are implicated in the genesis of numerous human tumors, but have been difficult to target effectively with small molecules4. The first rat sarcoma (RAS) oncogene was discovered as a genetic element from the Harvey and Kirsten rat sarcoma viruses with the ability to immortalize mammalian cells45-47. Mutated RAS oncogenes (i.e. HRAS, NRAS and KRAS) are found in 10-20% of all human cancers: KRAS mutations are found in >90% of pancreatic cancers, 50% of colon cancers and 25% of lung adenocarcinomas; NRAS mutations are found in 30% of liver cancers and 15% of melanomas, and HRAS mutations are found in 10% of kidney and bladder cancers48. Mice with a KRASG12V knock-in allele develop bronchiolo-alveolar adenomas49-52; mice expressing KRASG12V and CDK4R24C develop sarcomas and pre-neoplastic lesions of the pancreas49.

RAS proteins are guanine-nucleotide-binding proteins with GTPase activity and are associated with the plasma membrane. In the GTP-bound form, RAS proteins are mitogenic. Mutation of glycine-12 to other amino acids (including valine, i.e. RASG12V) results in an oncogenic allele with constitutive mitogenic, transforming activity and reduced GTPase activity53. Four downstream pathways activated by RAS proteins are (i) the RAF/MEK/ERK pathway, which regulates cell-cycle progression, (ii) the PI3K/PDK/AKT pathway, which regulates cell survival, (iii) the RalGDS pathway, which regulates membrane trafficking and vesicle formation, and (iv) the PLC-gamma/PKC pathway, which regulates Ca++ signaling4, 53, 54. Small molecules that activate the GTPase activity of RAS proteins might also be developed, although such an approach may be challenging to realize4. Alternative approaches, such as inhibiting RAS lipidation and processing, have been pursued4, 13.

A complementary strategy involves searching broadly for oncogenic-RAS-selective lethal compounds that kill tumor cells only in the presence of oncogenic RAS5. This genotype-selective approach can be applied to oncogenes such as those of the RAS gene family, whose gene products cannot be easily inhibited by a small molecule drug12. Such oncogene-selective compounds may target novel proteins in oncoprotein-linked signaling networks. Compounds reported to display oncogene-dependent lethality include (1) the rapamycin analog CCI-779 in myeloma cells lacking PTEN6, (2) Gleevec in BCR-ABL-transformed cells7, and (3) other less well-characterized compounds8-11.

Therefore, there remains a need to identify compounds that selectively target and inhibit growth of tumor cells.

SUMMARY OF THE INVENTION

In certain aspects, the invention provides methods for identifying an agent, which induces oxidative cell death in tumor cells, the method comprising: determining VDAC level in a tumor cell, contacting the tumor cell with an agent, and determining whether the tumor cell dies via oxidative cell death, and wherein a tumor cell which dies via oxidative death indicates that the agent induces oxidative cell death. In certain embodiments, oxidative cell death is defined by the presence of oxidative species, and/or decreased protein level of VDAC1, VDAC2, VDAC3 or any combination thereof. In other embodiments, oxidative cell death is defined by the presence of oxidative species, and/or decreased protein level of VDAC1, VDAC2, VDAC3 or any combination thereof, and the absence of any one of a number of molecular markers which are associated with cell death mechanisms such as apoptosis, necrosis, autophagy, and so forth. Determining of VDAC level can be done by any suitable known method in the art.

In other aspects, the invention provides methods for identifying an agent, which induces oxidative cell death in tumor cells, the method comprising: increasing VDAC level in a cell, contacting the cell with an agent, and determining whether the cell dies via oxidative cell death, wherein a cell which dies via oxidative death indicates that the agent induces oxidative cell death. In certain embodiments, the method increases the expression of VDAC1, VDAC2, VDAC3 or any combination thereof. In certain embodiments, VDAC expression can be increased by any suitable method known in the art, including nucleofection with vector carrying nucleic acid encoding VDAC, stable transfection with nucleic acid encoding VDAC, treatment with any suitable agent which increases VDAC expression. In some embodiments, such agents can upregulate VDAC expression by targeting or downregulating inhibitors of VDAC expression. In other embodiments, such agents can target upstream effectors of VDAC function and expression.

In other aspects, the invention provides a method for identifying an agent which induces oxidative cell death in tumor cells, the method comprising: providing a tumor cell, contacting the tumor cell with an agent, and determining whether the tumor cell dies via oxidative cell death, wherein oxidative cell death is determined by (I) detecting: (i) an increased level of oxidative species in the cell; or (ii) a decreased level of VDAC expression in the cell, and (II) identifying one or more of: (i) a lack of caspase 3 cleavage or activation; (ii) a lack of cytochrome C release; (iii) a lack of PARP cleavage or activation; (iv) a lack of Annexin V staining; (v) lack of alterations in chromatin morphology; (vi) a lack of nuclear DNA laddering; (vii) a lack of TUNEL staining of nuclear DNA; (viii) a lack of depletion of ATP levels.

In certain embodiments, the methods of the present invention can be optionally performed in the presence or absence of a second agent selected from the group consisting of: inhibitors of mitochondria-generated oxidative species, iron chelators, and anti-oxidants. In certain embodiments of the methods of the present invention, determining cell viability compares viability in the presence or absence of the second agent, wherein loss of cell viability in the absence of the second agent is indicative of an agent which induces oxidative cell death. An agent which induces cell death only in the absence of inhibitors of mitochondria-generated oxidative species, iron chelators, and anti-oxidants, is indicative of an agent which induces oxidative cell death.

In certain embodiments, the methods of the present invention further comprise determining whether mitochondrial morphology is altered, wherein altered mitochondrial morphology is indicative of an agent which induced an oxidative cell death. In certain embodiments, altered morphology can be detected when mitochondria are enlarged, or fused.

In other aspects, the present invention provides methods for identifying an agent which induces oxidative cell death in tumor cells, the method comprising: providing isolated mitochondria expressing VDAC protein, wherein VDAC protein is VDAC1, VDAC2, or VDAC3, or any isoform thereof, or any combination thereof; contacting the cellular fraction with an agent; and determining whether the agent alters permeability of the outer mitochondrial membrane, wherein an increase in the permeability of the outer mitochondrial membrane is indicative of an agent which induces a non-apoptotic oxidative cell death. In certain embodiments, the isolated mitochondria are in a cellular fraction comprising mitochondria. In other embodiments, the isolated mitochondria are purified mitochondria in a lipid bi-layer. In certain embodiments, determining whether the agent alters permeability of the outer mitochondrial membrane is done by measuring the levels NADH transport. In other embodiments, whether the agent alters permeability of the outer mitochondrial membrane is done by measuring the levels ATP transport.

In other aspects, the invention provides methods for identifying an agent which induces oxidative cell death in tumor cells, the method comprising: providing a tumor cell expressing a fluorescently labeled VDAC protein, wherein the VDAC protein is VDAC1, VDAC2, or VDAC3, or any isoform thereof, or any combination thereof; contacting the tumor cell with an agent; determining cell viability, and measuring the fluorescent signal due to the fluorescently labeled VDAC protein, wherein a decrease in cell viability and a decrease in fluorescence due to the fluorescently labeled VDAC protein is indicative of an agent which induces an oxidative cell death.

In other aspects, the invention provides methods for identifying an agent which induces oxidative cell death in tumor cells, the method comprising: providing a tumor cell expressing a fluorescently labeled VDAC protein comprising two different fluorescent labels, wherein the labeled VDAC protein exhibits fluorescent emission at a first and second wavelength when the channel is open, or a first, second and third (FRET) wavelength when the channel is closed; contacting the tumor cell with an agent; determining cell viability, and measuring the fluorescent signal due to the fluorescently labeled VDAC protein, wherein a decrease in cell viability and a decrease in fluorescence due to FRET in the labeled VDAC protein is indicative of an agent which induces an oxidative cell death. In certain embodiments, the fluorescently labeled VDAC protein is VDAC1, VDAC2, or VDAC3, or any isoform thereof, or any combination thereof.

In certain aspects, the present invention provides methods for determining susceptibility of a tumor cell to an agent which induces an oxidative cell death, the method comprising: providing a tumor cell and a syngeneic non-tumor cell, and measuring a level of VDAC in the tumor cell and the non-tumor cell, wherein an increase in the level of VDAC in the tumor cell compared to the VDAC level in the non-tumor cell is indicative of a tumor cell, which is susceptible to an agent that induces oxidative cell death. In certain embodiments, VDAC protein level is measured by any suitable method known in the art. In another embodiment, VDAC mRNA level is measured by any suitable method known in the art. In certain embodiments, VDAC protein is VDAC1, VDAC2 or VDAC3, or any isoform, or any combination thereof.

In another aspect, the present invention provides methods for determining susceptibility of a tumor cell to an agent, which induces non-apoptotic oxidative cell death, the method comprising: providing a tumor cell and a syngeneic non-tumor cell, and determining the phosphorylation level of ERK1/2, wherein the presence of a phosphorylated form of ERK1/2 and/or the presence of an increased level of a phosphorylated form of ERK1/2 is indicative of a tumor cell which is susceptible to an agent that induces non-apoptotic cell death. In certain embodiments, the tumor cell and the syngeneic cell are derived from a subject suffering from a tumor.

In other aspects, the invention provides methods for identifying novel RAS-selective lethal compounds. The invention provides compounds with increased lethality in oncogenic-RAS-expressing tumor cells. In certain embodiments the compound is erastin. In certain aspects the invention provides methods for identifying cellular proteins which interact with erastin. In certain embodiments, a cellular target protein which interacts with erastin is a VDAC protein, for example, but not limited to, VDAC1, 2, or 3. In other aspects, the invention provides a method for selectively eliminating tumor cells with activated RAS-RAF-MEK-MAPK, for example, signaling by administering genotype-specific anti-tumor compounds, such as but not limited to, erastin. In other aspects, the invention provides that erastin is lethal to tumor cells by a mechanism of non-apoptotic, oxidative cell death. In certain embodiments, the oxidative cell death can be determined by measuring the level of oxidative species.

In certain aspects, the invention is directed to small-molecule-induced, RAS-RAF-MEK-dependent oxidative cell death involving voltage dependent anion channels. Small molecules with oncogene-selective lethality reveal novel functions of oncoproteins and enable creation of tumor selective drugs (Kaelin, W. G. The concept of synthetic lethality in the context of anticancer therapy. Nat Rev Cancer. 5: 689-98 (2005)). The invention describes the mechanism of action of a novel RAS-RAF-MEK-pathway selective anti-tumor agent. The agent, herein referred to as erastin was discovered in a screen for small molecules that are preferentially lethal to oncogenic-RAS-expressing tumor cells. In certain embodiments, the invention provides that erastin exhibits greater lethality in tumor cells harboring oncogenic mutations in HRAS, KRAS or BRAF. In non-limiting examples, affinity purification and mass spectrometry were used to identify cellular components, including but not limited to proteins, that interact with erastin. In certain aspects, the invention provides that erastin acts through mitochondrial voltage-dependent anion channels (VDACs). In certain embodiments, erastin causes the appearance of oxidative species in cells with oncogenic RAS or RAF. In certain embodiments, cells with oncogenic RAS or RAF die through an oxidative, non-apoptotic death mechanism.

In certain embodiments, down regulation of VDAC activity or protein levels, a non-limiting example of VDAC down regulation is RNA interference-mediated knockdown of VDAC2 or VDAC3, caused resistance to erastin. In certain embodiments, VDAC2 and 3 isoforms of VDAC are implicated in erastin's mechanism of action. In other embodiments, wherein purified mitochondria expressing VDAC3 were used, erastin increased the permeability of the outer mitochondrial membrane, demonstrating that erastin acts through a gain-of-function mechanism, by opening VDAC2 and VDAC3 channels.

In certain embodiments, a screen of ˜24,000 compounds, identified erastin, which induces rapid death in engineered tumor cells (BJ-TERT/LT/ST/RASV12 cells (Hahn, W. C. et al. Creation of human tumor cells with defined genetic elements. Nature. 400: 464-8. (1999)) with oncogenic HRASV12, but not in isogenic, non-tumorigenic cells lacking oncogenic RAS (BJ-TERT/LT/ST cells). In certain embodiments, the selective cell death was not dependent on the rate of cell division or idiosyncratic to this cell line. In certain embodiments, erastin-treated cells did not display changes in nuclear morphology. In certain embodiments, imaging by electron microscopy revealed changes in mitochondrial morphology, such as enlargement and fusion of mitochondria. These mitochondrial morphological changes were not observed in response to staurosporine, hydrogen peroxide or rapamycin, compounds that induce cell death through apoptosis, necrosis and autophagy, respectively.

In certain aspects, the invention provides methods to identify the mechanism of erastin's action. Such methods can include, but are not limited to, methods involving a chemical suppressor screen to identify known compounds that prevent erastin-induced cell death. Other methods can include an affinity purification approach to identify direct targets of erastin. A suppressor screen using a library of ˜2,000 biologically active compounds (Root, D. E., Flaherty, S. P., Kelley, B. P. & Stockwell, B. R. Biological mechanism profiling using an annotated compound library. Chem. Biol. 10: 881-92 (2003)) identified antioxidants, including but not limited to alpha-tocopherol, butylated hydroxytoluene and beta-carotene, as a class of compounds which prevent erastin-induced death.

In certain aspects, the invention provides that oxidizing species are formed and detected in response to erastin treatment. In certain embodiments, oxidizing species are detected using dihydrodichlorofluorescein in BJ-TERT/LT/ST/RASV12 cells, but not in isogenic BJ-TERT cells. In certain embodiments, there is a modestly increased sensitivity to erastin in the presence of the Small T oncoprotein (ST), perhaps because ST moderately activates the RAS-RAF-MEK-MAPK pathway. (Frost, J. A. et al. Simian virus 40 small t antigen cooperates with mitogen-activated kinases to stimulate AP-1 activity. Mol Cell Biol 14, 6244-52 (1994).) In certain embodiments, the BJ-TERT cell line was used as a comparison cell line because it lacks both oncogenic HRAS and ST. In certain embodiments, iron chelators, for example but not limited to desferrioxamine, any one of the compounds presented in FIG. 30, suppress erastin-induced lethality via oxidative cell death. Suppression of erastin-induced lethality by an iron chelator, suggests that iron-based Fenton chemistry is involved in this erastin-induced oxidative death. In certain aspects, the invention provides that tumor cells other than BJ-TERT/LT/ST/RASV12 die through this oxidative mechanism. In certain embodiments, erastin induces cell death in HT1080 fibrosarcoma cells. In certain embodiments, erastin-induced cell death in HT1080 cells is suppressed by anti-oxidants.

In certain aspects, the invention provides that the oxidizing species generated in the presence of erastin does not cause PARP1 cleavage, caspase-3 cleavage or cytochrome c release, all hallmarks of apoptosis, indicating this oxidative death is distinct from the oxidative species that appear during some forms of apoptosis due to loss of mitochondrial membrane potential. Indeed, loss of mitochondrial membrane potential only occurred when the cells had died, after 13 hours of erastin treatment.

In certain aspects, the invention provides that erastin does not induce other hallmarks of apoptosis, which is a stereotypical form of programmed cell death activated by many anti-tumor agents (Dolma, S., Lessnick, S. L., Hahn, W. C. & Stockwell, B. R. Identification of genotype-selective antitumor agents using synthetic lethal chemical screening in engineered human tumor cells. Cancer Cell. 3: 285-96 (2003); Wyllie, A. H. Glucocorticoid-induced thymocyte apoptosis is associated with endogenous endonuclease activation. Nature. 284: 555-6 (1980); Kerr, J. F., Wyllie, A. H. & Currie, A. R. Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics. Br J Cancer. 26: 239-57 (1972); Martin, S. J. et al. Early redistribution of plasma membrane phosphatidylserine is a general feature of apoptosis regardless of the initiating stimulus: inhibition by overexpression of Bcl-2 and Abl. J Exp Med. 182: 1545-56 (1995); Yuan, J., Shaham, S., Ledoux, S., Ellis, H. M. & Horvitz, H. R. The C. elegans cell death gene ced-3 encodes a protein similar to mammalian interleukin-1 beta-converting enzyme. Cell. 75: 641-52 (1993). Such hallmarks include caspase-3 cleavage and activation, annexin V staining, alterations in chromatin morphology, poly(ADP ribose)polymerase (PARP) cleavage and cytochrome c release from mitochondria (Song, Z. & Steller, H. Death by design: mechanism and control of apoptosis. Trends Cell Biol. 9: M49-52. (1999); Majno, G. & Joris, I. Apoptosis, oncosis, and necrosis. An overview of cell death. Am J Pathol. 146: 3-15. (1995)). None of these apoptotic markers were activated by erastin. In addition, there is no DNA ladder formation from erastin treated cells, and there is no suppression of oxidative cell death by pan-caspase inhibitors. Moreover, a classic hallmark of necrotic death, complete depletion of ATP, was not observed in erastin-treated cells. In certain aspects, the invention provides that erastin induces rapid, oxidative, non-apoptotic death in tumor cells with oncogenic HRAS. In other aspects, the invention provides that tumor cells with activating RAS or RAF mutations are sensitized to erastin induced cell death. Erastin induced cell death is not consistent with autophagic cell death or paraptosis. Erastin induced cell death is not suppressed by 3-methyladenine, an inhibitor of autophagic death. EM analysis further confirmed the absence of autophagic vesicles. There is no extensive-vacuolation seen as in paraptosis. Erastin induced cell death is non-necrotic. Erastin induced cell death is suppressed by treatment with cyclohexamide, which indicates that erastin leads to cell death via an active mechanism. Therefore, erastin induced cell death is an active cell death process, which is different from any of the previously characterized cell death pathways.

The observation that mitochondrial morphology was perturbed upon erastin treatment suggested that erastin-induced oxidative species originate in mitochondria. In certain embodiments, the invention provides that agents which inhibit formation of mitochondria-generated oxidative species suppress erastin-induced cell death. In certain embodiments, antimycin, a mitochondrial complex III inhibitor (Ho, S. H., Das Gupta, U. & Rieske, J. S. Detection of antimycin-binding subunits of complex III by photoaffinity-labeling with an azido derivative of antimycin. J Bioenerg Biomembr. 17: 269-82 (1985); G, V. O. N. J. & Bohrer, C. Inhibition of electron transfer from ferrocytochrome b to ubiquinone, cytochrome c1 and duroquinone by antimycin. Biochim Biophys Acta. 387: 409-24 (1975)), and 2-methoxyestradiol, a superoxide dismutase inhibitor (Huang, P., Feng, L., Oldham, E. A., Keating, M. J. & Plunkett, W. Superoxide dismutase as a target for the selective killing of cancer cells. Nature. 407: 390-5 (2000); Wood, L. et al. Inhibition of superoxide dismutase by 2-methoxyoestradiol analogues and oestrogen derivatives: structure-activity relationships. Anticancer Drug Des. 16: 209-15 (2001)), both partially suppress erastin-induced cell death. Both compounds act upstream of mitochondria-generated hydrogen peroxide and hydroxyl radical (potential oxidative species). However, melatonin, a peroxynitrite scavenger (Gilad, E., Cuzzocrea, S., Zingarelli, B., Salzman, A. L. & Szabo, C. Melatonin is a scavenger of peroxynitrite. Life Sci. 60: PL169-74 (1997)), did not affect erastin-induced cell death, suggesting peroxynitrite is not involved. Therefore, erastin-induced cell death involves oxidative species emanating from mitochondria. Furthermore, gating of mitochondrial outer membrane permeability is a physiologically important process.

In other aspects, the invention provides that mitochondria, and not peroxisomes, are the source of erastin-induced oxidative species. In certain embodiments, peroxisome proliferators, for example, ciprofibrate, ciglitazone and clofibrate, and xanthine oxidase inhibitors, for example oxypurinol and allopurinol, did not affect erastin-induced cell death. In other embodiments, lipoxygenase inhibitors, prostaglandins, arachidonate esters and acids, and thromboxane receptor antagonists had no effect on erastin-induced cell death, suggesting lipoxygenases and arachidonic acid pathways are not involved. In addition, verapamil, which is a multidrug resistance (MDR) pump inhibitor had no effect on erastin sensitivity, suggesting MDR activity is not involved in the differential sensitivity of cells to erastin. Thus, erastin induces mitochondrial dysfunction in oncogenic RAS-expressing cells, wherein this mitochondrial dysfunction does not result in apoptosis or energy failure.

Erastin was discovered, e.g., in a screen for oncogenic-HRAS-selective lethal compounds. KRAS is more frequently mutated in human cancers than HRAS. Thus, whether erastin is selectively lethal to tumor cells harboring oncogenic KRAS was tested. Calu-1 is a lung carcinoma cell line (Calu-1) with an activating mutation in KRAS. In certain embodiments, Calu-1 cells were sensitive to erastin (IC50=5 μM). Two different lentiviral constructs were used to reduce expression of mutant KRAS. Reduction of mutant KRAS levels leads to significant resistance to erastin.

In certain aspects, the invention provides that erastin is lethal to tumor cells with activating mutations in proteins downstream of RAS proteins. Dose-response of 30 tumor cell lines to erastin was measured, and at least 50% inhibition of cell viability in 19 of the 30 tumor cell lines was formed. Numerous sarcoma-derived tumor cell lines were sensitive to erastin, consistent with the fact that erastin was discovered in an engineered tumor cell line created from human fibroblasts. Non-limiting examples include, HT1080 fibrosarcoma cells. HT1080 fibrosarcoma cells, which have a known activating mutation in NRAS, (Plattner, R. et al. Differential contribution of the ERK and JNK mitogen-activated protein kinase cascades to Ras transformation of HT1080 fibrosarcoma and DLD-1 colon carcinoma cells. Oncogene. 18: 1807-17 (1999)), were quite sensitive to erastin. In order to determine whether RAS-activated signaling was modulated in cell lines that respond to erastin, the phosphorylation status of ERK1/2 in 12 sarcoma cell lines with a range of sensitivities to erastin was evaluated. In certain aspects, the invention provides a non-zero correlation, such as for example, a correlation coefficient of 0.41, between ERK1/2 phosphorylation status and erastin sensitivity in these cell lines. This indicates that although ERK1/2 phosphorylation does not directly predict sensitivity to erastin, it may, in some cases, be a proxy for erastin sensitivity.

In certain aspects the invention provides that erastin acts in a manner that is specific to cells with activated RAS-RAF-MAPK pathway signaling. A non-limiting example of a cell line with moderate sensitivity to erastin is A673, which has an activating V600E mutation in BRAF, which is a direct target of RAS proteins (Davies, H. et al. Mutations of the BRAF gene in human cancer. Nature. 417: 949-54 (2002)). To determine whether the activating mutation in BRAF influences erastin sensitivity, short hairpin RNA-expressing plasmids targeting either BRAF mRNA or, as a control, luciferase (LUC) mRNA were created. Knockdown cell lines containing these constructs were generated, and their sensitivity to erastin was measured. In certain embodiments, the A673 cells containing either of these two different BRAF-targeted shRNAs were resistant to erastin. Knockdown of BRAF was confirmed at the protein level by western blot. In other embodiments, co-expression of a non-targetable V600E mutant BRAF could partially restore sensitivity of these cells to erastin.

In certain aspects, the invention provides that activated RAS-RAF-MEK signaling renders tumor cells sensitive to erastin. In certain embodiments, treatment of tumor cells with different MEK1/2 inhibitors, which block MEK1/2 signaling, lead to loss of erastin sensitivity in tumor cells. In certain embodiments, three different inhibitors caused erastin resistance in both BJ-TERT/LT/ST/RASV12 and HT1080 cells, with activating mutations in HRAS and NRAS, respectively. In certain aspects, the invention provides that erastin selectivity kills cells in which the RAS-RAF-MEK pathway is constitutively activated.

The invention further provides methods to define erastin's mechanism of action. A non-limiting example is a method for affinity-based target identification. In certain embodiments of this method, erastin analogs that could be linked to solid-phase resin for biochemical purification were synthesized. A non-limiting example is an erastin-related compound, erastin B1 (compound 53), with the ability to kill BJ-TERT/LT/ST/RASV12 fibroblasts expressing oncogenic HRAS, but not isogenic BJ-TERT cells lacking oncogenic HRAS and ST (IC50=10 μM). Replacement of the p-chloro substituent in erastin (compound 36), henceforth referred to as erastin A1 (compound 36), with an aminomethyl group resulted in an analog (erastin A3 (compound 55)) that retained the ability to kill BJ-TERT/LT/ST/RASV12 cells but not BJ-TERT cells. Replacement of the p-fluoro group in erastin B1 with an aminomethyl group resulted in an analog, referred to erastin B2 (compound 54), that lacks activity.

Erastin A6 (compound 57), Erastin A3 (compound 55), and erastin B2 (compound 54) were immobilized on solid-phase resins, and proteins that interact with A3 or A6, but not B2 were identified. In certain embodiments, wherein BJ-TERT/LT/ST/RASV12 cell lysates were used, all three isoforms of the human mitochondrial voltage-dependent anion channels (VDAC1, VDAC2 and VDAC3) were identified on the A3 and A6 resins, but only VDAC1 on the B2 resin. In certain embodiments, wherein BJ-TERT cell lysates were used, a small amount of VDAC1 on the A3 and A6 resins was identified, but none of the VDACs were bound on the B2 resin. Thus, it appears that erastin A3 and A6 more efficiently isolate VDAC2 and VDAC3 compared to erastin B2. All three VDACs are identified from the pull-downs performed on BJ-TERT/LT/ST/RASV12 cell lysate, which indicates that VDACs are expressed at a higher level in BJ-TERT/LT/ST/RASV12 cells compared to BJ-TERT cells. Moreover, all three VDACs are identified with higher confidence from the pull-downs performed on BJ-TERT/LT/ST/RASV12 cell lysate with erastin A6 compared to the pulldowns on BJ-TERT cells with erastin A6, suggesting VDACs are more readily purified from BJ-TERT/LT/ST/RASV12 cells compared to BJ-TERT cells.

VDACs, also known as eukaryotic porins, are membrane-spanning channels that facilitate transmembrane transport of ions and metabolites (Graham, B. H. & Craigen, W. J. Genetic approaches to analyzing mitochondrial outer membrane permeability. Curr Top Dev Biol. 59: 87-118 (2004); Baker, M. A., Lane, D. J., Ly, J. D., De Pinto, V. & Lawen, A. VDAC1 is a transplasma membrane NADH-ferricyanide reductase J Biol Chem. 279: 4811-9 (2004)), most notably across the outer mitochondrial membrane (Rostovtseva, T. & Colombini, M. ATP flux is controlled by a voltage-gated channel from the mitochondrial outer membrane. J Biol Chem. 271: 28006-8 (1996)). There are three human VDAC genes, VDAC1, VDAC2 and VDAC3, of which VDAC1 is the most studied (Graham et al., (2004); Rahmani, Z., Maunoury, C. & Siddiqui, A. Isolation of a novel human voltage-dependent anion channel gene. Eur J Hum Genet. 6: 337-40 (1998)). The three gene products are ˜70% identical and likely have distinct cellular and organismal functions (Graham et al., (2004)). Although no atomic-resolution structure of VDAC is available, they have been proposed to adopt a beta barrel fold analogous to the bacterial porins (Casadio, R., Jacoboni, I., Messina, A. & De Pinto, V. A 3D model of the voltage-dependent anion channel (VDAC). FEBS Lett. 520:1-7 (2002); Forte, M., Guy, H. R. & Mannella, C. A. Molecular genetics of the VDAC ion channel: structural model and sequence analysis. J Bioenerg Biomembr. 19: 341-50 (1987); Shao, L., Kinnally, K. W. & Mannella, C. A. Circular dichroism studies of the mitochondrial channel, VDAC, from Neurospora crassa. Biophys J. 71: 778-86 (1996)). The finding that erastin pulls down a mitochondrial protein (VDAC) is consistent with the observation that erastin induces a mitochondria-driven oxidative death.

In certain aspects, the invention provides that altered expression of VDACs contributes to erastin sensitivity. To determine whether VDACs are upregulated in response to oncogenic RAS, VDAC abundance was measured, using an antibody that recognizes all three isoforms, in the BJ cell series (primary BJ cells, BJ-TERT cells containing hTERT, BJ-TERT/LT/ST cells containing additionally LT and ST, or BJ-TERT/LT/ST/RASV12 cells containing additionally HRASG12V). In BJ-TERT/LT/ST/RASV12 cells, total VDAC protein is increased relative to these other cell lines.

In other embodiments, after 8 hours of erastin treatment, VDAC3 was no longer detectable, and after 10 hours, VDAC2 also became undetectable. This type of downregulation has also been observed in the case of treatment with camptothecin which targets topoisomerase I. This indicates that erastin acts by a gain-of-function mechanism and that cells with more VDAC protein are more sensitive to erastin. A similar gain-of-function mechanism occurs with doxorubicin and topoisomerase II alpha, and with camptothecin and topoisomerase I (Beck, W. T. & Danks, M. K. Mechanisms of resistance to drugs that inhibit DNA topoisomerases. Semin Cancer Biol. 2: 235-44 (1991)) suggesting that a cellular response to erastin may be the downregulation of VDAC2/3 after lethal oxidative species have been generated, as occurs with camptothecin and topoisomerase I and DNA damage. The fact that VDAC1 is still present at these later time points suggests that the loss of VDAC2/3 is not simply due to loss of mitochondria.

To test this gain-of-function hypothesis, VDAC protein levels were reduced using a lentiviral shRNA expression system (Moffat et al. 2006). Five shRNA constructs were created targeting each VDAC isoform and their effects on erastin resistance were tested. In certain embodiments, knockdown of VDAC3 caused significant resistance to erastin. In another embodiment, there is a degree of erastin resistance when VDAC2 was knocked down. The isoform specificity of each shRNA reagent was confirmed at the mRNA and protein level. These results are consistent with a gain of function mechanism, such as increasing permeability of the outer mitochondrial membrane. In contrast, overexpression of VDAC3 alone in BJ-TERT cells yielded no increase in sensitivity to erastin, suggesting that other downstream aspects of RAS-RAF-MEK signaling are needed to sensitize cells to erastin, such as increasing rates of glycolysis and respiration. Overall, these results are consistent with a gain of function mechanism involving erastin and VDAC2/3. This effect is specific to erastin, but not other lethal compounds, e.g., VDAC2-deficient embryonic stem cells have been shown to be more sensitive, not less sensitive, to staurosporine and etoposide. (Cheng, E. H., Sheiko, T. V., Fisher, J. K., Craigen, W. J. & Korsmeyer, S. J. VDAC2 inhibits BAK activation and mitochondrial apoptosis. Science 301, 513-7 (2003).)

In certain embodiments, mitochondria can be purified from yeast that had been engineered to express murine or human VDAC3 in place of yeast VDAC. A previous report demonstrated that the rate of NADH uptake through the outer membrane of such mitochondria is dependent on the specific VDAC expressed in yeast, such as for example, murine VDAC3 in these yeast. In certain embodiments, erastin treatment increases the permeability of murine or human VDAC3-expressing mitochondria to NADH, consistent with the proposed gain-of-function mechanism involving channel opening. In other embodiments, erastin treatment increases the permeability of murine or human VDAC3-expressing mitochondria to NADH. Little intrinsic membrane permeability was found with VDAC3, consistent with previous reports that VDAC3 does not gate well in vitro. (Xu, X., Decker, W., Sampson, M. J., Craigen, W. J. & Colombini, M. Mouse VDAC isoforms expressed in yeast: channel properties and their roles in mitochondrial outer membrane permeability. J Membr Biol 170, 89-102 (1999).) An inactive analog of erastin, erastin A8 (compound 34), had no effect on mitochondrial membrane permeability. These results suggest that erastin affects VDAC gating, possibly switching their ion selectivity and allowing cationic species into mitochondria.

Given the interactions between erastin and VDAC using affinity-based target identification and VDAC functional assays, the direct binding of erastin to VDACs was investigated. Using modified versions of previously reported protocols, VDAC2 was isolated from E. coli for use in a competition binding experiment using a radioactively labeled analog (erastin A9 (compound 3). (Poyurovsky, M. V. et al. Nucleotide binding by the Mdm2 RING domain facilitates Arf-independent Mdm2 nucleolar localization. Mol Cell 12, 875-87 (2003); Koppel, D. A. et al. Bacterial expression and characterization of the mitochondrial outer membrane channel. Effects of n-terminal modifications. J Biol Chem 273, 13794-800 (1998).) The results demonstrate that the RAS-selective lethal erastin A9 (IC50: 1.9 μM, FIG. 20n), unlike inactive erastin analog A8, directly binds to VDAC2 (KD: 112 nM, FIG. 21k), in the process competing off radiolabeled erastin A9.

In certain aspects, the invention provides that erastin interacts with VDAC proteins to induce mitochondrial dysfunction, release of oxidative species and, ultimately, non-apoptotic, oxidative cell death. This process appears to be selective for cells with activated RAS-RAF-MEK signaling. In certain aspects, the invention provides methods to identify oncogene-selective compounds and to use the identified oncogene-selective compounds to illuminate oncogene-related cell death mechanisms.

Unlike bacterial porins, the eukaryotic VDACs are gated by membrane voltage, at least in vitro (Mannella, C. A. Minireview: on the structure and gating mechanism of the mitochondrial channel, VDAC. J Bioenerg Biomembr. 29: 525-31 (1997)). In the closed state, ions, but not small molecule metabolites, can penetrate through VDAC pores (Mannella, C. A. Minireview: on the structure and gating mechanism of the mitochondrial channel, VDAC. J Bioenerg Biomembr. 29: 525-31 (1997)). In the open state, both ions and metabolites pass through VDAC channels. The mechanism and frequency of channel gating in vivo is not known, although protein regulators of VDAC gating are reported to exist (Kmita, H., Budzinska, M. & Stobienia, O. Modulation of the voltage-dependent anion-selective channel by cytoplasmic proteins from wild type and the channel depleted cells of Saccharomyces cerevisiae. Acta Biochim Pol. 50: 415-24 (2003)). VDACs have also been reported to interact with BCL proteins and participate in the formation of the mitochondrial permeability transition pore that facilitates release of cytochrome c from mitochondria (Shimizu, S., Narita, M. & Tsujimoto, Y. Bcl-2 family proteins regulate the release of apoptogenic cytochrome c by the mitochondrial channel VDAC. Nature. 399: 483-7 (1999); Rostovtseva, T. K., Tan, W. & Colombini, M. On the Role of VDAC in Apoptosis: Fact and Fiction. J Bioenerg Biomembr. 37: 12942 (2005); Chandra, D., Choy, G., Daniel, P. T. & Tang, D. G. Bax-dependent regulation of Bak by voltage-dependent anion channel 2. J Biol. Chem. 280: 19051-61 (2005)). This is a critical event in the intrinsic, mitochondria-driven apoptotic pathway, but does not appear to be involved in erastin's mode of action.

In certain aspects, the invention provides that erastin interacts with VDACs or a VDAC-containing mitochondrial outer membrane complex to induce mitochondrial dysfunction, such as for example, altered mitochondrial morphology, changes in the permeability of the outer mitochondrial membrane, increased respiration, which can be measured by determining oxygen consumption, increased leakage of oxidative species, which can be measured with dihydrodichlorofluorescein or other dyes, release of oxidative species and non-apoptotic cell death. In certain embodiments, oxidative cell death is selective for cells with activated RAS or RAF signaling. Erastin's effect on tumor cells is likely because RAS and RAF proteins upregulate VDACs, and by activating RAF family members, which have been reported to inhibit VDACs (Le Mellay, V., Troppmair, J., Benz, R. & Rapp, U. R. Negative regulation of mitochondrial VDAC channels by C-Raf kinase. BMC Cell Biol. 3: 14 (2002)). Thus, cells with greater RAS/RAF activity are likely to have an increased pool of latent VDACs and are, therefore, more susceptible to compounds that disregulate VDAC function. In certain aspects, the invention provides methods to discover oncogene-selective compounds, and the use of such compounds to illuminate novel oncogene-specific cell death mechanisms.

In another embodiment, the invention is an erastin analog, such as a compound having a structure defined by formula I:

wherein
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring;
R2 is selected from H, C1-8alkyl, C1-8alkoxy, 3- to 8-membered carbocyclic or heterocyclic, aryl, heteroaryl, C1-4aralkyl, residues of glycolic acid, ethylene glycol/propylene glycol copolymers, carboxylate, ester, amide, carbohydrate, amino acid, alditol, OC(R6)2COOH, SC(R6)2COOH, NHCHR6COOH, COR7, CO2R7, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, thioalkyl, thioester, propylphthalimide, and thioether;
R3 is a C2-8 alkoxy;
R6 is selected from H, C1-8alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle, wherein each alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle may be optionally substituted with at least one substituent;
R7 is selected from H, C1-8alkyl, C1-8alkenyl, C1-8alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic, wherein each alkyl, alkenyl, alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic may be optionally substituted with at least one substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In another embodiment, the invention is an erastin analog, such as a compound having a structure defined by formula Ia:

wherein
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring;
R3 is a C2-8 alkoxy; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In another embodiment, the invention is an erastin analog, such as a compound having a structure defined by formula II:

wherein
A is selected from the group consisting of C, N, and O;
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring with the proviso that when A is C, R1 is not NH2 or NO2;
R2 is selected from H, C1-8alkyl, C1-8alkoxy, 3- to 8-membered carbocyclic or heterocyclic, aryl, heteroaryl, C1-4aralkyl, residues of glycolic acid, ethylene glycol/propylene glycol copolymers, carboxylate, ester, amide, carbohydrate, amino acid, alditol, OC(R6)2COOH, SC(R6)2COOH, NHCHR6COOH, COR7, CO2R7, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, thioalkyl, thioester, propylphthalimide, and thioether;
R3 is a C2-8 alkoxy;
R4 is a hydrophilic substituent, which is attached to at least one position of A, except that when A is O, R3 is nothing;
R6 is selected from H, C1-8alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle, wherein each alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle may be optionally substituted with at least one substituent;
R7 is selected from H, C1-8alkyl, C1-8alkenyl, C1-8alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic, wherein each alkyl, alkenyl, alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic may be optionally substituted with at least one substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In another embodiment, the invention is an erastin analog, such as a compound selected from the group consisting of formula IIa, IIb, and IIc:

wherein
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring with the proviso that in formula IIa, R1 is not NH2 or NO2;
R2 is selected from H, C1-8alkyl;
R3 is a C2-8 alkoxy;
R4 and R5, when present, are independently selected from the group consisting of H and an hydrophilic substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In another embodiment, the invention is a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound of formula I or II.

In another embodiment, the invention is a method of treating a condition in a mammal, which comprises administering to the mammal a therapeutically effective amount of a compound or a pharmaceutical composition containing a compound of formula I or II.

In another embodiment, the invention is an erastin analog, such as a compound selected from:

or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

Another embodiment of the present invention is a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound selected from:

or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

A further embodiment of the invention is a method of treating a condition in a mammal. This method comprises administering to the mammal a therapeutically effective amount of a compound selected from:

or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

Another embodiment of the invention is a method of treating a condition in a mammal comprising administering to the mammal a therapeutically effective amount of a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound selected from:

or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

BRIEF DESCRIPTION OF THE FIGURES

The application contains at least one drawing executed in color. Copies of this patent application publication or any patent to issue therefrom with color drawing(s) will be provided by the Patent and Trademark Office upon request and payment of the necessary fee.

FIG. 1 shows the steps to produce experimentally transformed human cells. BJ cells are primary human foreskin fibroblasts. BJ-TERT cells are derived from BJ cells and express hTERT, the catalytic subunit of the enzyme telomerase. BJ-TERT/LT/ST cells are derived from BJ-TERT cells by introduction of a genomic construct encoding both simian virus 40 large (LT) and small T (ST) oncoproteins. BJ-TERT/LT/ST/RASV12 tumor cells (also referred to as BJELR cells) are derived from BJ-TERT/LT/ST cells by introduction of an oncogenic allele of HRAS (RASV12). BJ-TERT/LT/RASV12 cells are derived from BJ cells by introduction of cDNA constructs encoding TERT, LT, HRASV12, and a control vector. BJ-TERT/LT/RASV12/ST cells are derived from BJ-TERT/LT/RASV12 cells by introduction of a cDNA encoding ST.

FIG. 2 shows RAS-selective lethality of erastin in engineered tumor cells. Erastin (compound 36) was tested in a dilution series in five engineered cell lines derived from primary BJ fibroblasts. Cells were incubated with erastin for two days at 37° C. with 5% CO2, Alamar Blue was added (10% final volume) and fluorescence measured (530 nm ex, 590 nm em). Cell lines harboring oncogenic RAS (triangles, circles and x's) were sensitive to erastin, but isogenic lines lacking oncogenic RAS (squares and diamonds) were resistant. Two different clones of engineered tumor cells (circles and triangles) responded similarly. In addition, replacement of the viral oncogene LT with mutants of p53, CDK4 and cyclin D did not change erastin sensitivity (purple X's).

FIG. 3 shows growth rates of engineered cell lines. The relative growth rates of five cell lines were assessed by seeding an equal number of cells and measuring cell number using Alamar Blue metabolism after 1, 2 and 3 days. BJ-TERT/LT/ST/RASV12 cells grow faster than the other lines. BJ-TERT cells grow more slowly than the other cell lines. The rates of growth of the other three cell lines are the same. This information was used to ensure that RAS-selective lethal compounds such as erastin are not simply selective for rapidly dividing cells. Compounds with RAS selectivity should differentially affect the three cell lines that grow at the same rate but have different oncogenic RAS status.

FIG. 4 shows that oncogenic RAS activates numerous signaling pathways. The RAS-RAF-MEK-ERK pathway is particularly important in causing sensitivity to erastin-induced death. From Malumbres and Barbacid, Nature Reviews Cancer, 3:7-13 (2003).

FIG. 5 shows that PARP1 is not cleaved in response to erastin treatment. BJ-TERT/LT/ST/RASV12 tumor cells were seeded in six-well dishes, incubated overnight at 37° C. with 5% CO2 and were treated with nothing (NT), staurosporine (ST, 1 μM) for 6 h, camptothecin (C, 1 μM) for 18 h, or erastin (20 μg/mL) for the indicated time, lysed and analyzed by western blot with an anti-PARP1 antibody. A relatively high concentration of erastin was used to ensure loss of PARP cleavage was not due to a concentration-dependent effect. PARP1 (top band) is cleaved from 110 kD to 85 kD in response to staurosporine, is degraded in response to camptothecin, and is unaffected by erastin (by 18 h, erastin-treated cells are almost all dead and little protein remains).

FIG. 6 shows that erastin does not induce cytochrome c release from mitochondria. BJ-TERT/LT/ST/RASV12 cells were seeded in polystyrene 100×20 mm dishes in 10 ml media. After overnight incubation at 37° C. with 5% CO2, the cells were treated with nothing (NT), staurosporine (ST, 1 μM) or erastin (20 μg/mL) for 6 h, washed with 10 mL ice-cold PBS and lysed by passage through a 25-gauge needle (five strokes). Cell lysates were centrifuged at 1850 rpm for 5 min at 4° C. to remove the nuclear fraction. Mitochondria were removed from the soluble cytosolic fraction by pelleting at 10,000 rpm. Supernatant and mitochondrial pellets were solubilized in SDS-PAGE loading buffer and analyzed by western blot using anti-cytochrome c and pan-VDAC antibodies and IR-dye-linked secondary antibodies. VDACs are mitochondrial proteins, so their absence in the cytosolic lane indicates effective separation of cytosol (C) from mitochondria (M). Fluorescence was detected on a LI-COR Odyssey infrared scanner.

FIG. 7 shows that anti-oxidants suppress erastin-induced death. BJ-TERT/LT/ST/RASV12 cells were treated as indicated for 24 hours and photographed. Abbreviations: DMSO, dimethylsulfoxide; BHT, butylated hydroxytoluene [erastin]=9 μM.

FIG. 8 shows that erastin-induced formation of oxidative species requires activated RAS signaling. BJ-TERT/LT/ST/RASV12 cells (shown in histogram plots and in line graph, dark line) and BJ-TERT cells (shown in line graph only, light line) were treated with 4.6-μM erastin and the level of intracellular oxidative species determined using 2′7′-dichlorodihydrofluorescein diacetate (H2DCF-DA, Molecular Probes) and flow cytometry. Cells were seeded at 3×105 cells per dish in 60-mm dishes and allowed to grow overnight. Cells were incubated with 10 μM of H2DCF-DA for 10 minutes, harvested by trypsinization, washed twice with cold PBS, re-suspended in 100 μl of PBS and incubated with 5 μl of 50-μg/ml propidium iodide for 10 minutes. 400 μl of PBS was added and the solution analyzed by flow cytometry (FACSCalibur-Becton-Dickinson).

FIG. 9 shows that knockdown of KRAS in Calu-1 lung cancer cells causes resistance to erastin. (Left panel) Calu-1 cells that had been infected with lentiviruses expressing shRNAs targeting GFP (as a control) or KRAS (targeting 19 nucleotides starting at nucleotide 269 or 509) were seeded in 6-well plates, treated with erastin and viability measured using Trypan Blue exclusion on a Beckman Vi-Cell. Error bars represent one SD. (Right panel) Western blot showing KRAS knockdown in Calu-1 cells. Top band=actin, Bottom band=KRAS. Calu-1 cells were infected with nothing (left lane), or lentiviruses containing shRNA constructs targeting GFP or KRAS. For KRAS, the shRNA was designed to match 19 nucleotides starting at the indicated nt.

FIG. 10 shows that VDAC proteins are more abundant in the presence of oncogenic RAS. Western blot of BJ-derived engineered cell lysates using a pan-VDAC antibody (Abcam, top band) that recognizes all three isoforms. A control protein (eIF4E) is shown as a loading control. The ratio of VDAC/eIF4E is plotted for each cell line. Error bars represent one standard deviation. Membranes were scanned using the Licor Odyssey Imaging System.

FIG. 11 shows that oncogenic BRAF is required for erastin sensitivity. A673 cells and stable derivatives were treated with erastin, and viability measured using Alamar Blue (Panel on the right). The stable lines expressed a short hairpin RNA (shRNA) targeting BRAF or, as a control, luciferase. A673 cells were infected with pSIRIPP-derived retroviruses expressing shRNAs against BRAF or luciferase, and were selected in 2 μg/ml puromycin. Knockdown was confirmed by western blot (panel on the left)−lane 1 (left): A673 cells, lane 2 (middle): +shRNA(luc), lane 3 (right): +shRNA(BRAF). Top band=BRAF, bottom band=tubulin (loading control).

FIG. 12 shows that MEK1/2 inhibitors suppress erastin lethality. BJ-TERT/LT/ST/RASV12 engineered tumor cells were treated with the indicated concentrations of erastin and each MEK1/2 inhibitor for 24 hours and viability was determined by Trypan Blue exclusion. Similar results were obtained in HT1080 tumor cells harboring an NRAS activating mutation.

FIG. 13 shows that iron chelators suppress erastin lethality. BJ-TERT/LT/ST/RASV12 cells were treated with erastin and four different iron chelators, desferrioxamine mesylate (DFOM), the compounds 1a and 2a whose structures are shown in FIG. 30, and the compound “311” (311-10 or 311-1) (Green, D. A, et al., Inhibtion of Malignant Cell Growth by 311, a novel iron chelator of the pyridoxal isonicotinoyl hydrazone class: Effect on the R2 subunit of ribonulceotide reductase. Clinical Cancer Research, (7): 3574-3579 (2001). Cell killing was measured by Alamar Blue assay.

FIG. 14 shows structures of various erastin analogs of the present invention. Erastin A2 (compound 56), lacking the methyl group at R1, is as active as erastin itself (IC50=2.5 μM). Erastin A3 (compound 55), containing an aminomethyl group at R2, retains BJELR selective lethality (IC50=25 μM in BJELR cells). Erastin B1 (compound 53) is an active analog (IC50=10 μM in BJELR cells). Erastin B2 (compound 54) is an inactive analog of B1 (compound 53), with an aminomethyl group in the R3 position (no lethality up to 50 μM). Thus, erastin A3 was used as an affinity reagent and erastin B2 was used as a potential negative control, although its loss of activity could be due to other factors than target binding, such as membrane permeability

FIG. 15 shows that knockdown of VDAC3 causes resistance to erastin. VDAC3 was knocked down in HT1080 cells using a shRNA vector and viability was measured. FIG. 15A: VDAC3 knockdown was confirmed at the protein level, 2D gel showing 3 VDAC isoforms and actin. Knockdown was also confirmed by qPCR. FIG. 15B: sensitivity to erastin was measured by Trypan Blue exclusion (red line-diamond symbol). As a control, an shRNA targeting GFP was used (black line-square symbol).

FIG. 16 shows that erastin increases the flux of NADH through VDAC3-containing outer mitochondrial membranes. Mitochondria were isolated from yeast expressing murine VDAC3 in place of yeast VDAC. The rate of NADH oxidation by an inner membrane NADH dehydrogenase was determined by measuring the change in NADH absorbance over time. Mitochondria with a disrupted outer membrane show an increased rate of NADH oxidation (red, shocked) compared to untreated mitochondria (green). Erastin increased the rate of NADH oxidation, presumably by opening VDAC3 (black).

FIG. 17 shows a homology model of VDAC1, bound to erastin. The left panel shows a side view of the pore, while the right panel shows a top-down view. Predicted beta strands (yellow) and alpha helices (red). White arrow is pointed at erastin which is docked in a binding site at the base of the alpha helix. Docking and rendering performed with Molecular Operating Environment (Chemical Computing Group). Coordinates: FEBS Lett. 2002, 5; 520(1-3):1-7.

FIG. 18 shows that VDAC3 knockdown causes resistance to erastin. HT1080 fibrosarcoma cells were infected with shRNA targeting VDAC3 and sensitivity to erastin was measured using Trypan Blue exclusion. shRNA to GFP was used as a control (panel A). Knockdown of VDAC3 was confirmed at the protein level by 2D gel and western blot with a pan-VDAC antibody (panels B-D).

FIG. 19 (panels a-m) shows that erastin activates a rapid, oxidative, non-apoptotic cell death process. (a) BJ-TERT/LT/ST/RASV12 cells were treated with 9 μM erastin A1 for the indicated length of time, and the number of viable cells determined. (b) 1,000 BJ-TERT/LT/ST/RASV12 cells/well in 384-well plates were treated with erastin for 2 d, then Alamar Blue was added to a final concentration of 10% and the plates were incubated for 16 h. Red fluorescence resulting from reduction of Alamar Blue was detected on a Victor3 plate reader. The percent growth inhibition is shown; error bars represent one SD. Three different RASV12-expressing cell lines were used, and all were found to be sensitive to erastin, whereas two isogenic lines lacking RASV12 were resistant to erastin. (c) TEM images (20,000× magnification) of BJ-TERT/LT/ST/RASV12 mitochondria after cells were treated with nothing, erastin (37 μM for 10 h) or staurosporine (STS, 1 μM for 5 h), and phase-contrast photograph of BJ-TERT/LT/ST/RASV12 cells 24 h after 9 μM erastin A1 treatment is also shown to indicate that even after cell death, nuclei are intact. (d) Anti-oxidants suppress erastin-induced death. BJ-TERT/LT/ST/RASV12 cells were treated as indicated and photographed. (e) The number of viable cells was quantified under each condition using a hemacytometer. (f) Iron chelators suppress erastin-induced cell death. Cells were seeded in 384-well plates (6,000 cells/well) and treated with 2-fold dilution series of erastin in the presence of 100 μM desferrioxamine mesylate (DFOM), 100 μM of iron chelator 1a, 100 μM of iron chelator 2, 10 μM or 1 μM of iron chelator 311. After 24 h, Alamar Blue was added and cell viability assayed. (g, h) Erastin-induced formation of oxidative species. BJ-TERT/LT/ST/RASV12 (shown in histogram plots, and in line graph as dark diamonds) or BJ-TERT cells (shown in line graph only, light circles) were treated with 4.6-μM erastin A1 and the level of intracellular oxidative species determined. (i, j) STS, but not erastin, induces PARP1 cleavage (red bands at top) in BJ-TERT/LT/ST/RASV12 cells and in A673, HT1080 and HeLa cells. NS: non-specific band. (k) Cytochrome c is released from mitochondria in response to STS, but not erastin in BJ-TERT/LT/ST/RASV12 cells. Cells were treated with STS or erastin, separated into mitochondrial and cytosolic fractions, and probed for cytochrome c (lower red band) and total VDAC (middle green band, pan-VDAC antibody). (I) Caspase-3 is not cleaved in response to erastin. Cells were treated as indicated and probed with an anti-caspase-3 antibody that recognizes both the full length and the cleaved, active form (lower band). (m) ATP levels are decreased modestly upon erastin treatment. ATP levels were measured, viable cells determined by Trypan Blue exclusion and ATP per viable cell determined. Abbreviations: DMSO, dimethylsulfoxide; BHT, butylated hydroxytoluene; TOC, alpha-tocopherol; ERA, erastin A1; CAR, beta-carotene; STS, staurosporine.

FIG. 20 (panels a-n) shows that erastin lethality is dependent on the RAS/RAF/MEK pathway. (a) Calu-1 lung carcinoma cells harboring oncogenic KRAS were infected with lentivirus containing shRNAs targeting KRAS or GFP. Sequences of shRNAs are indicated by starting nucleotide (nt) in the KRAS mRNA coding sequence. Cells were treated with erastin and viability measured by Trypan Blue exclusion. (b) Knockdown of KRAS was confirmed by western blot. (c,d) A673 cells harboring oncogenic BRAF were infected with lentiviral shRNAs targeting BRAF exon 5 (c) or the 5′ UTR (d), luciferase (LUC) (c) or GFP (d). Cells were treated with erastin and viability measured using Alamar Blue (c) and Trypan Blue (d). (e) Knockdown of BRAF was confirmed by western blot. (f) MEK inhibitors prevent erastin lethality. BJ-TERT/LT/ST/RASV12 cells were treated with erastin alone or in with a MEK inhibitor U0126 (20 μM), MEK inhibitor I (10 μM) or MEK 1/2 inhibitor (50 μM). After 48 h, viability was determined using Trypan Blue. (g) Structures of certain erastin and related analogs. (h) and (i) Dose-response curves were measured for erastin A3 and erastin B2 in BJ-TERT/LT/ST/RASV12 cells (black squares) or BJ-TERT cells (grey circles). (j) Calu-1 lung carcinoma cells harboring oncogenic KRAS were infected with lentivirus containing shRNAs targeting KRAS or GFP. Sequences of shRNAs are indicated by starting nucleotide (nt) in the KRAS mRNA coding sequence. Cells were treated with erastin and viability (y-axis) measured by Trypan Blue exclusion. Cells were treated with erastin for 24 hours, and percent inhibition of viability (y-axis) measured using Alamar Blue (k) and Trypan Blue (l). (m) Structures of erastin and related analogs. (n) Dose-response curves were measured for erastin A6, erastin B2, erastin A8 and erastin A9 in BJ-TERT/LT/ST/RASV12 cells (squares) or BJ-TERT cells (circles) using Alamar Blue.

FIG. 21 (panels a-k) shows that erastin acts through VDACs. (a)

Quantitative western blot of VDAC/eif4E protein ratio in engineered BJ-derived cells. (b) Identification of VDAC isoforms in BJ-TERT/LT/ST/RASV12 cells using 2-D electrophoresis. i) VDAC1, VDAC2 and VDAC3 were detected by a rabbit polyclonal VDAC antibody (Abcam/ab3434), ii) VDAC1 was detected by a mouse monoclonal VDAC1 antibody (Calbiochem/529534), iii) VDAC2 was detected by a goat polyclonal VDAC2 antibody (Abcam/ab22170), iv) An illustration of 3 isoforms of VDAC separated by the 2-D gel electrophoresis. (c) BJ-TERT/LT/ST/RASV12 cells were treated with erastin for the indicated time and levels of each VDAC isoform determined by quantitative 2D western. (d,e) Infection with VDAC3 shRNA protects erastin-treated cells. 293T cells were transfected with shRNA-plasmid construct using FuGene and viral supernatant transferred to HT1080 cells, and treated with erastin dilutions and viability measured using Trypan Blue exclusion. Knockdown was confirmed using 2D gels to detect the 3 VDAC isoforms. VDAC3 shRNAs (V3.B1) or a control construct (shGFP) was used. (f) Quantitative RT-PCR measurements of mRNA levels of the 3 VDAC isoforms after infection with shVDAC3. Knockdown was determined by normalizing to the levels in the shGFP-infected control. Relative expression level is shown. Error bars represent one SD. (g) Mitochondria were purified from yeast expressing murine VDAC3 in place of yeast VDAC, and the rate of NADH uptake determined in the presence or absence of erastin, or in shocked mitochondria in which the outer membrane was disrupted. (h) HT1080 cells were infected with virus expressing either VDAC3-targeted shRNA-plasmid construct (shVDAC3) or VDAC2-targeted shRNA plasmid (shVDAC2), and knockdown of each VDAC isoform was confirmed using 2-D protein gels. (i) These cells were then treated with erastin dilutions, and viability relative to no treatment (y-axis) was determined using Trypan Blue exclusion and compared to an identical process using a GFP control plasmid. Infection with shVDAC2 protects cells from erastin-induced death. mRNA levels of the three VDAC isoforms after infection with shVDAC2-expressing virus were measured using quantitative RT-PCR. (j) Mitochondria were purified from porin-knockout yeast expressing murine VDAC2, and the rate of NADH oxidation determined in the presence of erastin or an inactive analog, erastin A8 (triangles). Y-axis shows relative rate of NADH oxidation, as normalized to no treatment. (k) VDAC2 binding assays using tritium-labeled erastin A9 in competition with unlabeled erastin A9 (squares) or erastin A8 (triangles) reveals that active analog erastin A9, unlike the inactive erastin A8, directly binds VDAC2.

FIG. 22 shows that erastin induced death in HT1080 fibrosarcoma cells is suppressed by anti-oxidants.

FIG. 23 shows that knockdown of BRAF by shRNA causes resistance to erastin. Co-expression of a non-targetable V600E mutant BRAF restores sensitivity to erastin.

FIG. 24 shows that inhibitors of MEK protect the viability of erastin-treated BJELR and HT1080 cells. Cells grown in 175 cm2 flasks were reseeded in 6-well format (1.4×105 cells/well) and treated with erastin dilutions (5-fold, from 36 μM to 60 nM, with no-drug control, n=2) in the presence of one of the MEK inhibitors U0126 (20 μM), MEK inhibitor I (10 μM), MEK1/2 inhibitor (50 μM), PD98059 (50 μM), MEK inhibitor II (30 μM), or in the absence of inhibitor. After 48 hours, cells were trypsinized and counted using a Vi-CELL™ Series Cell Viability Analyzer. Panels (a) and (b) show the dose-response curves obtained with BJELR and HT1080 cells, respectively, with U0126, MEK inhibitor I, or MEK1/2 inhibitor, or in the absence of inhibitor. Non-linear regression was used to fit curves to the data points using GraphPad Prism™ software. The bottom of each curve was set to zero. P-values based on comparison between the values fit for the top, logEC50, and the hill slope for the inhibitors versus no inhibitor were less than 0.0001 for all curves shown. Panel (c) shows the IC50 values in μM from the best fit curve of each inhibitor used. It also gives the fold-change in IC50 produced by each inhibitor and the p-value obtained when comparing the curves based only on the logEC50 value.

FIG. 25 (panels A-D) shows the levels of VDAC, tubulin, actin and eIF4E were determined in BJ cells, BJEH cells (expressing hTERT), BJEHLT cells (expressing hTERT, and the large and small T oncoproteins from SV40) and BJELR cells (expressing hTERT, and the large and small T oncoproteins from SV40 and oncogenic HRAS). Images were quantified and are plotted as VDAC relative to each control protein. Error bars represent one standard deviation.

FIG. 26 (panels a-c) shows that transfection with VDAC1 shRNA protect the viability of erastin-treated HT1080 cells. Briefly, the assay was carried out as follows: Day 1, 293T cells seeded in 10 cm tissue culture dishes (2×106 cells/dish); Day 2, shRNA-plasmid construct (pLKO.1 vector) introduced to cells using FuGene transfection reagent; Day 3, medium changed; Day 4, supernatant transferred to HT1080 cells in 10 cm tissue culture dishes (1×106 cells/dish); Day 5, cells transferred to 175 cm2 flasks, medium supplemented with puromycin; Days 6 and 7, medium changed and supplemented with puromycin; Day 8, samples harvested for Western Blot and qRT-PCR, or reseeded in 6-well format (5×105 cells/well) and treated with erastin dilutions (2-fold, from 10 μM to 625 nM, with no-drug control); Day 9, Vicell analysis performed. Unique VDAC1 shRNAs (V1.161, V1.279, V1.396, V1.607, V1.921), control construct (GFP).

FIG. 27 (panels a-c) shows that transfection with VDAC2 shRNA protect the viability of erastin-treated HT1080 cells. Briefly, the assay was carried out as follows: Day 1, 293T cells seeded in 10 cm tissue culture dishes (2×106 cells/dish); Day 2, shRNA-plasmid construct (pLKO.1 vector) introduced to cells using FuGene transfection reagent; Day 3, medium changed; Day 4, supernatant transferred to HT1080 cells in 10 cm tissue culture dishes (1×106 cells/dish); Day 5, cells transferred to 175 cm2 flasks, medium supplemented with puromycin; Day 6, medium changed and supplemented with puromycin; Day 7, samples harvested for Western Blot and qRT-PCR, or reseeded in 6-well format (5×105 cells/well) and treated with erastin dilutions (2-fold, from 10 μM to 625 nM, with no-drug control). Unique VDAC3 shRNAs (A9, A10, A11, A12), control construct (GFP).

FIG. 28 (panels a-c) shows that transfection with VDAC3 shRNA protect the viability of erastin-treated HT1080 cells. Briefly, the assay was carried out as follows: Day 1, 293T cells seeded in 10 cm tissue culture dishes (2×106 cells/dish); Day 2, shRNA-plasmid construct (pLKO.1 vector) introduced to cells using FuGene transfection reagent; Day 3, medium changed; Day 4, supernatant transferred to HT1080 cells in 10 cm tissue culture dishes (1×106 cells/dish); Day 5, cells transferred to 175 cm2 flasks, medium supplemented with puromycin; Days 6 and 7, medium changed and supplemented with puromycin; Day 8, samples harvested for Western Blot and qRT-PCR, or reseeded in 6-well format (5×105 cells/well) and treated with erastin dilutions (2-fold, from 10 μM to 625 nM, with no-drug control). Unique VDAC3 shRNAs (B1, B2, B4, B6), control construct (GFP).

FIG. 29 (panels a-d) shows representative knockdown experiments using pLKO.1 shRNA vector. Briefly, HT1080 cells were infected with a virus expressing a short hairpin RNA (shRNA) to VDAC1, VDAC or VDAC3 and the levels of each VDAC determined by 2D gel and western blotting with a pan-VDAC antibody. The level of eIF4E is shown as a control.

FIG. 30 shows the structures of certain iron chelators used in the present invention.

FIG. 31 shows the structures of certain MEK1/2 inhibitors used in the present invention.

FIG. 32 (panels a-f) shows that erastin A3 and not its analogue, erastin B2, selectively kills tumor cells; immobilized erastin analogues pull down different proteins (b); VDAC protein level is increased in RAS tumors (c); and VDAC protein level in BJELR cells is increased by nucleofection (d). Quantitative western blot showing the ratio of VDACs (top band, green) to eif4E (bottom band, red) (e). Erastin A1 (erastin), but not podophyllotoxin, is more potent (i.e. effective at a lower concentration) in BJELR cells after up regulation of VDACs. Green, untransfected BJELR cells; blue, mock nucleofected BJELR cells; red, VDAC2/3-nucleofected BJELR cells (f).

FIG. 33 shows the activity of aminomethyl substituted erastins. ERA-A6 (compound 57), an analog with a p-aminomethyl substituent in place of the p-chloro substituent in erastin, is selectively lethal to RASV12-expressing cells. ERA-B1 (compound 53) is an aminomethyl analog that is inactive and was used as a negative control in pulldown experiments.

FIG. 34 shows that erastin induces rapid cell death in a RASV12-dependent fashion. Effect of erastin on Alamar Blue viability staining in BJ-TERT (red) and BJ-TERT/LT/ST/RASV12 (blue) cells.

FIG. 35 shows that erastin potency does not increase with longer exposure. A time-dependent effect of erastin on BJ-TERT and BJ-TERT/LT/ST/RASV12 cells. Cells were seeded in 384-well plates in the presence of the indicated concentrations of erastin. Inhibition of cell viability was determined after 24, 48, and 72 hr using calcein AM.

FIG. 36 shows that knockdown of BRAF causes resistance to erastin. A673 Ewing sarcoma cells were infected with a lentivirus encoding an shRNA to BRAF or GFP as a control, or parental uninfected cells. Sensitivity to erastin was measured using Trypan Blue exclusion.

FIG. 37 shows mammalian cell death phenotypes. Mammalian cells die through several different known mechanisms, including apoptosis, necrosis, mitotic catastrophe, autophagic cell death, paraptosis, or the less well defined methods of dark cell death or oncosis.

FIG. 38 shows that camptothecin, but not erastin, induces characteristics of apoptosis. Camptothecin-treated, but not erastin-treated, BJ-TERT/LT/ST/RASV12 cells displayed fragmented nuclei (10%-20% of total nuclei, arrows) as shown. DNA was stained used Hoechst 33342.

FIG. 39 shows that camptothecin-treated, but not erastin-treated, BJ-TERT/LT/ST/RASV12 cells display Annexin V staining. The percentage of cells in the indicated Ml region were 6%, 6%, and 38% in untreated, erastin-treated (9 μM), and camptothecin-treated (1 μM), respectively.

FIG. 40 shows that screens for small molecule suppressors of erastin can reveal the mode of death.

FIG. 41 is a summary of the results from an experiment using flow cytometric analysis using dihydrodichlorofluorescein, which shows that erastin causes the formation of oxidative species. Briefly, cells were treated with erastin for the indicated periods of time and oxidative species determined using dihydrodichlorofluorescein, which becomes more fluorescent upon oxidation. Hydrogen peroxide treatment was used as a control.

FIG. 42 shows a model for the mechanism of erastin-induced cell death. RAS-RAF-MEK signaling causes increased glycolysis and increased VDAC expression. Erastin locks VDACs open and causes dysregulated respiration, resulting in oxidative species that react with iron, causing lethal reactive species such as hydroxyl radical.

FIG. 43 shows that over expression of VDAC3 in BJ-TERT cells causes no change in sensitivity to erastin. (a) BJ-TERT cells, infected with virus expressing VDAC3 cDNA were treated with erastin dilutions, and viability, relative to no treatment, was measured using Alamar Blue viability analysis. (b) 2D Western Blot analysis indicates a>8-fold increase in VDAC3 protein expression (arrows) in infected cell lines compared to the parental cell line (BJ-TERT). Unique clones: BJ-TERT.V3.1 and BJ-TERT.V3.2.

FIG. 44 shows the rate of NADH oxidation in mitochondria in the presence of erastin or an inactive analog, erastin A8. Mitochondria were purified from yeast expressing murine (a) VDAC1 or (b) VDAC3 in place of yeast VDAC (porin). Y-axes shows rate of NADH oxidation relative to no drug treatment.

FIG. 45 shows the viability of BJ-TERT/LT/ST/RASV12 cells in response to 24 hour erastin or erastin B1 analog treatment using an Alamar Blue assay.

FIG. 46 shows the structure and characteristics of certain compounds according to the present invention.

FIG. 47 shows the synthesis of erastin.

FIG. 48 shows the synthesis of certain erastin analogs, including Compounds 40 and 44, according to the present invention.

FIG. 49 shows the synthesis of additional erastin analogs, including Compounds 47 and 49, according to the present invention.

FIG. 50 shows the synthesis of additional erastin analogs, including Compound 2, according to the present invention.

FIG. 51 (panels A-K) shows the effects of various erastin analogs according to the present invention in a cell viability assay.

DETAILED DESCRIPTION Definitions

“Oxidative cell death” is a term which refers to cell death which is characterized by the increased level of oxidative species measured in a cell, altered mitochondrial morphology, including enlarged and/or fused mitochondria, in the absence of significant increase in mitochondrial numbers. Oxidative cell death does not manifest typical cellular and molecular markers of apoptosis, autophagy and/or necrosis.

The term “VDAC” refers to one or more VDAC proteins such as VDAC1, VDAC2, and VDAC3, or any isoform or combination thereof.

BJ-TERT/LT/ST/RASV12 cells are also referred to as BJELR. BJ-TERT/LT/ST cells are also referred to as BJEHLT. BJ-TERT cells are also referred to as BJEH.

In certain aspects, the invention provides methods to identify genotype-selective compounds, as well as, compounds and mechanisms that cause oncogene-selective lethality. Such compounds eliminate tumor cells harboring specific oncogenic mutations, but have minimal effects on normal cells lacking these mutations. Small molecules with such selective lethality reveal functions of oncogenes, and the molecular and cellular pathways affected by oncogenes, and allow for the creation of selective drugs, which are targeted to specific targets of an oncogenic pathway. In certain aspects, the invention describes a mechanism for selectively eliminating tumor cells, which express oncogenic RAS proteins.

An annotated library of biologically active compounds was assembled114.

To identify tumor-selective cytotoxic drugs, including compounds from the annotated library, and to study the global patterns of drug activity, software tools were developed to improve the facility with which new tumor-selective compounds can be identified114, 120-124. This software was used to discover genotype-selective lethal compounds such as erastin8. A cheminformatics and laboratory management system for chemical genetic screens was developed as a custom data analysis tool for analyzing our screening data and we used this to identify erastin and the other RSLs. High-throughput assays generate large quantities of data that require sophisticated data analysis tools121. The software tool, SLIMS (Small Laboratory Information Management System), was created to facilitate the collection and analysis of large-scale chemical screening data124. Compound structures and raw data are loaded into SLIMS directly from structure data (SD) or plate reader (csv) files; systematic spatial errors can be automatically identified and corrected using a discrete-Fourier-transformation tool120. Published literature associated with active compounds can be automatically retrieved from Medline and processed to yield potential mechanisms of actions121. This software is available through the website Sourceforge (slims.sourceforge.net).

A gene expression signature-based, high-throughput screening method was created in which a gene expression signature is used as a surrogate for cellular states117. The annotated compound library was used to identify compounds that induce the differentiation of acute myeloid leukemia (AML) cells. The AML gene signature and a differentiated neutrophil gene signature were defined, and multiplexed single base extension mass spectrometry (SBE-MS)-based RT-PCR was used to detect this gene signature in 384-well plate format. In screening 1,739 biologically active compounds, 8 compounds were identified that reliably induced the differentiation signature and yielded functional evidence of differentiation of AML tumor cells. These results indicate that gene expression signature-based screening may be useful for chemical screening.

A protein-pathway-and-network-alignment software tool was developed. As targets of compounds that mediate RAS-selective killing are discovered, there is a need for software tools to place these proteins in networks and to identify candidate functions of these proteins. The network-alignment software tool implements a strategy for aligning protein-protein interaction networks and pathways that combines interaction topology and protein-sequence similarity to identify conserved protein-interaction pathways and protein complexes123.

To create an annotated library of biologically active compounds, thousands of small molecules with experimentally verified biological mechanisms and activities were identified, collected and assembled into a screenable format114. This annotated library can be used to aid in defining the mechanism of action for RAS-selective lethal compounds, using suppressor and enhancer screens. The library has extensive annotation to identify, in an unbiased fashion, mechanisms that are statistically overrepresented among active compounds from a screen versus the parent library114. This approach was used to determine that erastin acts through an oxidative, non-apoptotic mechanism of cell death.

Using high-throughput screening of compounds in isogenic, engineered tumor cell lines, compounds can be discovered that are selectively lethal to oncogenic-RAS-expressing cells. In certain aspects, the invention is directed to a compound called erastin that displays selectivity for tumor cells with activated RAS-RAF signaling. Erastin acts through mitochondrial VDACs to cause an oxidative, non-apoptotic cell death. Defining the mechanism governing erastin-induced cell death illustrate a means of selectively eliminating tumor cells. In certain aspects, the invention establishes the utility of the genotype-selective screening paradigm for discovering anti-tumor agents, including but not limited to agents that target components of the RAS pathway. In other aspects, the invention provides VDAC1, 2, and 3 proteins as drug targets for anti-cancer agents. Using the tools of synthetic chemistry, molecular biology and proteomics, the invention provides that voltage dependent anion channels (VDACs), including VDAC1, 2, and 3, are target proteins for one of these compounds, which is named erastin.

The genetic and mechanistic bases of specific drugs' tumor selectivity were identified through biochemical and molecular approaches. The genetic basis of selectivity for eight known agents and erastin were determined8. Furthermore, the invention describes molecular targets, including but not limited to VDAC molecules, of erastin. The invention further provides the mechanism of erastin-induced cell death, provides VDAC1, 2, and 3 molecules as erastin targets, and provides use of erastin and erastin analogs in vivo in mice.

In other aspects, the invention defines the mechanism by which modulation of VDAC activity leads to RAS-selective lethality. In certain embodiments, the invention provides VDAC proteins, including human VDAC1, 2, and 3, as erastin targets. In other embodiments, the invention provides the downstream components and consequences of oncogenic RAS signaling that lead to erastin sensitivity. In other embodiments, the invention provides the use of optimized erastin analogs in mouse cancer models.

In certain aspects, the invention provides that erastin acts through the mitochondrial VDAC proteins to cause an oxidative, non-apoptotic death. The sensitivity of tumor cells to erastin thus reveals that oncogenic RAS signaling causes increases in VDAC levels and that VDACs are gain-of-function targets for cancer therapeutics. The results support the notion of using small molecules to study oncogene function and suggest that VDAC ligands are potential chemotherapeutic agents for the treatment of cancers with activated RAS signaling.

In certain aspects, the invention provides that downstream targets of RAS enable oncogenic-RAS-selective lethality. Furthermore, the invention provides a compound, erastin, and some of its cellular targets, the VDAC proteins. An affinity-based approach was used to identify the targets of erastin.

Non-Limiting Methods to Determine that a Protein is a Target of a Small Molecule:

Once a binding protein such as VDAC is identified, it can be determined whether binding of a compound to the candidate protein is the basis for the compound's phenotypic activity. There are a number of methods to validate candidate targets. Non-limiting examples of such methods are: (i) RNA-interference knockdown, (ii) cDNA-based overexpression, (iii) in vitro binding studies, (iv) photo-crosslinking and (v) creating a binding-defective mutant of the target.

In non-limiting examples, RNA-interference-mediated knockdown and cDNA-based overexpression are methods for decreasing and increasing, respectively, the concentration of a protein. For many small molecules, altering the level of the target protein will alter the compound potency. For example, decreasing the concentration of tubulin, the target of benomyl, causes increased sensitivity to benomyl28. In contrast, compounds that act via a gain of function have the opposite relationship with their target proteins: increasing the concentration of topoisomerase I, the target of camptothecin, which acts via a gain of function, causes increased sensitivity to camptothecin8, 29-39.

In a non-limiting example, in vitro binding studies can determine the binding parameters associated with a small-molecule-protein interaction. A candidate protein is overexpressed, purified and incubated with a test compound. Useful parameters extracted from such experiments are the on-rate, the off-rate, the equilibrium dissociation constant and the entropic and enthalpic contributions to binding affinity. Two methods used to measure protein-ligand interactions are surface plasmon resonance and isothermal titration calorimetry.

In a non-limiting example, photo-crosslinking can identify a binding site for a small molecule on a protein40-42. A photoactivatable moiety is incorporated into a compound to enable crosslinking to a target protein. Benzophenones can be photo-activated with long wavelength (>300 nm) light, resulting in less destruction of compounds and proteins. Labeled protein is digested with a protease and labeled peptides are identified with mass spectrometry. In this way, a specific peptide sequence to which a compound is crosslinked is determined, suggesting binding sites.

In a non-limiting example, creating a mutant protein of a target that does not bind to the test compound can be a useful method of assessing the functional relevance of the target-ligand interaction. For example, mutants of the mTOR protein that don't bind its ligand rapamycin were used to show that mTOR is the cellular target of rapamycin43, 44.

Creation of a Genome-Scale Lentiviral shRNA Collection:

A powerful method of illuminating the mechanism of action of novel RAS-selective lethal compounds is to perform a large-scale suppressor screen with RNA interference reagents that reduce expression of specific mRNAs. Such suppressors might reveal direct targets of compounds, or pathways involved in causing sensitivity to them. Towards this end, 150,000 shRNA constructs may be created in a lentiviral vector. 90,000 constructs were created, sequenced, and protocols needed to perform high-throughput screens with the library in lentiviral format were developed125.

Target Identification Using Photolabeling with Indoxins, Compounds that Overcome Drug Resistance:

Synthetic lethal screening was used to identify compounds and mechanisms for overcoming E6-oncoprotein-mediated drug resistance. The screen identified compounds that potentiate doxorubicin's lethality in E6-expressing colon cancer cells. Tested compounds were derived from the annotated compound library114, the National Institute of Neurological Disorders and Stroke (NINDS) library126, and a library of compounds purchased from Timtec, Interbioscreen and Chembridge, herein referred to as TIC library127 The screen identified a group of compounds, that were named indoxins, that overcome doxorubicin resistance128. Indoxins potentiate doxorubicin, but not camptothecin or podophyllotoxin, suggesting they act at the level of topoisomerase II abundance. It was found that indoxins upregulate topoisomerase IIα. When the acyl functionality was substituted with a biotin-linked group, indoxins retained activity and selectivity, indicating that affinity reagents can be introduced at this site. Incorporation of a photo-activatable functionality129, 130 was achieved by preparing an indoxin-benzophenone-fluorescein photo-reactive probe. Protein targets cross-linked to this probe were purified, eluted and sequenced. Two proteins were repeatedly pulled-down with the indoxin probe but not a control probe: myosin 1C and ARP2131. The ability of indoxins to target nuclear myosin 1C could mediate topoisomerase IIα transcriptional upregulation, as myosin 1C has been linked to transcriptional control: it co-localizes with RNA polymerase II and may affect transcription131, and is associated with rDNA and required for RNA polymerase II transcription131. This demonstrates the photolabeling of a target protein using a benzophenone moiety128, and that such photolabeling can be used to identify proteins that interact with the photolabeled compound.

Discovery of Erastin, a RAS-Selective Lethal Compound:

To discover oncogenic-RAS-selective lethal compounds, an engineered human tumor cell was used (FIG. 1). hTERT, a genomic construct encoding the Simian Virus 40 large (LT) and small T (ST) oncoproteins, and an oncogenic allele of HRAS (RASV12) were introduced into primary BJ fibroblasts 8, 56, 60. In another series of engineered cells, complementary DNA (cDNA) constructs encoding LT and ST were used in place of the SV40 genomic construct that encodes both of these viral proteins57. In this latter series, ST was introduced in the last stage, enabling the testing of compounds in the presence or absence of ST (FIG. 1).

The screen can identify compounds with increased potency and activity in the presence of RASV12 and/or other genetic elements. 70,000 compounds were screened, comprising 20,000 compounds from a combinatorial library, ˜5,000 known biologically active compounds, ˜11,000 structurally defined natural products and ˜34,000 drug-like synthetic compounds126-127. The primary screen tested in triplicate the effect of treating tumorigenic BJ-TERT/LT/ST/RASV12 cells with each compound for 48 hours at a concentration of 4 μg/mL, corresponding to 10 μM for a compound with a molecular weight of 400. Also, the screen measured cell viability using Alamar Blue, which undergoes a red shift in fluorescence upon reduction132, and calcein AM, which becomes fluorescent when cleaved by intracellular esterases133. Compounds lethal to BJ-TERT/LT/ST/RASV12 cells (>50% inhibition of viability) were re-tested in a two-fold dilution series in isogenic cells with and without RASV12, to identify those with RASV12-dependent lethality. The IC50 value was calculated for each compound in each cell line and thereby five novel compounds were identified that were at least four-fold more potent in HRASV12-expressing cells, compared to HRASV12-deficient cells8.

The engineered tumor cells make use of dominantly acting viral oncoproteins (LT and ST). These viral proteins are involved in cell transformation in specific forms of cancer, namely simian virus 40-induced malignant mesothelioma134 and other viral oncogenes (E6 and E7) are involved in human papillomavirus-induced cervical carcinoma135, and have been used to disrupt p53 and pRB function to transform cells in vitro and in vivo136-138. The selectivity of erastin and the other compounds were further established in a cell line expressing dominant negative inhibitors of p53 and pRB not derived from viral elements. This cell line expresses (i) a truncated form of p53 (p53DD) that disrupts the tetramerization of endogenous p53, (ii) a CDK4R24C mutant resistant to inhibition by p16INK4A and p15INK4B (the major negative regulators of CDK4) and (iii) cyclin D1. The effects of these RASV12-selective compounds at a range of concentrations were tested in these cells, BJ-TERT/p53DD/CDK4R24C/D1/ST/RASV12 (named BJ-DRD) cells. These compounds were found to be active in this cell line (Table 2). Thus, these compounds (including erastin) are effective in tumor cells transformed without viral proteins (other than ST). In addition, these compounds were tested in a second clone of BJ-derived engineered tumor cells (FIG. 2) and found that they were effective in this cell line as well.

BJ-TERT/LT/ST/RASV12 cells grow more rapidly than BJ-TERT/LT/ST cells lacking RASV12. Thus the activity of each compound was measured in BJ-TERT/LT/RASV12/ST cells, which were engineered independently and contain cDNA constructs for LT and ST (whereas BJ-TERT/LT/ST/RASV12 cells contain the genomic LT construct), and in BJ-DRD cells (described above). Truly oncogenic-RAS-selective lethal compounds should be equally active in all 3 of these cell lines. BJ-TERT/LT/ST/RASV12 cells grow more rapidly than BJ-TERT/LT/RASV12/ST or BJ-DRD cells (FIG. 3). Thus, compounds that are targeting a mechanism dependent on the rate of cell division should be more active in BJ-TERT/LT/ST/RASV12 cells compared to BJ-TERT/LT/RAS V12/ST or BJ-DRD cells. On the other hand, compounds that are acting in a cell-division-rate-independent manner should be equally active in all three of these cell lines, as they all contain HRASV12.

Erastin was equally effective in the slower growing engineered cells, suggesting they act in a manner that is independent of the rate of proliferation (e.g. FIG. 2). In addition, longer treatments and higher concentrations had little effect on the viability of engineered cells lacking RASV12, confirming the qualitative nature of their selectivity (see Dolma et al8).

Voltage Dependent Anion Channels:

In certain aspects, the invention provides that one of these RAS-selective lethal compounds, which was named erastin, acts through the voltage dependent anion channels (VDACs). VDACs, also known as mitochondrial porins, are small membrane-spanning channels that facilitate the transport of ions and metabolites across membranes, most notably the outer mitochondrial membrane61. There are three human VDAC genes, VDAC1, VDAC2 and VDAC3, of which VDAC1 is the most studied62, 63. The three gene products are ˜70% identical, and likely have distinct cellular and organismal functions; for example, Vdac1-null mice are viable but have altered respiration in striated muscle64, whereas Vdac3-null male mice are infertile, but otherwise healthy65. Murine embryonic stem cell lines have been generated lacking each Vdac gene, demonstrating that individual Vdac genes are not essential for cell viability63. In addition, mice have been generated lacking both Vdac1 and Vdac3, demonstrating that an organism can survive with just one of the three Vdac isoforms63.

Although no atomic-resolution structure of a VDAC protein is available, these proteins have been proposed to adopt a beta barrel fold analogous to the bacterial porins, based on amino acid sequence similarity and CD spectra66, 67. Unlike bacterial porins, however, the eukaryotic VDACs are gated by membrane voltage in vitro. In the closed state, ions, but not small molecules, can penetrate through VDAC pores. In the open state, both ions and metabolites can pass through VDAC pores. The mechanism of channel gating in vivo is not established, although protein regulators of VDAC activity are reported to exist68. The amino-terminal segment of VDACs has been proposed to negatively regulate channel conductance69. In support of this hypothesis are the findings that (i) mutations in this region change voltage dependence in vitro70, and (ii) truncation of part of this region causes loss of voltage dependence69. Immunostaining suggests that the amino-terminal helix of VDACs points towards the intermembrane space71, 72. While VDAC1 has been found to exist in a large protein complex with a molecular weight of 2 MDa, VDAC2 has been found to exist as a monomer, such as an oligomer, and possibly in a small multi-protein complex with a molecular weight of 230 kDa73. Human VDAC1 has been reported to be localized to the plasma membrane, in addition to its primary localization in the mitochondrial outer membrane74-81. VDAC1's role in the plasma membrane is enigmatic; it has been proposed to function as an NADH:ferricyanide-reductase. VDACs interact with hexokinase82, the permeability transition pore83, inter-mitochondrial membrane contact sites84, the mitochondrial protein import complex85 and microtubule associated protein-2 (MAP-2)86. VDACs have been reported to interact with BCL proteins and to participate in the formation of the mitochondrial permeability transition pore that facilitates release of cytochrome c from mitochondria87-89. VDACs may regulate access of metabolites to the mitochondrial inter-membrane space. In yeast, NADH is transported into mitochondria through yeast VDAC90. Finally, VDAC permeability has been linked to cell survival91, demonstrating that regulated opening of VDACs occurs in a physiological context.

Cell Death Pathways:

There are at least three types of mammalian cell death: (i) apoptotic death, (ii) autophagic death and (iii) necrotic death92, 93. Apoptosis is an intrinsic death program94 involving activation of cysteine proteases (caspases)93, 94. Autophagic death involves self-digestion of cellular material through formation of lysosome-like autophagosomes95. Necrosis is a passive death process that involves loss of cellular homeostasis96. Markers of apoptosis (Table 1) include cleavage of PARP1 from 113 kD to 85 kD97, staining of by Annexin V98, release of cytochrome c from mitochondria99, cleavage of chromosomal DNA100, TUNEL staining100, margination of chromatin101, activation of caspases102 and decreased cell size99 (Table 1, column 2). Markers of necrotic cell death include increased PARP activity97, clumping of chromatin92, 93, 96, 103, decreased intracellular [ATP]92, 93, 96, 103, increased cell size and formation of reactive oxygen species96 (Table 1, column 3). Markers of autophagic death include autophagosomes95, 104, 105, sensitivity to 3-methyladenine (3-MA) and increased lysosomal activity (Table 1, column 4)95, 104, 105. Overlapping phenotypes exist: it is possible to activate apoptotic-like mechanisms without caspases, or mixed apo-necrototic death103. Other possible death programs include paraptosis and mitotic catastrophe106-113.

TABLE 1 Markers of different cell death phenotype, including markers for the oxidative cell death provided by the invention APOPTOTIC NECROTIC AUTOPHAGIC OXIDATIVE MARKER DEATH DEATH DEATH CELL DEATH Poly(ADP)ribose cleavage to Increased unknown no cleavage polymerase 85 kDa form activity no activation Annexin V increased no change No change no staining DNA laddering yes no No no TUNEL staining yes sometimes No No Nuclear margination/ clumping, partial no changes morphology fragmentation karyolysis condensation ATP no Large No change small decrease change/small decrease decrease Cell size decrease increase increase Caspase yes sometimes No No activation ROS generation sometimes yes No Yes Suppressed by yes no No No Z-VADfmk? Cytochrome c yes sometimes No No release Mitochondrial altered: morphology enlargement, fusion of mitochondria Abbreviations: 3-MA: 3-methyladenine; TUNEL: terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling; ATP: adenosone triphosphate; ROS: reactive oxygen species; Z-VADfmk: N-benzyloxycarbnyl-Val-Ala-Asp(O-Me)-fluoromethyl ketone.

Erastin Activates Non-Apoptotic Cell Death:

Among oncogenic-RAS selective lethal (RSL) compounds, erastin is attractive as a drug. Erastin is synthetically accessible and has at least 16-fold RAS-selective lethality. To define the mechanism of action of erastin, a two-pronged strategy was taken which involves: (i) a top-down approach, which characterized the type of cell death caused by erastin, and (ii) a bottom-up approach, which identified direct binding proteins for the erastin scaffold.

To characterize the type of cell death induced by erastin, the effect of erastin was tested alongside camptothecin and staurosporine, which induce apoptotic cell death39. Apoptosis is characterized by alterations in nuclear morphology, including pyknosis, karyorhexis and margination of chromatin93. Nuclear morphology of camptothecin-treated and erastin-treated BJ-TERT/LT/ST/RASV12 cells was monitored using fluorescence microscopy. Although karyorhexis and margination of chromatin were visible in camptothecin-treated cells, no such morphological alternations were visible in erastin-treated cells (Dolma et al8). Further supporting the notion that erastin-induced death is non-apopotic were the observations that: (i) erastin does not induce DNA fragmentation (i.e. formation of a DNA ladder), (ii) that a pan-caspase inhibitor (50 μM Boc-Asp(Ome)-fluoromethyl ketone139) does not block cell death induced by erastin, (iii) that erastin does not cause increased Annexin V staining (see Dolma et al.), (iv) that erastin does not cause the appearance of a caspase 3 active fragment8, (v) that PARP1 is not cleaved upon treatment of cells with erastin (FIG. 5), and (vi) that cytochrome c is not released from mitochondria upon treatment with erastin (FIG. 6). Apoptosis-inducing compounds (staurosporine and/or camptothecin) were tested alongside erastin in all of these assays to confirm the functionality of the assay. Unlike many anti-tumor agents140, erastin does not activate apoptosis. Therefore, in certain aspects the invention provides a genotype-selective anti-tumor agent which induces cell death via a non-apoptotic mechanism of oxidative cell death.

Erastin Induces Genuine Cell Death:

Viability was quantified using calcein AM and Alamar Blue. BJ-TERT/LT/ST/RASV12 cells treated with erastin rounded up and detached, failed to exclude the vital dye Trypan Blue, displayed a loss of mitochondrial membrane potential as assayed by the potentiometric dye JC-1, and had a small cell size characteristic of dead cells. Loss of viability induced by erastin was irreversible once completed, in that BJ-TERT/LT/ST/RASV12 cells treated with erastin for 24 hours were unable to recover when re-plated in erastin-free medium. Thus, erastin induces rapid, irreversible, non-apoptotic cell death in a RASV12-dependent fashion.

Erastin Activates Oncogenic-RAS-Dependent Oxidative Cell Death:

In certain aspects, the invention provides that oncogenic cells, such as for example, oncogenic cells caused by RASV12 signaling, treated with erastin undergo a rapid, oxidative cell death process. To define the type of cell death initiated by erastin, a suppressor screen was performed using a library of ˜2,000 biologically active compounds114 (from the Annotated Compound Library). It was found that antioxidants (e.g. alpha-tocopherol, butylated hydroxytoluene and beta-carotene) prevented erastin-induced death (FIG. 7).

Moreover, an oxidizing species were detected in response to erastin treatment in BJ-TERT/LT/ST/RASV12 cells, but not in BJ-TERT cells lacking RASV12 (FIG. 8; in certain experiments, BJ-TERT was used as a control cell line because the Small T oncoprotein does cause modest sensitivity to erastin, possibly by activating the RAS-MAPK pathway). The oxidizing species do not cause PARP cleavage, cytochrome c release or other hallmarks of apoptosis (FIGS. 5, 6). Thus, erastin-induced cell death appears to involve a direct oxidative death. The mechanism of erastin induced cell death is in contrast to other anti-tumor agents that induce the formation of oxidative species along with activation of apoptotic death.

Several observations suggested that erastin-induced oxidative species originate in mitochondria. First, antimycin, a mitochondrial complex III inhibitor141, 142 and 2-methoxyestradiol (2-ME), a superoxide dismutase inhibitor143, 144 both partially suppressed erastin-induced cell death (Table 3, note that BJELR is a shorthand for BJ-TERT/LT/ST/RASV12 cells). Both compounds act upstream of mitochondria-generated hydrogen peroxide and hydroxyl radical (potential oxidative species). However, melatonin, a peroxynitrite scavenger145, did not affect erastin-induced cell death, suggesting peroxynitrite is not involved.

Peroxisome proliferators (ciprofibrate, ciglitazone and clofibrate) and xanthine oxidase inhibitors (oxypurinol and allopurinol) did not affect erastin-induced cell death. Lipoxygenase inhibitors, prostaglandins, arachidonate esters and acids, and thromboxane receptor antagonists had no effect on erastin-induced cell death, suggesting lipoxygenases and arachidonic acid pathways are not involved. In addition, verapamil (an MDR pump inhibitor) had no effect on erastin sensitivity, suggesting MDR activity is not involved in the differential sensitivity of cells to erastin.

Erastin Inhibits Growth of Tumor Cell Lines with Activating Mutations in NRAS, KRAS or BRAF:

Given that oncogenic RAS activates at least four downstream pathways, analysis was performed to identify which downstream effects were necessary for erastin sensitivity. In certain embodiments, the invention provides that erastin inhibits growth and kills genuine tumor cells with RAS mutations. In other embodiments, the invention provides measures of the dose-response of 29 tumor cell lines to erastin, wherein there is at least 50% inhibition of viability in 18 of the cell lines (Table 4). Numerous sarcoma-derived tumor cell lines were sensitive to erastin, consistent with the fact that erastin was discovered in an engineered tumor cell line created from human fibroblasts.

In non-limiting examples: HT1080 fibrosarcoma cells, with a known activating mutation in NRAS146, were sensitive to erastin; Calu-1 lung carcinoma cells and MIA PaCa-2 pancreatic cancer cells, with known mutations in KRAS, were sensitive to erastin; A673 cells, with a known V599E activating mutation in BRAF147, were sensitive to erastin (FIG. 11). BRAF is a direct target of RAS proteins. For some cell lines, it is not known whether they have activating mutations in RAS pathway proteins, or whether they harbor other mutations that activate the RAS-RAF-MEK-MAPK pathway. Activation of RAS has even been observed in the absence of direct RAS mutations148. Thus, for some cell lines, it may not possible to directly correlate erastin sensitivity with RAS mutation status.

For cell lines with known activating mutations in RAS pathway components, the necessity of such mutations for erastin sensitivity can be tested. To determine whether the activating mutation in BRAF in A673 cells influences erastin sensitivity, short-hairpin-RNA-expressing plasmids targeting either BRAF mRNA or, as a control, luciferase (LUC) mRNA were created. Stably-transfected cell lines containing these constructs were generated and cell line sensitivity to erastin was measured (FIG. 11). A673 cells containing the control LUC-shRNA construct were sensitive to erastin, but A673 cells containing a BRAF-targeted shRNA were resistant to erastin. This effect was confirmed using a second shRNA construct targeting BRAF, and again there was resistance to erastin when BRAF was knocked down.

In addition, a cDNA construct expressing BRAF that is not targeted by the shRNA was used to demonstrate the specificity of the shRNA constructs. In this set of experiments, A673 cells were co-infected with a BRAFV599E expression vector and a BRAF-shRNA expression vector, wherein the co-expression of the non-targetable BRAF mutant restores sensitivity to erastin. These experiments confirm that knockdown of mutant BRAF causes resistance to erastin. As a control, all the shRNA-containing cell lines were equally sensitive to the cytotoxic compounds doxorubicin and phenylarsine oxide, demonstrating no change in overall drug sensitivity.

In further support of the notion that the RAS-RAF-MEK pathway sensitizes tumor cells to erastin, three different MEK1/2 inhibitors were found to suppress erastin's lethality in two different cell lines (FIG. 12). In another aspect, there is correlation between phospho-ERK1/2 abundance and erastin sensitivity in sarcoma cell lines (correlation coefficient=0.41). Therefore, the RAS-RAF-MEK pathway is an important factor in determining sensitivity to erastin.

Identification of VDACs as Erastin-Binding Proteins:

To identify direct protein targets of erastin, erastin analogs were synthesized that could be linked to a solid-phase resin. Replacement of the p-chloro substituent in erastin with an aminomethyl group resulted in an analog (erastin A3, FIG. 14) that retained the ability to selectively kill BJ-TERT/LT/ST/RASV12 cells. Replacement of the p-fluoro group in erastin B1 (an analog of erastin with nearly equal activity, selectivity and potency) with an aminomethyl group resulted in an analog (erastin B2, FIG. 14) lacking activity in cells.

Erastin A3 and erastin B2 were immobilized on resins to identify proteins that interact with the A3 resin but not the B2 resin. Using BJ-TERT/LT/ST/RASV12 cell lysates, all three isoforms of the human mitochondrial voltage-dependent anion channels (VDAC1, VDAC2 and VDAC3) were identified on the A3 resin, and some VDAC1 was identified on the B2 resin. Using BJ-TERT cell lysates, a small amount of VDAC1 was identified on the A3 resin, but no VDAC was identified on the B2 resin. No VDAC proteins were identified on a control resin lacking any erastin analog. It thus appears that erastin A3 interacts more productively than erastin B2 with VDAC2 and VDAC3. Moreover, all three VDACs were identified with higher confidence from BJ-TERT/LT/ST/RASV12 cell lysate, suggesting VDACs are expressed at a higher level in these cells. Higher level of VDACs expression in BJ-TERT/LT/ST/RASV12 was confirmed (see FIG. 10). The finding that erastin pulls down mitochondrial proteins (VDACs) was consistent with the previous finding showing that erastin induces a mitochondria-driven oxidative death.

VDAC Proteins are Unregulated by Oncogenic RAS Signaling:

In certain aspects, the invention provides that altered expression of VDACs contribute to erastin sensitivity. To determine whether VDACs are upregulated in response to oncogenic RAS signaling, VDAC abundance was measured, using an antibody that recognizes all three isoforms, in the BJ cell series (primary BJ cells, BJ-TERT cells, BJ-TERT/LT/ST cells, and BJ-TERT/LT/ST/RASV12 cells). In the presence of oncogenic RAS, total VDAC protein was increased about four-fold (FIG. 10). There was no increase in mitochondria number in BJ-TERT/LT/ST/RASV12 cells as measured by a flow cytometric assay, suggesting the greater abundance of VDAC proteins is due to specific upregulation of these proteins and not due to increased mitochondrial biogenesis. Thus, in certain aspects the invention provides connection between oncogenic RAS proteins and VDAC proteins, including VDAC protein expression. In certain embodiments, the protein level of VDAC1, VDAC2, VDAC3, or any combination thereof is increased. In other embodiments, the mRNA level of VDAC1, VDAC2, VDAC3, or any combination thereof is increased. In certain aspects, the invention provides an increased level of VDAC proteins, or mRNA as a biomarker to identify a tumor cell whose growth or viability can be inhibited by an agent which induces oxidative death. Non-limiting examples of such agents are erastin, and its active analogues. In certain embodiments, the tumor cell is derived from a subject who suffers from a tumor. In certain embodiments, the biomarker is an increased protein level of VDAC1, VDAC2, and/or VDAC3, or any isoform, or any combination thereof, in a tumor cell compared to syngeneic or isogenic cell.

In certain embodiments, there is loss of mitochondrial membrane potential in >70% of BJ-TERT/LT/ST/RASV12 cells after 13 hours of erastin A1 treatment (JC-1 stain), and morphological changes in mitochondria examined by EM, consistent with the notion that erastin induces mitochondrial dysfunction.

In certain aspects, the invention provides that erastin acts by a gain-of-function mechanism and that cells with more VDAC proteins are more sensitive to erastin. A gain-of-function mechanism operates in cells which have increased levels of topoisomerase I and are thus more sensitive to camptothecin149. In certain embodiments, upregulation of VDAC proteins, VDAC1, 2, and/or VDAC3 by nucleofection caused an increase in sensitivity to erastin, wherein the measured increase is about two to three-fold (FIG. 32 panels (e) and (f)). A control nucleofection process did not change the potency (i.e. the IC50) of podophyllotoxin, a microtubule depolymerizer that acts through an unrelated mechanism. In other embodiments, cell lines can be stably transfected with vectors expressing VDAC1, 2, and/or 3. Thus, increased VDAC expression leads to erastin sensitivity which is consistent with a gain of function mechanism. Furthermore, a knockdown of VDACs causes erastin resistance.

Knockdown of VDACs Causes Erastin Resistance:

A lentiviral short hairpin (shRNA) construct was used to reduce expression of VDAC proteins through RNA interference. Vector (pLKO.1) was used to generate 90,000 shRNA constructs targeting more than 18,000 human and mouse mRNAs125. This vector has been validated as an effective means of knocking down many mRNAs in human and mouse cells, without inducing an interferon response. All constructs generated are sequenced and several hundred have been verified for their ability to knock down their intended mRNA target125.

Five lentiviral pLKO.1-based constructs targeting each VDAC isoform were created. These constructs were tested for their effect on erastin sensitivity and the results showed that VDAC2-targeted and VDAC3-targeted shRNAs caused significant resistance to erastin. These findings were consistent with the pulldown experiment, in that they both indicated a preferential role for VDAC2 and VDAC3 in mediating erastin's effects. These constructs cause knockdown of their specific isoform targets at the mRNA and protein level (FIG. 15A). In certain embodiments, reducing expression of VDAC3 causes complete resistance to erastin. In other embodiments, reducing expression of VDAC2 causes partial resistance to erastin. This is consistent with a gain-of-function model and provides evidence that VDACs are functionally implicated in the erastin-induced cell death mechanism.

Iron Chelators Suppress Erastin Lethality:

Given that erastin-induced death is oxidative, it is likely that Fe2+ is necessary for erastin's lethality. Fe2+ reacts with peroxides in a catalytic cycle through Fenton chemistry to generate hydroxyl radicals that react with proteins, lipids and nucleic acids. The effect of iron chelators, such as for example, the iron chelators shown in FIG. 30, on erastin's lethality were evaluated in BJ-TERT/LT/ST/RASV12 cells. Iron chelators completely suppressed erastin's lethality (FIG. 13). These data show that Fenton chemistry is involved in erastin-induced oxidative death, and that iron is necessary for erastin's lethality.

In certain aspects, the invention provides that erastin interacts with a VDAC-containing mitochondrial complex to induce mitochondrial dysfunction, release of oxidative species and cell death via non-apoptotic mechanism. This mechanism is selective for cells with activated RAS or RAF signaling, because oncogenic RAS/RAF upregulate VDACs (FIG. 10). Thus, cells with greater RAS, RAF or MEK activity have an increased pool of VDACs and are more susceptible to compounds that dysregulate VDAC function. In certain embodiments, the dysregulation of function can be by locking VDACs in an open conformation and causing excessive respiratory activity. Because RASV12-expressing cells are more glycolytic, they also accumulate higher levels of NADH, which would normally affect VDAC closure; it is likely that erastin prevents this effect, leading to excessive respiratory activity and oxidative species.

Preclinical Assessment of Erastin:

The stability of erastin in mouse and human liver microsomes and in mouse and human plasma was assessed. In both human and mouse liver microsomes, after 1 hr, ˜30% of erastin was converted to its primary metabolite (the O-de-ethylated product). In both human and mouse plasma, only ˜10% of erastin was lost after five hours. Thus, erastin has sufficient metabolic and plasma stability to be tested in vivo in mice.

Measuring the Effects of Erastin on VDAC1, 2 and 3 In Vitro:

Overexpression and purification of the three human VDAC isoforms. Human VDAC1, VDAC2 and VDAC3 can be overexpressed and purified89, 150-152. cDNA clones for the human VDACs are cloned, using PCR, restriction digests and sequencing to verify each clone, into the E. coli expression vector pET-15b (Novagen). Amino-terminally hexahistidine-tagged VDAC fusions proteins are produced in BL21 cells and purified from inclusion bodies, as described for S. cerevisiae VDAC purification from E. coli152. The pET vectors contain a thrombin-cleavage site, allowing optional removal of the affinity tag after purification. Purity is assessed by SDS page, reactivity with both N- and C-terminally directed antibodies, MALDI-TOF MS, HPLC, CD and voltage-dependent gating in lipid bilayers. For example, with VDAC3, the cDNA clone was transformed into E. coli, expression was induced with 0.5 mM IPTG and cells were grown overnight. After pelleting the cells, the resuspended pellet was incubated with lysozyme and TX-100. The resulting lysate was sonicated and centrifuged, washed and resuspended in solubilization buffer (100 mM NaCl, pH 8.0 Tris-HCl, 6M Gdn-HCl). After removal of cell debris by centrifugation, the supernatant was applied to Ni affinity columns (BD biosciences), drained by gravity flow, and eluted with solubilization buffer containing 50 mM imidazole. After adding LDAO (Sigma) to a final concentration of 2%, Gdn-HCl was dialyzed against storage buffer. The resulting protein was pure on a Coomasie-Blue-stained SDS gel. VDAC1 and VDAC2 are purified in an analogous manner. All three VDAC proteins can be fully characterized biochemically after the purification.

In a non-limiting method for native VDAC purification, recombinant VDAC proteins can be isolated, and purified, from S. cerevisiae harboring each murine or human VDAC isoform in place of the yeast VDAC, using a protocol known in the art153. In a non-limiting embodiment, murine and human VDAC2 and 3 were purified from yeast strains. Isolation of mitochondria was as described by Daum et al. (Lipids of mitochondria. Biochim Biophys Acta. 822(1):142 (1985)), except cells were lysed using a Dounce homogenizer after Zymolyase treatment. The mitochondrial pellet was then lysed by incubating in a 50 mM Tris pH 7.5, 2.5% TX-100 solution for 30 minutes with gentle shaking and then by centrifuging at 27000 g-s to remove debris. The supernatant was run on a Sepharose Q FF column (Amersham) using a NaCl (0.1-1M) gradient. The appropriate fractions were collected and concentrated using Centricon 10 (Fisher Scientific) tubes. The purity was analyzed by SDS-PAGE, reactivity with anti-VDAC antibody and mass spectrometry. Murine VDAC1 can be purified in a similar manner. This procedure typically yields up to 1 mg of native VDAC proteins that have not been refolded, which is advantageous for lipid bilayer experiments.

In other embodiments for VDAC protein purification, mitochondrial outer membranes can be isolated from human cells lacking some and overexpressing specific VDAC isoforms. In one embodiment, stably transfected cell lines overexpressing VDAC1 (using zeocin and pcDNA3) can be generated, wherein in certain embodiments these cell lines can contain short hairpin RNA (shRNA) constructs that eliminate expression of VDAC2 and VDAC3. Selection of these cell lines can be accomplished using puromycin. In another embodiment, stably transfected cell lines overexpressing VDAC2 (using zeocin and pcDNA3) can be generated, wherein in certain embodiments these cell lines can contain short hairpin RNA (shRNA) constructs that eliminate expression of VDAC1 and VDAC3. Selection of these cell lines can also be accomplished using puromycin. In another embodiment, stably transfected cell lines overexpressing VDAC3 (using zeocin and pcDNA3) can be generated, wherein in certain embodiments these cell lines can contain short hairpin RNA (shRNA) constructs that eliminate expression of VDAC2 and VDAC1. Selection of these cell lines can also be accomplished using puromycin.

cDNA clones for human VDAC1, VDAC2 and VDAC3 and five shRNA clones specifically targeting each VDAC isoform, i.e. 15 shRNA constructs total in the pLKO.1 lentiviral shRNA vector, have been constructed, some of which completely eliminate expression of each isoform (See, e.g., Table 7). qPCR and 2D gels can confirm that the HT1080 fibrosarcoma-derived clones transfected with shRNA vectors, indeed express a single VDAC isoform. Outer mitochondrial membranes from such cell lines can be isolated using established methods74, 153.

Measurement of Erastin Isoform-Binding Specificity Using SPR and Calorimetry:

In certain embodiments, surface plasmon resonance (SPR) can be used to measure the affinity of the interaction between an agent which induces oxidative cell death, such as for example erastin, and any of the isoforms of the VDAC proteins. Purified, hexahis-tagged, recombinant VDAC protein can be immobilize on a Biacore sensor chip using antibody capture, with an anti-his antibody, and the change in SPR signal in the presence of erastin can be measured. Native, non-refolded VDAC proteins, which, of example, can be derived from yeast strains harboring murine or human VDAC isoforms knocked into the yeast VDAC locus, can be immobilized on a sensor chip using an Abcam pan-anti-VDAC antibody. Proteins such as GST, avidin and bovine serum albumin can serve as negative protein controls. Erastin B1 and camptothecin, or any other unrelated compound can be used as negative small molecule controls. To use SPR, VDAC proteins can be solubilized in a buffer containing 20 mM Tris (pH 7.0), 0.1 M (NH4)2SO4, 10% glycerol, protease inhibitor tablet and 1% lipid/detergent mixture drawn from various combinations of lipids, such as DOPE (1,2-dioleoyl-sn-glycero-3-phosphoethanolamine), DOPS (1,2-dioleoyl-sn-glycero-3-phospho-L-serine) and DOPC (1,2-dioleoyl-sn-glycero-3-phosphocholine). The solubilized protein can be captured on an anti-his antibody immobilized on a CM4 Biacore sensor chip, or an anti-VDAC antibody immobilized on a sensor chip. A Biacore 3000 optical sensor can be used to perform these measurements154, 155. Erastin A3 can be immobilized on a Biacore chip and the binding of solubilized VDAC protein to the chip can be measured. This would provide a larger signal because of the greater molecular weight of VDAC relative to erastin. SPR can be preferable for initial studies because it uses less protein than calorimetry, SPR can use protein in the range of 100 μg versus mg quantities for calorimetry.

In another embodiment, isothermal titration calorimetry (ITC) can be used to measure the molar enthalpy (ΔH) and equilibrium binding constant (KB) for the interaction between an agent which induces oxidative cell death, such as for example erastin, and any of the isoforms of the VDAC proteins. Calorimetry is the gold-standard method for measuring binding because it does not suffer from artifacts of surface chemistry that can complicate SPR binding data. From the calorimetry data, the Gibbs free energy of binding (ΔG=−RT In KB) and the entropy of binding (ΔS=(ΔH−ΔG)/T) can be calculated, where R is the ideal gas constant and T is the temperature in the experiment156, 157. By performing this experiment at multiple temperatures, the change in heat capacity upon binding (at constant pressure), ΔCp, can be calculated. Thus, these experiments allow characterization of the thermodynamic parameters associated with binding of erastin to each VDAC isoform. As controls, the binding of an agent which induces oxidative cell death, such as for example erastin, to several other proteins can be tested, including glutathione-S-transferase (GST), avidin and bovine serum albumin.

In other embodiments, mutations in VDACs that are predicted to disrupt binding, based on a homology model and docking experiments can be designed. VDAC mutant proteins of any one of the isoforms can be expressed, purified, and tested for their binding to an agent which induces oxidative cell death, such as for example erastin. It is recommended that the concentration of protein in an ITC ligand-binding experiment be at least 10 times the KB estimate156. Given that erastin has a potency of 1 to 5 μM in several tumor cell lines, this is an upper limit on KB. It is desirable to have 20 μM VDAC protein in solution when erastin is added in the ITC experiment to ensure all added erastin is bound to target protein. Given that the sample cell requires 1.4 mL, 28 nmol of each VDAC, or ˜1 mg of each VDAC protein are needed for each calorimetry experiment. Thus, about 5 to 10 mg of each VDAC isoform is necessary for this set of experiments. This is achievable given published VDAC expression protocols152. For these experiments, erastin can be used as the experimental compound and erastin B1 as a negative control that is not expected to bind to VDAC proteins with high affinity, given its lack of lethality. Microcal Omega Isothermal Titration Calorimeter, which consists of an Omega reaction cell (T115), control module (T106) and nanovoltmeter (059), can be used for these experiments.

In another embodiment, there is provided a method for determining whether there is a change in the fluorescence of any of the VDAC proteins upon incubation with an agent, such as for example erastin. If erastin binds near a hydrophobic residue (Trp, Tyr or Phe), it is possible that the binding would cause a change in the fluorescence of VDAC that would allow us to determine the binding constant for this interaction. This would readily be detected using a fluorescence spectrometer. In another embodiment, a 3H-labeled erastin analog can be created and used in a radioligand binding assay. The 3H-labeled erastin analog can be created by acetylating erastin A3 with [H3]-CH2COCl. Erastin A3 is the affinity analog used to purify VDAC, and 3H-labeled erastin analog can be used in a charcoal precipitation or filter-binding assay.

Measurement of Effect of Erastin on VDAC-Mediated Transport In Vitro:

In certain embodiments, the effect of agent, such as for example erastin, on VDAC-mediated transport in reconstituted liposomes and lipid bilayers can be determined. The flow of ATP through each VDAC isoform determined in the presence of erastin or erastin B1, can be used as a negative control. A method for measuring the flux of ATP through VDAC channels reconstituted into planar phospholipids membranes has been reported158. In a certain embodiment of this method, VDAC channels are open at low voltage (<10 mV) and closed at higher voltages. The method involves forming lipid bilayer membranes with a 1% solution of diphytanoylphosphatidyl choline and cholesterol in hexane using a modified Montal-Mueller technique59. VDAC proteins in 1% Triton X-100 are added to one side of the planar lipid bilayer; subsequently, a concentrated ATP solution is added to the same (cis) side. Aliquots are removed from the trans side and mixed with a D-luciferin/luciferase solution; light output is determined using a luminometer; the [ATP] on the trans side can be calculated as a function of time using a calibration curve. In certain embodiments, this method can be used to determine whether an agent, such as for example erastin, accelerates or impedes the rate of ATP flux through each VDAC isoform. In certain embodiments, the experiments can be performed as a function of membrane voltage to determine whether erastin increases ATP transport at voltages>10 mV. In certain aspects, the invention provides that erastin, or any other agent that induces oxidative cell death, increases ATP transport at voltages>10 mM. An agent which increases the rate of ATP transport is an agent which induces oxidative cell death.

In other embodiments, the invention provides a method which can measure the effect of an agent, such as for example erastin, on VDAC-mediated transport of NADH across the mitochondrial outer membrane. In a non-limiting example, a mitochondria containing fraction can be isolated from yeast expressing a single, specific VDAC isoform, such as for example human isoforms VDAC1, 2, or 3, or any homologues, or mutant versions thereof, in place of yeast VDAC. Using this mitochondria containing fraction, the rate of NADH oxidation can be measured. In this system, when NADH is added to isolated mitochondria, or a mitochondria containing fraction, NADH is transported across the mitochondrial outer membrane in a VDAC-dependent manner153. The rate of transport can be determined by measuring the rate of NADH oxidation by the inner-mitochondrial-membrane-protein NADH dehydrogenase.

Mitochondria with a disrupted outer membrane transport NADH faster than yeast mitochondria containing murine or human VDAC1, VDAC2 or VDAC3, suggesting that VDAC is rate-limiting for NADH transport across the outer mitochondrial membrane. In fact, the rate of transport of NADH through the murine VDAC isoforms is VDAC1>VDAC2>VDAC3. In certain embodiments, this method can measure the effect of an agent, such as for example erastin, on the rate of NADH transport across the outer mitochondrial membrane in mitochondria, expressing human VDAC isoforms, isolated from yeast. In other embodiments, this method can be used to identify an agent which induces oxidative death. An agent which increases the rate of NADH transport, is an agent which induces oxidative cell death. A non-limiting example of such an agent is erastin.

In other embodiments, cellular fractions containing mitochondria can be isolated from human cells, including but not limited to any of the tumor cell lines as described herein. In certain aspects the invention provides, that erastin causes increased flux through the outer mitochondrial membrane when VDAC3 is present. In certain embodiments, the invention provides that erastin causes increased flux through the outer mitochondrial membrane when human VDAC1, 2 or 3 is expressed in yeast. In other embodiments, expression levels of VDAC1, 2 or 3 in yeast, can be modulated to determine the effect of VDAC protein levels on the rate of NADH transport, in the presence or absence of erastin.

In other embodiments, a method can measure the effect of an agent, such as for example erastin, on the rate of NADH transport across the outer mitochondrial membrane in mitochondria isolated from any suitable tumor cell line, such as for example HT1080 cells, which express only VDAC1, VDAC2 or VDAC3. These cell lines can be created by stably transfecting, e.g., HT1080 cells with a cDNA vector containing a specific VDAC isoform and shRNA vectors targeting the other VDAC isoforms. cDNA expression constructs for human VDACs can be created. shRNA constructs can be created in a lentiviral backbone160 (pLKO.1) targeting VDAC1 (five constructs), VDAC2 (five constructs) and VDAC3 (five constructs). In a non-limiting example, the ability to down regulate VDAC expression of at least one construct for each isoform was demonstrated. The isoform-specific pattern of expression can be determined using qPCR and 2-D gels. Once cell lines which express only specific VDAC isoforms are obtained, mitochondria containing fractions can be isolated, and the rate of NADH oxidation in intact mitochondria versus mitochondria with a disrupted outer membrane153 can be measured. In certain embodiments, measurements of the rate of NADH oxidation can be done to determine the effect of an agent, such as for example erastin, on this rate of NADH uptake. In another embodiment, this method determines which VDAC isoform participates in NADH transport.

In other embodiments, the invention provides a method to measure the effect of erastin on sucrose uptake by each human VDAC isoform in reconstituted liposomes89, 150. In this method, VDAC protein is reconstituted in liposomes using a sonic freeze-thaw method. Sucrose import is determined by measuring liposomal swelling in the presence of 50 mM sucrose; swelling is in turn measured by the amount of light scatter at 520 nm. Sucrose import can also be determined by measuring [14C]-sucrose uptake89, 150. The above described functional assays, are non-limiting examples of assays that can be used to determine whether an agent, such as for example erastin, effects functional properties of VDAC channels and whether there is isoform-specificity to any such effect.

Photocrosslinking of Erastin to Vdac Isoforms:

In certain aspects, the invention provides methods to determine how an agent, such as for example erastin, alters the functions of VDAC proteins. In certain embodiments, erastin A3 can be coupled to a benzophenone-containing moiety to allow for photocrosslinking of erastin to each VDAC isoform. In a non-limiting example for synthesis and use of these photolabeled compounds, each VDAC isoform can be incubated with an erastin-benzophenone photo-reactive probe and inactive control probe in parallel, placed in optical glass cells (Starna, cat#1-SOG-10-GL14-S), purged with argon gas for 5 min and irradiated at 350 nm for 5-15 min in a Rayonet Reactor. After irradiation, the protein-erastin complex can be digested with several different proteases and the resulting sample submitted for ES/LC-MS-MS analysis to identify peptide residues modified by this photolabel. There are multiple routes through which it will be possible to use MS analysis to determine the site at which erastin is cross-linked to each VDAC isoform.

Creating and Testing Erastin-Binding-Defective VDAC Mutants:

In certain aspects, the invention provides methods to generate VDAC mutants, which are defective in erastin binding. VDAC homology modeling and erastin in silico docking results as demonstrated in FIG. 17 can be used to create VDAC mutants that are functional, but that fail to bind to erastin. In certain embodiments, mutations can be introduced in the amino-terminal helical region of any one of the VDAC isoforms, such as for example VDAC3 and the hinge region between the helix and the barrel because these sites would be logical erastin binding sites, given that the amino terminus negatively regulates conductance and that erastin acts via a gain of function which may involve locking the channel in an open conformation.

In certain embodiments, mutations can be created by overlap extension PCR, cloning of the cDNA into pcDNA3(zeo) and sequencing of the clone. To test the effect of each mutation, a stable cell line derived from HT1080 cells can be created by transfecting and selecting zeocin. Subsequently, a lentivirus can be used to knock down expression of any one of the VDAC isoforms, including VDAC3, and selection accomplished with puromycin to retain only knockdown cells. Viral titer and volume can be adjusted as needed to confer>90% knockdown of these VDAC isoforms. Thus, cells can express any one of the mutant VDAC isoforms, including but not limited to VDAC3 mutants, from the pcDNA3(zeo) vector. This expression can be confirmed by qPCR and 2D gel. Erastin sensitivity and cell viability can be measured by an automated Trypan Blue exclusion assay on a Vi-Cell, for each such cell line, to identify VDAC mutants that cause erastin resistance. For mutants that cause erastin resistance, the cDNA can be cloned into a bacterial expression vector, and the mutant protein can be expressed and purified, as described above, for the wild-type VDAC proteins. Once each mutant is purified, erastin binding can be measured by SPR and calorimetry, as described above. An assay can measure the effect of erastin on these mutants using lipid bilayers to confirm a lack of gating by erastin. Such characterization of erastin binding to VDAC demonstrates that binding of erastin to VDACs is necessary for erastin's lethality.

Hypothesis Connecting Oncogenic-RAS Signaling and Erastin Sensitivity:

In certain aspects, the invention provides that oncogenic-RAS-expressing cells are more sensitive to erastin because of two effects, both caused by the RAS-RAF-MEK pathway. In one aspect, Ras-expressing cells are more sensitive to erastin because of increased VDAC abundance. In another embodiment, Ras-expressing cells are more sensitive to erastin because they may have a need for a greater fraction of closed VDAC channels. The increased VDAC abundance may be due to increased transcription and/or translation of VDAC or decreased VDAC turnover. The increased VDAC closure in RAS-expressing cells may be due to increased glycolytic activity in RAS-expressing cells that leads to (i) increased NADH abundance and (ii) increased activity of the electron transport chain, driving down the local pH in the mitochondrial inter-membrane space. Increased NADH abundance would lead to VDAC closure, as NADH causes VDAC closure in vitro and in isolated mitochondria161, 162. Low pH would likely lead to VDAC closure in vivo, given that VDAC closure occurs in low pH environments in vitro67. Increased electron transport chain activity would therefore lead to greater VDAC closure in vivo163. The overall effect of these two factors would be to increase the pool of closed VDAC channels in cells with activated RAS-RAF-MEK signaling.

Erastin-induced locking of VDACs in an open conformation in cells with increased levels of VDAC, including but not limited to oncogenic-RAS-expressing cells, would lead to excess electrogenic activity of the electron transport chain, leakage of electrons to dioxygen with concomitant production of hydrogen peroxide, which encounters pools of free iron that in turn leads to Fenton chemistry and catalytic production of reactive hydroxyl radicals. Thus, VDAC proteins serve to homeostatically regulate activity of the electron transport chain, and dysregulation of this function leads to oxidative death due to excess production of oxidative species.

Measure VDAC mRNA and Protein Levels with and without RAS, RAF and MEK Signaling:

To determine whether the RAS-RAF-MEK pathway leads to an increase in VDAC proteins without changing VDAC mRNA levels, VDAC1, VDAC2 and VDAC3 mRNA and protein levels can be measured using any suitable method including but not limited to quantitative RT-PCR (qPCR) and 2D gels. Probe-primer pairs were developed to measure all 3 VDAC mRNAs relative to an internal standard. The primers used in this method amplify all three isoforms and the internal control equally and are equally sensitive to changes in the input mRNA concentration. In certain embodiments, this method confirmed isoform-specific mRNA knockdown in engineered BJ cells and HT1080 cells. In other aspects, the invention provides a method to measure all 3 VDAC isoforms using 2D gels.

To test the effect of oncogenic KRAS and NRAS on VDAC mRNA and protein levels, VDAC mRNAs can be measured using qPCR in any cell line of interest, such as for example Calu-1 cells, which have mutant KRAS, and HT1080 cells, which have mutant NRAS, and in isogenic cells in which KRAS or NRAS, respectively, can be knocked down using a lentiviral shRNA. pLKO.1 lentiviral shRNA constructs targeting KRAS and NRAS were created. Two KRAS-targeted constructs effectively knock down KRAS (FIG. 9). These constructs can be transfected along with a vector expressing the coat protein VSVG (pMD.G) and a packaging vector (pCMVdR.89) into 293T cells using Fugene. Supernatant at 48 hours is collected and added to the target cell lines (i.e. Calu-1 or HT1080). This protocol was used to knock down each VDAC isoform using the pLKO.1 vector in HT1080 cells, BRAF in A673 cells and KRAS in Calu-1 cells. The effect of knockdown on each VDAC mRNA can be measured using qPCR, as well as KRAS and NRAS to confirm knockdown. In addition, protein lysates can be made, and run on 2D gels, detecting the three VDAC isoforms with a pan-VDAC antibody. The amount of each isoform can be quantitated relative to actin on the same gel using a LICOR Odyssey infrared scanner. As an additional control, a silent KRAS or NRAS mutant that is resistant to each of the effective shRNAs can be generated, and used to determine whether this resistant cDNA can reverse the effect of the shRNA. This will be a confirmation that the shRNA is acting through the intended target (i.e. KRAS or NRAS). Similar experiments can be performed for BRAF. Overall, these experiments will determine the effect of HRAS, KRAS and NRAS signaling on VDAC mRNA and protein levels.

To test the effect of BRAF signaling, VDAC mRNA and protein levels (using pPCR and 2D gels, as described above) can be measured in A673 cells (with an activated (V599E) mutant BRAF), and in isogenic cells in which BRAF is knocked down using a viral shRNA construct. As additional controls, the effects of at least five additional shRNA constructs targeting BRAF can be tested, wherein the effects of each of these shRNA constructs can be tested also in the presence of a BRAF cDNA containing a silent mutation that renders it resistant to each shRNA, and an shRNA construct targeting luciferase. Five additional lentiviral shRNA constructs targeting BRAF were obtained, and two of them demonstrated knock down of BRAF at the protein and mRNA level. These experiments can determine the oncogenic BRAF signaling on any of the VDAC isoform mRNA or protein levels.

To test the effect of MEK1/2 signaling on VDAC mRNA levels, VDAC mRNA and protein levels can be measured by any suitable method, including but not limited to qPCR and 2D gels, in four cell lines (FIG. 12, HT1080, A673, Calu-1 and BJ-TERT/LT/ST/RASV12) that have been treated with each of three structurally different MEK1/2 inhibitors. Non-limiting examples of MEK1/2 inhibitors are provided in FIG. 31. These experiments can determine whether MEK signaling affects mRNA or protein levels of any of the VDAC isoforms. An effect of MEK inhibitors on VDAC protein or mRNA levels, can be confirmed and the specific MEK isoform responsible for this effect can be determined by obtaining or creating shRNA constructs targeting MEK1 and MEK2 specifically. MEK1 and MEK2 function can be knocked down by similar protocols and control experiments as described for RAS and RAF knockdowns.

Knockdown experiments can be controlled to ensure that shRNA induce knockdown of the desired target (KRAS, NRAS, BRAF or MEK1/2) at the mRNA and protein levels, and that related isoforms are not affected (i.e. including HRAS, CRAF and ARAF). MEK inhibitors should block MEK1/2 phosphorylation of ERK1/2 substrates, and this can be confirmed by western blot with a phospho-specific ERK1/2 antibody. These experiments can determine the role of RAS, RAF and MEK signaling (and specific family members) in modulating mRNA and protein levels of each VDAC isoform.

Methods to Measure the Ratio of Open and Closed VDAC in Cells with and without RAS, RAF and MEK Signaling:

In certain aspects, the invention provides a fluorescently labeled VDAC reporter construct of any one of the VDAC isoforms. In certain embodiments, the reporter construct is labeled with YFP, CFP, RFP, any of the (Fluorescent Protein) FP optimized variants, or any other suitable fluorescent label. In certain embodiment, reporter constructs are fully functional and active in vivo and in vitro, as measured by any suitable assay which determines VDAC protein function. Methods and protocols for creating fluorescent reporter proteins are well known in the art. The FP can be fused to a VDAC isoform at any position in the VDAC protein, so long that the fluorescent VDAC reporter remains functional. The FP can be fused to the VDAC isoform with or without a protein linker sequence. In certain embodiments, a VDAC reporter construct comprises at least one FP. In other embodiments, a VDAC reporter comprises two fluorescent proteins. The two FP can be identical or different. In certain embodiments, the FP is fused to the N-terminus. In other embodiments, the FP is fused to the C-terminus.

In certain embodiments, fluorescently labeled VDAC proteins can be used to monitor expression and localization of VDAC isoforms. In other embodiments, fluorescently labeled VDAC proteins can be used in assays to determine the effect of agents, including but not limited to erastin, on the expression, and/or stability of VDAC isoforms. Treatment with erastin induces disappearance of VDAC2 and 3 isoforms, as determined by Western and 2D-gel electrophoresis, indicating that an agent such as erastin, which induces oxidative cell death, leads to disappearance of its protein target. In certain aspects, the invention provides a method for identifying agents which induce oxidative cell death. In certain embodiments, the method comprises, contacting cells or mitochondrial cell fractions from cell with an agent, determining cell viability and determining whether VDAC protein levels remain unchanged or become reduced in response to treatment with the agent. In other embodiments, the method comprises, contacting cells or mitochondrial cell fractions from cell, which express a fluorescently labeled VDAC isoform, with an agent, determining cell viability and determining whether VDAC protein levels remain unchanged or become reduced in response to treatment with the agent Contacting can be done in the presence or absence of a second agent, wherein the agent inhibits formation of oxidative species in mitochondria, or the agent is an iron chelator, or the agent is an antioxidant. In certain embodiments, determining whether VDAC protein is reduced can be done by measuring the fluorescent signal due to the fluorescently labeled VDAC isoform. In other embodiments, determining whether VDAC protein is reduced can be done by any suitable method known in the art, including but not limited to Western blotting, or 2D-gel electrophoresis. An agent which leads to loss of cell viability, and decrease in VDAC protein level, and/or the fluorescent signal due to a VDAC reporter is indicative of an agent which induces oxidative cell death.

In certain aspects, the invention provides a method to measure the ratio of open to closed VDAC proteins. In certain aspects, the invention provides a fluorescent reporter construct that exhibits conformation-dependent fluorescence that can be used to determine whether a VDAC channel is in an open or closed conformation. VDAC reporter constructs can be created in which yellow fluorescent protein (YFP) and cyan fluorescent protein (CFP) are fused to two different positions of VDAC, such that they create conformation-dependent fluorescent sensors. CFP and YFP containing fluorescent proteins have been used to create conformation-dependent fluorescent sensors164. When CFP and YFP come into close proximity, they engage in fluorescence resonance energy transfer (FRET), which can be detected by a change in the fluorescence spectrum of the fusion reporter protein.

Sites within VDAC can be chosen to incorporate CFP and YFP, wherein the sites are chosen based on current models for sites that exhibit a conformational change upon opening. For example, the amino terminal helix of VDAC has been implicated genetically as a negative regulator of channel permeability. One model for VDAC function posits that this amino terminal loop sterically occludes the face of the channel when it is closed163, 165. A second model involves movement of several strands of the beta barrel out and up to the surface of the lipid bilayer166, 167. CFP can be fused to the VDAC amino terminus and YFP to different positions at the entrance of the beta barrel or on the C terminus, to create a construct in which CFP is brought into proximity with YFP when the channel closes. Thus, by creating a number of different CFP and YFP bearing constructs, such as for example about 10-20 constructs, based on these two classes of models, CFP-VDAC-YFP reporter construct(s) that display(s) a change in fluorescence upon opening and closing can be identified.

In certain embodiments, the CFP-VDAC-YFP reporter construct can be examined for fluorescence changes when the CFP-VDAC-YFP reporter is in lipid bilayers. In other embodiments, the fluorescence changes can be measured when the voltage dependent opening and closing of the VDAC channel is determined. The lipid bilayer setup is similar to the set up, which measures the flux of ATP through VDAC channels using a luciferase/luciferin solution on the trans side of the bilayer. These in vitro experiments can identify a construct that exhibits voltage-dependent opening and closing of the VDAC channel as measured by the changes in fluorescence emission of the fluorescent reporter. Such voltage dependent constructs can be created for all three isoforms (VDAC1, 2 and 3), enabling determination of the ratio of open/closed channel for each VDAC isoform. In certain embodiments, such CFP-VDAC-YFP reporter constructs can be used to identify agents which increase the probability that the VDAC channel is in an open conformation, as measured by a decreased or absent FRET signal. A non-limiting example of such an agent is erastin.

To test CFP-VDAC-YFP reporter constructs in cells, constructs can be cloned in the pLKO.1 lentiviral vector we have used previously to deliver shRNAs. The construct can be co-transfected into 293T cells along with a vector expressing the coat protein VSVG (pMD.G) and a packaging vector (pCMVdR.89), as described above and virus-containing supernatant harvested and transferred onto target cells. Specifically, these constructs can be tested for RAS-pathway-dependent closing using the series of cells, including various knockdown cell lines, described above. To determine the effect of RAS signaling, the constructs can be tested in any suitable cell line, for example but not limited to BJ-TERT/LT/ST/RASV12 cells and BJ-TERT/LT/ST cells, Calu-1 cells, which have mutant KRAS, and derivative cells with mutant KRAS knocked down, and HT1080 cells, and a derivative line with mutant NRAS knocked down. For RAF signaling, we will test the constructs in A673 cells (BRAF mutant) and a derivative cell line with BRAF knocked down. To determine the effect of MEK signaling, the constructs can be tested in any suitable cell line, including but not limited to BJ-TERT/LT/ST/RASV12, Calu-1, HT1080 and/or A673 cells, each treated with one of three different MEK1/2 inhibitors. In each of these cases, the assay can determine whether there is a change in the fluorescence of the CFP-VDAC-YFP construct when RAS-RAF-MEK signaling is active or inhibited. One form of a suitable negative control can be a mitochondrial outer membrane targeted CFP-YFP fusion protein that lacks most of the VDAC sequence. A suitable form of a positive control can be a constitutively open VDAC mutant as described herein. Erastin can be tested to determine whether it causes VDAC opening in cells, as measured by this CFP-VDAC-YFP fluorescent reporter. Cellular fractions containing mitochondria and/or purified mitochondria from cells expressing any one of the CFP-VDAC-YFP reporters, including reporters with a VDAC mutations can also be used. In assays using purified mitochondria or cellular fractions with mitochondria, NADH can be used as a control for inducing VDAC closure. In certain aspects, the invention provides methods which determine whether the RAS-RAF-MEK signaling causes VDAC closure.

In other embodiments, a fluorescent VDAC reporter can be used as a pharmacodynamic marker for erastin in mice. Stably transfected HT1080 and Calu-1 cells harboring this fluorescent VDAC reporter, can be grafted in mice, which are treated with erastin or related analogs. After erastin treatment, the tumor can be excised and the fluorescence of the VDAC reporter measured. This can ascertain whether erastin is getting into the tumor xenograft and inducing the desired opening of VDAC in the mouse model.

Knock Down Candidate MAPK Proteins and Measure Effects on Vdac Levels and Closure:

To delineate the specific RAS-RAF-MEK pathway that regulates VDAC levels and closure, the effect of knocking down candidate MAPK proteins downstream of MEK can be tested. The canonical RAS-MAPK pathway involves a RAS-RAF-MEK1/2-ERK1/2 cascade168. However, there are additional ERK proteins (ERK3-8) and other MAPK proteins (p38 and JNK proteins) that could potentially be involved. In addition, there might be other kinases acting upstream or downstream of this cascade. The activity of human kinases and kinase-related proteins (about 850 proteins with predicted function) can be knocked-down using 4,250 lentiviral shRNA constructs. shRNA constructs are created and available from the RNAi consortium125. The set of shRNAs targeting human kinases or kinase-related proteins can be organized and maintained as a subset of the entire shRNA collection, wherein stocks of lentivirus for each of these 4,250 constructs are maintained. These virus stocks are aliquoted in multiple 384-well plates. To test the effect of knocking down each kinase on erastin sensitivity, the virus can be added to HT1080 cells, and after 24 h, selected by puromycin selection (each shRNA construct contains a puromycin resistance gene). After 1, 3 and 5 days (i.e. in parallel experiments), erastin can be added, after 24 h, cell death/viability can be determined by adding Alamar Blue to a final volume of 10%. For a subset of shRNAs, for example those targeting ERK1-8 and all those confirmed to cause erastin resistance, the desired target mRNA knock-down can be examined by qPCR and western blotting. All candidate shRNAs can be validated by creating at least 3 shRNAs capable of knocking down the same target mRNA>80% and confirming they all cause resistance. A silent mutation can be created in the target mRNA that prevents knockdown, and tested whether this mutation restores erastin sensitivity. In all candidate cell lines with shRNAs that cause erastin resistance, the effect of knocking down the kinase activity on: VDAC1, 2 and 3 mRNA and protein levels, and the effect on VDAC closure, can be measured as described herein. In certain aspects, the invention provides methods to define additional kinases on the RAS-MAPK pathway that lead to increased VDAC protein levels and increased erastin sensitivity.

Determining the Subcellular Localization of Erastin-Binding Activity:

Although almost all of the VDAC proteins are localized to mitochondria, there is evidence that a small amount of VDAC1 is localized to the plasma membrane74-76, 81. Thus, it can be demonstrated that erastin binds to mitochondrial VDACs, as opposed to plasma membrane VDACs. To address this issue, radiolabeled erastin can be synthesized. In one embodiment, a 3H-labeled erastin analog can be synthesized by acetylating erastin A3 with [H3]-CH2COCl; A3 is an affinity analog used to purify VDAC. In another embodiment, 125I-labeled erastin can be synthesized, in which the label replaces the p-chloro substituent in erastin. In another embodiment, a 3H-labeled erastin analog can be synthesized in which the chiral methyl position is replaced with an acetamidoethyl group, this site tolerates larger groups such as a propylphthalamide without losing activity. In each embodiment, a charcoal precipitation assay can be used to measure binding of the radiolabeled analog to subcellular fractions (nucleus, cytosol, mitochondria and plasma membrane). In another embodiment, the method can comprise a step for determining whether the binding can be competed with erastin itself. These studies will determine whether erastin-like compounds bind to a mitochondrial target (i.e. mitochondrial VDAC).

Creating Mitochondria-DNA-Deficient Cells and Testing the Effect on Erastin Sensitivity:

In certain aspects, the invention provides that erastin interacts with mitochondrial VDACs to cause mitochondrial dysfunction; disrupting the electron transport chain should cause resistance to erastin. Antimycin A, a mitochondrial complex III inhibitor, causes resistance to erastin (Table 3). Another method that can determine whether erastin induces mitochondrial dysfunction is to generate ρ0 cells, cells lacking mitochondrial DNA and therefore a functional electron transport chain, and test the effect on erastin lethality.

ρ0 cell derivatives for three different cell lines (HT1080, Calu-1 and BJ-TERT/LT/ST/RASV12) can be generated by treatment with 1.5 μg/mL ditercalinium, as described169, 170, for 2 months. Single-cell clones can be isolated and their mitochondrial DNA-deficiency confirmed by (i) Southern blot with a mtDNA probe, (ii) PCR analysis using primers derived from positions 8196-8215 and 8726-8707 of human mitochondrial DNA, and [35S]-labeling of mitochondrial translation products using [35S]-methionine and emetine, which inhibits cytoplasmic translation. In addition, ρ0 cells should be unable to grow in the absence of uridine or pyruvate. ρ0 cells also lack cytochrome c oxidase activity, which can be confirmed using an established assay171. Medium from cell cultures in 96-well plates is aspirated, 0.01% saponin is added in water to permeabilize cells, reduced cytochrome c is added, and catalase and 4 mM 3,3′diaminobenzidine (DAB) in 0.1 mM sodium phosphate buffer are added. DAB is oxidized by the oxidized cytochrome c produced by the assay, resulting in a polymer that is detectable at 450 nm. By performing the experiment in the presence or absence of KCN, the specificity of the assay can be monitored. The sensitivity of ρ0 cells to erastin can be tested using an automated Trypan Blue exclusion assay, on a Beckman Vi-Cell, using a dilution series of erastin in replicate. This assay can determine whether mitochondrial respiratory activity is necessary for erastin's lethality.

Methods to Determine the Effect of Expressing Mitochondria-Targeted Catalase and Ferritin on Erastin Sensitivity:

If erastin causes the appearance of hydrogen peroxide and Fe+2 in mitochondria, then expression of mitochondria-targeted catalase or ferritin is likely to cause resistance to erastin. In certain aspects, the invention provides methods for expressing mitochondrial ferritin and mitochondrial catalase in HT1080, Calu-1 and BJ-TERT/LT/ST/RASV12 cells. A mitochondrially-localized catalase construct is previously described172. This construct can be cloned into pLKO.1, the lentiviral expression vector used successfully to deliver shRNAs and GFP to these cells. As controls, wild-type human catalase, which has a peroxisomal localization signal, a nucleus-targeted catalase construct, which was described previously172, or GFP can be expressed. In each case, we will transfect each construct into 293T cells along with a vector expressing VSVG (pMD.G) and a packaging vector (pCMVdR.89), harvest supernatant after 48 h and infect three cell lines that are sensitive to erastin (HT1080, Calu-1 and HeLa). We will measure cell lethality using Trypan Blue exclusion on a Vi-Cell.

To test the role of free iron in erastin's mechanism of action, mitochondrial ferritin173 or cytosolic ferritin (both heavy and light chains) can be expressed in HT1080, Calu-1 and HeLa and their effect on erastin's lethality measured. These studies can determine whether iron and hydrogen peroxide are necessary for erastin's lethality, and whether these species are in mitochondria.

Methods to Create and Test Constitutively Open VDACs for their Ability to Phenocopy Erastin:

In certain aspects, the invention provides that erastin locks one or more VDAC proteins into an open conformation, causing dysregulated flux of ions and metabolites through the outer mitochondrial membrane. In certain embodiments, the invention provides methods for creating mutants of each VDAC which mutants are constitutively open, and phenocopy erastin lethality.

Certain VDAC mutants have altered gating properties in vitro. The voltage sensor in VDACs consists of multiple lysine residues that respond to a transmembrane voltage potential by instigating large conformational changes in the channel, rendering it poorly conducting to anions such as ATP/ADP70. Single mutation of each of five different lysine residues to glutamate (K19E, K46E, K61E, K65E and K84E) increased the voltage required to close the channel. Thus, VDAC proteins with mutations, single mutations or combinations of multiple mutations would have a greater fraction of open channels when expressed in cells. Expressing these mutants in tumor cells can test the notion that opening VDAC channels leads to the lethality induced by erastin. Single mutations or combinations of multiple mutations can be created in all three VDAC isoforms using overlap-extension PCR, all resulting cDNAs can be sequenced and cloned into pLKO.1125. K→E mutant VDAC proteins can be expressed in three tumor cell lines (HT1080, Calu-1 and HeLa) by transfecting a packaging cell line (293T) along with a vector expressing the coat protein VSVG (pMD.G) and a packaging vector (pCMVdR.89), and transferring the supernatant to target cells. Viability can be tested at 24, 48 and 72 h after infection using Trypan Blue (on a Beckman Vi-Cell). For constructs that cause lethality, the type of cell death can be characterized to determine if it phenocopies erastin: the determination can include (i) whether anti-oxidants and iron chelators can prevent mutant-VDAC-induced cell death, (ii) whether there are reactive oxygen species (ROS) which can be measured directly using flow cytometry with the ROS-sensitive compound dihydrodichlorofluorescein and (iii) whether hallmarks of apoptosis are activated or not. In certain aspects, the invention provides that opening of VDAC channels leads to an oxidative, non-apoptotic mode of cell death, which is the hallmark of erastin lethality.

Methods to Perform Large-Scale shRNA Suppressor Screens to Discover Other Regulators of Erastin Sensitivity:

The above-described experiments are targeted to the specific hypothesis we currently hold regarding erastin's mechanism of action. Another method of illuminating erastin's mechanism of action is to perform a large suppressor screen for shRNA constructs that prevent erastin lethality. Such a screen can reveal that knockdown of VDAC mRNAs causes resistance to erastin, identifying these critical proteins in erastin's mechanism of action. Such a screen can illuminate: (i) proteins downstream of the RAS-RAF-MEK cascade that lead to increased VDAC abundance (and therefore increased erastin sensitivity), (ii) factors that regulate the pool of free iron that is needed for erastin's lethality, (iii) proteins involved in regulating abundance of the critical substrates whose gating by VDAC is altered in the presence of erastin, and (iv) pathways involved in detoxifying the oxidative species generated by erastin treatment.

To perform this shRNA suppressor screen, a collection of 90,000 shRNA clones in the pLKO.1 vector that was generated as part of the RNAi Consortium can be used125. There is a high-throughput protocol for producing plasmid DNA and lentivirus for this collection, and this protocol was validated in a screen for anti-mitotic shRNAs (see Moffat et al). To perform this screen, a co-transfection (with Fugene) can be carried out in 293T cells in a multi-well format using each pLKO.1 shRNA vector with packaging and envelope vectors. Supernatant can be harvested after 48 h, aliquoted and frozen. For the screen itself, about 3,000 HT1080 cells per well of a 384-well plate can be seeded. The screen used a calibration of the relationship between cell number and Alamar Blue fluorescence and determination that 3,000 cells gives us a signal in the middle of the dynamic range of the assay. The next day, one lentiviral shRNA stock is added to each well of the plate using a Beckman Biomek FX with integrated Cytomat hotel (and enclosed in a BL2 Baker Bioprotect II Hood). The plates are incubated for 48 h to allow time for knockdown to occur and for residual protein to turn over. A lethal dose of erastin (5 μM) is added to all wells of the plate (except untreated control wells). After 20 h, Alamar Blue is added. Alamar Blue reduction is measured by excitation at 530 nm and emission at 590 nm on a Victor3 (PerkinElmer) fluorescence plate reader. shRNA clones that cause>50% rescue of erastin-induced cell death can be retested to confirm their activity. shRNA can include shRNAs targeting mRNAs coding for proteins involved in oxidative stress, mitochondrial function, iron metabolism, death signaling and RAS signaling.

Once active shRNAs that suppress erastin's lethality are identified, the target mRNAs for each shRNA can be determined. At least five shRNAs targeting the same mRNA in parallel can be tested. Discovering more than one shRNA targeting the same mRNA increases confidence that the putative target mRNA is in fact the correct target mRNA. In addition, knockdown of the target mRNA can be determined by qPCR, and of the corresponding protein using western blotting. For the most effective mRNA targets, another step can determine that the target mRNA is responsible for the erastin resistance by creating a cDNA that contains a silent mutation that renders the cDNA resistant to each shRNA construct. HT1080 cells can be co-infected with each shRNA and the corresponding non-degradable cDNA, to determine whether this restored erastin lethality. If degradation of a specific mRNA truly causes resistance to erastin, then expressing such an shRNA-resistant cDNA for the target mRNA should restore erastin sensitivity. This shRNA suppressor screen will yield candidate mRNA (and corresponding proteins) that cause resistance to erastin. These can yield information on the pathways leading to erastin sensitivity and erastin-induced oxidative death.

In certain embodiments, the sensitivity to erastin, can be tested in cell lines that are resistant to taxol and vinblastine. The sensitivity of CCRF-CEM parental, and taxol and vinblastine resistant derivative cells to erastin was tested. In certain aspects, the invention provides that erastin is equally effective in inducing cell death in all 3 lines, CCRF-CEM parental, and taxol and vinblastine resistant derivative cell, with IC50=11 μM, 7 μM and 8 μM, respectively, wherein taxol (IC50=1 nM, 560 nM, 1379 nM) and vinblastine (IC50=1 nM, 93 nM and 370 nM) are not effective in inducing cell death. Thus, cross resistance to erastin does not develop in taxol or vinblastin resistant cell lines. Erastin analogues can be tested to ensure their effectiveness in inducing cell death in tumor cell line which are resistant to taxol or vinblastin, or other ant-tumor agents.

Determine Pharmacokinetics of Erastin:

Pharmacokinetic parameters (AUC, t1/2 and Cmax) in plasma and in xenograft tumors can be measured, using standard procedures. Briefly, heparinized blood samples can be collected at the following time points: 5, 10, 20, 30, 60 min and 2, 3, 4, 5, 6, 8, 16 and 24 hours, following administration of erastin, or erastin analogues. Different routes of administration, such as for example IP, IV and PO, can be compared to determine differences in pharmacokinetic and pharmacodynamic parameters. HPLC-UV and LC-MS can be used to measure analog concentrations at each time, relative to an internal standard. AUC, t1/2 and Cmax can be determined using WinNonLin v 4.1 (Pharsight). These studies can determine the optimal route of administration, the likely dosing schedule that will be needed, and can provide an estimate of the desired treatment dose. This information can be used in designing murine xenograft efficacy experiments with compounds selected for in vivo testing.

In certain embodiments, erastin was formulated at 150 mg/kg in 10% DMSO, 20% Tween 80, 70% saline and 0.5 mL of this formulation was injected via IV twice per day for four days in 3 nude mice. No gross toxicity, judged for example by body weight and behavior, was observed. In addition, the effects of single dose IP injections of erastin in 100% DMSO up to 450 mg/kg was tested and no overt toxicity was observed, suggesting erastin is relatively benign and non-toxic. Thus, PK experiments can be initiated using the DMSO/Tween 80/saline formulation.

In Vivo Efficacy Testing of Erastin, or Erastin Analogs Using Human Tumor Xenoqrafts in Nude Mice:

To test the effect of erastin, or erastin analogs on tumor size in mice, six-week old athymic nude female mice (from NCI's Frederick Cancer Center) can be used. These experiments can be performed as per previously published work174, 175. HT1080, Calu-1 and A673 cells can be tested for suitability in generating xenografts. When tumors reach 5 mm in diameter, the mice can be distributed into treatment groups randomly. A stock solution of erastin or an analog thereof to be tested can be prepared in DMSO/Tween 80 saline. The dose will depend on the results of preclinical assessment, and can be in the range of 1-100 mg/kg. Mice can be dosed up to 3× per day, according to the pre-clinical assessment of the rate of drug elimination. After the dosing regimen has been completed, for example but not limited to twice per day for five days, possibly repeated one or more times, the mice will be sacrificed using Nembutal and CO2 euthanasia. Tumor diameter can be determined by caliper. Tumor size, expressed as tumor volume in cubic millimeters, can be measured in untreated and several groups, treated with different doses of each analog and with a control such as paclitaxel or doxorubicin.

In another embodiment, the invention is an erastin analog, such as a compound having formula I:

wherein
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring;
R2 is selected from is selected from H, C1-8alkyl, C1-8alkoxy, 3- to 8-membered carbocyclic or heterocyclic, aryl, heteroaryl, C1-4aralkyl, residues of glycolic acid, ethylene glycol/propylene glycol copolymers, carboxylate, ester, amide, carbohydrate, amino acid, alditol, OC(R6)2COOH, SC(R6)2COOH, NHCHR6COOH, COR7, CO2R7, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, thioalkyl, thioester, propylphthalimide, and thioether;
R3 is a C2-8 alkoxy;
R6 is selected from H, C1-8alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle, wherein each alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle may be optionally substituted with at least one substituent;
R7 is selected from H, C1-8alkyl, C1-8alkenyl, C1-8alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic, wherein each alkyl, alkenyl, alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic may be optionally substituted with at least one substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

All possible enantiomers, optical isomers, and diastomers of each formula and compound recited herein are part of the invention, whether they are explicitly shown or not. In the present invention, the isomeric forms of the compounds may be synthesized de novo. Alternatively, the specific desired isomeric form may be separated from, e.g., a racemic solution using conventional techniques, such as for example, gas chromatography. Moreover, the present application includes every possible combination of each R group, whether explicitly identified or not.

In one aspect of this embodiment, the hydrophilic substituent is selected from alcohols, amines, nitro, carboxylic acids, carboxylates, hydroxy, amides, sulfamides, sulfonic acids, sulfonates, sulfates, esters, thiol esters, ethers, thiols, thiolates, thiol ethers, morpholino, fluoroaromatics, piperazines, piperadines, phosphonates, and salts thereof, and combinations thereof. Preferably, the hydrophilic substituent is selected from NH2, NO2, NCOCH3, and combinations thereof.

In another aspect of this embodiment, the hydrophobic substituent is a group which, as a separate entity, is more soluble in octanol than water. For example, the octyl group (C8H17) is hydrophobic because its parent alkane, octane, has greater solubility in octanol than in water. The hydrophobic substituent can be a saturated or unsaturated, substituted or unsubstituted hydrocarbon group. Such groups include substituted and unsubstituted, normal, branched or cyclic alkyl groups having at least four carbon atoms, substituted or unsubstituted arylalkyl or heteroarylalkyl groups and substituted or unsubstituted aryl or heteroaryl groups. Preferably, the hydrophobic substituent includes an alkyl group of between about four and thirty carbons. Specific examples of suitable hydrophobic substituents include the following alkyl groups n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-dodecyl, n-tetradecyl, n-octadecyl, 2-ethylhexyl, 3-propyl-6-methyl decyl, phenyl and combinations thereof. Other examples of suitable hydrophobic substituents include haloalkyl groups of at least six carbons (e.g., 10-halodecyl), hydroxyalkyl groups of at least six carbons (e.g., 11-hydroxyundecyl), and aralkyl groups (e.g., benzyl).

In another aspect of this embodiment, R2 is H or CH3. In a further aspect of this embodiment, R3 is ethoxy or isopropoxy.

In another embodiment, the invention is an erastin analog, such as a compound having formula Ia:

wherein
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring;
R3 is a C2-8 alkoxy; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In one aspect of this embodiment, the hydrophilic substituent is selected from alcohols, amines, nitro, carboxylic acids, carboxylates, hydroxy, amides, sulfamides, sulfonic acids, sulfonates, sulfates, esters, thiol esters, ethers, thiols, thiolates, thiol ethers, morpholino, fluoroaromatics, piperazines, piperadines, phosphonates, and salts thereof, and combinations thereof. Preferably, the hydrophilic substituent is selected from NH2, NO2, NCOCH3, and combinations thereof.

In another aspect of this embodiment, the hydrophobic substituent is a group which, as a separate entity, is more soluble in octanol than water. For example, the octyl group (C8H17) is hydrophobic because its parent alkane, octane, has greater solubility in octanol than in water. The hydrophobic substituent can be a saturated or unsaturated, substituted or unsubstituted hydrocarbon group. Such groups include substituted and unsubstituted, normal, branched or cyclic alkyl groups having at least four carbon atoms, substituted or unsubstituted arylalkyl or heteroarylalkyl groups and substituted or unsubstituted aryl or heteroaryl groups. Preferably, the hydrophobic substituent includes an alkyl group of between about four and thirty carbons. Specific examples of suitable hydrophobic substituents include the following alkyl groups n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-dodecyl, n-tetradecyl, n-octadecyl, 2-ethylhexyl, 3-propyl-6-methyl decyl, phenyl and combinations thereof. Other examples of suitable hydrophobic substituents include haloalkyl groups of at least six carbons (e.g., 10-halodecyl), hydroxyalkyl groups of at least six carbons (e.g., 11-hydroxyundecyl), and aralkyl groups (e.g., benzyl).

In another aspect of this embodiment, R3 is ethoxy or isopropoxy.

In a further aspect of this embodiment, the compound is an erastin analog, such as a compound selected from:

an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In another embodiment, the invention is an erastin analog, such as a compound of formula II:

wherein
A is selected from the group consisting of C, N, and O;
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring with the proviso that when A is C, R1 is not NH2 or NO2;
R2 is selected from H, C1-8alkyl, C1-8alkoxy, 3- to 8-membered carbocyclic or heterocyclic, aryl, heteroaryl, C1-4aralkyl, residues of glycolic acid, ethylene glycol/propylene glycol copolymers, carboxylate, ester, amide, carbohydrate, amino acid, alditol, OC(R6)2COOH, SC(R6)2COOH, NHCHR6COOH, COR7, CO2R7, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, thioalkyl, thioester, propylphthalimide, and thioether;
R3 is a C2-8 alkoxy;
R4 is a hydrophilic substituent, which is attached to at least one position of A, except that when A is O, R3 is nothing;
R6 is selected from H, C1-8alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle, wherein each alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle may be optionally substituted with at least one substituent;
R7 is selected from H, C1-8alkyl, C1-8alkenyl, C1-8alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic, wherein each alkyl, alkenyl, alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic may be optionally substituted with at least one substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In one aspect of this embodiment, the hydrophilic substituent is selected from the group consisting of alcohols, amines, nitro, carboxylic acids, carboxylates, hydroxy, amides, sulfamides, sulfonic acids, sulfonates, sulfates, esters, thiol esters, ethers, thiols, thiolates, thiol ethers, morpholino, fluoroaromatics, piperazines, piperadines, phosphonates, and salts thereof, and combinations thereof, with the proviso that when A is C, R1 is not NH2 or NO2. Preferably, the hydrophilic substituent is NCOCH3.

In another aspect of this embodiment, the hydrophobic substituent is a group which, as a separate entity, is more soluble in octanol than water. For example, the octyl group (C8H17) is hydrophobic because its parent alkane, octane, has greater solubility in octanol than in water. The hydrophobic substituent can be a saturated or unsaturated, substituted or unsubstituted hydrocarbon group. Such groups include substituted and unsubstituted, normal, branched or cyclic alkyl groups having at least four carbon atoms, substituted or unsubstituted arylalkyl or heteroarylalkyl groups and substituted or unsubstituted aryl or heteroaryl groups. Preferably, the hydrophobic substituent includes an alkyl group of between about four and thirty carbons. Specific examples of suitable hydrophobic substituents include the following alkyl groups n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-dodecyl, n-tetradecyl, n-octadecyl, 2-ethylhexyl, 3-propyl-6-methyl decyl, phenyl and combinations thereof. Other examples of suitable hydrophobic substituents include haloalkyl groups of at least six carbons (e.g., 10-halodecyl), hydroxyalkyl groups of at least six carbons (e.g., 11-hydroxyundecyl), and aralkyl groups (e.g., benzyl).

In another aspect of this embodiment, R2 is H or CH3.

In a further aspect of this embodiment, R3 is ethoxy or isopropoxy.

In a further aspect of this embodiment, A is C.

In another embodiment, the invention is an erastin analog, such as a compound selected from formula IIa, IIb, and IIc:

wherein
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring with the proviso that in formula IIa R1 is not NH2 or NO2;
R2 is selected from H, C1-8alkyl;
R3 is a C2-8 alkoxy;
R4 and R5, when present, are independently selected from the group consisting of H and an hydrophilic substituent; or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In one aspect of this embodiment, the erastin analog is a compound selected from:

an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In another embodiment, the invention is a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound of formula I (including Ia) or II (including IIa, IIb, and IIc), including e.g., one or more of compounds 1-20.

In another embodiment, the invention is a method of treating a condition in a mammal, which comprises administering to the mammal a therapeutically effective amount of a compound of formula I (including Ia) or II (including IIa, IIb, and IIc), including e.g., one or more of compounds 1-20.

In the present invention, a “therapeutically effective amount” is an amount sufficient to effect beneficial or desired results. In terms of treatment of a mammal, a “therapeutically effective amount” of a compound is an amount sufficient to treat, manage, palliate, ameliorate, or stabilize a condition, such as cancer, in the mammal. A therapeutically effective amount can be administered in one or more doses.

The therapeutically effective amount is generally determined by a physician on a case-by-case basis and is within the skill of one in the art. Several factors are typically taken into account when determining an appropriate dosage. These factors include age, sex and weight of the patient, the condition being treated, the severity of the condition and the form of the drug being administered.

Effective dosage forms, modes of administration, and dosage amounts may be determined empirically, and making such determinations is within the skill of the art. It is understood by those skilled in the art that the dosage amount will vary with the route of administration, the rate of excretion, the duration of the treatment, the identity of any other drugs being administered, the age, size, and species of animal, and like factors well known in the arts of medicine and veterinary medicine. In general, a suitable dose of a compound according to the invention will be that amount of the compound, which is the lowest dose effective to produce the desired effect. The effective dose of a compound maybe administered as two, three, four, five, six or more sub-doses, administered separately at appropriate intervals throughout the day.

A compound of the present invention may be administered in any desired and effective manner: as pharmaceutical compositions for oral ingestion, or for parenteral or other administration in any appropriate manner such as intraperitoneal, subcutaneous, topical, intradermal, inhalation, intrapulmonary, rectal, vaginal, sublingual, intramuscular, intravenous, intraarterial, intrathecal, or intralymphatic. Further, a compound of the present invention may be administered in conjunction with other treatments. A compound or composition of the present invention maybe encapsulated or otherwise protected against gastric or other secretions, if desired.

While it is possible for a compound of the invention to be administered alone, it is preferable to administer the compound as a pharmaceutical formulation (“composition” or “pharmaceutical composition”). The pharmaceutical compositions of the invention comprise one or more compounds of the present invention as an active ingredient in admixture with one or more pharmaceutically-acceptable carriers and, optionally, one or more other compounds, drugs, ingredients and/or materials. Regardless of the route of administration selected, the compounds of the present invention are formulated into pharmaceutically-acceptable dosage forms by conventional methods known to those of skill in the art. See, e.g., Remington 's Pharmaceutical Sciences (Mack Publishing Co., Easton, Pa.).

Pharmaceutically acceptable carriers are well known in the art (see, e.g., Remington's Pharmaceutical Sciences (Mack Publishing Co., Easton, Pa.) and The National Formulary (American Pharmaceutical Association, Washington, D.C.)) and include sugars (e.g., lactose, sucrose, mannitol, and sorbitol), starches, cellulose preparations, calcium phosphates (e.g., dicalcium phosphate, tricalcium phosphate and calcium hydrogen phosphate), sodium citrate, water, aqueous solutions (e.g., saline, sodium chloride injection, Ringer's injection, dextrose injection, dextrose and sodium chloride injection, lactated Ringer's injection), alcohols (e.g., ethyl alcohol, propyl alcohol, and benzyl alcohol), polyols (e.g., glycerol, propylene glycol, and polyethylene glycol), organic esters (e.g., ethyl oleate and tryglycerides), biodegradable polymers (e.g., polylactide-polyglycolide, poly(orthoesters), and poly(anhydrides)), elastomeric matrices, liposomes, microspheres, oils (e.g., corn, germ, olive, castor, sesame, cottonseed, and groundnut), cocoa butter, waxes (e.g., suppository waxes), paraffins, silicones, talc, silicylate, etc. Each pharmaceutically acceptable carrier used in a pharmaceutical composition of the invention must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the subject. Carriers suitable for a selected dosage form and intended route of administration are well known in the art, and acceptable carriers for a chosen dosage form and method of administration can be determined using ordinary skill in the art.

The pharmaceutical compositions of the invention may, optionally, contain additional ingredients and/or materials commonly used in pharmaceutical compositions. These ingredients and materials are well known in the art and include (1) fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and silicic acid; (2) binders, such as carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, hydroxypropylmethyl cellulose, sucrose and acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, sodium starch glycolate, cross-linked sodium carboxymethyl cellulose and sodium carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators, such as quaternary ammonium compounds; (7) wetting agents, such as cetyl alcohol and glycerol monosterate; (8) absorbents, such as kaolin and bentonite clay; (9) lubricants, such as talc, calcium stearate, magnesium stearate, solid polyethylene glycols, and sodium lauryl sulfate; (10) suspending agents, such as ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth; (11) buffering agents; (12) excipients, such as lactose, milk sugars, polyethylene glycols, animal and vegetable fats, oils, waxes, paraffins, cocoa butter, starches, tragacanth, cellulose derivatives, polyethylene glycol, silicones, bentonites, silicic acid, talc, salicylate, zinc oxide, aluminum hydroxide, calcium silicates, and polyamide powder; (13) inert diluents, such as water or other solvents; (14) preservatives; (15) surface-active agents; (16) dispersing agents; (17) control-release or absorption-delaying agents, such as hydroxypropylmethyl cellulose, other polymer matrices, biodegradable polymers, liposomes, microspheres, aluminum monosterate, gelatin, and waxes; (18) opacifying agents; (19) adjuvants; (20) wetting agents; (21) emulsifying and suspending agents; (22), solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan; (23) propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane; (24) antioxidants; (25) agents which render the formulation isotonic with the blood of the intended recipient, such as sugars and sodium chloride; (26) thickening agents; (27) coating materials, such as lecithin; and (28) sweetening, flavoring, coloring, perfuming and preservative agents. Each such ingredient or material must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the subject. Ingredients and materials suitable for a selected dosage form and intended route of administration are well known in the art, and acceptable ingredients and materials for a chosen dosage form and method of administration may be determined using ordinary skill in the art.

Pharmaceutical compositions suitable for oral administration may be in the form of capsules, cachets, pills, tablets, powders, granules, a solution or a suspension in an aqueous or non-aqueous liquid, an oil-in-water or water-in-oil liquid emulsion, an elixir or syrup, a pastille, a bolus, an electuary or a paste. These formulations may be prepared by methods known in the art, e.g., by means of conventional pan-coating, mixing, granulation or lyophilization processes.

Solid dosage forms for oral administration (capsules, tablets, pills, dragees, powders, granules and the like) may be prepared by mixing the active ingredient(s) with one or more pharmaceutically-acceptable carriers and, optionally, one or more fillers, extenders, binders, humectants, disintegrating agents, solution retarding agents, absorption accelerators, wetting agents, absorbents, lubricants, and/or coloring agents. Solid compositions of a similar type maybe employed as fillers in soft and hard-filled gelatin capsules using a suitable excipient. A tablet may be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets may be prepared using a suitable binder, lubricant, inert diluent, preservative, disintegrant, surface-active or dispersing agent. Molded tablets may be made by molding in a suitable machine. The tablets, and other solid dosage forms, such as dragees, capsules, pills and granules, may optionally be scored or prepared with coatings and shells, such as enteric coatings and other coatings well known in the pharmaceutical-formulating art. They may also be formulated so as to provide slow or controlled release of the active ingredient therein. They may be sterilized by, for example, filtration through a bacteria-retaining filter. These compositions may also optionally contain opacifying agents and may be of a composition such that they release the active ingredient only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner. The active ingredient can also be in microencapsulated form.

Liquid dosage forms for oral administration include pharmaceutically-acceptable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. The liquid dosage forms may contain suitable inert diluents commonly used in the art. Besides inert diluents, the oral compositions may also include adjuvants, such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents. Suspensions may contain suspending agents.

Pharmaceutical compositions for rectal or vaginal administration may be presented as a suppository, which maybe prepared by mixing one or more active ingredient(s) with one or more suitable nonirritating carriers which are solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active compound. Pharmaceutical compositions which are suitable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such pharmaceutically-acceptable carriers as are known in the art to be appropriate.

Dosage forms for the topical or transdermal administration include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches, drops and inhalants. The active compound may be mixed under sterile conditions with a suitable pharmaceutically-acceptable carrier. The ointments, pastes, creams and gels may contain excipients. Powders and sprays may contain excipients and propellants.

Pharmaceutical compositions suitable for parenteral administrations comprise one or more compounds of the present invention in combination with one or more pharmaceutically-acceptable sterile isotonic aqueous or non-aqueous solutions, dispersions, suspensions or emulsions, or sterile powders which may be reconstituted into sterile injectable solutions or dispersions just prior to use, which may contain suitable antioxidants, buffers, solutes which render the formulation isotonic with the blood of the intended recipient, or suspending or thickening agents. Proper fluidity can be maintained, for example, by the use of coating materials, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants. These compositions may also contain suitable adjuvants, such as wetting agents, emulsifying agents and dispersing agents. It may also be desirable to include isotonic agents. In addition, prolonged absorption of the injectable pharmaceutical form may be brought about by the inclusion of agents which delay absorption.

In some cases, in order to prolong the effect of a drug, it is desirable to slow its absorption from subcutaneous or intramuscular injection. This may be accomplished by the use of a liquid suspension of crystalline or amorphous material having poor water solubility.

The rate of absorption of the drug then depends upon its rate of dissolution which, in turn, may depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally-administered drug may be accomplished by dissolving or suspending the drug in an oil vehicle. Injectable depot forms may be made by forming microencapsule matrices of the active ingredient in biodegradable polymers. Depending on the ratio of the active ingredient to polymer, and the nature of the particular polymer employed, the rate of active ingredient release can be controlled. Depot injectable formulations are also prepared by entrapping the drug in liposomes or microemulsions which are compatible with body tissue. The injectable materials can be sterilized for example, by filtration through a bacterial-retaining filter.

The formulations may be presented in unit-dose or multi-dose sealed containers, for example, ampules and vials, and may be stored in a lyophilized condition requiring only the addition of the sterile liquid carrier, for example water for injection, immediately prior to use. Extemporaneous injection solutions and suspensions may be prepared from sterile powders, granules and tablets of the type described above.

With respect to the embodiment relating to a method of treating a condition in a mammal, the mammal is preferably a human. In certain other aspects of this embodiment, the condition is cancer. For example, the cancer may be leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

In certain other aspects, the method further comprises conjointly administering to the mammal an agent, such as a chemotherapeutic agent, that kills the cells through an apoptotic mechanism. In certain embodiments, the chemotherapeutic agent is selected from: an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, or combinations thereof.

In another embodiment, the invention is a method of treating a condition in a mammal. This method comprises administering to the mammal a therapeutically effective amount of a pharmaceutical composition comprising a compound of formula I (including Ia) or II (including IIa, IIb, and IIc), including e.g., one or more of compounds 1-20.

In certain aspects of this embodiment, the mammal is preferably a human. In certain other aspects of this embodiment, the condition is cancer. For example, the cancer may be leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

In certain other aspects, the method further comprises conjointly administering to the mammal an agent, such as a chemotherapeutic agent, that kills the cells through an apoptotic mechanism. In certain embodiments, the chemotherapeutic agent is selected from: an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, or combinations thereof.

In another embodiment, the invention is an erastin analog, such as a compound selected from:

or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

One aspect of this embodiment is a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound selected from compounds 22-24, 34, or 40, or a combination thereof, or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

Another aspect of this embodiment, is a method of treating a condition in a mammal. In this method, the mammal is administered a therapeutically effective amount of a compound according to the present invention, such as, e.g., compounds 22-24, 34, or 40, or a combination thereof, or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof. In this embodiment, the mammal is preferably a human. In certain other aspects of this embodiment, the condition is cancer. For example, the cancer may be leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

In certain other aspects of this embodiment, the method further comprises conjointly administering to the mammal an agent, such as a chemotherapeutic agent, that kills the cells through an apoptotic mechanism. In certain embodiments, the chemotherapeutic agent is selected from: an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, or combinations thereof.

In another embodiment, the invention is a method of treating a condition in a mammal. This method comprises administering to the mammal a therapeutically effective amount of a pharmaceutical composition comprising compounds 22-24, 34, or 40, or a combination thereof, or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

In certain aspects of this embodiment, the mammal is preferably a human. In certain other aspects of this embodiment, the condition is cancer. For example, the cancer may be leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

In certain other aspects, the method further comprises conjointly administering to the mammal an agent, such as a chemotherapeutic agent, that kills the cells through an apoptotic mechanism. In certain embodiments, the chemotherapeutic agent is selected from: an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, or combinations thereof.

It is contemplated that all embodiments of the invention can be combined with one or more other embodiments, even those described under different aspects of the invention. In the foregoing embodiments, the following definitions apply.

As used herein, the term “acyl” has its art-recognized meaning and refers to a group represented by the general formula hydrocarbylC(O)—, preferably alkylC(O)—.

As used herein, the term “acylamino” has its art-recognized meaning and refers to an amino group substituted with an acyl group and may be represented, for example, by the formula hydrocarbylC(O)NH—.

The term “alkoxy” refers to an alkyl group, preferably a lower alkyl group, having an oxygen attached thereto. Representative alkoxy groups include methoxy, ethoxy, propoxy, isopropoxy, tert-butoxy and the like.

The term “alkoxyalkyl” refers to an alkyl group substituted with an alkoxy group and may be represented by the general formula alkyl-O-alkyl.

The term “alkenyl”, as used herein, refers to an aliphatic group containing at least one double bond and is intended to include both “unsubstituted alkenyls” and “substituted alkenyls”, the latter of which refers to alkenyl moieties having substituents replacing a hydrogen on one or more carbons of the alkenyl group. Such substituents may occur on one or more carbons that are included or not included in one or more double bonds. Moreover, such substituents include all those contemplated for alkyl groups, as discussed below, except where stability is prohibitive. For example, substitution of alkenyl groups by one or more alkyl, carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is contemplated.

The term “alkyl” refers to the radical of saturated aliphatic groups, including straight-chain alkyl groups, branched-chain alkyl groups, cycloalkyl (alicyclic) groups, alkyl-substituted cycloalkyl groups, and cycloalkyl-substituted alkyl groups. In preferred embodiments, a straight chain or branched chain alkyl has 30 or fewer carbon atoms in its backbone (e.g., C1-C30 for straight chains, C3-C30 for branched chains), and more preferably 20 or fewer, such as from 1 to 8. Likewise, preferred cycloalkyls have from 3-10 carbon atoms in their ring structure, such as 3-8, including 5, 6 or 7 carbons in the ring structure.

Moreover, unless otherwise indicated, the term “alkyl” (or “lower alkyl”) as used throughout the specification, examples, and claims is intended to include both “unsubstituted alkyls” and “substituted alkyls”, the latter of which refers to alkyl moieties having substituents replacing a hydrogen on one or more carbons of the hydrocarbon backbone. Such substituents can include, for example, a halogen, a hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a formyl, or an acyl), a thiocarbonyl (such as a thioester, a thioacetate, or a thioformate), an alkoxyl, a phosphoryl, a phosphate, a phosphonate, a phosphinate, an amino, an amido, an amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a sulfonyl, a heterocyclyl, an aralkyl, an aromatic, or heteroaromatic moiety. It will be understood by those skilled in the art that the moieties substituted on the hydrocarbon chain can themselves be substituted, if appropriate. For instance, the substituents of a substituted alkyl may include substituted and unsubstituted forms of amino, azido, imino, amido, phosphoryl (including phosphonate and phosphinate), sulfonyl (including sulfate, sulfonamido, sulfamoyl and sulfonate), and silyl groups, as well as ethers, alkylthios, carbonyls (including ketones, aldehydes, carboxylates, and esters), —CF3, —CN and the like. Exemplary substituted alkyls are described below. Cycloalkyls can be further substituted with alkyls, alkenyls, alkoxys, alkylthios, aminoalkyls, carbonyl-substituted alkyls, —CF3, —CN, and the like.

The term “Cx-y” when used in conjunction with a chemical moiety, such as, alkyl, alkenyl, or alkoxy is meant to include groups that contain from x to y carbons in the chain. For example, the term “Cx-yalkyl” refers to substituted or unsubstituted saturated hydrocarbon groups, including straight-chain alkyl and branched-chain alkyl groups that contain from x to y carbons in the chain, including haloalkyl groups such as trifluoromethyl and 2,2,2-tirfluoroethyl, etc. The terms “C2-yalkenyl” and “C2-yalkynyl” refer to substituted or unsubstituted unsaturated aliphatic groups analogous in length and possible substitution to the alkyls described above, but that contain at least one double or triple bond respectively.

The term “alkylamino”, as used herein, refers to an amino group substituted with at least one alkyl group.

The term “alkylthio”, as used herein, refers to a thiol group substituted with an alkyl group and may be represented by the general formula alkylS-.

The term “alkynyl”, as used herein, refers to an aliphatic group containing at least one triple bond and is intended to include both “unsubstituted alkynyls” and “substituted alkynyls”, the latter of which refers to alkynyl moieties having substituents replacing a hydrogen on one or more carbons of the alkynyl group. Such substituents may occur on one or more carbons that are included or not included in one or more triple bonds. Moreover, such substituents include all those contemplated for alkyl groups, as discussed above, except where stability is prohibitive. For example, substitution of alkynyl groups by one or more alkyl, carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is contemplated.

The term “amide”, as used herein, refers to a group

wherein R7 and R8 each independently represent a hydrogen or hydrocarbyl group, or R7 and R8 taken together with the N atom to which they are attached complete a heterocycle having from 4 to 8 atoms in the ring structure.

The terms “amine” and “amino” are art-recognized and refer to both unsubstituted and substituted amines and salts thereof, e.g., a moiety that can be represented by

wherein R7, R8, and R8′ each independently represent a hydrogen or a hydrocarbyl group, or R7 and R8 taken together with the N atom to which they are attached complete a heterocycle having from 4 to 8 atoms in the ring structure.

The term “aminoalkyl”, as used herein, refers to an alkyl group substituted with an amino group.

The term “aralkyl”, as used herein, refers to an alkyl group substituted with an aryl group.

The term “aryl” as used herein includes substituted or unsubstituted single-ring aromatic groups in which each atom of the ring is carbon. Preferably the ring is a 3- to 8-membered ring, more preferably a 6-membered ring. The term “aryl” also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings wherein at least one of the rings is aromatic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls. Aryl groups include benzene, naphthalene, phenanthrene, phenol, aniline, and the like.

The term “carbamate” is art-recognized and refers to a group

wherein R7 and R8 independently represent hydrogen or a hydrocarbyl group.

The terms “carbocycle”, “carbocyclyl”, and “carbocyclic”, as used herein, refer to a non-aromatic saturated or unsaturated ring in which each atom of the ring is carbon. Preferably a carbocycle ring contains from 3 to 10 atoms, more preferably from 3 to 8 atoms, including 5 to 7 atoms, such as for example, 6 atoms.

The term “carboxy”, as used herein, refers to a group represented by the formula —CO2H.

The term “ester”, as used herein, refers to a group —C(O)OR7 wherein R7 represents a hydrocarbyl group.

The term “ether”, as used herein, refers to a hydrocarbyl group linked through an oxygen to another hydrocarbyl group. Accordingly, an ether substituent of a hydrocarbyl group may be hydrocarbyl-O—. Ethers may be either symmetrical or unsymmetrical. Examples of ethers include, but are not limited to, heterocycle-O-heterocycle and aryl-O-heterocycle. Ethers include “alkoxyalkyl” groups, which may be represented by the general formula alkyl-O-alkyl.

The terms “halo” and “halogen” are used interchangeably herein and mean halogen and include chloro, fluoro, bromo, and iodo.

The term “heteroaryl” includes substituted or unsubstituted aromatic single ring structures, preferably 3- to 8-membered rings, more preferably 5- to 7-membered rings, even more preferably 5- to 6-membered rings, whose ring structures include at least one heteroatom, preferably one to four heteroatoms, more preferably one or two heteroatoms. The term “heteroaryl” also includes polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings wherein at least one of the rings is heteroaromatic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls. Heteroaryl groups include, for example, pyrrole, furan, thiophene, imidazole, oxazole, thiazole, pyrazole, pyridine, pyrazine, pyridazine, and pyrimidine, and the like.

The term “heteroatom” as used herein means an atom of any element other than carbon or hydrogen. Preferred heteroatoms are nitrogen, oxygen, and sulfur.

The terms “heterocyclyl”, “heterocycle”, “heterocyclic”, and the like refer to substituted or unsubstituted non-aromatic ring structures, preferably 3- to 10-membered rings, more preferably 3- to 8-membered rings, whose ring structures include at least one heteroatom, preferably one to four heteroatoms, more preferably one or two heteroatoms. The terms “heterocyclyl,” “heterocyclic,” and the like also include polycyclic ring systems having two or more cyclic rings in which two or more carbons are common to two adjoining rings wherein at least one of the rings is heterocyclic, e.g., the other cyclic rings can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls. Heterocyclyl groups include, for example, piperidine, piperazine, pyrrolidine, morpholine, lactones, lactams, and the like.

The term “hydrocarbyl”, as used herein, refers to a group that is bonded through a carbon atom that does not have a ═O or ═S substituent, and typically has at least one carbon-hydrogen bond and a primarily carbon backbone, but may optionally include heteroatoms. Thus, groups like methyl, ethoxyethyl, 2-pyridyl, and trifluoromethyl are considered to be hydrocarbyl for the purposes of this application, but substituents such as acetyl (which has a ═O substituent on the linking carbon) and ethoxy (which is linked through oxygen, not carbon) are not. Hydrocarbyl groups include, but are not limited to aryl, heteroaryl, carbocycle, heterocycle, alkyl, alkenyl, alkynyl, and combinations thereof.

The term “hydroxyalkyl”, as used herein, refers to an alkyl group substituted with a hydroxy group.

The term “lower” when used in conjunction with a chemical moiety, such as, acyl, alkyl, alkenyl, alkynyl, or alkoxy is meant to include groups where there are ten or fewer non-hydrogen atoms in the substituent, preferably eight or fewer, such as for example, from about 2 to 8 carbon atoms, including less than 6 carbon atoms. A “lower alkyl”, for example, refers to an alkyl group that contains ten or fewer carbon atoms, preferably eight or fewer. In certain embodiments, acyl, alkyl, alkenyl, alkynyl, or alkoxy substituents defined herein are respectively lower acyl, lower alkyl, lower alkenyl, lower alkynyl, or lower alkoxy, whether they appear alone or in combination with other substituents, such as in the recitations hydroxyalkyl and aralkyl (in which case, for example, the atoms within the aryl group are not counted when counting the carbon atoms in the alkyl substituent).

The terms “polycyclyl”, “polycycle”, and “polycyclic” refer to two or more rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls) in which two or more atoms are common to two adjoining rings, e.g., the rings are “fused rings”. Each of the rings of the polycycle can be substituted or unsubstituted. In certain embodiments, each ring of the polycycle contains from 3 to 10 atoms in the ring, preferably from 3 to 8, such as for example, 5 to 7.

The term “substituted” refers to moieties having substituents replacing a hydrogen on one or more carbons of the backbone. It will be understood that “substitution” or “substituted with” includes the implicit proviso that such substitution is in accordance with the permitted valence of the substituted atom and the substituent, and that the substitution results in a stable compound, e.g., which does not spontaneously undergo transformation such as by rearrangement, cyclization, elimination, etc. As used herein, the term “substituted” is contemplated to include all permissible substituents of organic compounds. In a broad aspect, the permissible substituents include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic, aromatic and non-aromatic substituents of organic compounds. The permissible substituents can be one or more and the same or different for appropriate organic compounds. For purposes of this invention, the heteroatoms such as nitrogen may have hydrogen substituents and/or any permissible substituents of organic compounds described herein which satisfy the valences of the heteroatoms. Substituents can include any substituents described herein, for example, a halogen, a hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a formyl, or an acyl), a thiocarbonyl (such as a thioester, a thioacetate, or a thioformate), an alkoxyl, a phosphoryl, a phosphate, a phosphonate, a phosphinate, an amino, an amido, an amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a sulfonyl, a heterocyclyl, an aralkyl, or an aromatic or heteroaromatic moiety. It will be understood by those skilled in the art that the moieties substituted on the hydrocarbon chain can themselves be substituted, if appropriate.

As used herein, the term “substituent,” particularly with respect to R6 and R7 in formulae I and II, means H, cyano, oxo, nitro, acyl, acylamino, halogen, hydroxy, amino acid, amine, amide, carbamate, ester, ether, carboxylic acid, thio, thioalkyl, thioester, thioether, C1-8 alkyl, C1-8alkoxy, C1-8alkenyl, C1-8aralkyl, 3- to 8-membered carbocyclic, 3- to 8-membered heterocyclic, 3- to 8-membered aryl, or 3- to 8-membered heteroaryl, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, alkylsulfonyl, and arylsulfonyl.

Unless specifically stated as “unsubstituted,” references to chemical moieties herein are understood to include substituted variants. For example, reference to an “aryl” group or moiety implicitly includes both substituted and unsubstituted variants.

The term “sulfate” is art-recognized and refers to the group —OSO3H, or a pharmaceutically acceptable salt thereof.

The term “sulfonamide” is art-recognized and refers to the group represented by the general formulae

wherein R7 and R8 independently represents hydrogen or hydrocarbyl.

The term “sulfoxide” is art-recognized and refers to the group —S(O)—R7, wherein R7 represents a hydrocarbyl.

The term “sulfonate” is art-recognized and refers to the group SO3H, or a pharmaceutically acceptable salt thereof.

The term “sulfone” is art-recognized and refers to the group —S(O)2—R7, wherein R7 represents a hydrocarbyl.

The term “thioalkyl”, as used herein, refers to an alkyl group substituted with a thiol group.

The term “thioester”, as used herein, refers to a group —C(O)SR7 or —SC(O)R7 wherein R7 represents a hydrocarbyl.

The term “thioether”, as used herein, is equivalent to an ether, wherein the oxygen is replaced with a sulfur.

The term “urea” is art-recognized and may be represented by the general formula

wherein R7 and R8 independently represent hydrogen or a hydrocarbyl.

The following examples are provided to further illustrate the methods and compositions of the present invention. These examples are illustrative only and are not intended to limit the scope of the invention in any way.

EXAMPLES Engineered Human Tumor Cells

Primary human cells can be converted into tumorigenic cells by introduction of vectors expressing hTERT, oncogenic RAS, and other proteins that disrupt the function of p53, RB, and PP2A55-60. Such engineered human tumorigenic cells and their precursors (FIG. 1), were created from primary human foreskin fibroblasts. Characteristics of these cells reported previously include doubling time, resistance to senescence and crisis in culture, response to irradiation, ability to grow in an anchorage-independent fashion, and ability to form tumors in mice56, 57, 60. These cells were used to discover RAS-selective lethal compounds, including a compound named erastin.

Cell Culture and Western Blotting:

BJ-TERT/LT/ST/RASV12 cells were cultured as described (Dolma, S., Lessnick, S. L., Hahn, W. C. & Stockwell, B. R. Identification of genotype-selective antitumor agents using synthetic lethal chemical screening in engineered human tumor cells. Cancer Cell. 3: 285-96 (2003). Other cell lines were grown according to specifications of the American Type Culture Collection. For BRAF knockdown, A673 cells were infected with pSIRIPP-derived retroviruses (Sage, J., Miller, A. L., Perez-Mancera, P. A., Wysocki, J. M. & Jacks, T. Acute mutation of retinoblastoma gene function is sufficient for cell cycle re-entry. Nature. 424: 223-8 (2003), expressing short-hairpin RNAs against either BRAF or luciferase, and were selected in 2 μg/ml puromycin to remove uninfected cells. The sequences of the cloned oligonucleotides were as follows: BRAF:5′-GAT CCC CGT GTT GGA GAA TGT TCC ACT TCA AGA GAG TGG AAC ATT CTC CAA CAC TTT TTG GAA A-3′ (SEQ ID NO:28); Luciferase: 5′-GAT CCC CCT TAC GCT GAG TAC TTC GAT TCA AGA GAT CGA AGT ACT CAG CGT MG TTT TTG GAA A-3′ (SEQ ID NO:29).

For western blots, medium was aspirated, and each dish was washed twice with 10 mL of ice-cold PBS. Cells were lysed with 200 μL of buffer (50 mM HEPES, 40 mM NaCl, 2 mM EDTA, 0.5% Triton-X, 1.5 mM sodium orthovanadate, 50 mM NaF, 10 mM Na Pyrophosphate, 10 mM Na B-glycerophosphate and protease inhibitor tablet, pH 7.4). Samples were separated using SDS-PAGE, transferred to a PVDF membrane, blocked for 1 hour at room temperature in Licor Odyssey Blocking Buffer and incubated with the necessary primary and secondary antibodies: anti-VDAC1 (Abcam, #ab3434), anti-VDAC1 (Calbiochem, #529534), anti-VDAC2 (Abcam, #ab22170), anti-eIF4E (Santa Cruz Biotechnology, #sc-9976), anti-α-Tubulin (Sigma, #T6199), anti-actin (Santa Cruz Biotechnology, #1616R), IRDye 800 goat anti-rabbit antibody (Rockland Immunochemicals, #611-132-122), Alexa Fluor 680 goat anti-, mouse (Molecular Probes, #A21058), PathScan Multiplex Western Cocktail I Kit (Cell Signaling Technology), anti-PARP (Abcam, #ab105). Membranes were scanned using the Licor Odyssey™ Imaging System.

PARP Cleavage and Cytochrome C Release:

BJ-TERT/LT/ST/RASV12 cells were seeded in polystyrene 100×20 mm dishes (Falcon/#353003) in 10 ml of media. Three million cells were seeded in each dish. After overnight incubation at 37° C. with 5% CO2, BJ-TERT/LT/ST/RASV12 cells were treated with nothing, staurosporine (1 μM) for 6 h, camptothecin (1 μM) for 18 h or erastin (20 μg/mL) for 6, 10, 12, 12.5, 13, 14, 18 or 26 h, and prepared for western blotting.

For the cytochrome c release assay, cells were washed with 10 mL of ice-cold PBS, suspended in 120 μL of buffer (300 mM sucrose, 0.1% BSA, 10 mM HEPES, pH 7.5, 10 mM KCl, 1.5 mM MgCl2, 1 mM EGTA, 1 mM EDTA, 1 mM dithiothreitol, 2 mM phenylmethanesulfonyl fluoride and 1 protease inhibitor tablet (Roche)) and incubated on ice for 15 min. Cells were lysed by passing them through a 25-gauge needle (five strokes). Cell lysates were centrifuged at 1850 rpm for 5 min at 4° C. to remove the nuclear fraction. Mitochondria were removed from the soluble cytosolic fraction by pelleting at 10000 rpm. Supernatant and mitochondrial pellets were solubilized in SDS-PAGE loading buffer and analyzed by western blotting.

Oxidative Species Detection:

2′7′-dichlorodihydrofluorescein diacetate (H2DCF-DA, Molecular Probes) was used to measure oxidative species by flow cytometry. Non-fluorescent H2DCF-DA is cleaved by endogenous esterases and then is oxidized to generate fluorescent dichlorofluorescein (DCF). BJ-TERT/LT/ST/RASV12 and BJ-TERT cells were seeded at 3×105 cells per dish in 60-mm dishes and allowed to grow overnight. Cells were treated with 4.6 μM erastin for 2, 4, 6, 8, 10 and 12 h. For each time point, controls were maintained for untreated cells and also for positive control (treated directly with 500 μM hydrogen peroxide for five minutes). Cells were incubated with 10 μM of H2DCF-DA for 10 minutes, harvested by trypsinization, washed twice with cold PBS, resuspended in 100 μl of PBS and incubated with 5 μl of 50-μg/ml propidium iodide for 10 minutes. 400 μl of PBS was added and the solution analyzed by flow cytometry (FACSCalibur-Becton-Dickinson). FL1-H indicates DCF fluorescence units detected.

VDAC Chemi-Proteomic Identification:

Cultures of BJ-TERT and BJ-TERT/LT/ST/RASV12 cells (ten 150 mm plates) were washed with PBS, lysed in 25 mM hydroxyethylpiperazine-N′-2-ethanesulfonic acid (HEPES) pH 7.5, 150 mM NaCl, 1% NP40, 10 mM MgCl2, 1 mM ethylene-diamine tetra acetate (EDTA), 10% glycerol, 1 mM dithiothreitol (DTT) and protease inhibitor cocktail. Protein concentration was determined using a Bradford colorimetric assay.

Erastin A3 and B2 were dissolved in DMSO at 10 mg/ml. 100 μL of AffiGel-10 was washed and resuspended in 400 μl DMSO. 10 μL of compound and 3 μL of 1:100 dilution of triethylamine in DMSO were added. The suspension was incubated at RT for 12 h, washed (1 mL/wash) 5×DMSO, 3×PBS, resuspended in 3 M ethanolamine in PBS, incubated 1 h at RT, washed 5×PBS, diluted 1:1 in PBS, washed with HEGN binding buffer (0.1M KCl, 20 mM HEPES, pH 7.6, 0.1 mM EDTA, 10% glycerol, 0.1% NP40, 1 mM DTT, 0.25 mM PMSF) and incubated with 1 ml cell lysate (2 mg/ml) for 1.5 at 4° C., washed with HEGN binding buffer, 3× with HEGN high salt buffer (0.35M KCl, 20 mM HEPES, pH 7.6, 0.1 mM EDTA, 10% glycerol, 0.1% NP40, 1 mM DTT, 0.25 mM PMSF), 1× with HEGN binding buffer, and eluted 2× with 50 μL HEGN elution buffer (HEGN binding buffer, 0.8% N-lauroyl sarcosine) 15 min each; proteins from the supernatant were precipitated with 400 μL ethanol, sedimented by centrifugation (14,000 rpm) and digested as described (Zheng, Y. et al. Essential role of the voltage-dependent anion channel (VDAC) in mitochondrial permeability transition pore opening and cytochrome c release induced by arsenic trioxide. Oncogene. 23: 1239-47 (2004). Reverse-phase-HPLC was performed using a nano LC system from Dionex: a 75 μm×150 mm column, a Famos autosampler, a Switchos II system and an UltiMate binary pumping module. Samples were analyzed using both a 4700 Proteomics Analyzer MALDI-TOF/TOF (TOF/TOF; Applied Biosystems) and a Q Trap (AB/MDS Sciez) and the peptide level data were combined. To construct the databases used for protein identification, the following steps were performed: The NCBInr protein sequence FASTA file was downloaded, the gi numbers were updated, and the missing or incorrectly annotated taxonomies were fixed by referencing them to the NCBI taxonomy index (index of gi number vs. species). The human subset of proteins in the database was extracted into a separate database (HumanNR). All protein sequences in HumanNR were matched to the corresponding protein in RefSeq using BLAST (Altschul, S. F., Gish, W., Miller, W., Myers, E. W. & Lipman, D. J. Basic local alignment search tool. J Mol Biol. 215: 403-10 (1990). MS/MS data obtained from the TOF/TOF and Q TRAP were searched using Mascot (Matrix Sciences, London, UK). All searches were performed against either the corrected NCBInr protein sequence database or the HumanNR database. GPS Explorer (Applied Biosystems) was used for submitting data acquired from the TOF/TOF for database searching. The Mascot-based search was performed using the default settings for the specific instrument type as supplied by Matrix Science, except that ions with scores below 10 were excluded from the results.

The spectra of the peptides identified in the automatic data analysis were manually inspected for the quality of the corresponding spectra and consistency with the obtained results. Only high quality spectra and results with a peptide score of 20 or higher were accepted and used for the identification of proteins.

Transmission Electron Microscopy of BJ-Tert/LT/ST/RASV12 Cells Treated with Erastin:

Cells were fixed 24 h with 2.5% glutaraldehyde in 0.1 M Sorenson's buffer (0.1 M H2PO4, 0.1 M HPO4, pH 7.2) for at least one hour, treated with 1% OsO4 in 0.1 M Sorenson's buffer for 1 h. Enblock staining used 1% tannic acid. After dehydration through an ethanol series, cells were embedded in Lx-112 (Ladd Research Industries, Inc) and Embed-812 (EMS, Fort Washington Pa.). Thin sections were cut on an MT-7000 ultramicrotome, stained with 1% uranyl acetate and 0.4% lead citrate and examined under a JEOL JEM-1200 EXII electron microscope. Pictures were taken on an ORCA-HR digital camera (Hamamatsu) at ˜20,000-fold magnification, and measurements were made using the AMT Image Capture Engine.

ATP Detection:

Cells were seeded in polystyrene 100×20 mm dishes (Falcon/#353003) in 10 mL of media. Three million cells were seeded in each dish for staurosporine (STS) and erastin treatment. Two million cells were seeded in each dish for no treatment and hydrogen peroxide treatment. Cells were treated with staurosporine (1 μM) for 12 hours, with H2O2 (16 mM) for 1.5 hours and erastin (20 μg/mL) for 12 hours. After the incubation, we counted cells using a CiCell analyzer (Beckman). 100,000 cells from each treatment were collected and washed twice in Hank's Salt Solution (10 ml). Next, we suspended cells in 200 μl of Nucleotide Releasing Buffer (BioVision/K254-200 ApoSensor Cell Viability Assay Kit) and incubated at room temperature for 10 minutes. To 10 μl of the above sample, we added 1 μl of ATP Minitoring Enzyme (BioVision/K254-200 ApoSensor Cell Viability Assay Kit) and read the ATP levels of the samples using a luminometer.

Knockdown using Lentiviral shRNAs:

VDACs, KRAS and BRAF were knocked down in HT1080, Calu-1, and A673 cells, respectively, using short hairpin RNA lentiviral vectors. On day 1, 293T cells were seeded in 10 cm tissue culture dishes (2×106 cells/dish). On day 2, shRNA-plasmid construct (pLKO.1 vector) and the pDelta.8.9 and pVSV-G helper plasmids were co-transfected into the 293T cells using FuGENE® 6 Transfection Reagent. On day 3, the medium was changed. On day 4, the supernatant, containing virus, was transferred to HT1080 cells in 10 cm tissue culture dishes (1×106 cells/dish). On day 5, cells were transferred to 175 cm2 flasks and medium was supplemented with puromycin. On days 6 and 7, medium was changed and supplemented with puromycin. On day 8, samples were harvested for Western Blot and quantitative RT-PCR, or reseeded in 6-well format (5×105 cells/well), in duplicate, and treated with erastin dilutions. For BRAF knockdown, A673 cells were infected with pSIRIPP-derived retroviruses expressing short-hairpin RNAs against either BRAF or luciferase, and were selected in 1.5 μg/ml puromycin to remove uninfected cells. All cells were cultured at 37° C., 5% CO2, in growth media as recommended by ATCC. (Sage, J., Miller, A. L., Perez-Mancera, P. A., Wysocki, J. M. & Jacks, T. Acute mutation of retinoblastoma gene function is sufficient for cell cycle re-entry. Nature 424, 223-8 (2003).)

ATP levels were measured in BJERL cells treated with nothing (NT), treated with 1 μM of Staurosporine (STS) for 12 hours, with 16 mM of hydrogen peroxide for 1.5 hours and 20 μg/mL of erastin for 12 hours. ATP levels were normalized by number of viable cells.

VDAC3 shRNAs Induce Isoform-Selective Knockdown in HT1080 Cells. Briefly, the assay was carried out as follows: Day 1, 293T cells seeded in 10 cm tissue culture dishes (2×106 cells/dish); Day 2, shRNA-plasmid construct (pLKO.1 vector) introduced to cells using FuGene transfection reagent; Day 3, medium changed; Day 4, supernatant transferred to HT1080 cells in 10 cm tissue culture dishes (1×105 cells/dish); Day 5, cells transferred to 175 cm2 flasks, medium supplemented with puromycin; Days 6 and 7, medium changed and supplemented with puromycin; Day 8, samples harvested for qRT-PCR. Unique shRNAs (V3.B1, V3.B2, V3.B3, V3.B5, V3.B5, V3.B6), control construct (GFP).

VDAC1 shRNAs Induce Isoform-Selective Knockdown in HT1080 Cells. Briefly, the assay was carried out as follows: Day 1, 293T cells seeded in 10 cm tissue culture dishes (2×106 cells/dish); Day 2, shRNA-plasmid construct (pLKO.1 vector) introduced to cells using FuGene transfection reagent; Day 3, medium changed; Day 4, supernatant transferred to HT1080 cells in 10 cm tissue culture dishes (1×106 cells/dish); Day 5, cells transferred to 175 cm2 flasks, medium supplemented with puromycin; Days 6 and 7, medium changed and supplemented with puromycin; Day 8, samples harvested for qRT-PCR. Unique shRNAs (V1.161, V1.279, V1.396, V1.607, V1.921), control construct (GFP).

Overexpression of VDAC3 Using Lentiviral Constructs:

VDAC3 was overexpressed in BJ-TERT cells, respectively, using a human ORF clone (Invitrogen) recombined into the pLENTi6/V5-DEST lentiviral vector (Invitrogen). On day 1, 293T cells were seeded in 10 cm tissue culture dishes (2×106 cells/dish). On day 2, the VDAC3 construct and the pDelta8.9 and pVSV-G helper plasmids were co-transfected into the 293T cells using FuGENE® 6 Transfection Reagent (Roche). On day 3, the medium was changed. On day 4, the supernatant, containing virus, was transferred to BJ-TERT cells in 10 cm tissue culture dishes (1×106 cells/dish). On day 5, cells were transferred to 175 cm2 flasks and medium was supplemented with Blasticidin (5 μg/mL). On days 6 and 7, medium was changed and again supplemented with Blasticidin. These cells were maintained in selection medium for 12 days before samples were harvested for Western Blot and quantitative RT-PCR, or reseeded in 6-well format (5×105 cells/well), in duplicate, and treated with erastin dilutions.

Reverse Transcription and Quantitative PCR:

Total RNA was isolated from cells using RNeasy Mini Kit (QIAGEN). Reverse Transcription was performed on 2 μg of isolated RNA using Taqman Reverse Transcription Reagents (Applied Biosystems). The ABI Prism 7300 was then used for Quantitative PCR. 20 ng of cDNA product was mixed with Power SYBR Green PCR Master Mix (Applied Biosystems) and the appropriate forward/reverse primer set. Relative mRNA expression levels were quantified with Applied Biosystems Sequence Detection Software v1.3.1.

NADH Oxidation Assay:

NADH oxidation in the mitochondria was measured by resuspending mitochondria isolated from yeast in R-buffer (0.65 M sucrose, 10 mM HEPES (pH 7.5), 10 mM KH2PO4, 5 mM KCl, 5 mM, MgCl2) to a final concentration of 100 μg/ml. Mitochondrial concentration was measured by dissolving mitochondria in 0.6% SDS and reading absorbance at 280 nm. The mitochondrial suspension was then incubated with 25 μM NADH, and the absorbance at 340 nm monitored over a 15 minute period. The assay was repeated in the presence of erastin. To assess mitochondrial intactness, a parallel assay was run in which mitochondria were hypotonically shocked prior to addition of NADH. The mitochondrial pellet was resuspended in dH2O and incubated on ice for 3 minutes to disrupt the outer mitochondrial membrane. 2× R-buffer was then added to restore normal osmotic conditions.

Cell Viability Assays:

Trypan Blue exclusion: Cells were trypsinized, pelleted, resuspended in 1 mL growth media. Trypan Blue exclusion analysis was performed using the Vi-CELL™ Series Cell Viability Analyzer 1.01 (Beckman Coulter).

Alamar Blue metabolism: 10% Alamar Blue was added to assay plates, which were then incubated for an additional 16 hours. Red fluorescence, resulting from reduction of Alamar Blue, was detected on a Victor3 platereader (ex: 530, em: 590).

VDAC2 Binding Assay:

VDAC2 protein was isolated from E. coli using a modified version of the protocol originally described by Koppel et al. Bacterial cultures were grown in LB containing 50 mg/L ampicillin to an OD of 0.6, and induced using 0.4 μM IPTG overnight. Cultures were harvested by centrifugation at 6000×g for 10 min. The pellet was then washed with dH2O and resuspended in buffer (20% sucrose, 20 mM Tris, pH 8.0, 50 μM/mL lysozyme) and incubated at 25° C. for 10 minutes. The lysate was then sonicated for 2×30 seconds and centrifuged at 15000×g for 20 minutes. The pellet was resuspended in resuspension buffer (4.5 M guanidine-HCl, 0.1M NaCl, 20 mM Tris, pH 8.0) and incubated for 1 hour at 25° C. The suspension was then centrifuged (20 minutes, 15000×g), and the supernatant was loaded on a NI-NTA Superflow column (Qiagen) pre-equilibrated with 5 volumes of resuspension buffer. The column was washed with 5 column volumes of resuspension buffer containing 10 mM imidazole. The protein was then eluted using resuspension buffer containing 225 mM imidazole. The eluate was dialysed against 0.1 M NaCl, 20 mM Tris, pH 8.0, and 2% LDAO (Fluka) overnight, and then concentrated via centrifugation to 4 mg/mL.

To assay direct binding of erastin analogs, 40 μg of purified VDAC2 was resuspended in 100 μL of Binding Buffer (25 mM HEPES, pH 8.0, 0.1% BSA, 7 mM MgCl2, 15 mM NaCl), and incubated in the presence of 20 μM radiolabelled erastin A9 and erastin A9 or erastin A8 for 15 minutes. The mixture was then deposited onto Protran BA85 0.45 μM binding filters (Whatman) using vacuum filtration. The filter was rinsed 5 times with 1 mL wash buffer (25 mM HEPES, 0.1% BSA), and then incubated in 5 mL scintillation liquid (Cytoscint, MP Biomedicals). Radioactivity was detected on a LKB Wallac 1211 RACKBETA Liquid Scintillation Counter.

Table 2. Activity of RAS-selective lethal compound erastin in tumor cell lines. IC50 values (ng/mL) are shown using the Alamar Blue viability assay. BJ engineered tumor cells express TERT, LT, ST, and oncogenic RAS. Isogenic RASV12 lacking cells are identical but lack HRASV12. BJ-DRD cells are derived from BJ cells and contain TERT, oncogenic RAS, a truncated from of p53 (p53DD) that disrupts the tetramerization of endogenous p53, a CDK4(R24C) mutant resistant to inhibition by p16INK4A and p151NK4B (the major negative regulators of CDK4) and cyclin D1. These latter protein substitute for LT. HCT-116, A549, Calu-1, and MIA PaCa-2 are tumor cells derived from cancers (colon, lung, lung and pancreatic, respectively) known to have activating mutations in RAS.

Cell Line erastin BJ-TERT/LT/ST/RASV12 1250 BJ-TERT/LT/ST >20,000 RAS selectivity >16 BJ-TERT/LT/RASV12/ST 1250 BJ-DRD (+RAS) 2500 HCT-116 (+KRAS) >20,000 A549 (+KRAS) >20,000 Calu-1 (+KRAS) 1000 MIA PaCa-2 (+KRAS) 5000

TABLE 3 Antimycin and 2-ME partially suppress erastin-induced death. Treatment Cell death (%) SD (%) DMSO 0 6 Erastin A1 100 0 Antimycin 51 5 2-ME 66 3 erastin + antimycin 59 5 erastin + 2-ME 76 5 BJ-TERT/LT/ST/RASV12 cells were treated with 0.1% DMSO, 13 μM erastin A1, 23 μM antimycin, 126 μM 2-methoxyestradiol (2-ME) or the combinations listed and viable cells counted using a hemacytometer.

TABLE 4 Response of tumor cell lines to erastin. Max % EC50 Cell line killing (uM) Tumor type HOS 100 17 Osteosarcoma SJSA-1 100 12 Osteosarcoma BJELR 100 6 foreskin fibroblasts w/TERT, LT, ST, RAS SK-LMS-1 100 6 Leimyosarcoma, vulva MES-SA 100 3 Uterine sarcoma HT1080 98 2 Fibrosarcoma SK-ES-1 96 7 Ewing sarcoma U-2 OS 96 6 Osteosarcoma SK-N-MC 95 10 Neuroepithelioma HeLa 94 0.6 Cervical carcinoma TC71 92 10 Ewing sarcoma Hs51.T 88 12 Spindle cell sarcoma TC32 88 8 Peripheral neuroepithelioma Hs 925.T 83 17 Pagetoid sarcoma U973 73 10 Acute myelogenous leukemia SK-UT 73 4 Uterine, mixed mesodermal tumor MX2 71 18 Uterine Sarcoma A673 54 30 Rhabdomyosarcoma EWS502 42 10 Ewing sarcoma LNCaP 32 6 prostate carcinoma BJEH 22 10 foreskin fibroblast w/TERT C-33A 21 0.6 cervical carcinoma SVR 20 2.5 Pancreatic carcinoma A549 0 lung carcinoma HCT 116 0 colorectal carcinoma HL-60 0 acute promyelocytic leukemia SW982 0 synovial sarcoma SW872 0 Liposarcoma A431NS 0 Epidermoid carcinoma

TABLE 5 Correlation between erastin sensitivity and phospho-ERK level. Cell line Erastin Sensitivity Phospho ERK1/2 A673 0.54 0.66 BJ-TERT 0.22 0.09 BJ-TERT/LT/ 1.00 0.92 ST/RASV12 EWS 502 0.42 0.12 HL 60 0.00 0.10 HT 1080 0.98 0.53 SKES1 0.96 0.25 SK N MC 0.95 0.05 SW 872 0.00 0.12 TC 32 0.88 0.12 TC 71 0.92 0.23 U937 0.73 0.27 The maximum percent killing induced by erastin in each cell line is shown, along with the level of phosph-ERK1/2. The correlation is 0.41.

TABLE 6 Primer sequences Gene Primer Forward primer Reverse primer VDAC1 VDAC1 5′-CCTGGACAGCAGGAA 5′-AGGCGTCAGGGTCAA ACAGTAAC-3′ TCTGA-3′ (SEQ ID NO:30) (SEQ ID NO:35) VDAC2 VDAC2 5′-TGATTTTGCTGGACC 5′-CAGCAAGCCAGCCC TGCAA-3′ TCAT-3′ (SEQ ID NO:31) (SEQ ID NO:36) VDAC3 VDAC3 5′-AATTTCGCCCTGGGT 5′-TCAGTGCCATCGTT TACAA-3′ CACATGT-3′ (SEQ ID NO:32) (SEQ ID NO:37) RPLPO RPLPO.1 5′-ACGGGTACAAACGAG 5′-GCCTTGACCTTTTC TCCTG-3′ AGCAAG-3′ (SEQ ID NO:33) (SEQ ID NO:38) RPLPO RPLPO.2 5′-GCGACCTGGAAGTCC 5′-ATCTGCTGCATCTG AACTA-3′ CTTGG-3′ (SEQ ID NO:34) (SEQ ID NO:39)

TABLE 7 Sequences of shRNAs Gene Name of sh RNA SEQUENCE VDAC1 V1.161 CCGGGCTATGGATTTGGCTTAATAACTCG AGTTATTAAGCCAAATCCATAGCTTTTT (SEQ ID NO: 1) V1.279 CCGGCAAGTACAGATGGACTGAGTACTCG AGTACTCAGTCCATCTGTACTTGTTTTT (SEQ ID NO: 2) V1.396 CCGGCGATTCATCCTTCTCACCTAACTCG AGTTAGGTGAGAAGGATGAATCGTTTTT (SEQ ID NO: 3) V1.607 CCGGGCAGTTGGCTACAAGACTGATCTCG AGATCAGTCTTGTAGCCAACTGCTTTTT (SEQ ID NO: 4) V1.921 CCGGGCTTGGTCTAGGACTGGAATTCTCG AGAATTCCAGTCCTAGACCAAGCTTTTT (SEQ ID NO: 5) VDAC2 V2.A8(A7) CCGGGCAGCTAAATATCAGTTGGATCTCG AGATCCAACTGATATTTAGCTGCTTTTTG (SEQ ID NO: 6) V2.A9 CCGGCAAGGTTTGAAACTGACATTTCTCG AGAAATGTCAGTTTCAAACCTTGTTTTTG (SEQ ID NO: 7) V2.A10 CCGGCACTGCTTCCATTTCTGCAAACTCG AGTTTGCAGAAATGGAAGCAGTGTTTTTG (SEQ ID NO: 8) V2.A11 CCGGGTGTGAGTATGGTCTGACTTTCTCG AGAAAGTCAGACCATACTCACACTTTTTG (SEQ ID NO: 9) V2.A12 CCGGGTCAACAACTCTAGCTTAATTCTCG AGAATTAAGCTAGAGTTGTTGACTTTTTG (SEQ ID NO: 10) VDAC3 V3.B1 CCGGGCAACCTAGAAACCAAATATACTCG AGTATATTTGGTTTCTAGGTTGCTTTTTG (SEQ ID NO: 11) V3.B2 CCGGCCAGGAGTCAAATTGACTTTACTCG AGTAAAGTCAATTTGACTCCTGGTTTTTG (SEQ ID NO: 12) V3.B3 CCGGCCAAACTGTCACAGAATAATTCTCG AGAATTATTCTGTGACAGTTTGGTTTTTG (SEQ ID NO: 13) V3.B4 CCGGCCAGAATTGGAACACAGACAACTCG AGTTGTCTGTGTTCCATTTCTGGTTTTTG (SEQ ID NO: 14) V3.B5 CCGGCAGGAGTCAAATTGACTTTATCTCG AGATAAAGTCAATTTGACTCCTGTTTTTG (SEQ ID NO: 15) V3.B6 CCGGCCAGAAGGTGAATGAGAAGATCTCG AGATCTTCTCATTCACCTTCTGGTTTTG (SEQ ID NO: 16) NRAS Nras.304 CCGGCGCACTGACAATCCAGCTAATCTCG AGATTAGCTGGATTGTCAGTGCGTTTTTG (SEQ ID NO: 17) Nras.398 CCGGGAAACCTGTTTGTTGGACATACTCG AGTATGTCCAACAAACAGGTTTCTTTTTG (SEQ ID NO: 18) Nras.445 CCGGCAGTGCCATGAGAGACCAATACTCG AGTATTGGTCTCTCATGGCACTGTTTTTG (SEQ ID NO: 19) Nras.501 CCGGCCATCAATAATAGCAAGTCATCTCG AGATGACTTGCTATTATTGATGGTTTTTG (SEQ ID NO: 20) Nras.655 CCGGCAAGAGTTACGGGATTCCATTCTCG AGAATGGAATCCCGTAACTCTTGTTTTTG (SEQ ID NO: 21) KRAS Kras.269 CCGGGACGAATATGATCCAACAATACTCG AGTATTGTTGGATCATATTCGTCTTTTTG (SEQ ID NO: 22) Kras.407 CCGGGAGGGCTTTCTTTGTGTATTTCTCG AGAAATACACAAAGAAAGCCCTCTTTTTG (SEQ ID NO: 23) Kras.509 CCGGCCTATGGTCCTAGTAGGAAATCTCG AGATTTCCTACTAGGACCATAGGTTTTTG (SEQ ID NO: 24) Kras.667 CCGGGATCCGACAATACAGATTGAACTCG AGTTCAATCTGTATTGTCGGATCTTTTTG (SEQ ID NO: 25) Kras.1160 CCGGTAGTTGGAGCTGGTGGCGTAGCTCG AGCTACGCCACCAGCTCCAACTATTTTTG (SEQ ID NO: 26) BRAF iBRAF-1 CCGGGAGTTCAGGAGAGTAGCAATTCAAG AGATTGCTACTCTCCTGAACTCTTTTTG (SEQ ID NO: 27) IBRAF exon 5

Synthesis of Erastin Analogs

With reference to FIG. 47, anthranilic acid (28) (40 g, 0.291 mol) was placed in a 500 mL round-bottom flask fitted with an addition funnel and a magnetic stir bar. 250 mL of DMF were added to the anthranilic acid and the reaction mixture was placed in an ice bath. Propionyl chloride (1.1 eq., 28 mL, 0.320 mol) was placed in the addition funnel and slowly added to the reaction mixture under nitrogen atmosphere. Then the reaction mixture was stirred for 2 h at room temperature. DMF was removed under vacuum and an oily residue was suspended in water. The precipitated product was collected by filtration, washed with cold water and dried under vacuum, yielding N-propionyl anthranilic acid (29) as a white powder (yield: 44.693 g, 79.4%).

N-propionyl anthranilic acid (29) (38.4 g, 0.199 mol) was dissolved in acetic anhydride (150 mL) in a 250 mL round-bottom flask equipped with a magnetic stir bar and a Claisen-distillation head. The flask was heated at 170-180° C. for 3 h and acetic acid forming in the reaction was distilled off. The completion of the reaction was confirmed by LC-MS and TLC analyses. The reaction mixture was cooled to room temperature and acetic anhydride was removed under vacuum. An oily residue was triturated with hexane. The precipitated product was collected by filtration, yielding 2-ethyl-benzo[d][1,3]oxazin-4-one (30) as a white powder (yield: 29.614 g, 84.9%).

2-Ethyl-benzo[d][1,3]oxazin-4-one (30) (29.614 g, 0.169 mol) was placed in a 250 mL round-bottom flask with a reflux condenser. 100 mL of chloroform and o-phenetidine (1.1 eq., 25.500 g, 0.186 moles) were added to the reaction mixture. The reaction mixture was refluxed for 24 h. Then chloroform was removed under vacuum. Ethylene glycol (50 mL) and NaOH (300 mg) were added to the off-white residue and the flask was equipped with a Cailsen-distillation apparatus. The reaction mixture was heated at 130-140° C. for 5 h and water forming in the reaction was removed by distillation. Then the reaction mixture was cooled to room temperature and left standing overnight. The precipitated product was filtered off, rinsed with cold water and recrystallized from isopropanol to provide 3-(2-ethoxy-phenyl)-2-ethyl-3H-quinazolin-4-one (31) (yield: 39.450 g, 79.3%).

3-(2-ethoxy-phenyl)-2-ethyl-3H-quinazolin-4-one (31) (500 mg, 1.699 mmol) and sodium acetate (769 mg) were dissolved in 10 mL of glacial acetic acid in a 50 mL round-bottom flask equipped with a magnetic stir bar and an addition funnel. Br2 (1 eq., 88 μl, 1.699 mmol) was dissolved in 5 mL of glacial acetic acid and placed in an addition funnel. The reaction mixture was warmed up to 40° C. and Br2 solution was added dropwise to the reaction mixture for 1 h. LC-MS analysis indicated incomplete reaction. Therefore, another 10 μl of Br2 were added to the reaction and the reaction mixture was heated for 1 h at 40° C. After completion of the reaction, acetic acid was removed under vacuum; the residue was dissolved in 20 mL of chloroform and extracted with water (3×10 mL). The organic phase was separated, dried over anhydrous Na2SO4, and filtered through a short silica plug. Chloroform was removed under vacuum to provide 2-(1-bromo-ethyl)-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one (32) (yield: 561 mg, 88.5%).

2-(1-bromo-ethyl)-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one (32) (500 mg, 1.339 mmol) and piperazine (3 eq., 346 mg, 4.016 mmol) were dissolved in 30 mL of ethanol in a 50 mL round-bottom flask equipped with a reflux condenser. The reaction mixture was refluxed for 24 h. Ethanol was removed under vacuum; the crude product was dissolved in 30 mL of chloroform and extracted with water (3×10 mL). The organic phase was separated, chloroform was removed under vacuum and the crude product was purified via rotary chromatography to provide 3-(2-ethoxy-phenyl)-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (33) (yield: 218 mg, 43.0%).

3-(2-ethoxy-phenyl)-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (33) (200 mg, 0.528 mmol) and acetic anhydride (1.2 eq., 65 μm, 0.634 mmol) were dissolved in 5 mL of chloroform and stirred at room temperature for 30 min. LC-MS analysis indicated a complete reaction. The crude reaction mixture was extracted with 5% Na2CO3 (2-3 mL) and water (2×3 mL). The organic phase was separated, dried over anhydrous Na2SO4. Na2SO4 was filtered off and chloroform was removed under vacuum to provide 2-[1-(4-Acetyl-piperazin-1-yl)-ethyl]-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one (34) in a quantitative yield.

3-(2-Ethoxy-phenyl)-7-nitro-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (51) was synthesized using same methodology as 3-(2-ethoxy-phenyl)-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (33), except, 4-nitroanthranilic acid (2-amino-4-nitrobenzoic acid) (92a) was used as a starting material.

3-(2-Ethoxy-phenyl)-6-nitro-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (52) was synthesized using same methodology as 3-(2-ethoxy-phenyl)-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (33), except, 5-nitroanthranilic acid (2-amino-5-nitrobenzoic acid) (92b) was used as a starting material.

3-(2-Ethoxy-phenyl)-7-nitro-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (51) (799 mg, 1.889 mmol), 4-chlorophenoxyacetic acid (1.1 eq., 388 mg, 2.078 mmol) and TBTU (1.1 eq., 667 mg, 2.078 mmol) were dissolved in 10 mL of chloroform. 200 μl of DIPEA were added to the reaction mixture and it was stirred at room temperature for 20 min. LC-MS and TLC analyses confirmed completion of the reaction. Chloroform and DIPEA were removed under vacuum; the crude product was purified via column chromatography to provide 2-(1-{4-[2-(4-chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-7-nitro-3H-quinazolin-4-one (2) (nitro-erastin) in a quantitative yield.

2-(1-{4-[2-(4-chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-7-nitro-3H-quinazolin-4-one (2) (300 mg, 0.507 mmol) was dissolved in 15 mL of methanol in a 25 mL round-bottom flask equipped with a reflux condenser. 300 mg of NH4HCO2 and 30 mg of Pd/C were added to the reaction mixture and it was refluxed for 12 h under nitrogen atmosphere. LC-MS and TLC analyses confirmed a complete reaction. Pd/C was filtered off, methanol was removed under vacuum. The residue was dissolved in 20 mL of chloroform and extracted with water (3×10 mL), the organic phase was separated and chloroform was removed under vacuum. The crude product was purified via a rotary chromatography to provide 7-amino-2-(1-{4-[2-(4-chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one (1) (yield: 269 mg, 94.4%).

7-amino-2-(1-{4-[2-(4-chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one (1) (25 mg, 0.0445 mmol) was dissolved in 2 mL of chloroform in a 6 mL vial. Acetic anhydride (5 eq., 22 μl, 0.222 mmol) was added to the reaction mixture and it was heated at 50° C. for 30 min. LC-MS and TLC analyses confirmed a complete reaction. Chloroform and acetic anhydride were removed under vacuum. The residue was dissolved in 3 mL of chloroform and extracted with 5% Na2CO3 (1 mL) and water (1 mL). The organic phase was separated and dried over anhydrous Na2SO4. Na2SO4 was filtered off and chloroform was removed under vacuum to provide N-[2-(1-{4-[2-(4-chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-4-oxo-3,4-dihydro-quinazolin-7-yl]-acetamide (3) in a quantitative yield.

3-(2-methoxyphenyl)-2-(1-(piperazin-1-yl)ethyl)quinazolin-4(3H)-one (37) was synthesized using same methodology as 3-(2-ethoxy-phenyl)-2-(1-piperazin-1-yl-ethyl)-3H-quinazolin-4-one (33), except, 2-methoxyaniline (38) was used instead of o-phenetidine.

3-(2-methoxyphenyl)-2-(1-(piperazin-1-yl)ethyl)quinazolin-4(3H)-one (37) (1 g, 2.77 mmol) was dissolved in 30 mL of DMF and EtSNa (2.5 eq., 576 mg, 6.86 mmol) was added to the reaction mixture. The reaction mixture was heated at 70-80° C. for 2 hr. LC-MS and TLS analysis indicated incomplete deprotection, therefore, an additional EtSNa (1.25 eq, 288 mg, 3.43 mmol) was added to the reaction mixture and it was heated for 3 h. The reaction mixture was diluted with 50 mL of CHCl3 and twice extracted with 30 mL of H2O, the organic phase was separated and solvents were removed under vacuum. The crude product was purified via column chromatography to provide 3-(2-hydroxyphenyl)-2-(1-(piperazin-1-yl)ethyl)quinazolin-4(3H)-one (39).

3-(2-hydroxyphenyl)-2-(1-(piperazin-1-yl)ethyl)quinazolin-4(3H)-one (39) (1 eq., 124 mg, 0.353 mmol) was dissolved in 20 mL of CHCl3, TEA (1.1 eq, 0.388 mmol) and 2-(4-chlorophenoxy)acetyl chloride (1.1 eq, 80 mg, 0.388 mmol) were added to the reaction mixture. The reaction mixture was stirred at RT for 1 hr, LC-MS analysis indicated complete consumption of the starting material. The reaction mixture was diluted with 20 mL of CHCl3 and extracted with H2O (3×10 mL). The organic phase was separated, dried over Na2SO4 and solvent was removed under vacuum. The crude product was purified via column chromatography to provide 2-(1-(4-(2-(4-chlorophenoxy)acetyl)piperazin-1-yl)ethyl)-3-(2-hydroxyphenyl)quinazolin-4(3H)-one (40) (110 mg, 60% yield).

Characterization:

Compounds are mixtures of diastereomers

Erastin (Compound 36): 1H-NMR (300 MHz, CDCl3): 8.30-8.27 p.p.m. (m, 1H), 7.80-7.72 (m, 2H), 7.50-7.40 (m, 2H), 7.40-7.00 (m, 5H), 6.84 (d, J=9.0 Hz, 2H), 4.61 (s, 2H), 4.05-3.98 (m, 2H), 3.55-3.30 (m, 5H), 2.80-2.40 (m, 2H), 2.25-1.95 (m, 2H), 1.31 (t, J=6.9 Hz, 3H), 1.23-1.17 (m, 3H); 13C-NMR (75 MHz, CDCl3): ō 165.87, 161.80, 156.53, 156.41, 155.79, 154.77, 153.65, 146.98, 134.21, 131.51, 130.52, 129.43, 128.59, 127.57, 126.99, 126.79, 126.74, 126.55, 126.21, 121.38, 121.09, 120.76, 120.38, 115.92, 112.99, 112.67, 67.80, 67.74, 64.15, 64.08, 60.25, 59.83, 48.85, 48.50, 48.32, 45.54, 45.29, 42.02, 14.75, 14.58, 12.95, 10.61; HRMS (m/z): [M]+ calcd for C30H32ClN4O4, 547.2112; found, 547.2083.

Erastin A6 (Compound 57): 1H-NMR (300 MHz, CDCl3): 8.28 p.p.m. (d, J=7.8, 1H), 7.69-7.66 (m, 2H), 7.46-7.23 (m, 2H), 7.26 (s, 1H), 7.22 (d, J=8.4 Hz, 2H), 7.19-7.00 (m, 3H), 6.87 (d, J=8.7 Hz, 2H), 4.61 (s, 2H), 4.03 (q, J=6.9 Hz, 2H), 3.81 (s, 2H), 3.59 (q, J=6.9 Hz, 1H), 3.51-3.30 (m, 4H), 2.52-2.49 (m, 2H), 2.25-2.00 (m, 2H), 1.88 (s, 6H), 1.31 (t, J=6.6 Hz), 1.28-1.15 (m, 3H); 13C-NMR (75 MHz, CDCl3): ō 166.25, 161.83, 156.85, 156.56, 154.82, 147.01, 135.62, 134.19, 131.56, 130.52, 128.59, 128.56, 127.60, 127.01, 126.79, 126.74, 126.25, 121.11, 120.73, 120.40, 114.66, 112.99, 112.67, 67.65, 64.16, 64.08, 60.29, 59.84, 48.95, 48.80, 48.42, 45.58, 45.26, 41.99, 14.78, 14.59, 12.86, 10.63; HRMS (m/z): [M]+ calcd for C31H36N5O4, 542.2767; found, 542.2751.

Erastin A8 (Compound 34): 1H-NMR (300 MHz, CDCl3): 8.29 p.p.m. (d, J=8.1 Hz, 1H), 7.85-7.65 (m, 2H), 7.51-7.30 (m, 3H), 7.33 (dd, J=7.8 Hz, J=1.9 Hz, 1H), 7.15 (dd, J=7.9 Hz, J=1.5 Hz, 1H), 7.11-6.99 (m, 3H), 4.10-3.95 (m, 2H), 3.60-3.15 (m, 5H), 2.65-2.45 (m, 2H), 2.25-2.10 (m, 2H), 2.03 (s, 3H), 1.33 (t, J=6.6 Hz, 3H), 1.25-1.10 (m, 3H); 13C-NMR (75 MHz, CDCl3): ō 174.27, 169.43, 169.36, 163.28, 162.27, 157.11, 156.35, 155.18, 154.06, 147.43, 134.63, 131.97, 130.95, 129.00, 127.99, 127.40, 127.20, 127.15, 126.58, 125.92, 121.78, 121.49, 121.14, 120.81, 113.38, 113.11, 64.56, 64.50, 60.74, 60.27, 49.30, 48.91, 48.71, 46.93, 46.64, 42.06, 41.75, 21.57, 21.23, 15.15, 14.99, 13.50, 11.16; HRMS (m/z): [M]+ calcd for C24H29N4O3, 421.2240; found, 421.2247.

Erastin A9 (Compound 3): 1H-NMR (300 MHz, CDCl3): ō 8.19 p.p.m. (d, J=8.7 Hz, 1H), 8.12 (s, 1H), 8.06 (s, 1H); 7.51 (d, J=8.7 Hz, 1H), 7.43 (t, J=5.2 Hz, 1H), 7.28 (s, 1H), 7.26-7.18 (m, 3H), 7.15 (dd, J=7.7 Hz, J=1.8 Hz, 1H), 7.07 (d, J=7.5 Hz, 1H), 7.02 (d, J=7.5 Hz, 1H), 6.89-6.80 (m, 2H), 4.64 (s, 2H), 4.01 (q, J=6.9 Hz, 2H), 3.59 (q, J=6.6 Hz, 1H), 3.50-3.30 (m, 4H), 2.70-2.60 (m, 1H), 2.55-2.45 (m, 1H), 2.30-2.20 (m, 2H), 2.19 (s, 3H), 1.31 (d, J=6.6 Hz, 3H), 1.19 (t, J=6.9 Hz, 3H); 13C-NMR (75 MHz, CDCl3): δ 169.54, 166.43, 161.93, 157.40, 156.79, 155.16, 148.62, 144.16, 131.02, 129.85, 129.05, 128.29, 126.99, 126.53, 121.20, 119.23, 117.09, 116.82, 116.35, 113.36, 68.02, 64.54, 60.53, 49.11, 45.72, 42.55, 24.96, 15.13, 13.51; HRMS (m/z): [M]+ calcd for C32H35ClN5O5, 604.2327; found, 604.2356.

Erastin B2 (Compound 54): 1H-NMR (300 MHz, CD3SOCD3): δ 7.32-7.25 p.p.m. (m, 4H), 7.13 (d, J=7.8 Hz, 2H), 6.93 (d, J=9.0 Hz, 2H), 4.82 (s, 2H), 4.41 (s, 2H), 3.90-3.70 (m, 1H), 3.68 (s, 2H), 3.50-3.30 (m, 6H), 2.50-2.34 (m, 6H), 1.07 (d, J=6.6 Hz, 6H); 13C-NMR (75 MHz, CD3SOCD3): δ 166.38, 158.10, 157.82, 143.57, 137.90, 129.93, 127.97, 127.86, 125.34, 117.26, 66.85, 57.38, 53.88, 53.56, 46.18, 44.91, 44.05, 42.72, 42.09, 23.96; HRMS (m/z): [M]+ calcd for C26H37ClN5O3, 502.2585; found, 502.2603.

In the present invention, the following nomenclature is followed: Erastin (36) is 2-(1-{4-[2-(4-Chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one. Erastin A6 (57) is 2-(1-{4-[2-(4-Aminomethyl-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one. Erastin A8 (34) is N-[2-(1-{4-[2-(4-Chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-(2-ethoxy-phenyl)-4-oxo-3,4-dihydro-quinazolin-7-yl]-acetamide. Erastin A9 (3) is 2-[1-(4-Acetyl-piperazin-1-yl)-ethyl]-3-(2-ethoxy-phenyl)-3H-quinazolin-4-one. Erastin B2 (54) is 1-(4-Aminomethyl-benzyl)-1-(2-{4-[2-(4-chloro-phenoxy)-acetyl]-piperazin-1-yl}-ethyl)-3-isopropyl-urea.

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Although illustrative embodiments of the present invention have been described herein, it should be understood that the invention is not limited to those described, and that various other changes or modifications may be made by one skilled in the art without departing from the scope or spirit of the invention.

Claims

1. A compound having formula I: wherein

R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring;
R2 is selected from is selected from H, C1-8alkyl, C1-8alkoxy, 3- to 8-membered carbocyclic or heterocyclic, aryl, heteroaryl, C1-4aralkyl, residues of glycolic acid, ethylene glycol/propylene glycol copolymers, carboxylate, ester, amide, carbohydrate, amino acid, alditol, OC(R6)2COOH, SC(R6)2COOH, NHCHR6COOH, COR7, CO2R7, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, thioalkyl, thioester, propylphthalimide, and thioether;
R3 is a C2-8 alkoxy;
R6 is selected from H, C1-8alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle, wherein each alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle may be optionally substituted with at least one substituent;
R7 is selected from H, C1-8alkyl, C1-8alkenyl, C1-8alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic, wherein each alkyl, alkenyl, alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic may be optionally substituted with at least one substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

2. The compound according to claim 1, wherein the hydrophilic substituent is selected from the group consisting of alcohols, amines, nitro, carboxylic acids, carboxylates, hydroxy, amides, sulfamides, sulfonic acids, sulfonates, sulfates, esters, thiol esters, ethers, thiols, thiolates, thiol ethers, morpholino, fluoroaromatics, piperazines, piperadines, phosphonates, and salts thereof, and combinations thereof.

3. The compound according to claim 2, wherein the hydrophilic substituent is selected from the group consisting of NH2, NO2, NCOCH3, and combinations thereof.

4. The compound according to claim 1, wherein R2 is H or CH3.

5. The compound according to claim 1, wherein R3 is ethoxy or isopropoxy.

6. A compound having formula Ia: wherein

R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring;
R3 is a C2-8 alkoxy; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

7. The compound according to claim 6, wherein the hydrophilic substituent is selected from the group consisting of alcohols, amines, nitro, carboxylic acids, carboxylates, hydroxy, amides, sulfamides, sulfonic acids, sulfonates, sulfates, esters, thiol esters, ethers, thiols, thiolates, thiol ethers, morpholino, fluoroaromatics, piperazines, piperadines, phosphonates, and salts thereof, and combinations thereof.

8. The compound according to claim 7, wherein the hydrophilic substituent is selected from the group consisting of NH2, NO2, NCOCH3, and combinations thereof.

9. The compound according to claim 6, wherein R3 is ethoxy or isopropoxy.

10. The compound according to claim 1, which is selected from the group consisting of

an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

11. A compound of formula II: wherein

A is selected from the group consisting of C, N, and O;
R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring with the proviso that when A is C, R1 is not NH2 or NO2;
R2 is selected from H, C1-8alkyl, C1-8alkoxy, 3- to 8-membered carbocyclic or heterocyclic, aryl, heteroaryl, C1-4aralkyl, residues of glycolic acid, ethylene glycol/propylene glycol copolymers, carboxylate, ester, amide, carbohydrate, amino acid, alditol, OC(R6)2COOH, SC(R6)2COOH, NHCHR6COOH, COR7, CO2R7, sulfate, sulfonamide, sulfoxide, sulfonate, sulfone, thioalkyl, thioester, propylphthalimide, and thioether;
R3 is a C2-8 alkoxy;
R4 is a hydrophilic substituent, which is attached to at least one position of A, except that when A is O, R3 is nothing;
R6 is selected from H, C1-8alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle, wherein each alkyl, carbocycle, aryl, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, and alkylheterocycle may be optionally substituted with at least one substituent;
R7 is selected from H, C1-8alkyl, C1-8alkenyl, C1-8alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic, wherein each alkyl, alkenyl, alkynyl, aryl, carbocycle, heteroaryl, heterocycle, alkylaryl, alkylheteroaryl, alkylheterocycle, and heteroaromatic may be optionally substituted with at least one substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

12. The compound according to claim 11, wherein the hydrophilic substituent is selected from the group consisting of alcohols, amines, nitro, carboxylic acids, carboxylates, hydroxy, amides, sulfamides, sulfonic acids, sulfonates, sulfates, esters, thiol esters, ethers, thiols, thiolates, thiol ethers, morpholino, fluoroaromatics, piperazines, piperadines, phosphonates, and salts thereof, and combinations thereof.

13. The compound according to claim 12, wherein the hydrophilic substituent is NCOCH3.

14. The compound according to claim 11, wherein R2 is H or CH3.

15. The compound according to claim 11, wherein R3 is ethoxy or isopropoxy.

16. The compound according to claim 11, wherein A is C.

17. A compound selected from the group consisting of formula IIa, IIb, and IIc: wherein

R1 is a hydrophobic or hydrophilic substituent, which is attached to one or more positions of at least one carbon atom of the ring with the proviso that in formula IIa, R1 is not NH2 or NO2;
R2 is selected from H, C1-8alkyl;
R3 is a C2-8 alkoxy;
R4 and R5, when present, are independently selected from the group consisting of H and an hydrophilic substituent; or
an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

18. The compound according to claim 17, which is selected from the group consisting of

an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

19. A pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound according to any one of claims 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, or 18.

20. A method of treating a condition in a mammal, comprising administering to the mammal a therapeutically effective amount of a compound according to any one of claims 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, or 18.

21. The method according to claim 20, wherein the mammal is a human.

22. The method according to claim 20, wherein the condition is cancer.

23. The method according to claim 22, wherein the cancer is selected from the group consisting of leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

24. The method according to claim 20, further comprising conjointly administering to the mammal an agent that kills cells through an apoptotic mechanism.

25. The method, according to claim 24, wherein the agent is a chemotherapeutic agent.

26. The method according to claim 25, wherein the chemotherapeutic agent is selected from the group consisting of an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, and combinations thereof.

27. A method of treating a condition in a mammal, comprising administering to the mammal a therapeutically effective amount of a pharmaceutical composition according to claim 20.

28. The method according to claim 27, wherein the mammal is a human.

29. The method according to claim 28, wherein the condition is cancer.

30. The method according to claim 29, wherein the cancer is selected from the group consisting of leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

31. The method according to claim 27, further comprising conjointly administering to the mammal an agent that kills cells through an apoptotic mechanism.

32. The method according to claim 31, wherein the agent is a chemotherapeutic agent.

33. The method according to claim 32, wherein the chemotherapeutic agent is selected from the group consisting of an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, and combinations thereof.

34. A compound selected from the group consisting of

or an enantiomer, optical isomer, diastereomer, N-oxide, crystalline form, hydrate, or pharmaceutically acceptable salt thereof.

35. A pharmaceutical composition comprising a pharmaceutically acceptable carrier and a compound according to claim 34.

36. A method of treating a condition in a mammal, comprising administering to the mammal a therapeutically effective amount of a compound according to claim 34.

37. The method according to claim 36, wherein the mammal is a human.

38. The method according to claim 36, wherein the condition is cancer.

39. The method according to claim 38, wherein the cancer is selected from the group consisting of leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

40. The method according to claim 36, further comprising conjointly administering to the mammal an agent that kills cells through an apoptotic mechanism.

41. The method according to claim 40, wherein the agent is a chemotherapeutic agent.

42. The method according to claim 41, wherein the chemotherapeutic agent is selected from the group consisting of an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, and combinations thereof.

43. A method of treating a condition in a mammal comprising administering to the mammal a therapeutically effective amount of a pharmaceutical composition according to claim 35.

44. The method according to claim 43, wherein the mammal is a human.

45. The method according to claim 43, wherein the condition is cancer.

46. The method according to claim 45, wherein the cancer is selected from the group consisting of leukemia, non-small cell lung carcinoma, colon cancer, CNS cancer, melanoma, ovarian cancer, renal cancer, prostate cancer, breast cancer, and pancreatic cancer.

47. The method according to claim 43, further comprising conjointly administering to the mammal an agent that kills cells through an apoptotic mechanism.

48. The method according to claim 47, wherein the agent is a chemotherapeutic agent.

49. The method according to claim 48, wherein the chemotherapeutic agent is selected from the group consisting of an EGF-receptor antagonist, arsenic sulfide, adriamycin, cisplatin, carboplatin, cimetidine, caminomycin, mechlorethamine hydrochloride, pentamethylmelamine, thiotepa, teniposide, cyclophosphamide, chlorambucil, demethoxyhypocrellin A, melphalan, ifosfamide, trofosfamide, Treosulfan, podophyllotoxin or podophyllotoxin derivatives, etoposide phosphate, teniposide, etoposide, leurosidine, leurosine, vindesine, 9-aminocamptothecin, camptoirinotecan, crisnatol, megestrol, methopterin, mitomycin C, ecteinascidin 743, busulfan, carmustine (BCNU), lomustine (CCNU), lovastatin, 1-methyl-4-phenylpyridinium ion, semustine, staurosporine, streptozocin, phthalocyanine, dacarbazine, aminopterin, methotrexate, trimetrexate, thioguanine, mercaptopurine, fludarabine, pentastatin, cladribin, cytarabine (ara C), porfiromycin, 5-fluorouracil, 6-mercaptopurine, doxorubicin hydrochloride, leucovorin, mycophenolic acid, daunorubicin, deferoxamine, floxuridine, doxifluridine, raltitrexed, idarubicin, epirubican, pirarubican, zorubicin, mitoxantrone, bleomycin sulfate, actinomycin D, safracins, saframycins, quinocarcins, discodermolides, vincristine, vinblastine, vinorelbine tartrate, vertoporfin, paclitaxel, tamoxifen, raloxifene, tiazofuran, thioguanine, ribavirin, EICAR, estramustine, estramustine phosphate sodium, flutamide, bicalutamide, buserelin, leuprolide, pteridines, enediynes, levamisole, aflacon, interferon, interleukins, aldesleukin, filgrastim, sargramostim, rituximab, BCG, tretinoin, betamethosone, gemcitabine hydrochloride, verapamil, VP-16, altretamine, thapsigargin, oxaliplatin, iproplatin, tetraplatin, lobaplatin, DCP, PLD-147, JM118, JM216, JM335, satraplatin, docetaxel, deoxygenated paclitaxel, TL-139, 5′-nor-anhydrovinblastine (hereinafter: 5′-nor-vinblastine), camptothecin, irinotecan (Camptosar, CPT-11), topotecan (Hycamptin), BAY 38-3441, 9-nitrocamptothecin (Orethecin, rubitecan), exatecan (DX-8951), lurtotecan (GI-147211C), gimatecan, homocamptothecins diflomotecan (BN-80915) and 9-aminocamptothecin (IDEC-13′), SN-38, ST1481, karanitecin (BNP1350), indolocarbazoles (e.g., NB-506), protoberberines, intoplicines, idenoisoquinolones, benzo-phenazines, NB-506, and combinations thereof.

Patent History
Publication number: 20080299076
Type: Application
Filed: Feb 28, 2008
Publication Date: Dec 4, 2008
Inventor: Brent R. Stockwell (New York, NY)
Application Number: 12/072,866
Classifications