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button_text=&#8221;Publications&#8221; _builder_version=&#8221;3.19.10&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;14px&#8221; button_text_color=&#8221;#707070&#8243; button_bg_color=&#8221;#ffffff&#8221; button_border_color=&#8221;#ffffff&#8221; button_font=&#8221;||||||||&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row custom_margin=&#8221;-17px||-55px|&#8221; _builder_version=&#8221;3.2.2&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.2.2&#8243;]<\/p>\n<p><span style=\"color: #0c71c3;font-size: medium\"><strong>Colorectal Cancer<\/strong><\/span><\/p>\n<p><strong><span style=\"color: #0c71c3\">Challenge<\/span><\/strong><br \/> Colorectal cancer (CRC) remains the second leading cause of cancer mortality in the United States. Despite an increasing number of therapeutic options for CRC patients, those diagnosed with metastatic disease (mCRC) have a five year survival rate of 11%. Further, toxicities from targeted therapies are substantial: for example, most approved therapies inhibit FLT1, which is closely associated with kidney toxicity and hypertension. Our team is using our emerging model organism-based platform to develop therapies designed to optimize whole body therapeutic index.<\/p>\n<p><span style=\"color: #0c71c3\"><strong>Drosophila Colorectal Cancer Model<\/strong><\/span><\/p>\n<p>We are currently building dozens of patient-specific Drosophila models. Each fly transgenic line represents a different patient, with each line having typically 7-10 altered genes. Our goal is to explore the effects of genetic complexity on drug response, with an emphasis on RAS-mutant disease.\u00a0<\/p>\n<p>To date, we have screened ~60 compounds\/drugs\/drug combinations for their ability to improve survival of RAS(G12V)-P53(RNAi)-APC(RNAi) flies. Seven drugs and two drug combinations showed significant ability to rescue. In addition to known drugs, we identified multiple novel compounds developed with our fly\/chemistry approach. Next step: testing these hits on our more complex models.<\/p>\n<p><span style=\"color: #0c71c3\"><strong>Mouse Xenograft Models Respond to Fly-Derived Hits<\/strong><\/span><\/p>\n<p>One of the most interesting Drosophila hits was examined in Patient-Derived Mouse Xenograft (PDX models to examine tumor progression. The ability of APS5-86-2 to rescue tumor progression was striking, especially when benchmarked against standard-of-care regorafenib (Image). This suggests that Drosophila CRC models can be predictive for mammalian efficacy.\u00a0<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_image src=&#8221;https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-content\/uploads\/sites\/265\/2018\/11\/Fly-CRC-for-U54-1.jpg&#8221; _builder_version=&#8221;3.2.2&#8243;]<br \/>\n[\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.2.2&#8243;][et_pb_row custom_margin=&#8221;-5px|||&#8221; _builder_version=&#8221;3.2.2&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.0.47&#8243; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221;][et_pb_text _builder_version=&#8221;3.2.2&#8243;]<\/p>\n<p><span style=\"color: #0c71c3\"><strong>Relevant References<\/strong><\/span><br \/> A Whole Animal Platform to Advance A Clinical Kinase Inhibitor Into New Disease Space. Masahiro Sonoshita, Alex P. Scopton, Peter M-U. Ung, Matthew A. Murray, Lisa Silber, Andres Y. Maldonado, Alexander Real, Avner Schlessinger, Ross L. Cagan, and Arvin C. Dar. Nat Chem Biol. 2018 Mar; 14(3): 291\u2013298. PMID: 29355849<\/p>\n<p>Restraining Network Response to Targeted Cancer Therapies Improves Efficacy and Reduces Cellular Resistance. Das TK, Esernio J, Cagan RL. Cancer Res. 2018 Aug 1;78(15):4344-4359. doi: 10.1158\/0008-5472.CAN-17-2001. Epub 2018 May 29. PMID: 29844121<\/p>\n<p>KIF5B-RET Oncoprotein Signals through a Multi-kinase Signaling Hub.<br \/> Das TK, Cagan RL. Cell Rep. 2017 Sep 5;20(10):2368-2383. doi: 10.1016\/j.celrep.2017.08.037. PMID: 28877471<\/p>\n<p>Drosophila Cancer Models Identify Functional Differences between Ret Fusions. Sarah Levinson, Ross L.Cagan. Cell Reports 16, Issue 11, 3052-3061. https:\/\/doi.org\/10.1016\/j.celrep.2016.08.019<\/p>\n<p>Functional exploration of colorectal cancer genomes using Drosophila. Erdem Bangi, Claudio Murgia, Alexander G.S. Teague, Owen J. Sansom &amp; Ross L. Cagan. 2016 Nature Communications DOI: 10.1038\/ncomms13615<\/p>\n<p>Breast Imaging in the Era of Big Data: Structured Reporting and Data Mining<br \/> Laurie R. Margolies, Gaurav Pandey, Eliot R. Horowitz and David S. Mendelson. American Journal of Roentgenology. 2016;206: 259-264. 10.2214\/AJR.15.15396<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;3.2.2&#8243;][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Colorectal Cancer Challenge Colorectal cancer (CRC) remains the second leading cause of cancer mortality in the United States. Despite an increasing number of therapeutic options for CRC patients, those diagnosed with metastatic disease (mCRC) have a five year survival rate of 11%. Further, toxicities from targeted therapies are substantial: for example, most approved therapies inhibit [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-100","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/pages\/100","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/comments?post=100"}],"version-history":[{"count":15,"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/pages\/100\/revisions"}],"predecessor-version":[{"id":284,"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/pages\/100\/revisions\/284"}],"wp:attachment":[{"href":"https:\/\/labs.icahn.mssm.edu\/rosscaganlab\/wp-json\/wp\/v2\/media?parent=100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}