SERDs molecules could spur a new class of drugs for breast cancer

Researchers have designed and developed a new class of molecules that use a never-before-known mechanism that may halt or destroy breast cancer tumours, particularly for patients with drug-resistant or dangerously metastatic stages of the disease.

The molecule, developed by Abhishek Sharma, a Chemistry Professor at Stevens Institute of Technology, could potentially add to the arsenal of drugs actively being developed to degrade or inhibit estrogen receptors, proteins inside cells that have been proven to be the single most important target in breast cancer therapy over the last 30 years.

This is a schematic of a fundamentally new molecule can halt the proliferation and growth of breast cancer cells in the lab. Credit Stevens Institute of Technology

“The unique benefit of our compounds is that this is a fundamentally different type of structure that was previously not known to degrade or inhibit estrogen receptors,” said Dr Sharma, “It’s not a tweak of an existing drug; it works in a completely different way.”

Several big pharma companies have invested heavily into developing such drugs, known as selective estrogen receptor degraders, or SERDs, due to the huge market potential and unmet clinical need. However, their approach has focused primarily on modifying the structure of SERDs that were originally discovered decades ago.

The problem: many breast cancer tumours become resistant to these drugs, necessitating more toxic chemotherapies to prevent cancer from relapsing and progressing. SERDs are also difficult to formulate into pills, and treatment requires large, painful injections directly into a patient’s muscles. More recently, drugs in clinical trials have been pulled because of side effects.

Dr Sharma’s team, including cancer biologists and physicians at Memorial Sloan Kettering Cancer Center in New York and at the University of Illinois, wanted to find a better way to treat breast cancer, which afflicts one in eight U.S. women and tens of millions worldwide.

They took a core substance already known to act as a good “homing device” for estrogen receptors and attached it to a series of experimental side-chain compounds known as degrons. Once the homing device attached to the estrogen receptor, the degrons degraded it by way of hijacking a cancer cell’s protein-disposal machinery and routing it to the receptor (a protein).

The team went a step further, synthesizing several variations of the novel compound, each taking weeks to months to design and produce. They then tested more than a dozen of them to see how they interacted with the cancer cells’ estrogen receptors. The new compounds were found to deliver a one-two punch, not only degrading estrogen receptors and inhibiting the signals that cue the cell to grow, but also blocking the hormone estrogen from binding to it. Importantly, the compounds also strongly inhibited the growth and proliferation of breast cancer cells.

“We consider these results to be very promising,” said  Dr Sharma. “This is a novel molecular structure, and several analogues produced excellent early activity.”

Next, the Stevens team will select several of the most promising candidates from the new compounds and develop them into more potent drug candidates to test in mouse models.

The study has been published in the journal ACS Medicinal Chemistry Letters.