# Patent

## Title
Targeting the EGFR-SGLT1 interaction for cancer therapy

## Abstract

A compound can destabilize an epidermal growth factor receptor (EGFR) protein and a sodium/glucose co-transporter 1 (SGLT 1) protein. In one embodiment, the compound is a peptide derived from the interacting domain of EGFR. In another embodiment, the peptide is administered to a patient to treat cancer.

## Background
CROSS-REFERENCES TO RELATED APPLICATIONS
This application is a divisional of U.S. nonprovisional application Ser. No. 14/273,375 filed on May 8, 2014, which claims priority to U.S. provisional application No. 61/821,028 filed on May 8, 2013, both of which are herein incorporated by reference in their entireties.


GOVERNMENT SPONSORSHIP
American Cancer Society (RSG-09-206-01)
Department of Defense Prostate Cancer Research Program (W91ZSQ8334N607)


BACKGROUND
Epidermal growth factor receptor (EGFR) is a receptor tyrosine kinase that is over-active/over-expressed in the majority of cancers of epithelial origin (Hynes N E, et al., ERBB receptors and cancer: the complexity of targeted inhibitors, Nature Reviews Cancer, 5(5):341-354 (2005)). Inhibition of the tyrosine kinase activity of EGFR has been the principle strategy of EGFR based cancer therapies. However, targeting EGFR by small molecule inhibitors of receptor tyrosine kinase has not produced satisfactory therapeutic efficacy. The general response rates are between 10-20% across a variety of human malignancies (Weiss J., First line erlotinib for NSCLC patients not selected by EGFR mutation: keep carrying the TORCH or time to let the flame die? Transl. Lung Cancer Res., 1(3):219-223 (2012); Cohen S J, et al., Phase II and pharmacodynamic study of the farnesyltransferase inhibitor R115777 as initial therapy in patients with metastatic pancreatic adenocarcinoma, J. Clinical Oncology, 21(7):1301-1306 (2003); Dancey J E, et al., Targeting epidermal growth factor receptor—are we missing the mark?, Lancet 362(9377):62-64 (2003)). In other words, there is major population of cancer patients that do not respond to EGFR tyrosine kinase inhibitors. For example, although EGFR is over-expressed in more than 80% of late stage prostate cancers and negatively correlates with prognosis, prostate cancer is resistant to EGFR inhibitors (Hernes E., et al., Expression of the epidermal growth factor receptor family in prostate carcinoma before and during androgen-independence, British J. Cancer, 90(2):449-454 (2004); Pu Y S, et al., Epidermal growth factor receptor inhibitor (PD168393) potentiates cytotoxic effects of paclitaxel against androgen-independent prostate cancer cells, Biochemical Pharmacology, 71(6):751-760 (2006); Sherwood E R, et al., Epidermal growth factor-related peptides and the epidermal growth factor receptor in normal and malignant prostate, World J. Urology, 13(5):290-296 (1995); Zellweger T., et al., Expression patterns of potential therapeutic targets in prostate cancer, International J. Cancer, 113(4):619-628 (2005); Canil C M, et al., Randomized phase II study of two doses of gefitinib in hormone-refractory prostate cancer: a trial of the National Cancer Institute of Canada—Clinical Trials Group, J. Clinical Oncology, 23(3):455-460 (2005); Gross M, et al., A phase II trial of docetaxel and erlotinib as first-line therapy for elderly patients with androgen-independent prostate cancer, BMC Cancer 7:142 (2007)).
Evidence indicates that EGFR possesses tyrosine kinase independent functions. For example, EGFR knockout animals die soon after birth (Threadgill D W, et al., Targeted disruption of mouse EGF receptor: effect of genetic background on mutant phenotype, Science, 269(5221):230-234 (1995). However, mice with severely compromised EGFR tyrosine kinase activity are completely viable and display only some epithelial defects (Luetteke N C, et al., The mouse waved-2 phenotype results from a point mutation in the EGF receptor tyrosine kinase, Genes & Development, 8(4):399-413 (1994)). As another example, both a wild type and a kinase-dead EGFR enhanced the survival of EGFR negative 32D hematopoietic cells (Ewald J A, et al., Ligand- and kinase activity-independent cell survival mediated by the epidermal growth factor receptor expressed in 32D cells, Experimental Cell Research 282(2):121-131 (2003). It has also been discovered that EGFR participates in the maintenance of basal intracellular glucose level of cancer cells by interacting with and stabilizing the sodium-glucose co-transporter 1 (SGLT1), independent of EGFR tyrosine kinase activity (Weihua Z, et al., Survival of cancer cells is maintained by EGFR independent of its kinase activity, Cancer Cell, 13(5):385-393 (2008)).
SGLT1 is an active glucose transporter that relies on extracellular sodium concentration to transport glucose into cells independent of glucose concentration (Wright E M, et al., Biology of human sodium glucose transporters, Physiological Reviews, 91(2):733-794 (2011). SGLT1 plays a critical role in glucose absorption and retention in the body (Castaneda-Sceppa C, et al., Sodium-dependent glucose transporter protein as a potential therapeutic target for improving glycemic control in diabetes, Nutrition Reviews, 69(12):720-729 (2011)). One of the hallmarks of cancer is that cancer cells exhibit altered energy metabolism, i.e. cancer cells consume a substantially higher amount of nutrients and energy substrates than their normal counterparts (Hanahan D, et al., Hallmarks of cancer: the next generation, Cell, 144(5):646-674 (2011). This enhanced energy consumption demands a high rate of nutrients uptake, which is achieved by over-expression of plasma membrane transporters (Ganapathy V, et al., Nutrient transporters in cancer: relevance to Warburg hypothesis and beyond, Pharmacology & Therapeutics 121(1):29-40 (2009). Studies have found that SGLT1 is over-expressed in various types of cancers including ovarian carcinoma, oral squamous cell carcinoma, colorectal cancer, pancreatic cancer, and prostate cancer (Lai B, et al., Overexpression of SGLT1 is correlated with tumor development and poor prognosis of ovarian carcinoma, Archives of Gynecology and Obstetrics, 285(5):1455-1461 (2012); Hanabata Y, et al., Coexpression of SGLT1 and EGFR is associated with tumor differentiation in oral squamous cell carcinoma, Odontology/the Society of the Nippon Dental University, 100(2):156-163 (2012); Guo G F, et al., Overexpression of SGLT1 and EGFR in colorectal cancer showing a correlation with the prognosis, Medical Oncology 28 Suppl 1:S197-203 (2011); Casneuf V F, et al., Expression of SGLT1, Bcl-2 and p53 in primary pancreatic cancer related to survival, Cancer Investigation 26(8):852-859 (2008); Blessing A, et al., Sodium/Glucose Co-transporter 1 Expression Increases in Human Diseased Prostate, J. Cancer Sci. Ther. 4(9):306-312 (2012). As an example, late stage prostate cancers express elevated levels of EGFR and uptake a high amount of glucose (Hernes E., et al., Expression of the epidermal growth factor receptor family in prostate carcinoma before and during androgen-independence, British J. Cancer, 90(2):449-454 (2004); Pu Y S, et al., Epidermal growth factor receptor inhibitor (PD168393) potentiates cytotoxic effects of paclitaxel against androgen-independent prostate cancer cells, Biochemical Pharmacology, 71(6):751-760 (2006); Sherwood E R, et al., Epidermal growth factor-related peptides and the epidermal growth factor receptor in normal and malignant prostate, World J. Urology, 13(5):290-296 (1995); Lee S T, et al., PET in prostate and bladder tumors, Seminars in Nuclear Medicine 42(4):231-246 (2012); Oyama N, et al., The increased accumulation of [18F]fluorodeoxyglucose in untreated prostate cancer, Japanese J. Clinical Oncology, 29(12):623-629 (1999)). A better understanding of the functional relationship between EGFR and SGLT1 may lead to identification of novel therapeutic targets for cancer therapy.
Thus, there is need in the art for methods and compositions that can adequately treat cancer cells resistant to EGFR tyrosine kinase inhibitors.



BRIEF DESCRIPTION OF THE DRAWINGS
The foregoing summary, as well as the following detailed description, will be better understood when read in conjunction with the appended drawings. For the purpose of illustration only, there is shown in the drawings certain embodiments. It's understood, however, that the inventive concepts disclosed herein are not limited to the precise arrangements and instrumentalities shown in the figures.
FIG. 1A illustrates a schematic diagram of different constructs of human EGFR, in accordance with embodiments. FIG. 1B illustrates an immunoprecipitation coupled Western blot analysis of interactions between mutated EGFRs and SGLT1, in accordance with embodiments.
FIG. 2A illustrates a Western blot analysis of expression levels of SGTL1 in HEK293 cells co-transfected with the WT-EGFR, the KD-EGFR and the ΔAutophos-EGFR, in accordance with embodiments. FIG. 2B illustrates a densitometric quantification of bands in the Western blot of FIG. 2A, in accordance with embodiments. FIG. 2C illustrates a Western blot analysis of the effect of a proteasome inhibitor MG132 on the down-regulation of SGLT1 by ΔAutophos-EGFR, in accordance with embodiments. FIG. 2D illustrates a densitometric quantification of bands in the Western blot of FIG. 2C, in accordance with embodiments.
FIG. 3A illustrates an immunoprecipitation coupled Western blot analysis of interactions between EGFR-HA and SGLT1-Flag in HEK293 cells treated with EGF or AEE788, in accordance with embodiments. FIG. 3B illustrates immunoprecipitation coupled Western blot analysis of interactions between endogenous EGFR and SGLT1 in PC3 cells treated with EGF or AEE788, in accordance with embodiments.
FIG. 4A illustrates co-localization of SGLT1 and EGFR in prostate cancer tissues from a prostate cancer tissue array, in accordance with embodiments. FIG. 4B illustrates a Western blot analysis of expressions of endogenous EGFR and SGLT1 in PC3 and LNCaP cells, in accordance with embodiments. FIG. 4C illustrates an MTT assay showing the effect of inhibition of SGLT1 on the growth inhibitory effect of Gefitinib and Erlotinib on PC3 cells, in accordance with embodiments. FIG. 4D illustrates an MTT assay showing the effect of inhibition of SGLT1 on the growth inhibitory effect of Gefitinib and Erlotinib on LNCaP cells, in accordance with embodiments.
FIG. 5A illustrates disruption of EGFR-SGLT1 interaction by small molecules of peptides to destabilize both proteins, in accordance with embodiments. FIG. 5B illustrates that treatment of PC3 cells with an EGFR-SGLT1 disrupting peptide (MTG-01) significantly down-regulates EGFR and SGLT1 proteins, in accordance with embodiments.
FIG. 6 illustrates the viability of cancerous PC3, Du145, HCT116, and MDA-MB-231 cells and treatment of non-cancerous HEK293 cells when treated with MTG-01, in accordance with embodiments.



SUMMARY
A summary of certain embodiments disclosed herein is set forth below. It's understood that this section is presented merely to provide the reader with a brief summary of certain embodiments and that these descriptions are not intended to limit this application's scope. Indeed, this disclosure may encompass a variety of embodiments that may not be set forthherein.
The present application discloses methods and compositions for treating cancer. In one embodiment, a compound destabilizes a binding interaction between an epidermal growth factor receptor (EGFR) and a sodium/glucose co-transporter 1 (SGLT 1). In another embodiment, the compound is a Phlorizin-like compound or a peptide derived from the interacting domain of EGFR.
In an embodiment, a compound that destabilizes the binding interaction between EGFR and SGLT 1 is administered to a subject intratumorally, intravenously, or systemically. The compound may be a Phlorizin-like compound or a peptide derived from the interacting domain of EGFR. In yet another embodiment, the compound may be administered in conjunction with a tyrosine-kinase inhibitor.
DETAILED DESCRIPTION
Before explaining at least one embodiment in detail, it should be understood that the inventive concepts set forth herein are not limited in their application to the construction details or component arrangements set forth in the following description or illustrated in the drawings. It should also be understood that the phraseology and terminology employed herein are merely for descriptive purposes and should not be considered limiting.
It should further be understood that any one of the described features may be used separately or in combination with other features. Other invented systems, methods, features, and advantages will be or become apparent to one with skill in the art upon examining the drawings and the detailed description herein. It's intended that all such additional systems, methods, features, and advantages be protected by the accompanying claims.
All references cited in this application are incorporated by reference in their entirety.
Over-expression of epidermal growth factor receptor (EGFR) is associated with poor prognosis in malignant tumors. Sodium/glucose co-transporter 1 (SGLT1) is an active glucose transporter that is over-expressed in cancers including prostate cancer. It has been found that EGFR interacts with and stabilizes SGLT1 in cancer cells.
As explained in extensive detail below, the following embodiments have been identified in this application:

    
    
        the critical micro-domain of EGFR that is required for its sufficient interaction with and mutual stabilization with SGLT1;
        the effects of activation/inactivation of EGFR on EGFR-SGLT1 interaction;
        the measured expression of EGFR and SGLT1 in prostate cancer tissues and cell lines;
        the effect of inhibition of SGLT1 on the sensitivity of prostate cancer cells to EGFR tyrosine inhibitors;
        the amino acid sequence of a synthesized peptide, ESD-01;
        the effect of ESD-01 on the stability of EGFR and SGLT1 proteins in cancer cells; and
        the effects of ESD-01 on survivability of non-cancer cells (HEK293) and several types of cancer cells cultured in vitro.
        the ESD-01 peptide made of either L-amino acids or D-amino acids are equally effective in killing cancer cells in vitro.
    
    


In one embodiment, the autophosphorylation region (978-1210 amino acids) of EGFR is required for its sufficient interaction with SGLT1. This interaction is independent of EGFR's tyrosine kinase activity. Most importantly, in another embodiment, the EGFR-SGLT1 interaction is irresponsive to EGFR tyrosine kinase modulators (EGF and tyrosine kinase inhibitors). In yet another embodiment, EGFR and SGLT1 co-localize in prostate cancer tissues. In still another embodiment, inhibition of SGLT1 by a SGLT1 inhibitor (Phlorizin) sensitizes prostate cancer cells (PC3 and LNCaP) to EGFR inhibitors (Gefitnib and Erlotinib). In a further embodiment, ESD-01 (SEQ ID NO: 001) destabilizes the EGFR-SGLT1 interaction. All of this data suggests that EGFR in cancer cells can exit in two types of statuses—a tyrosine kinase modulator responsive status and an irresponsive status. Therefore, in an embodiment, SGLT1 is a protein involved in EGFR's functions that are irresponsive to EGFR tyrosine kinase inhibitors, and the EGFR-SGLT1 interaction may be a novel target for prostate cancer therapy.
EGFR Protein Region Required for Interaction with SGLT1
In one embodiment, to determine the EGFR protein region required for its interaction with SGLT1, a flag tagged SGLT123 and HA tagged EGFRs having a variety of mutations may be created (Blessing A, et al., Sodium/Glucose Co-transporter 1 Expression Increases in Human Diseased Prostate, J. Cancer Sci. Ther. 4(9):306-312 (2012)). FIG. 1A, by way of example only, illustrates a schematic diagram of human EGFR constructs that may be used to determine the EGFR protein region required for its interaction with SGLT1. For example, in some embodiments, the constructs may include: wild type EGFR (“WT”); kinase dead EGFR (R817M) (“KD”) (SEQ ID NO: 012); transmembrane domain deletion (645-670aa) (“ΔTM”) (SEQ ID NO: 013); extracellular domain deletion (1-644aa) (“ΔExtra”) (SEQ ID NO: 014); intracellular domain deletion (671-1210aa) (“ΔIntra”) (SEQ ID NO: 015); tyrosine kinase domain deletion (670-977aa) (“ΔTK”) (SEQ ID NO: 016); or autophosphorylation domain deletion (978-1210aa) (“ΔAutophos”) (SEQ ID NO: 017).
In an embodiment, the flagged SGLT1 and above identified HA tagged EGFRs can be transiently co-transfected into HEK293 cells. In another embodiment, SGLT1 can be immunoprecipitated using anti-flag antibodies. In yet another embodiment, Western blot analyses may be performed for HA tagged EGFRs. FIG. 1B, by way of example only, illustrates a Western blot analysis of interactions between mutated EGFRs and SGLT1, where IP=immunoprecipitation, IB=Immunoblot, and Input=expression levels of indicated exogenous proteins in HEK293 whole cell lysates used for the immunoprecipitation. As shown in FIG. 1B, deletion of the entire intracellular domain or the autophosphorylation domain of EGFR substantially diminishes its interaction with SGLT1. In one embodiment, the autophosphorylation domain of EGFR is required for its sufficient interaction with SGLT1.
Previously, using EGFR's extracellular domain and an intracellular domain that does not contain the EGFR TM domain, it was discoverred that the extracellular domain of EGFR interacted with SGLT1 better than its intracellular domain (Weihua Z, et al., Survival of cancer cells is maintained by EGFR independent of its kinase activity, Cancer Cell 13(5):385-393 (2008)). In an embodiment, to further characterize the EGFR-SGLT1 interaction at the plasma membrane, the TM domain may be included into the constructs of truncated EGFRs. In one embodiment, the TM containing intracellular domain of EGFR, especially the autophosphorylation domain, interacts more strongly with SGLT1 than its extracelluar domain. The discrepancy between this embodiment and the data shown in the previous report is very likely due to the lack of TM domain in the intracellular domain construct used in the previous study.
EGFR's Autophosphorylation Domain Required to Prevent Proteasome-Mediated SGLT1 Degradation
In an embodiment, to determine whether the autophosphorylation domain of EGFR is required to sustain the stability of SGLT1, the expression level of SGLT1 co-transfected with the WT-EGFR, the KD-EGFR, and the ΔAutoPhos-EGFR into HEK293 cells may be measured. For example, FIG. 2A, by way of example only, illustrates a Western blot analysis of expression levels of SGTL1 in HEK293 cells co-transfected with the WT-EGFR, the KD-EGFR and the ΔAutophos-EGFR. The same amounts of DNA plasmids of SGLT1 and EGFRs may be used in each group of treatments. Furthermore, control cells can be transfected with the same amount of DNA of the empty vector. Actin may be used as loading control. FIG. 2B, by way of example only, illustrates a densitometric quantification of bands in the Western blot of FIG. 2A. Asterisk marks indicate statistical significance between the linked representative groups from triplicate experiments.
As shown in FIGS. 2A-2B, in one embodiment, the level of SGLT1 in the WT-EGFR and the KD-EGFR transfected cells is much higher than that in the control vector or ΔAutoPhos-EGFR transfected cells. In another embodiment, the autophosphorylation domain of EGFR can maintain the expression level of SGLT1. In still another embodiment, the level of SGLT1 in the ΔAutoPhos-EGFR transfected cells is significantly lower than that of the control cells. In yet another embodiment, the loss of SGLT1 interaction with EGFR can promote down-regulation of SGLT1.
In an embodiment, to determine whether proteasome is involved in loss of interaction with EGFR induced down-regulation of SGLT1, SGLT1 and ΔAutoPhos-EGFR co-transfected HEK293 cells can be treated with a proteasome inhibitor, such as but not limited to MG231. For example, FIG. 2C illustrates a Western blot analysis of the effect of a proteasome inhibitor MG132 on the down-regulation of SGLT1 by ΔAutophos-EGFR. Actin may be used as a loading control. FIG. 2D, by way of example only, illustrates a densitometric quantification of bands in the Western blot of FIG. 2C. Asterisk marks indicate statistical significance between the linked representative groups from triplicate experiments.
As shown in FIGS. 2C-2D, by way of example only, in one embodiment MG231 can inhibit the down-regulation of SGLT1 in ΔAutoPhos-EGFR transfected cells. In another embodiment, the proteasome machinery is involved in the loss of interaction with EGFR induced SGLT1 down-regulation. In other words, proteasomes may cause the ultimate degradation of SGLT1 when the EGFR-SLGT1 interaction is compromised. In yet another embodiment, the proteasome machinery may be a potential therapeutic target alone or in combination with the EGFR-SLGT1 interaction.
In one embodiment, deleting the SGLT1 interacting domain in EGFR promotes the down-regulation of SGTL1 via the proteasome machinery. In another embodiment, this disruption of the EGFR-SGLT1 interaction in EGFR positive cancer cells can lead to down-regulation of SGLT1. Furthermore, previous data shows that knocking down SGLT1 by shRNA results in autophagic cell death of prostate cancer cells (Weihua Z, et al., Survival of cancer cells is maintained by EGFR independent of its kinase activity, Cancer Cell 13(5):385-393 (2008). In an embodiment, the EGFR-SGLT1 interaction can be a significant target to improve EGFR based therapy for cancer.
EGFR-SGLT1 Interaction is Irresponsive to EGFR Tyrosine Kinase Inhibitors
In an embodiment, the effects of EGFR tyrosine kinase inhibitors on EGFR's interaction with SGLT1 can be determined. In an embodiment, WT-EGFR and SGLT1 co-transfected HEK293 cells can be treated with either EGF or an EGFR tyrosine kinase inhibitor, AEE788. SGLT1 may be immunoprecipitated, and the levels of EGFR that were co-immunoprecipitated with SGLT1 can be measured. For example, FIG. 3A, by way of example only, illustrates an immunoprecipitation coupled Western blot analysis of interactions between EGFR-HA and SGLT1-Flag in HEK293 cells treated with EGF or AEE788, where EGFR=total EGFR, pEGFR=phosphorylated EGFR, IP=immunoprecipitation, IB=immunoblot, and Input=expression levels of indicated exogenous proteins in HEK293 whole cell lysates used for the immunoprecipitation. As shown in FIG. 3A, in one embodiment, neither EGF nor AEE788 significantly affects the EGFR-SGLT1 interaction. In yet another embodiment, the EGFR that co-precipitates with SGLT1 is not phosphorylated.
In one embodiment, to determine the effects of EGF and AEE788 on endogenous EGFR-SGLT1 interaction and the phosphorylation status of endogenous EGFR that interacts with SGLT1, endogenous SGLT1 of PC3 cells treated with EGF or AEE788 may be immunoprecipitated. In another embodiment, the phosphorylation status of the EGFR co-precipitated with SGLT1 can be measured. By way of example only, FIG. 3B illustrates an immunoprecipitation coupled Western blot analysis of interactions between endogenous EGFR and SGLT1 in PC3 cells treated with EGF or AEE788. In an embodiment, neither EGF nor AEE788 affect the EGFR-SGLT1 interaction. In yet another embodiment, the endogenous SGLT1 interacting EGFR is not phosphorylated. In still another embodiment, the EGFR-SGLT1 interaction is irresponsive to modulators of EGFR's tyrosine kinase activity. In yet a further embodiment, EGFR can be targeted for cancer therapy at its non-kinase functionality, including but not limited to its interaction with SGLT1.
It has been well documented that, upon phosphorylation of tyrosines within the autophosphorylation domain of EGFR, the autophosphorylation domain serves as a major docking site for recruitment of adaptor/effector proteins that transactivate downstream signaling (Bazley L A, et al., The epidermal growth factor receptor family, Endocrine-Related Cancer, 12 Suppl 1:S17-27 (2005)). Based on the results of FIG. 3A, in an embodiment, the EGFR-SGLT1 interaction is independent of EGFR activation/inactivation. The autophosphorylation domain of EGFR functions as a protein-protein interacting domain independent of EGFR's tyrosine kinase activity. In one embodiment, EGFR possesses pro-survival functions independent of its tyrosine kinase activity. For example, EGFR can exist in two types of statuses—a tyrosine kinase responsive status and a tyrosine kinase irresponsive status. Upon activation by EGFR's ligands, the autophosphorylation domain of the kinase responsive EGFR can be phosphorylated and can recruit effectors to trigger downstream signals. Alternatively, the kinase irresponsive EGFR may constantly interact with proteins regardless of the presence of EGFR ligands, and regardless of activation or inactivation of its tyrosine kinase. In yet another embodiment, SGLT1 may be one of such proteins that bind to and keep EGFRs in their kinase irresponsive status. In yet another embodiment, the non-phosphorylated autophosphorylation domain of EGFR may be used as a tool for identifying therapeutic targets.
Inhibition of SGLT1 by SGLT1 Inhibitor Sensitizes Prostate Cancer Cells to EGFR Inhibitors
In an embodiment, to determine the clinical relevance of the EGFR-SGLT1 interaction, immunofluorescent co-staining of EGFR and SGLT1 on a tissue microarray of prostate cancers (n=44) may be performed. For example, FIG. 4A, by way of example only, illustrates the results of three representative prostate cancer tissues from a prostate cancer tissue array. In an embodiment, SGLT1 (green) and EGFR (red) may be co-localized in the prostate tissue (e.g., orange or yellow, as indicated by arrows). In another embodiment, stromal cells may be positive for SGLT1, but negative for EGFR (e.g., indicated by arrow heads). In yet another embodiment, in EGFR positive cancer samples (n=41), SGLT1 co-localizes with EGFR in cancer cells, but not stromal cells.
In still another embodiment, the EGFR-SGLT1 interaction may contribute to the pathogenesis of prostate cancer. For example, in an embodiment, the co-localization of EGFR with SGLT1 in prostate cancer tissues can indicate that the EGFR-SGLT1 interaction is cancer relevant. Currently, at the clinic, EGFR tyrosine kinase inhibitors have not yet shown satisfactory therapeutic effects for prostate cancer (Canil C M, et al., Randomized phase II study of two doses of gefitinib in hormone-refractory prostate cancer: a trial of the National Cancer Institute of Canada-Clinical Trials Group, J. Clinical Oncology, 23(3):455-460 (2005); Gross M, et al., A phase II trial of docetaxel and erlotinib as first-line therapy for elderly patients with androgen-independent prostate cancer, BMC Cancer 7:142 (2007)). In one embodiment, considering the fact that EGFR expression correlates with disease progression of prostate cancer and the clinical unresponsiveness of prostate cancers to EGFR tyrosine kinase inhibitors, EGFR may contribute to the disease progression of prostate cancer independent of its tyrosine kinase activity. Additionally, previous findings conclude that (1) prostate cancer tissues have increased expression of SGLT1,23 (2) a loss of EGFR protein but not its tyrosine kinase activity sensitized prostate cancer cells to chemotherapeutic agent,29 and (3) a loss of EGFR induced autophagic cell death was mediated by down-regulation of SGLT1 protein (Blessing A, et al., Sodium/Glucose Co-transporter 1 Expression Increases in Human Diseased Prostate, J. Cancer Sci. Ther. 4(9):306-312 (2012); Xu S, et al., Loss of EGFR induced autophagy sensitizes hormone refractory prostate cancer cells to adriamycin, The Prostate. 17:1216-1224 (2011); Weihua Z, et al., Survival of cancer cells is maintained by EGFR independent of its kinase activity, Cancer Cell, 13(5):385-393 (2008)). In yet another embodiment, EGFR can promote prostate cancer progression via stabilizing SGLT1 to sustain the high demand of glucose of late stage cancer cells. This embodiment is not only supported by all the embodiments described herein, but is also supported by past data that over-expression of SGLT1 prevented renal epithelial cells and intestinal epithelial cells from apoptosis (Ikari A, et al., Sodium-dependent glucose transporter reduces peroxynitrite and cell injury caused by cisplatin in renal tubular epithelial cells, Biochimica et Biophysica Acta 1717(2):109-117 (2005); Yu L C, et al., SGLT-1-mediated glucose uptake protects human intestinal epithelial cells against Giardia duodenalis-induced apoptosis, International journal for parasitology 38(8-9):923-934 (2008)).
It is well known that an increase in glucose levels can activate EGFR, that SGLT1 is over-expressed in prostate cancer tissues, and that prostate cancer is resistant to EGFR inhibitors. (Han L, et al., High glucose promotes pancreatic cancer cell proliferation via the induction of EGF expression and transactivation of EGFR, PloS One 6(11):e27074 (2011); Blessing A, et al., Sodium/Glucose Co-transporter 1 Expression Increases in Human Diseased Prostate, J. Cancer Sci. Ther. 4(9):306-312 (2012); Canil C M, et al., Randomized phase II study of two doses of gefitinib in hormone-refractory prostate cancer: a trial of the National Cancer Institute of Canada-Clinical Trials Group, J. Clinical Oncology, 23(3):455-460 (2005); Gross M, et al., A phase II trial of docetaxel and erlotinib as first-line therapy for elderly patients with androgen-independent prostate cancer, BMC Cancer 7:142 (2007)). In an embodiment, SGLT1 and EGFR can synergistically promote prostate cancer growth. In one embodiment, to test whether inhibition of SGLT1 can sensitize prostate cancer cells to EGFR inhibitors, prostate cancer cell lines (e.g., PC3 and LNCaP (both positive for EGFR and SGLT1)), may be treated with EGFR tyrosine kinase inhibitors (e.g., Gefitnib, Erlotinib, Icontinib, Mubritinib, Vandertanib, Lapatinib, Pelitinib, Canertinib, Neratinib, Afatinib and Dacomitinib.) in the presence/absence of an SGLT1 inhibitor (e.g., phlorizin, and phlorizin derivatives, such as Canagliflozin and Dapagliflozin) (Ehrenkranz J R, et al., Phlorizin: a review, Diabetes/Metabolism Research and Reviews 21(1):31-38 (2005)). In one embodiment, the growth inhibitory effects of the treatments may be determined. For example, in an embodiment, cells can be treated with the SGLT1 inhibitor phlorizin (50 μM) with/without EGFR inhibitors (Gefitinib, 10 μM; Erlotinib, 10 μM) for 48 hs before being subjected to MTT assay. The OD value of control cells can be artificially set as 1. All experiments may be repeated for at least 3 times. Asterisk marks indicate statistical significances between linked groups.
FIG. 4B, by way of example only, illustrates a Western blot analysis of the expressions of endogenous EGFR and SGLT1 in PC3 and LNCaP cells. In one embodiment, breast and colon cancer cells express EGFR and SGLT1. FIG. 4C shows an MTT assay of the effect of inhibition of SGLT1 on the growth inhibitory effect of Gefitinib and Erlotinib on PC3 cells. FIG. 4D shows an MTT assay of the effect of inhibition of SGLT1 on the growth inhibitory effect of Gefitinib and Erlotinib on LNCaP cells. Based on these results, in one embodiment, co-inhibition of SGLT1 and EGFR functions can more effectively inhibit cancer cell growth. In still another embodiment, Phlorizin can significantly sensitize prostate cancer cells to the growth inhibitory effects of Gefitnib and Erlotinib. In an embodiment, Phlorizin or Phlorizin-like compounds can be administered to a patient, intravenously, intratumorally, or systemically, to treat cancer. In still another embodiment, Phlorizin or Phlorizin-like compounds can be administered to a patient in conjunction with tyrosine-kinase inhibitors to treat cancer.
In another embodiment, a peptide can destabilize EGFR and SGLT1 proteins of cancer cells. FIG. 5A, by way of example only, illustrates an embodiment of a peptide, called ESD-01 (SEQ ID NO: 001), which can destabilize EGFR and SGLT1 proteins of cancer cells. In one embodiment, the ESD-01 peptide can be selected from the SGLT1 interacting domain of EGFR. In another embodiment, ESD-01 comprises amino acids 1049-1062 of a human EGFR protein (GenBank: AAH94761.1). In still another embodiment, the effects of ESD-01 on the stability of EGFR and SGLT1 in cultured cells (e.g, PC3, MDA-MB-231, and HCT116 cells) can be determined by Western blot analysis. FIG. 5B, by way of example only, shows that ESD-01 treatment (200 μM for 6 hours) significantly down-regulates EGFR and SGLT1 levels in PC3 cells, which are inhibited by the proteasome inhibitor MG132. In an embodiment, inhibition of SGLT1 and EGFR down-regulation by ESD-01 by MG132 suggests that MTG-01 destabilizes EGFR and SGLT1 via proteolysis. In still another embodiment, the effects of ESD-01 on the survivability of cultured cancer cells (e.g, PC3, MDA-MB-231, and HCT116 cells) can be determined by trypan blue uptake assay. FIG. 6, by way of example only, shows that ESD-01 treatment (100 μM for 24 hours) significantly reduces the survivability of a variety of cancer cells including prostate cancer PC3 and Du145 cells, breast cancer MDA-MB-231 cells, and colon cancer HCT116 cells. In yet another embodiment, ESD-01 treatment cannot reduce the survivability of non-cancerous HEK293 cells.
It is well known that replacement of amino acids in a protein/peptide with different amino acids having similar chemical properties can generate proteins/peptides with identical functions. In an embodiment, ESD-01 (SEQ ID NO: 001) can be substituted with amino acids having similar chemical properties or any other mutations that will destabilize EGFR and SGLT1 proteins of cancer cells. For example, in one embodiment, the amino acids can be either L-form or D-form chiral isomers. In another embodiment, Serine (S) in ESD-01 can be substituted with Threonine (T), Tyrosine (Y), or any other non-natural hydroxyl containing amino acid (e.g, SEQ ID NO: 002). In yet another embodiment, Threonine (T) in ESD-01 can be substituted with Serine (S), Tyrosine (Y), or any other non-natural hydroxyl containing amino acid (e.g, SEQ ID NO: 003). In still another embodiment, Lysine (K) in ESD-01 can be substituted with Theronine (T) (e.g, SEQ ID NO: 004). In an embodiment, Glutamine (Q) can in ESD-01 can be substituted with Histidine (H) (e.g., SEQ ID NO: 005). In another embodiment, Threonine (T) at position 10 of ESD-01 can be substituted with Alanine (A) (e.g, SEQ ID NO: 006). In yet another embodiment, where the Serine (S) at position 12 of ESD-01 can be substituted with Leucine (L) (e.g, SEQ ID NO: 007). In still another embodiment, the polar positive charged amino acids in ESD-01, Lysine (K) and Histidine (H), can be any other natural and non-natural positively charged amino acid (e.g., SEQ ID NO: 008). In one embodiment, the polar amino acids in ESD-01, Glutamine (Q) and Cysteine (C), can be any other natural and non-natural polar amino acid (e.g., SEQ ID NO: 009). In another embodiment, the Cysteine (C) in ESD-01 can be any other natural and non-natural thiol side chain (—SH) containing amino acid (e.g., SEQ ID NO: 010). In still another embodiment, the nonpolar amino acids in ESD-01, Leucine (L), Valine (V), and Tryptophan (W), can be any other natural and non-natural nonpolar amino acids (e.g., SEQ ID NO: 011).
It's understood that the above description is intended to be illustrative, and not restrictive. The material has been presented to enable any person skilled in the art to make and use the inventive concepts described herein, and is provided in the context of particular embodiments, variations of which will be readily apparent to those skilled in the art (e.g., some of the disclosed embodiments may be used in combination with each other). Many other embodiments will be apparent to those of skill in the art upon reviewing the above description. The scope of the invention therefore should be determined with reference to the appended claims, along with the full scope of equivalents to which such claims are entitled. In the appended claims, the terms “including” and “in which” are used as the plain-English equivalents of the respective terms “comprising” and “wherein.”
EXAMPLES
Cells and Reagents.
HEK293 cell line, prostate cancer cell line PC3, LNCaP, Du145, MDA-MB-231, and HCT116 cells were originally obtained from the American Type of Culture Collection (ATCC) and maintained in DMEM supplemented with 10% fetal bovine serum and 1% Penicillin/Streptomycin under 5% CO2 at 37° C. Mouse anti-Flag-tag antibody (F1804), proteasome inhibitor MG231, and phlorizin dihydrate were obtained from Sigma-Aldrich (St. Louis, Mo.). AEE788, Gefitinib, and Erlotinib were obtained from Selleckchem (Houston, Tex.). Antibody against pEGFR (Y1173) (cat. no. 2434L) was obtained from Cell Signaling (Danvers, Mass.). Monoclonal antibody against C225 was obtained from Dr. Lee Elis (M.D. Anderson Cancer Center). Rabbit anti-actin (cat. no. sc-7210), rabbit anti-HA-tag antibody (sc-805), secondary antibodies against rabbit and mouse labeled with horseradish peroxidase, and protein A/G conjugated agarose beads (cat. no. sc-2003) were obtained from Santa Cruz Biotechnology (Santa Cruz, Calif.). MTT kit (cat.no.30-1010K) was obtained from ATCC. The plasmid expressing flag tagged human SGLT1 and the rabbit anti-human-SGLT1 polyclonal antibodies for immunohistochemical analysis (SGLT1-IHC) and Western blotting analysis (SGLT1-WB) have been previously described (Blessing A, et al., Sodium/Glucose Co-transporter 1 Expression Increases in Human Diseased Prostate, J. Cancer Sci. Ther. 4(9):306-312 (2012)).
Plasmid Constructions.
Human wild type EGFR was cloned into a pcDNA3.1 vector (Clontech, CA), which was used as a parental vector to generate all the other EGFR constructs. The pRK5 expression plasmid (Clontech, CA) with a c-terminal HA tag was used for the constructions of all HA tagged EGFRs. The full-length human EGFR was amplified with a forward primer EGFR-F (ATTCTCGAGCGGGGAGCAGCGATG) and a reverse primer EGFR-R (CCTAAGCTTTGCTCCAATAAATTCACTG). DNA fragments were digested by Xho I and Hind III and cloned into the corresponding sites of the pRK5 vector. Primers for cloning the EGFR with extracellular domain deletion (ΔExtra, 1-644aa) are ΔExtra-F: ATTCTCGAGATGTCC ATCGCCACTGGGATG and ΔExtra-R: CCTAAGCTTTGCTCCAATAAATTCACTGC; primers for intracellular deletion (ΔIntro, 671-1210 aa) are ΔIntra-F: TATCTCGAGATGCGACCCTCCGGGACGGC and ΔIntra-R: CCTAAGCTTCC TTCGCATGAAGAGGCC; primers for autophosphorylation domain deletion (ΔAutophos, 978-1210aa) are ΔAutophospho-F: ATTCTCGAGATGTCCATCGCCACTGGGATG and ΔAutophospho-R: CCTAAGCTTGTAGCGCTGGGGGTCTCGG; primers for intracellular domain deletion (645-1210aa) are ΔIntra-F: TATCTCGAGATGCGACCCTCCGGGACGGC and ΔIntra-R: CCTAAGCTTCCTTCGCATGAAGAGGC. The kinase dead mutant of EGFR (KD-EGFR, R817M), transmembrane domain deletion (ΔTM, 645-670aa), and tyrosine kinase domain deletion (ΔTK, 670-977aa) plasmids were constructed from pRK5-WT-EGFR-HA by site-directed mutagenesis using the QuikChange Lightning Site-Directed Mutagenesis Kit (Agilent, CA) according to the manufacturer's protocol. The primers were: KD-EGFR-F: GCACCGCGACCTGGCAGCC ATGAACGTACTGGTGAAAACACC and KD-EGFR-R: GGTGTTTTCACCAGTACGTTCATGGCTGCCA GGTCGCGGTGC; ΔTM-F: CGAGACCCCCAGCGCTACCGGACTCCCCTCCTGAGC and ΔTM-R: CGAGACCCCCAGCGCTACCGGACTCCCCTCCTGAGC; ΔTK-F: CGCTGCGGAGGCTGCTGCAGTAC CTTGTCATTCAGGGGG and ΔTK-R: CCCCCTGAATGCAAGGTACTGCAGCAGCCTCCGCAGCG. All of the constructs yielded fusion proteins with a C-terminal HA tag. All plasmids were confirmed by sequencing.
Transient Transfection and Immunoprecipitation.
HEK293 cells were transfected with plasmids expressing flagged SGLT1 alone or with indicated HA tagged EGFR constructs. After 24 hours of transfection, cells were washed in 1× phosphate buffered solution and lysed with RIPA buffer (50 mM Tris-HCl, pH 8.0, with 150 mM sodium chloride, 1.0% Igepal CA-630 (NP-40), 0.5% sodium deoxycholate, and 0.1% sodium dodecyl sulfate), supplemented with a protease inhibitors cocktail for 6 hours on a shaker at 4° C. The cell lysates were then centrifuged for 2 minutes at 12000× rpm. Supernatant were then incubated with sepharose protein A/G beads conjugated with anti-flag or anti-SGLT1 antibody for overnight at 4° C. Samples were then centrifuged and washed with RIPA buffer three times before boiled in Laemmle buffer (Biorad, CA) and subjected to Western blot analysis. To determine the role of EGFR's tyrosine kinase in EGFR-SGLT1 interaction, HEK293 cells were transfected with SGLT1 and wild type EGFR. After 18 h, cells were starved in serum free medium for 6 h before EGF treatment (10 ng/ml), or EGF plus AEE788 (5 μM) for 30-60 min. Control cells were treated with an equal volume of vehicle dimethyl sulfoxide (DMSO). Cell lysates were then subjected to immunoprecipitation as described above.
Western Blot Analysis.
For Western blot (WB) analysis, cells were lysed with RIPA buffer (150 mM NaCl, 50 mM Tris-HCl, pH 7.4, 0.1% SDS, 1% TritonX-100, 1 mM EDTA, 1 mM PMSF, 20 μg/ml aprotinin, 20 μg/ml leupeptin, 20 μg/ml pepstatine, 1% sodium deoxycholate, 1 mM NaF, 1 mM Na3VO4, in H2O). Proteins separated by 8% SDS-PAGE were transferred to PVDF membrane followed by blocking with 5% nonfat dry milk and then incubation with primary antibodies at optimized concentrations for overnight at 4° C. The membranes were washed with 0.1% TBS/T (1×TBS, 0.1% Tween-20) 3 times, each time for 5 min before incubation with secondary antibody for 1 hour at room temperature. Signals were visualized by enhanced chemiluminescence.
Immunofluorescent Co-Staining.
For immunofluorescent co-staining of SGLT1 and EGFR, slides of prostate cancer tissue array were deparrafinated and rehydrated before antigens were retrieved in boiling citrate buffer for 10 min. Cooled tissue slides were then incubated in a blocking solution (5% donkey serum in PBS) for 1 hour at room temperature and then overnight at 4° C. with the rabbit polyclonal antibody against SGLT1 (SGLT1-IHC) (1:200 dilution) and C225 (1:200) in PBS containing 10% donkey serum (Blessing A, et al., Sodium/Glucose Co-transporter 1 Expression Increases in Human Diseased Prostate, J. Cancer Sci. Ther., 4(9):306-312 (2012)). After being washed three times with PBS, tissues were incubated with a mixture of Alexa Fluor 488—conjugated donkey anti-rabbit IgG and Alexa Flour 594—conjugated donkey anti-mouse IgG dissolved in PBS containing 10% donkey serum for 30 minutes at room temperature. The stained samples were then washed three times (5 minutes per wash) with PBS at room temperature. Fluorescence images were captured and analyzed with a confocal microscope (Olympus). Cell nucleus was stained by 4′,6-diamidino-2-phenylindole (DAPI).
Cell Growth Assay.
Cell growth was determined by 3-(4,5-dimethylthiazole-2-yl)-2,5-diphenyltetrazolium Bromide (MTT) assay in 96-well plates according to the protocol provided by the manufacture. Briefly, 5000 cells suspended in 100 μL medium were seeded in each well of a 96-well plate. On the second day, medium was replaced by medium containing Phlozidin (50 μM) and EGFR inhibitors (Iressa: 20 μM; Erlotinib: 20 μM). After 24 or 48 hours incubation with drugs, 10 μL MTT reagents was added to each well and incubated for 4 hours. After removal of the medium, the formazan precipitates in cells were dissolved in 100 μL DMSO. Absorbance was measured by a MultiSkan plate reader (Thermo Fisher Scientific, NC) at 570 nm. Triplicates of sample in each group were used. Cell viability was determined by trypan blue uptake assay. The percentage of live cells were counted in areas (n=3 for each sample) randomly selected under 10× magnificence of triplicates.
Statistical Analysis.
The Student's t test was used to assess the difference in growth of cells treated with EGFR inhibitors in the presence/absence of SGLT1 inhibitor. P values less than 0.05 were defined as having statistical significance.

## Claims

1. A method of treating cancer cells comprising:
identifying a subject having cancer cells that express an epidermal growth factor receptor (EGFR) protein and a sodium/glucose co-transporter 1 (SGLT1) protein;
treating the cancer cells by administering to the subject a peptide capable of destabilizing both EGFR and SGLT1 proteins, wherein the peptide consists of one of SEQ ID NO: 001, SEQ ID NO: 002, SEQ ID NO: 003, SEQ ID NO: 004, SEQ ID NO: 005, SEQ ID NO: 006, SEQ ID NO: 007, SEQ ID NO: 008, SEQ ID NO: 009, SEQ ID NO: 010, and SEQ ID NO: 011.

2. The method of claim 1, further comprising co-administering to the subject a tyrosine-kinase inhibitor with the peptide.

3. The method of claim 1, wherein the peptide is administered to cause the death of cancer cells.

4. The method of claim 1, wherein the cancer cells include at least one of breast cancer cells, prostate cancer cells, and colon cancer cells.

5. The method of claim 2, wherein the tyrosine-kinase inhibitor is at least one of Gefitnib, Erlotinib, Icontinib, Mubritinib, Vandertanib, Lapatinib, Peletinib, Canetinib, Neratinib, Afatinib, and Dacomitinib.

6. The method of claim 1, wherein the cancer cells are at least one of breast cancer cells, prostate cancer cells, colon cancer cells, ovarian cancer cells, oral squamous cancer cells, and pancreatic cancer cells.