LSD1 Inhibition to Treat T-cell Acute Lymphoblastic Leukemia/Lymphoma
Background
T-cell lymphoblastic leukemia/lymphoma (T-AL/L) is a life-threatening cancer that afflicts children of all ages. Current therapy enables about 85% of pediatric T-AL/L patients to survive, but with life-limiting consequences. For those patients whose disease returns, survival is unlikely. If we are to do better, we need treatments that target the specific mechanisms of T-AL/L cell survival. We have discovered that two proteins, GFI1 and LSD1, work together to enable T-AL/L cell survival. Inhibiting either one of these proteins triggers T-AL/L cell death. We have also found that the GFI1--LSD1 partnership is enhanced by NOTCH, which is the most common driver of T-AL/L development. Our findings suggest the GFI1--LSD1 axis may be an "Achilles' heel" for T-AL/L cells. To test this, we have developed a new drug, SP-2577, that blocks LSD1 function. Our initial studies indicate that T-AL/L cells, even those isolated from patients whose T-AL/L has relapsed, are exquisitely sensitive to SP-2577.
Project Goals
With our proposed experiments, we will confirm that SP-2577 kills T-AL/L cells isolated from patients and transplanted into mice. We will also devise tests that show SP-2577 "hits its target" (LSD1) and may predict which patients will respond to the drug.

