  {"id":440,"date":"2021-08-17T14:05:12","date_gmt":"2021-08-17T19:05:12","guid":{"rendered":"https:\/\/uwm.edu\/drug-discovery\/?page_id=440"},"modified":"2026-03-04T10:05:40","modified_gmt":"2026-03-04T16:05:40","slug":"new-and-efficient-therapeutic-targets-for-glioblastoma","status":"publish","type":"page","link":"https:\/\/uwm.edu\/drug-discovery\/projects\/new-and-efficient-therapeutic-targets-for-glioblastoma\/","title":{"rendered":"New and Efficient Therapeutic Targets for Glioblastoma"},"content":{"rendered":"\n<div class=\"uwm-l-row\">\n<div class=\"uwm-l-col\">\n<h2 class=\"wp-block-heading\" id=\"h-development-stage\">Development stage<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Lead Identification<\/li>\n\n\n\n<li>In Vitro Efficacy<\/li>\n\n\n\n<li>In Vitro Efficacy<\/li>\n\n\n\n<li>Brain Targeting<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-health-condition-amp-disease\">Health Condition &amp; Disease<\/h2>\n\n\n\n<figure class=\"aligncenter uwm-c-img--center\"><img loading=\"lazy\" decoding=\"async\" width=\"473\" height=\"320\" src=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/glioblastoma.jpg\" alt=\"Illustration of a human brain highlighting a tumor labeled \u201cGlioblastoma,\u201d overlaid with a mass spectrometry spectrum graph showing multiple peaks and m\/z values.\" class=\"wp-image-442\" srcset=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/glioblastoma.jpg 473w, https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/glioblastoma-300x203.jpg 300w\" sizes=\"auto, (max-width: 473px) 100vw, 473px\" \/><\/figure>\n\n\n\n<p>Glioblastoma is the most aggressive of the glial tumors with palliative therapy as the conventional treatment option having little hope of cure. It is the most common, yet most aggressive of the primary brain tumors. Despite multimodal treatment approaches including surgical removal of tumor, radiotherapy and chemotherapy, overall survival of glioblastoma patients is poor ranging from 15 \u2013 18 months. About <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32290213\/\">10,000 new cases are diagnosed annually<\/a> in the United States alone, wherein <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33842887\/\">only 5% to 13% survive longer than 5 years<\/a>. Several drug development studies for glioblastoma are underway; however, there is no significant improvement in the overall survival of these patients in the last three decades. Even after surgery, radio- and chemotherapy, almost all glioblastoma tumors recur with more resistance to initial therapy. Therapeutically resistant <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5652937\/\">glioblastoma stem-like cells<\/a> (GSC) are hypothesized to cause this inevitable <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26027432\/\">recurrence<\/a>. &nbsp;Hence, development of an efficient drug for the treatment of glioblastoma is highly sought-after. Identifying prognostic biomarkers will potentially advance knowledge about glioblastoma tumorigenesis and enable discovery of more effective therapies.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-drug-lead-identification\">Drug Lead Identification<\/h2>\n\n\n\n<figure class=\"aligncenter uwm-c-img--center\"><img loading=\"lazy\" decoding=\"async\" width=\"662\" height=\"483\" src=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/Glioblastoma-lead-compound.jpg\" alt=\"Diagram of three labeled chemical structures under the title \u201cASAH1 inhibitors.\u201d The compounds shown are Carmofur, ARN14988, and N-Oleoylethanolamine. Each structure is displayed as a line-angle chemical formula representing their molecular configurations.\" class=\"wp-image-443\" srcset=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/Glioblastoma-lead-compound.jpg 662w, https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/Glioblastoma-lead-compound-300x219.jpg 300w\" sizes=\"auto, (max-width: 662px) 100vw, 662px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/uwm.edu\/drug-discovery\/people\/mirza-shama\/\">Dr. Shama Mirza<\/a> and her team performed a <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24803679\/\">comprehensive study of glioblastoma tissues<\/a> for biomarker identification using mass spectrometry-based proteomics. The study revealed more than 600 glioblastoma-specific proteins, and for the first time, that expression of <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29348854\/\">acid ceramidase (ASAH1) is associated with poor prognosis<\/a>. It is found to be overexpressed in glioblastoma patient specimens with short survival compared to long-term survivors and non-neoplastic brain tissues. In addition to patient specimens, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29348854\/\">ASAH1 is over-expressed<\/a> in glioblastoma cell lines and CD133+ GSCs.<\/p>\n\n\n\n<figure class=\"aligncenter uwm-c-img--center\"><img loading=\"lazy\" decoding=\"async\" width=\"975\" height=\"472\" src=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-figure.jpg\" alt=\"Western blot and bar graph showing ASAH1 expression in glioblastoma patient samples. Panel A shows increasing ASAH1 protein levels as patient overall survival (days) decreases, with \u03b2-actin as loading control. The bar graph quantifies relative ASAH1 expression, highest in samples from patients with the shortest survival. Panel B shows Western blots for CD133 and ASAH1 in cell populations labeled 44, 33, 22, and U87MG, with higher CD133 and ASAH1 levels in 33 and 22 compared to 44 and U87MG. Quantification graphs display relative intensity for CD133 and ASAH1.\" class=\"wp-image-445\" srcset=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-figure.jpg 975w, https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-figure-300x145.jpg 300w, https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-figure-768x372.jpg 768w\" sizes=\"auto, (max-width: 975px) 100vw, 975px\" \/><\/figure>\n\n\n\n<p><strong>ASAH1 expression level is negatively correlated with survival.<\/strong>&nbsp;(<strong>A<\/strong>) Upward trending of ASAH1 expression level is seen when comparing patients with high to low overall survival. Western blot of ASAH1 and loading control \u03b2-actin confirms the negative correlation between ASAH1 and survival. Patient characteristics are shown above each lane. Quantitation of Western blot of ASAH1 with ImageJ is displayed as the graph of relative expression level vs survival in days (<em>n<\/em>&nbsp;= 3;&nbsp;<em>p<\/em>&nbsp;&lt; 0.05). (<strong>B<\/strong>) Western blots of GSC cell lines, 22, 33, and 44, and U87MG, cells with CD133 antibody, ASAH1 and \u03b2-actin antibodies indicating overexpression of ASAH1 in CD133+ GSC cell lines.<\/p>\n\n\n\n<p>In vitro studies in Mirza lab demonstrated that <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28445970\/\">ASAH1 inhibition increases cellular ceramide level<\/a> and induces apoptosis. Moreover, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28765947\/\">ASAH1 confers radioresistance<\/a> to glioblastoma cells. All glioblastoma specific cells from U87MG cells and three different patient-derived <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29348854\/\">GSCs were efficiently killed through apoptosis<\/a> by three different ASAH1 inhibitors (Carmofur, ARN14988 and N-oleoylethanolamine), with IC<sub>50<\/sub>s ranging from 11-104 \u00b5M. Moreover, ASAH1 inhibitors have higher targeted effects compared to the standard glioblastoma chemotherapy agent, temozolomide. Thus, ASAH1 is identified as a de novo glioblastoma drug target, specifically targeting GSCs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-in-vitro-efficacy\">In vitro efficacy<\/h2>\n\n\n\n<figure class=\"aligncenter uwm-c-img--center\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"170\" src=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-inhibitor-300x170.jpg\" alt=\"Line graph titled \u201cU87MG\u201d showing percent cell viability over three days of treatment. Three treatments are compared: Arn (60 \u00b5M), Car (60 \u00b5M), and TMZ (100 \u00b5M). Carmofur (Car) reduces viability substantially over time, Arn shows moderate reduction with slight rebound by day 3, and TMZ maintains relatively high viability compared to the ASAH1 inhibitors.\" class=\"wp-image-444\" srcset=\"https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-inhibitor-300x170.jpg 300w, https:\/\/uwm.edu\/drug-discovery\/wp-content\/uploads\/sites\/390\/2021\/08\/ASAH1-inhibitor.jpg 532w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n\n\n\n<p><strong>Glioblastoma cells are highly sensitive to ASAH1 inhibitors: <\/strong>U87MG cells treated with three ASAH1 inhibitors from 0-3 days to demonstrate that ASAH1 inhibitors are highly cytotoxic to U87MG cells while temozolomide has a minimal effect on cell death at 72 hours<strong>. &nbsp;<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ongoing-studies\"><strong>Ongoing studies<\/strong><\/h2>\n\n\n\n<p>Studies are underway to test the <em>in vivo<\/em> efficacy, pharmacokinetic properties, metabolism and brain targeting of the ASAH1 inhibitors (carmofur, ARN14988 and N-OE) in Swiss Webster mice. Tissues collected from the mice will be analyzed using highly sophisticated state-of-the art techniques like multiple reaction monitoring mass spectrometry and matrix-assisted laser\/desorption ionization imaging mass spectrometry. In addition, studies are underway to identify imaging biomarkers using advanced magnetic resonance imaging using diffusion and perfusion imaging in collaboration with Dr. Kathleen Schmainda at the Medical College of Wisconsin.<\/p>\n<\/div>\n\n\n\n<div class=\"uwm-l-col uwm-l-col--4 uwm-l-offset--1\"><div class=\"uwm-block-otp-nav \"><\/div>\n\n<div class=\"content_block\" id=\"custom_post_widget-1571\"><nav aria-label=\"Sidebar\" class=\"uwm-p-navigation-list uwm-p-navigation-list--gold-border \"><div class=\"uwm-p-navigation-list--title\"><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/\">MIDD Research Projects<\/a><\/div><ul><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/novel-treatments-for-asthma-targeting-gabaa-receptors-in-the-lung-2\/\">Novel Treatments for Asthma Targeting GABA(A) Receptors in the Lung<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/ros-activated-prodrugs-for-targeting-triple-negative-breast-cancer\/\">ROS-activated prodrugs for targeting triple-negative breast cancer<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/development-of-new-analgesics-for-neuropathic-pain-2\/\">Development of New Analgesics for Neuropathic pain<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/development-of-a-novel-microtubule-inhibitor-for-cancer-treatment\/\">Development of a Novel Microtubule Inhibitor for Cancer Treatment<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/development-of-brain-penetrant-histone-deacetylase-inhibitors-to-enhances-memory-formation\/\">Development of Brain-Penetrant Histone Deacetylase Inhibitors to Enhances Memory Formation<\/a><\/li><li><a class=\"current\" href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/new-and-efficient-therapeutic-targets-for-glioblastoma\/\"><span aria-current=\"page\">New and Efficient Therapeutic Targets for Glioblastoma<\/span><\/a><\/li><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/direct-acting-antivirals-for-pandemic-prevention\/\">Direct Acting Antivirals for Pandemic Prevention<\/a><\/li><li><a href=\"https:\/\/uwm.edu\/drug-discovery\/projects\/development-of-antibiotic-alternatives-for-disease-management\/\">Development of antibiotic alternatives for disease management<\/a><\/li><\/ul><\/nav><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":396,"featured_media":0,"parent":156,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","uwm_wg_additional_authors":[]},"class_list":["post-440","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - 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