High-throughput screening of extracts from plants, marine, and micro-organisms led to the identification of the extract from the plant Phyllanthus engleri as the most potent inhibitor of EWS-FLI1 induced luciferase reporter expression. Testing of compounds isolated from this extract in turn led to the identification of Englerin A (EA) as the active constituent of the extract. EA induced both necrosis and apoptosis in Ewing cells subsequent to a G2M accumulation of cells in the cell cycle. It also impacted clonogenic survival and anchorage-independent proliferation while also decreasing the proportion of chemotherapy-resistant cells identified by high ALDH activity. EA also caused a sustained increase in cytosolic calcium levels. EA appears to exert its effect on Ewing cells through a decrease in phosphorylation of EWS-FLI1 and its ability to bind DNA. This effect is mediated, at least in part, through a decrease in the levels of the calcium-dependent protein kinase PKC-I after a transient up-regulation.The hallmark that defines the Ewing sarcoma family of tumors is the presence of non-random chromosomal rearrangements between the Ewing sarcoma breakpoint region 1 gene (EWS) 2 located on chromosome 22q12 and genes of the E26 transformation-specific sequence (ETS) family of transcription factors. Reciprocal chromosomal translocations, t(11; 22) (q24;q12), that result in the fusion of the transactivational domain of EWS and the DNA binding domain of FLI1, an ETS transcription factor, generating the chimeric EWS-FLI1 fusion transcript underlie an overwhelming majority of cases of Ewing sarcoma (1). The disease arises in less than 3 per million people under the age of 20, with 90% of all cases being found in patients between 5 and 25 years of age (2). Prior to the advent of chemotherapy, up to 90% of patients succumbed to the disease when only surgery and/or radiation were used. Current standard treatment constitutes combination chemotherapy along with surgery and/or radiation. This approach has had a positive impact on event-free survival and overall survival. However, in 27% of patients diagnosed with localized disease, this treatment modality still fails to improve overall survival (3). Furthermore, 15-25% of patients present with metastases upon diagnosis and the cure rate among this group is below 20% (4). Overall the long-term cure rate in children and adolescents with Ewing sarcoma still remains under 60% (5). Various reports show the aberrant transcription factor EWS-FLI1 is a key contributor in the tumorigenesis and progression of Ewing sarcoma (6, 7). The discovery of molecules that modulate its activity are expected to not only provide a better understanding of the biology behind the disease but are also expected to lead to the development of chemotherapeutic agents targeting the disease. Herein we describe results from a mode-of-action study undertaken using a compound identified as an inhibitor from a plant extract in a primary high-throughput screen (HTS).
Experimental ProceduresReagents-Synthetic EWS-...