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 PROGRAMA
Presidencia / Chairmen
Peter A. Jones, Carlos Caldas & Manel Esteller
Secretario / Secretary
José A. Gutiérrez Fuentes
Lugar: San Lorenzo de El Escorial, Madrid
Fecha: Marzo / March 16, 17 & 18, 2006
Jueves / Thursday / 16
08:15 Recogida de Acreditaciones / Registration
08:30 Bienvenida / Opening and welcome addresses
Porqué este Simposio / Why this Symposium
Mariano Barbacid. CNIO; Madrid, Spain
José A. Gutiérrez-Fuentes. Fundación Lilly; Spain
08:45

CONFERENCIA DE APERTURA / KEYNOTE ADDRESS
Moderador / Chairperson : Mariano Barbacid

Paul A. Marks. Memorial Sloan-Kette ring Cancer Center; New York, USA.


marks
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Los inhibidores de las deacetilasas de histonas: mecanismo de acción y desarrollo de fármacos anticáncer / Histone Deacetylase Inhibitors: Mechanisms of Action and Development as Anti-Cancer Agents.

Among the most studied epigenetic mechanisms of regulation of gene expression is the acetylation-deacetylation of histone proteins controlled by histone deacetylase (HDAC0 and histone acetyltransferase (HAT) activities. In addition to histones, HDAC targets include transcription factors, proteins regulating cell growth and death pathways and proteins regulating cell migration, angiogenesis and cell adhesion. The mechanisms of action of the HDAC inhibitor (HDACi), SAHA, and related compound discovered in our laboratory. SAHA has been in Phase I/II clinical trials and shown significant anti-cancer activity in patients with hematologic and solid malignancies at well tolerated doses.

Session 1 METILACIÓN DEL ADN, CÉLULAS TUMORALES Y EL METILOMA HUMANO / DNA METHYLATION, CANCER CELLS AND THE HUMAN METHYLOME

Moderador / Chairperson: Juan Carlos Lacal. Instituto de Investigaciones Biomédicas, CSIC, Madrid, Spain
09:30 Peter A. Jones. USC/Norris Comprehensive Cancer Center; Los Angeles, USA



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Alteración del epigenoma en cáncer / How the epigenome gets altered in cancer.

The covalent modification of DNA cytosine residues and associated histone proteins play a major role in the stability and heritability of epigenetic states. These covalent modifications of DNA and proteins interact with the chromatin remodeling apparatus to regulate the interaction of transcription factors with DNA thus contributing to stable patterns of gene expression. CpG islands are usually unmethylated in normal tissues except for genes located on the inactive X-chromosome, imprinted genes and some tissue specific genes. Histones are marked by covalent modifications and we have found that active marks are highly localized to the start sites of human genes. These patterns of modification are altered during the formation of human cancer so that CpG islands become abnormally methylated, histones become modified with repressive marks and we have recently discovered that nucleosomal remodeling occurs, resulting in the silencing of genes. Focal changes such as these often occur in the presence of genomic cytosine hypomethylation and histone hyperacetylation showing a major imbalance in epigenetic programming. Epigenetic silencing can serve as a therapeutic target for epigenetic therapies which seek to reverse silencing and restore more normal gene expression patterns to cancer cells. To date, the focus has mainly been on the reactivation of protein coding genes yet we have found that micro RNAs can also become abnormally silenced in human cancer cells by such chromatin modifications. Reactivating micro RNAs could potentially yield a novel therapeutic strategy in the treatment of cancer.
10:15 Stephen B. Baylin. Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Baltimore, USA



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El papel clave del silenciamiento genético en las etapas más tempranas del cáncer /The key role for epigenetic gene silencing in the earliest stages of neoplasia.

In this presentation, I will express the concept that epigenetic changes, and especially aberrant DNA hypermethylation of key gene promoters, play a critical role in the earliest stages of neoplastic evolution. These changes may, actually, drive such stages even before critical gene mutations emerge through addicting cells to signal pathway abnormalities which foster abnormal clonal cell expansion. A key to understanding why these epigenetic changes arise is to consider the concept of the cancer DNA hypermethylome , including the numbers of genes involved, and programs which might underlie the silencing of such genes. In turn, a key to this understanding relates to defining the chromatin construction of involved gene promoters and the association of these chromatin patterns with the associated DNA methylation. Current data concerning these issues will be discussed
11:00 Café/Coffee
Sesión de Paneles I / Poster Session I
11:30 Manel Esteller. CNIO; Madrid, Spain.



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Epigenética del cáncer: desde el conocimiento al tratamiento / Cancer epigenetics: From knowledge to therapy.

The recognition of epigenetic defects in all types of cancer has represented a revolutionary achievement in cancer research in recent years. DNA methylation aberrant changes (global hypomethylation and CpG island hypermethylation) were among the first events to be recognized. Over recent years, a better understanding of the machinery that connects DNA methylation, chromatin and transcriptional activity, in which histone modifications stand in a key position, has been achieved. The identification of these connections has contributed to developing novel therapies that can reverse epigenetic defects in cancer cells
12:15 Andrew P. Feinberg. Johns Hopkins University School of Medicine; Baltimore, USA.




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La epigenética en la etiología del cáncer / The epigenetics of cancer etiology.

Cancer epigenetics has been limited by questions of cause and effect, since epigenetic changes can arise secondary to the cancer process and its associated widespread changes in gene expression. We have focused on identifying epigenetic changes in normal cells that predispose to cancer. One line of investigation has been on the disorder Beckwith-Wiedemann syndrome (BWS). We have also developed an animal model for the role of loss of imprinting (LOI) of IGF2 in cancer, showing that it cooperates with Apc mutations to increase cancer frequency, consistent with human data suggesting a several fold increased cancer risk for this common epigenetic variant in the adult population. These data suggest that a major component of cancer risk involves epigenetic changes in normal cells that increase the probability of cancer after genetic mutation.
13:00 Christoph Plass. The Comprehensive Cancer Center, The Ohio State University; Columbus, USA.



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La metilación del ADN y el genoma del cáncer / DNA methylation and the cancer genome.

The cancer genome is characterized bi genetic and epigenetic alterations. DNA methylation is one of the epigenetic modifications that is modified in the cancer genome. Both the loss of global DNA methylation levels and as well as the gain of aberrant DNA methylation in regulatory sequences has been described. Here we will discuss our current knowledge on CpG Island methylation and provide evidence for fine tuned “micro” patterns of altered DNA methylation that modulate gene expression.
13:45 Almuerzo / Lunch
Sesión 2 TRATAMIENTO DE LOS PACIENTES ONCOLÓGICOS MEDIANTE FÁRMACOS DESMETILANTES DEL ADN / CLINICAL TREATMENT OF CANCER PATIENTS BY DNA DEMETHYLATING AGENTS.

Moderador / Chairperson: Hernán Cortés Funes. Servicio de Oncología, Hospital 12 de Octubre; Madrid, Spain.
15:00

Robert Brown. Cancer Research UK Beatson Laboratories; Glasgow, UK.




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Modulación de la resistencia a los fármacos mediante tratamientos epigenéticos / Modulation of drug resistance by epigenetic therapies.

The acquisition of drug resistance is a major problem in the successful treatment of cancer. There is increasing evidence for a role for aberrant epigenetic regulation of gene expression during the acquisition of resistance to cytotoxic chemotherapies. I will describe preclinical models and clinical trials that examine the potential of DNMT and HDAC inhibitors to chemosensitise solid tumours. Central to these studies is the use of biomarkers, both as pharmacodynamic markers of drug efficacy and for enrichment of patients who may benefit from these epigenetic therapies.
15:45

Michael Lubbert. University of Freiburg Medical Center; Freiburg, Germany.




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Agentes desmetilantes a dosis bajas: Una opción de tratamiento no intensivo para pacientes mayores con neoplasia mieloide / Low-dose demethylating agents: A non-intensive treatment option for older patients with myeloid neoplasia.

The large majority of myeloid neoplasias do not carry the bcr-abl rearrangement or another activated tyrosine kinase presently amenable to pharmacological inhibition. Thus no targetted therapy is established for the these often elderly patients with inherent poor tolerance to aggressive chemotherapy (due to reduced performance status, comorbid conditions etc.). Demethylating agents have been developed at schedules allowing non-intensive treatment, with very limited non-hematological toxicity, of myelodysplasia (5-azacytidine/Vidaza, Decitabine) and AML (Decitabine). Agents with demethylating activity have be shown by systematic cytogenetic analyses to be at least partially selective for the abnormal, clonal hematopoetic cells of MDS, while myelosuppressive effects upon normal hematopoiesis, at least at the doses studied so far, are much less marked. Thus both the response rates and favorable toxicity profile are very encouraging and further development of these drugs includes combinations e.g. with histone deacetylase inhibitors.
16:30 Café / Coffee
Sesión de Paneles I / Poster Session I
17:00
Jean-Pierre J. Issa. University of Texas, MD Anderson Cancer Center; Houston, USA



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¡La hipometilación funciona como terapia! / Hypomethylation therapy works!

The FDA approval of 5-azacytidine for the treatment of MDS and the favorable clinical results obtained with 5-aza-2’-deoxycytidine (DAC) in various hematologic malignancies transform hypomethylation therapy of cancer from concept to clinical reality. Mechanism-based optimization of dose and schedule led to a substantial improvement in the clinical results, such that more than half the patients with myeloid malignancies show dramatic responses to this agent. Responses require hypomethylation and are associated with induction of P15 expression. Genetic markers suggest that responses relate to early differentiation and late clearing of the malignant clone, all suggestive of an epigenetic mechanism of action. Histone deacetylase inhibitors are also showing clinical activity, albeit lower than that of hypomethylating drugs. The future of epigenetic therapy will clearly entail combinations of drugs to (i) enhance gene reactivation and (ii) exploit gene reactivation, and clinical trials of such approaches are ongoing.
17:45
Pere Gascón. Servicio de Oncología, Hospital Clinic; Barcelona, Spain



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La epigenética y el microambiente tumoral / Epigenetics and the tumoral microenvironment.

There is a growing body of evidence that normal cells effectively restrict malignant behaviour, and that such forces must be controlled in order to establish a tumour. Persistent disruption of the microenvironment such in inflammation or pathological tissue states may compromise its ability to suppress carcinogenesis. Recent publications have shown that stromal cells and their products can cause the transformation of adjacent cells through transient signalling that leads to the disruption of tissue homeostatic regulation. It is now well established that tumour progression requires a continually evolving network of interactions between neoplastic cells and tissue microenvironment (stromal cells and extracellular matrix-ECM).It is postulated, that only when the disruption of tissue homeostasis becomes chronic such as in persistent inflammatory conditions, continual up regulation of enzymes such as matrix metalloproteases by stromal fibroblasts can disrupt the ECM, and invading immune cells, such as macrophages, can overproduce factors that promote abnormal proliferation. These abnormal interactions might lead to genomic instability within normal tissue cells and the acquisition of tumorigenic potential. At this point, the tumour has become its own organ. However, some cells with tumorigenic genotype can become phenotypically normal if the context is appropriately manipulated. In other words, the phenotype can override the genotype. Under these premises, one can contemplate therapeutic strategies where the new agents will target the tumour microenvironment.
   
Viernes / Friday 17
Sesión 3

MODIFICACIÓN DE LAS HISTONAS Y LA CROMATINA Y SUS MODIFICADORES / HISTONE AND CHROMATIN MODIFICATIONS AND THEIR MODIFIERS.

Moderador / Chairperson: Juan Angel Velasco (Lilly Research Labs., Alcobendas, Spain).

09:00

Tony Kouzarides . Wellcome Trust / Cancer Research, Gurdon Institute; London, UK.




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Las modificaciones de la cromatina y sus funciones /Chromatin modifications and their functions.

Chromatin modifications play an important role in many biological processes and their pathways are disrupted in cancer. We are trying to identify and characterize new modifications that affect chromatin. One such new pathway is the isomerisation of proline residues within histone H3. Analysis of this new pathway reveals that it regulates transcription by offering the methylation of histone H3 at lysine 36.

09:45

Rob Martienssen. Cold Spring Harbor Laboratory; Cold Spring Harbor, New York, USA.



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Dando sentido al ARN heterocromático / Making sense of heterochromatic RNA.

Heterochromatic (junk) RNA is widespread and processed by RNAi, especially from tandem repeats. In fission yeast, PolII and a putative 3'end processing complex are required for silencing and RNAi. In Arabidopsis, the SWI/SNF remodeler DDM1 targets DNA methylation and histone H3 K9 methylation to transposons, via siRNA. DDM1, HDAC and MET1 (dnmt1) can silence transposons independently of RNAi, but re-silencing requires siRNA in cis. Transposons and heterochromatic repeats can regulate neighboring genes.

10:30 Thomas Jenuwein. Research Institute of Molecular Pathology –IMP-; Vienna, Austria.

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Control epigenético mediante la metilación de las histonas /Epigenetic control by histone methylation.

Epigenetic mechanisms control eukaryotic development beyond DNA-stored information. DNA methylation, histone modifications and variants, nucleosome remodelling and non-coding RNAs all contribute to the dynamic 'make-up' of chromatin under distinct developmental options. In particular, the great diversity of covalent histone tail modifications has been proposed to be ideally suited for imparting epigenetic information. While most of the histone tail modifications represent transient marks at transcriptionally permissive chromatin, some modifications appear more robust at silent chromatin regions where they index repressive epigenetic states with functions also outside transcriptional regulation. Under-representation of repressive histone marks could be indicative of epigenetic plasticity in stem, young and tumor cells, while committed and senescent (old) cells often display increased levels of these more stable modifications. We analyzed profiles of normal and aberrant histone lysine methylation patterns, as they occur during the transition of an embryonic to a differentiated cell or in controlled self-renewal vs. pro-neoplastic or metastatic conditions. Elucidating these histone modification patterns promises to have important implications for novel advances in stem cell research, nuclear reprogramming and cancer, and may offer novel targets for the combat of tumor cells, potentially leading to new diagnostic and therapeutic avenues in human biology and disease.

11:15 Café / Coffee
Sesión de Paneles II / Poster Session II
11:45

Yi Zhang. University of North Carolina at Chapel Hill; North Carolina, USA.




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La metilación de las histonas en la regulación de la transcripción y el cáncer / Histone methylation in transcription regulation and cancer.

Chromosomal translocation is a common cause of leukemia. However, the underlying mechanism for most leukemias involving chromosomal translocation is not clear. We demonstrate that the H3K79 methyltransferase hDOT1L contributes to leukemogenesis of several fusion proteins by mis-targeted to different Hox genes.

12:30 Yang Shi. Harvard Medical School; Boston, USA.



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Regulación de la metilación de las histonas mediante desmetilasas / Regulation of histone methylation by demethylases.

Histone methylation was considered a “permanent” modification until the discovery of LSD1. Together with the recent finding of JHDM1, these results suggest that demethylases are likely to represent a general mechanism that provides dynamic regulation of histone methylation. In this presentation, I will discuss our investigation of LSD1 in S. pombe and our efforts of identifying new histone demethylases.

13:15

Almuerzo

Sesión 3 (cont.)

MODIFICACIÓN DE LAS HISTONAS Y LA CROMATINA Y SUS MODIFICADORES / HISTONE AND CHROMATIN MODIFICATIONS AND THEIR MODIFIERS.

Moderador / Chairperson: Eugenio Santos. Instituto de Biología Molecular y Celular del Cáncer; Salamanca, Spain.
15:00 Peter B. Becker. Adolf-Butenandt Institut; Munich, Germany



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Remodelación del nucleosoma en el desarrollo temprano de Drosophila melanogaster /Nucleosome remodeling during early development of Drosophila melanogaster.

ATP-dependent nucleosome remodeling emerges as a principal mechanism underlying all dynamic transitions of chromatin structure. The considerable number of nucleosome remodeling ATPases and their association with regulatory subunits leads to enzymes with cell-type specificity and functional diversification. Studies in the Drosophila model reveals crucial functions for ISWI-containing remodeling complex during the earliest embryonic developmental stages.

15:45

Genevieve Almouzni . CNRS / Institut Curie; Paris, France




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Propagación del estado epigenético durante el ensamblaje de la cromatina / Propagation of epigenetics states at the level of chromatin assembly.

Heterochromatin is thought to play a critical role for centromeric function and gene silencing. In mouse cells, we found that centric and pericentric repeats on the chromosomes (corresponding to minor and major satellites) have distinct heterochromatic properties in the nucleus. These domains display specific higher order organisation and replicate asynchronously. Furthermore, chromatid cohesion is sustained for a longer time in major satellites compared to minor satellites. We thus define functionally independent centromeric subdomains, which spatio-temporal isolation is proposed to be important for centromeric cohesion and dissociation during chromosome segregation.

We then investigated how the complex organization of HP1-rich pericentric domains is reproduced at each replication cycle in mouse cells. We find that replication occurs mainly at the surface of these domains where both PCNA and CAF-1 are located. Pulse-chase experiments combined with high resolution analysis and 3D modeling show that within 90 minutes newly replicated DNA become internalized inside the domain. Remarkably, during this time period, a specific subset of HP1 molecules ( a and g ) coinciding with CAF-1 and replicative sites is resistant to RNAse treatment. This replicative pool of HP1 molecules disappears completely following p150CAF-1 siRNA treatment. We conclude that during replication, the interaction of HP1 with p150CAF-1 is essential to promote delivery of HP1 molecules to heterochromatic sites. We will discuss our recent data on this topic.
16:30

Maarten van Lohuizen. The Netherlands Cancer Institute; Amsterdam, The Netherlands.




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Represores de Polycomb que controlan el devenir de las células madre: Implicaciones en el cáncer y el desarrollo / Polycomb repressors controlling stem cell fate: Implications for cancer and development.

Repressive Polycomb-group protein complexes are involved in the dynamic maintenance of proper gene expression patterns during development, acting at the level of chromatin structure. As such, they are important controllers of cell fate. In particular, recent experiments have demonstrated a crucial role for Polycomb repressors in controlling the self-renewal capacity of stem cells and cancer stem cells. When deregulated, these master switches of gene expression are strongly implicated in formation of a diverse set of cancers. I will discuss recent examples highlighting the emerging molecular mechanisms by which Polycomb repressors regulate stem cell fate and may contribute to cancer formation.

17:15

Café / Coffee
Sesión de Paneles II / Poster Session II

17:45 Carlos Caldas. Cancer Genomics Program, University of Cambridge; Cambridge, UK.



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Expresión diferencial de los genes modificadores de histonas en tumores humanos sólidos: Dianas para el diagnóstico y la terapia / Differential expression of histone modifier genes in human solid tumors: Targets for diagnosis and therapy.

Histone modifier enzymes are responsible for modulating histone tail modifications and regulate gene expression at the chromatin level. The characterization of patterns of expression of genes encoding histone modifiers (using QRT-PCR and expression arrays) is an essential first step in the understanding of their biology and in their development as diagnostic and therapeutic targets.

18:30 Eric Miska. Wellcome / CRC Institute, University of Cambridge; Cambridge, UK.



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Papel de los microARNs en el desarrollo de C. elegans y en el cáncer humano / Roles of microRNAs in C. elegans development and human cancer.

In the last five years microRNAs (miRNAs) have emerged from the obscurity of C. elegans heterochronic heterochronic pathway to a new paradigm of gene regulation in plants an animals. Currently, microRNAs represent 2% of all known human genes. Very little is known about their biological function.We have taken a functional genomics approach to study the roles of microRNAs in C. elegans development. We have generated deletion strains corresponding to 96 microRNAs, covering the majority of known microRNA genes. We will present an overview of the classes of mutant phenotypes we have observed. One focus will be the issue of redundancy within families of microRNA genes. This study represents the first comprehensive analysis of microRNA function. We are also interested in the roles of short RNAs in the control of gene expression at the transcriptional level. We will present our work on how these short RNAs work together with a set of argonaute proteins to control germline development in C. elegans.

   
  Sábado / Saturday 18
Sesión 4

TRATAMIENTO DEL CÁNCER CON INHIBIDORES DE LAS DEACETILASAS DE HISTONAS Y OTRAS TERAPIAS TRANSCRIPCIONALES / CLINICAL TREATMENT OF CANCER BY INHIBITORS OF HISTONE DEACETYLASES AND OTHER TRANSCRIPTIONAL THERAPIES.

Moderador / Chairperson: Alfredo Carrato Mena . Hospital Universitario de Elche; Alicante, Spain.

09:00 Francesco Lo Coco. Universita Tor Vergata; Rome, Italy.



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Datos preliminares del tratamiento de leucemia mieloide aguda avanzada con ácido valpróico / Preliminary experience on treatment of advanced acute myeloid leukemia with valproic acid.

A pilot study was carried out in 8 high-risk AML patients not eligible for intensive therapy to asses the biological and therapeutic activities of the HDAC inhibitor VPA used to remodel chromatin, followed by the addition of ATRA, to activate gene transcription and differentiation in leukemic cells. We found that VPA/ATRA treatment is well tolerated and induces phenotypic changes of AML blasts through chromatin remodelling. Further studies are needed to evaluate whether VPA-ATRA treatment by reprogramming differentiation of the leukemic clone might improve the response to chemotherapeutic agents in leukemia patients.

09:45 Miguel Ángel Sanz . Hospital Universitario La Fe; Valencia, Spain.



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Tratamiento de las neoplasias mieloides con terapias transcripcionales / Treatment of myeloid malignancies by transcriptional therapies.

Understanding the basic cellular and molecular biology of leukemia is crucial to the development of targeted therapies. Epigenetic mechanisms underlying leukemogenesis have recently received much attention as potential therapeutic targets. Two major mechanisms of aberrant gene silencing have been implicated in acute myeloid leukemia (AML) and myelodysplasia (MDS). These include transcriptional repression by mutated or aberrantly expressed transcription factors, and aberrant epigenetic silencing by hypermethylation of tumor suppressor or DNA repair–related genes. To target these mechanisms, several drugs are currently under clinical trials. In this presentation, we will discuss the potential impact of this new therapeutic approach in AML and MDS.

10:30 Pier Giuseppe Pelicci. European Institute of Oncology; Milan, Italy.



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Epigenética de la leucemia promielocítica y sus fármacos /Epigenetics of acute promyelocitic leukemia and their drugs.

Molecular investigations on Acute Promyelocytic Leukemia (APL) have opened the way to modern concepts of anti-cancer treatment. APL has been the first example of a neoplastic disease that can be specifically treated by targeting therapy to the transforming protein (molecular treatment) and represents a unique model for differentiation therapy. Indeed, the APL oncogene (PML-RAR) is responsible for the high sensitivity of the blasts to the differentiative action of retinoic acid (RA) both in vivo and in vitro. The dissection of the molecular mechanisms underlying PML-RAR activities (chromatin recruitment of histone deacetylases, histone and DNA methyltransferases) has demonstrated that epigenetic modifications of DNA (methylation) and chromatin (acetylation and methylation of histones) may contribute to cancer. This has allowed the concept of epigenetic treatment of cancer to be introduced and validated. Recent work from our lab has demonstrated that HDAC-i induce apoptosis of leukemic blasts, that apoptosis is p53-independent and depends upon activation of the death receptor pathway (TRAIL and Fas signalling pathway). The effects of HDAC-I treatment on RA-target genes in PML-RAR cells was negligible, thus suggesting that HDACi might target alternative mechanisms of PML-RAR activity. Indeed, members of the TRAIL and Fas pathway are not direct RA-targets. We are currently investigating whether PML-RAR regulates transcription of genes which do not possess RA-responsive elements (RARE). Many genes regulated by RA and/or PML/RARa do not contain a RARE. However, these genes are clustered in long stretches of co-regulation spanning regions up to 1 Megabase in length.These clusters are found within regions particularly enriched with RARE consensus sequences that, surprisingly, are included within Alu repeats. Such a striking co-localization of RAR- and/or PML/RARa- regulated genes, RARE consensuses and Alu sequences suggests that the insertion of potentially thousands of Alu repeats containing binding sites for NHRs throughout the primate genome is likely to have played a functionally important role in the evolution of regulation of the primate gene expression.

11:15 Café / Coffee
11:45 James E. Bradner. Dana–Farber Cancer Institute; Boston, USA



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Inhibición selectiva de HDAC6 en la terapia oncológica /Selective inhibition of HDAC6 in cancer therapy.

Histone deacetylase enzymes represent credentialed targets for cancer therapy. Early phase clinical studies assessing the activity of non-selective inhibitors in the treatment of hematologic malignancies have been encouraging, though the toxic liabilities of these agents may ultimately limit their clinical development. Consequently, targeted strategies are needed. Our recent chemical biologic exploration of this class of enzymes has realized selective inhibition of HDAC6 and the utility of such a strategy in multiple myeloma. Additional strategies have realized small molecule HDAC inhibitors with appealing ADME properties for therapeutic application.

12:30 Roberto Pili. Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins; Baltimore, USA.



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Ensayos clínicos en Fase I de inhibidores de HDAC, aislados y en combinación / Phase I trials of HDAC inhibitors, alone and in combination.

This presentation will review the HDAC inhibitors currently in clinical testing as well as, describe the rationale for combination strategies. It will outline the clinical issues related to the drug development of this novel class of agents.

13:15

CONFERENCIA DE CLAUSURA / CLOSURE KEYNOTE

Joe Shih. Discovery Chemistry Research & Technology, LRL-Eli Lilly; Indianapolis, USA.





El Caso de estudio del descubrimiento y desarrollo de Alimta, un nuevo antifolato multidiana para el mesotieloma pleural maligno y el cáncer de pulmón de células no pequeña / A Case Study of the discovery and development of Alimta, a novel multitargeted antifolate for malignanat pleural mesothieloma and non-small cell lung cancer.

ALIMTA Ò (Pemetrexed Disodium) is a new pyrrolopyrimidne-based antifolate that was recently approved by FDA as the first line treatment (in combination with cisplatin) for the malignant pleural mesothelioma (MPM) and as the 2 nd line treatment (single agent) for non-small cell lung carcinoma (NSCLC). ALIMTA Ò acts through a novel mechanism of action by inhibiting several key folate-requiring enzymes (TS, DHFR and GARFT) of the folate metabolism. This unique multi-targeted MOA together with the vitamins (folic acid and B-12) supplementation have made ALIMTA Ò a highly effective and well tolerated chemotherapeutic agent. The history of the discovery, the preclinical pharmacology and some key clinical trial results (for MPM and NSCLC) of ALIMTA Ò will be presented in this lecture.

14:00 Despedida y Cierre / Farewell & Closure.
   
INFORMACIÓN GENERAL

•  Ponencias de 30 minutos / 30-minute talks
•  15 minutos de discusión tras las ponencias / 15-minute discussion after each talk
SESIÓN DE PANELES: LOS AUTORES DEBEN PERMANECER JUNTO AL PANEL PARA DISCUTIR CON LOS INTERESADOS / POSTER SESSIÓN: PRESENTING AUTHORS SHOULD STAY BY THEIR POSTER FOR DISCUSSION

PROMOCION Y PATROCINIO

Fundación Lilly
Centro Nacional de Investigaciones Oncológicas (CNIO)

COMITÉ CIENTÍFICO (ORGANIZADOR) LUGAR DE CELEBRACIÓN DEL SIMPOSIO
Peter A. Jones
Carlos Caldas
Manel Esteller
Mariano Barbacid
José A. Gutiérrez Fuentes
EUROFORUM INFANTES
San Lorenzo de El Escorial, Madrid, Spain
MODERADORES y CONFERENCIANTES
Mariano Barbacid (Sp)
José-A. Gutiérrez (Sp)
Paul A Marks (USA)
Juan C Lacal (Sp)
Peter A Jones (USA)
Stephen B Baylin (USA)
Manel Esteller (Sp)
Andrew P Feinberg (USA)
Christoph Plass (USA)
Hernán Cortés (Sp)
Robert Brown (UK)
Michael Lubbert (Ger)
Jean-Pierre J Issa (USA)
Pere Gascón (Sp)
Eugenio Santos ( Sp)
Tony Kouzarides (UK)
Rob Martienssen (USA)
Thomas Jenuwein (Ost)
Yi Zhang (USA)
Yang Shi (USA)
Juan A Velasco (Sp)
Peter B Becker (Ger)
Genevieve Almouzni (Fr)
Maarten van Lohuizen (Neth)
Carlos Caldas (UK )
Eric Miska (UK)
Alfredo Carrato (Sp)
Francesco Lo Coco (It)
Miguel-Angel Sanz (Sp)
Pier-Giuseppe Pelicci (It)
James E Bradner ( USA)
Roberto Pili (USA)
Joe Shih (USA)
Información en:
Tel: + 34 91 732 80 00
www.cnio.es symposium@cnio.es
Tel: +34 91 781 50 70
www.fundacionlily.com
fundacionlilly@lilly.com

Actividad Acreditada por la Comisión de Formación Continuada de las Profesiones Sanitarias de la Comunidad de Madrid (SNS) con:
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