Das kolorektale Karzinom (KRK) ist die zweithäufigste Krebserkrankung und die Metastasierung die häufigste Todesursache hierbei. Das neu identifizierte Gen MACC1 (metastasis associated in colon cancer 1) wurde als prognostischer Marker für die Metastasierung des KRK beschrieben. Im Zuge dieser Arbeit wurden die Exons 14-19 des Protoonkogens MET (met proto-oncogene (hepatocyte growth factor receptor)) und die kodierenden Exons von MACC1 in kolorektalen Tumoren sequenziert. Es waren in 60 Tumoren nur zwei MET Mutationen zu finden. In 154 kolorektalen Tumoren wurden die drei MACC1 single nucleotide polymorphisms (SNPs) rs47211888, rs975263 und rs3735615 identifiziert. Diese MACC1 SNPs veränderten nicht die MACC1 Expression in Tumoren oder KRK-Zelllinien. Sie waren nicht mit klinischen Daten von Patienten, nicht mit dem Gesamtüberleben oder dem metastasenfreien Überleben aller Patienten mit KRK assoziiert. Der MACC1 SNP rs975263 war signifikant mit einem kürzeren metastasenfreien Überleben in einer kleineren Gruppe von jüngeren Kolonkarzinom Patienten in frühen Stadien assoziiert. Zudem wurden mittels Microarray Analyse Targetgene von MACC1 identifiziert. MACC1 regulierte die Expression von S100P (S100 calcium binding protein P) und SPON2 (spondin 2, extracellular matrix protein) in den Zelllinien SW480 und SW620. Eine S100P oder SPON2 Überexpression förderte die Zellproliferation, Zellmigration und Zellinvasion. Intraspenal transplantierte Zellen mit hoher S100P oder SPON2 Expression führten im Gegensatz zu Kontrollzellen in Xenograft Modellen zur Bildung von Metastasen. Des Weiteren war die S100P oder SPON2 Expression in humanen metachron metastasierenden kolorektalen Tumoren höher als in nicht metastasierenden Tumoren. Patienten mit einer hohen S100P oder SPON2 Expression in ihren Tumoren hatten ein kürzeres metastasenfreies Überleben im Vergleich zu Patienten mit niedriger Expression. S100P und SPON2 könnten somit eine wichtige Rolle in der Metastasierung spielen. / Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the Western World, mainly due to metastasis. The gene MACC1 (metastasis associated in colon cancer 1) was described as a prognostic marker for CRC metastasis. In this study, we sequenced the exons 14-19 of the protooncogene MET (met proto-oncogene (hepatocyte growth factor receptor)) and the coding exons of MACC1 in colorectal tumors. We found two MET mutations in 60 tumors. In 154 tumors we identified the MACC1 single nucleotide polymorphisms (SNPs) rs47211888, rs975263 and rs3735615. These SNPs did neither modify the MACC1 expression in tumors nor in CRC cell lines. They were not associated with clinical parameters of the patients or with the overall survival and metastasis-free survival time of all CRC patients. Only in a subgroup, younger patients with colon cancer in early stages, the SNP rs975263 was significantly associated with a shorter metastasis-free survival time. Additionally, we identified new target genes of MACC1 by microarray analysis. MACC1 regulated the expression of S100P (S100 calcium binding protein P) and SPON2 (spondin 2, extracellular matrix protein) in the cell lines SW480 and SW620. Cell with a high S100P and SPON2 expression, intrasplenically transplanted into NOD/SCID mice, led to metastasis formation whereas transplanted control cells did not metastasize at all. The S100P and SPON2 expression was higher in colorectal tumors with metachronous metastasis than in non-metastasizing tumors. CRC patients with a high S100P or SPON2 expression in their primary tumors had a shorter metastasis-free survival time compared to patients with a low expression. Thus, S100P and SPON2 might play an important role in CRC metastasis.

Inflammation and aberrant microRNAs expressions promote colon cancer growth and progression. However, the molecular mechanisms that link these pathways remain to be determined. In this dissertation, the causal relationship between inflammation and aberrant microRNAs expressions were explored. Elevated expression of prostaglandin E₂ (PGE₂) receptor EP4 has been seen in human colon cancer. However, the mechanism by which EP4 receptor protein is deregulated is not known. Experiments in this dissertation demonstrate, for the first time, that the EP4 receptor is negatively regulated by miR-101.In previous work, we show that S100P is induced by stimulation of the PGE₂/EP4 receptor signaling pathway. S100P is a ligand for Receptor for Advance Glycation End-products (RAGE). However, little is known about the downstream targets of S100P/RAGE signaling. Here, we demonstrated that S100P/RAGE receptor signaling induces expression of miR-155 via the transcription factor AP-1. In addition, we investigated the genes that are downstream of S100P/RAGE/miR-155 pathway. Our microarrays and bioinformatics analyses identified two novel miR-155 targets, WNK1 and ZNF493 that are down-regulated upon activation of the S100P/RAGE/miR-155 pathway. Lastly, we investigated whether inhibition of S100P/RAGE signaling pathway would be beneficial as a cancer therapy using methyl-2-acetamidoacrylate (M2AA). M2AA treatments decreased colon cancer cells viability and also suppressed colon tumor growth and metastasis in vitro and also in the CAM assay in vivo. Taken together, our results suggest that modulation of S100P/RAGE signaling by M2AA offers therapeutic potential as anti-metastatic agents. In summary, this dissertation provides new insights on the molecular events that link inflammation pathways and microRNAs to colon cancer as well as show that therapeutic strategies targeting these pathways could be effective in treatment of neoplasia.

Colorectal cancer, among other tumors, is characterized by elevated levels of prostaglandins due to the up-regulation of cyclooxygenase -2 (COX-2), a key enzyme in the eicosanoid biosynthesis pathway. Prostaglandin E2 (PGE2) is an important prostaglandin that exerts its biological function via four transmembrane G protein coupled receptors (EP1-4), among which the EP4 receptor is the most important. The relevance of EP4 receptor to the carcinogenic process and the consequences of its interaction with PGE2 were explored in this dissertation.Despite the importance of the EP4 receptor in colon carcinogenesis, studies looking at the receptor expression during cancer progression have not been extensive. One study showed that the protein levels of EP4 receptor were elevated in colon cancer whereas another study indicated that mRNA levels were decreased in tumor compared to normal. We expanded these observations and now report that the elevated protein levels of EP4 receptor in cancer are due to increased translation of proteins.In addition, we identified S100P as a novel downstream target of the PGE2/EP4 receptor signaling pathway. S100P has been previously implicated in a number of gastro-intestinal cancers such as pancreatic, gastric and colon cancers. However, its regulation via the PGE2/EP4 receptor signaling pathway has never been investigated. Here, we show that PGE2 via the EP4 receptor signaling leads to the transcriptional activation of S100P and that this activation happens exclusively in the presence of CREB. In summary, this dissertation brings to light novel therapeutic targets which could be used as potential markers to stratify colon cancer patients as well as avenues for clinical intervention for the management of colon carcinogenesis.

Pancreatic cancer is relatively uncommon. Despite its relative scarcity, it is the fourth-ranked cancer killer in the Western world with less than a 5% 5-year survival rate. The high mortality rate is due to the asymptomatic nature of the disease and the advanced stage at which it is usually diagnosed. S100P is a calcium-binding protein that has been shown to be highly expressed in the early stages of pancreatic cancer and has been proposed as a potential therapeutic target via the blocking of its interaction with its receptor RAGE, the receptor for advanced glycation end-products. In this thesis, computational techniques were employed on the NMR ensemble of S100P (PDB Accession code 1OZO) to identify potential inhibitors of the S100P-RAGE interaction in the hope of identifying a series of novel leads that could be developed into clinical candidates for the treatment of pancreatic cancer. In silico studies identified putative binding sites at the S100P dimeric interface capable of accommodating cromolyn, an anti-allergy drug shown to bind to the protein both in vitro and in vivo. Virtual screening of >1 million lead-like compounds using 3D pharmacophore models derived from the predicted binding interactions between S100P and cromolyn, identified 9,408 'hits'. These were hierarchically clustered according to similarities between chemical structures into 299 clusters and 77 singletons. Biological screening of 17 of the 'hits' identified from virtual screening stuidies, 4 of which were synthesised in-house, against pancreatic cancer cell lines identified five compounds that demonstrated an equal or greater capacity to reduce BxPC-3 S100P-expressing pancreatic cells' metastatic potential in vitro relative to cromolyn. Compound 24 in particular, showed significant (p<0.05) inhibition of invasion of these cells at a concentration of 100 μM that was comparable to cromolyn at the same concentration. This compound, structurally distinct from cromolyn, was successfully synthesised, purified and characterised in-house alongside 39 of its analogues. Biological screening of compound 24 and four of its analogues for anti-proliferative activity against BxPC-3 and Panc-1 pancreatic cancer cell lines showed all five compounds significantly (p < 0.0001) inhibiting proliferation in both cell lines at a concentration of 1 μM relative to the non-treated control. Hence, structurally distinct compounds that show promising inhibitory activity on the metastasis and proliferation of pancreatic cancer cells have been identified using a structure-based drug design methodology. These compounds, with further optimisation, could provide good starting points as therapeutic lead candidates for the treatment of pancreatic cancer.