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Wednesday, August 15, 2018

Elephant “Zombie Gene” May Explain Why They Rarely Get Cancer


Generally speaking, the larger the animal, the more cells they have, the more likely they are to get cancer. The longer an animal lives, even if that animal is a human being, the higher the likelihood of cancer. Except for elephants. Elephants rarely get cancer.
Joshua Schiffman, an associate professor of Pediatrics at the University of  Utah and Medical Director of the High Risk Pediatric Cancer Clinic at Huntsman Cancer Institutehas been involved in elephants and cancer research for several years, and in 2015 published a paper describing what is known as Peto’s Paradox. Schiffman and his research team found that elephants have additional copies of a tumor-suppressor gene called P53. While humans have a single copy, elephants have 20.
Although Schiffman wasn’t involved in the work, researchers with the University of Chicago led by Vincent Lynch, recently added additional information to the elephant mystery. Lynch’s paper was published in the journal Cell Reports this week. It’s titled, “A Zombie LIF Gene in Elephants Is Upregulated by TP53 to Induce Apoptosis in Response to DNA Damage.”
Lynch told National Geographic, “Elephants are weird. Their cells just die if you give them DNA damage.”
Lynch and his group were looking for other differences between elephants and other mammals, specifically looking for genes that had extra copies. What they found was Leukemia Inhibitory Factor (LIF), which is linked to enhanced fertility. But they also identified an LIF gene, LIF6, unique to elephants. Among other things, LIF6 is known for killing damaged cells.
Most mammals have only one copy of LIF. Elephants have 7 to 11. And so far, the team has only identified LIF6 in elephants. National Geographic writes, “LIF6 appeared in elephant genes some 59 million years ago, the study authors suggest. And initially, it was likely a useless, broken gene. But as elephants’ proboscidean ancestors evolved, so, too, did the gene. It was eventually reawakened as a working ‘zombie’ gene—a change that may have helped elephants reach such momentous sizes unrestricted by cancer. If P53 is the doctor in charge of genetic triage, LIF6 is in charge of carrying out its order to eliminate damaged cells.”
Lynch indicates that LIF6 isn’t the only zombie gene in elephants that are suppressing cancer. “LIF6 is playing a small part in a broader process,” he told National Geographic.
This is something Schiffman agrees with, saying, “There are almost certainly going to be other findings as well.” And earlier this year, Schiffman and his group published a paper in Cell Reportsidentifying accelerated regions (ARs) in elephants and other animals, including hibernating bat, orca, dolphin, naked mole rat and thirteen-lined ground squirrel lineages that are tied to various regulatory proteins. But the ARs in the elephant “are uniquely enriched near elephant DNA damage response genes,” the group reported.
The zombie gene Lynch investigated rose out of a pseudogene, a mutated or inactive copy of a normal gene. The LIF6 gene appears to have gone from “inactive” to “active,” through some sort of evolutionary mutation that, Lynch says, “evolved a new on-off switch” that responds to DNA damage. “There’s probably lots of things which can contribute to augmented cancer resistance,” he told CNN, “and we found one of them in elephants. The way we normally think that evolution works is by acquiring lots and lots of genetic changes, Each one of them contributes a small effect. And when you add all those things together, you end up with a super cancer-resistant elephant.”
Perhaps one reason Lynch and Schiffman are expressing caution and emphasizing that the process is likely more complex than just these genes is the obvious question, “How can this be applied to human beings?”
Schiffman, for example, co-founded a biotech company called PEEL Therapeutics that is working on this, although it largely remains in stealth mode.
But Vera Gorbunova, a professor of biology at the University of Rochester and co-director of the Rochester Aging Research Center, who was not involved in the new study, told CNN that work in enhancing pathways like p53 have had unintended consequences. As an example, Gorbunova notes mouse studies where stimulating p53 activity resulted in mice aging faster than normal. “It’s a very fine-tuned system. I think we have to study all of these cancer-resistant animals and then choose strategies that are the most easy to apply to people.”
Meanwhile, elephants and other large mammals may hold the key to cancer prevention.

5 Vaccines to Keep Your Eye on


On a dollar-for-dollar basis, vaccines have probably had a greater positive effect on global health than any other medical advancement, except possibly antibiotics. Yet as a whole, it’s an area that pharma companies tend not to spend a lot of resources on. Partly that’s because the profit margins are not high, although they’re medications that keep giving, year after year. But there are still many companies that work in this area. Here’s a look at five promising vaccines.
#1. Novavax’s influenza and RSV vaccine. Nasdaq cites the promise of the company’s combination vaccine, which is still in preclinical testing. So it’s a long way out.  EvaluatePharmaprojected the vaccine could create sales of $1.82 billion in 2024.
Much closer is the company’s RSV F Vaccine. In May, Novavax, located in Gaithersburg, Md., reported a significant milestone in its Prepare Phase III clinical trial of its respiratory syncytial virus F protein recombinant nanoparticle vaccine (RSV F Vaccine). This RSV F vaccine is for infants via maternal immunization, and has 4,600 participants in the trial. The trial is evaluating the vaccine in healthy, third-trimester pregnant women. The primary objective is to determine the efficacy of the maternal immunization compared to medically significant RSV-positive lower respiratory tract infection (LRTI) in infants. In short, by vaccinating the pregnant women, they hope to convey resistance to RSV in the babies.
RSV is the most common cause of lower respiratory tract infections in infants and young children worldwide. It affects about 64 million children annually worldwide, and has mortality rates of about 160,000.
#2. Emergent BioSolutions’ NuThrax vaccine. This is a vaccine for anthrax, which is a combination of the company’s current vaccine, BioThrax, with CPG 7909, which stimulates the body’s immune system. BioThrax is the only anthrax vaccine approved by the U.S. Food and Drug Administration (FDA). Generally, in the U.S., anthrax vaccines are only given to military personnel. EvaluatePharma projects the vaccine could bring in $1.1 billion in 2024.
The company announced this month that it is acquiring specialty vaccines company PaxVax for $270 million. As part of the acquisition, it will pick up two FDA-licensed vaccines against cholera and typhoid fever, a pipeline for an adenovirus 4/7 vaccine, and an expanded worldwide sales force.
#3. Merck & Co.’s Pneumococcal vaccine. The big daddy of pneumococcal vaccines is Pfizer’s Prevnar 13, which is the best-selling vaccine in the world at this time. EvaluatePharma projects Merck’s V114 pneumococcal conjugate vaccine could create sales of $774 million in 2024. At the moment it is being evaluated in two Phase III clinical trials. In April, Merck announced the launch of the two Phase III trials. The decision to move into Phase III was based on positive data from Phase I and II trials.
#4. Novavax’s ResVax RSV vaccine. This was actually described in detail in #1. EvaluatePharma projects it could rake in $668 million in 2024. If all goes well, it could file for regulatory approval in 2020.
#5. Inovio’s VGXZ-3100 for HPV. Inovio Pharmaceuticals’ VGX-3100 is a vaccine to treat cervical dysplasia caused by human papillomavirus (HPV). On August 6, the company announced it was partnering with the AIDS Malignancy Consortium (AMC) to evaluate VGX-3100 for treating HPV-associated precancerous conditions in HIV-positive adult men and women. This will be a Phase II clinical trial.
EvaluatePharma projects it could bring in sales of $622 million in 2024 if approved. Otherwise, the vaccine is in a Phase III trial, and last week the company indicated it is continuing enrollment on schedule after an FDA clinical hold in 2016. The trial will take place at 70 sites in 16 countries.

Depomed completes name change to Assertio Therapeutics


Assertio Therapeutics’ s corporate name change from “Depomed, Inc.” to “Assertio Therapeutics, Inc.” became effective August 14. The company’s common stock will begin trading under a new ticker symbol “ASRT” and a new CUSIP number, 04545L 107, at the opening of trading August 15. The company also completed the relocation of its corporate headquarters from Newark, CA, to Lake Forest, IL.

Aerie Pharmaceuticals med shows significant results in glaucoma study


Aerie Pharmaceuticals announced topline efficacy results from a double-masked, randomized, placebo-controlled study designed to evaluate the effect of Rhopressa ophthalmic solution 0.02% on aqueous humor dynamics in patients with open-angle glaucoma or ocular hypertension. This study is the first performed on glaucoma patients to confirm that it lowers intraocular pressure primarily through this mechanism. The primary endpoint of the study was the mean change from baseline in the mean diurnal outflow facility. In the study, Rhopressa produced a statistically significant increase in trabecular outflow facility of approximately 35% over baseline. This topline finding is consistent with the published results of a study of similar design in healthy volunteers in which Rhopressa was also shown to exert a statistically significant effect on trabecular outflow facility.

Novocure, US Oncology Research collaborating on PANOVA-3 trial


Novocure and US Oncology Research are collaborating on PANOVA-3, a phase 3 pivotal trial testing the efficacy of Tumor Treating Fields combined with nab-paclitaxel and gemcitabine in patients with unresectable locally advanced pancreatic cancer. Tumor Treating Fields is a cancer therapy that uses electric fields tuned to specific frequencies to disrupt cell division, inhibiting tumor growth and causing affected cancer cells to die. US Oncology Research, supported by The US Oncology Network – one of the largest networks of integrated, community-based oncology practices – will open 10 clinical trial sites enrolling patients in Novocure’s PANOVA-3 trial. PANOVA-3 is a randomized, open-label trial that will include 556 patients with unresectable locally advanced pancreatic cancer. Patients should have an Eastern Cooperative Oncology Group score of 0-2 and no prior progression or treatment. Patients in the experimental arm will use a Tumor Treating Fields delivery system tuned to 150 kHz for at least 18 hours a day until the disease progresses. The primary trial endpoint is overall survival. The secondary endpoints include progression free survival, local progression free survival, objective response rate, one-year survival rate, quality of life, pain-free survival, resectability rate and toxicity.

Idera Pharmaceuticals initiated at JPMorgan


Idera Pharmaceuticals resumed with an Overweight at JPMorgan. JPMorgan analyst Anupam Rama resumed coverage of Idera Pharmaceuticals with an Overweight rating and $15 price target following a period of restriction. Rama tells investors in a research note that Idera’s Q2 results highlighted its continued prioritization of IMO-2125 in oncology, and views IMO-2125 as an underappreciated asset at current levels. Looking ahead, Rama believes the TLR9 space is gaining increased interest, and says date to data for IMO-2125 are differentiated in PD-1 refractory metastatic melanoma.

Zogenix initiated at Stifel


Zogenix transferred with a Buy at Stifel. Stifel transferred coverage of Zogenix to analyst Paul Matteis, who has a Buy rating and $69 price target on the stock. He views lead product ZX008 as a best-in-class anti-epileptic for Dravet Syndrome and places 65% odds of success on the ZX008 program in Lennox Gastaut Syndrome, Matteis tells investors.