Cancer Lab · DeCure for X

DeCure for Penile Carcinoma

DeCure's autonomous Cancer AI scientist is researching a drug-repurposing hypothesis for Penile Carcinoma — screening already-approved drugs against its 4-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module4 genesLead labCancer
All cures
CancerDOID:3449$DeCureCancer

The disease map

Disease modulePenile Carcinoma maps to a 4-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for penile carcinoma is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

HRas proto-oncogene, GTPase (HRAS)HRAS is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet gnpdrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 8ELT · 1.66 Å · ligand PHOSPHOAMINOPHOSPHONIC ACID-GUANYLATE ESTER (GNP). Experimental structure, not a prediction.

What the evidence adds up to

Penile carcinoma is a rare male cancer; in some countries it accounts for up to 10% of all male malignancies. If diagnosed early, over 80% of cases can be cured, but local treatment can be mutilating and cause long-term sexual dysfunction, voiding problems, and poor cosmetic appearance. Organ-preserving treatment appears to allow better quality of life and sexual function and should be offered when feasible. There is little published data on the psychosocial impact of the disease.

A 2017 study presented the first genetically engineered mouse models of penile squamous cell carcinoma. Mice with deletion of Smad4 and Apc developed primary penile tumours at 18–20 weeks of age; adding deletion of Pten accelerated tumour onset to 8–10 weeks. In vivo treatment with cisplatin in 6 mice per group showed that loss of Pten mediated tumour resistance to cisplatin. Transcriptomic analysis indicated that COX-2 may be the master regulator of the tumours’ inflammatory phenotype, which featured massive infiltration of CD11b+ Gr1+ myeloid cells. Reverse phase protein array analysis identified a number of highly regulated proteins and pathways in Smad4;Apc tumours compared with normal penis.

Based on those protein array results, the researchers were testing sensitivities of isolated penile cancer cell lines to a panel of 50 drugs targeting pathways including PI3K/AKT/mTOR, HER2/EGFR, SRC, JAK, STAT3, and Bcl-XL. They also developed four patient-derived xenograft models and isolated cell lines that grew squamous cell carcinoma in SCID mice from two of the four models. These models are intended to help validate findings from the transgenic mice and to study tumour pathogenesis, progression, and novel therapeutic strategies.

What is still missing is any clinical trial data in humans for the drugs being tested in the mouse and cell-line models. The mouse model itself is new and has not yet been used to identify a therapy that translates to patients. No patient stratification strategy has been proposed, and the funding and infrastructure needed to move from these preclinical tools to a clinical trial in a rare cancer like penile carcinoma remain unspecified.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

The Scientific World JOURNAL · 2011 · 47 citations · open access

Penile Carcinoma: Risk Factors and Molecular Alterations

AbstractPenile carcinoma is a rare, male cancer. Although the incidence of penile carcinoma is very low in Western countries, in some countries, the incidence is significantly greater, with penile carcinoma accounting for ≤10% of all male malignancies. Greater insight has been gained in recent years as to its pathogenesis, the risk factors associated with its development, and the clinical and histological precursor lesions related to this disease. In this review, risk and conditions factors for penile carcinoma, molecular alterations in this type of cancer, histological types, and prognostic factors will be discussed in order to further our understanding of the biology and behavior of this cancer.

https://doi.org/10.1100/tsw.2011.24
Translational Andrology and Urology · 2017 · 43 citations · open access

Psychosocial impact of penile carcinoma

AbstractPenile carcinoma is a rare malignancy with a potential for local invasion and regional/distant extension. Penile cancer can be cured in over 80% of cases if diagnosed early. However, local treatment, although potentially lifesaving, can be mutilating and devastating for the patient's psychological well-being. In patients with long-term survival after penile cancer, sexual dysfunction, voiding problems and cosmetic penile appearance may adversely affect the patient's quality of life. Although there is little data in the literature about psychosocial impact of penile carcinoma, organ-preserving treatment seems to allow for better quality of life and sexual function and should be offered to all patients whenever feasible.

https://doi.org/10.21037/tau.2017.07.24
The Journal of Urology · 2017 · 1 citations

MP81-07 PENILE CARCINOMA: GENETICALLY ENGINEERED MODELS FOR NOVEL THERAPEUTICS IDENTIFICATION

AbstractYou have accessJournal of UrologySexual Function/Dysfunction: Basic Research & Pathophysiology II1 Apr 2017MP81-07 PENILE CARCINOMA: GENETICALLY ENGINEERED MODELS FOR NOVEL THERAPEUTICS IDENTIFICATION Ahmed Sarhan, Xiaoying Shang, Pherose Tamboli, Priya Rao, Curtis Pettaway, Alan Wang, Ronald DePinho, and Xin Lu Ahmed SarhanAhmed Sarhan , Xiaoying ShangXiaoying Shang , Pherose TamboliPherose Tamboli , Priya RaoPriya Rao , Curtis PettawayCurtis Pettaway , Alan WangAlan Wang , Ronald DePinhoRonald DePinho , and Xin LuXin Lu View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2533AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Penile cancer is rare but fatal malignant disease. The predominant histologic type of penile cancer is squamous cell carcinoma. The molecular mechanism of penile cancer has not been extensively studied thus far and remain poorly understood. We present the first genetically engineered penile cancer model in mice that represents a model for studying molecular mechanisms and pathway alterations in penile cancer pathogenesis METHODS Two transgenic models that develop penile cancer through tissue-specific deletion of tumor suppressor genes were generated in a background nearly congenic to C57BL/6: deletion of smad4;Apc (model 1) and deletion of smad4;Apc; Pten (model 2). Penile prolapse was the phenotype of penile cancer formation. Tumor histology was confirmed by two pathologists (P.T., P.R.). Established penile tumors were harvested for RNAseq, reverse phase protein array (RPPA) and mass cytometry (CyTOF) for analyses if transcriptome, targeted proteome and immunophenotyping, respectively. In vivo treatment of mouse primary penile tumors was performed in 6 mice/group using cisplatin chemotherapy RESULTS Smad4; Apc mice developed primary penile tumors at 18-20 weeks of age, whereas Smad4; Apc; Pten mice develop tumors at 8-10 weeks. The tumors resembled penile squamous carcinoma by pathologic confirmation. In vivo treatment of mice with cisplatin revealed that that Pten loss could mediate tumor resistance to cisplatin treatment. CyTOF analysis showed a strong inflammatory phenotype of the tumors with massive infiltration of CD11b+ Gr1+ myeloid cells. Transcriptomic analysis indicates that COX-2 may be the master regulator of the inflammatory phenotype. RPPA analysis showed a number of highly regulated proteins and pathways in Smad4;Apc tumors compared with normal penis. Based on RPPA result, we are currently testing sensitivities of isolated penile cancer cell lines to a panel of 50 drugs, targeting molecules involved in pathways such as PI3K/AKT/mTOR, HER2/EGFR, SRC, JAK, STAT3, Bcl-XL, etc. We have also developed 4 penile cancer PDX models, and isolated penile cancer cell lines that grow squamous cell carcinoma in SCID mice from 2 of the 4 models. The PDX and cell lines will help validate our findings from transgenic mouse models. CONCLUSIONS A genetically engineered penile cancer mouse model was developed exhibiting a histologic and molecular phenotype that resembles human penile cancer. This model may assist in studying the mechanisms of tumor pathogenesis, progression and novel therapeutic strategies © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1091 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Ahmed Sarhan More articles by this author Xiaoying Shang More articles by this author Pherose Tamboli More articles by this author Priya Rao More articles by this author Curtis Pettaway More articles by this author Alan Wang More articles by this author Ronald DePinho More articles by this author Xin Lu More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

https://doi.org/10.1016/j.juro.2017.02.2533

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.