Hematology/Oncology


Wafik S. El-Deiry, MD, PhD Medline search  
Associate Professor of Medicine
Associate Professor of Genetics
Associate Professor of Pharmacology
Assistant Investigator, Howard Hughes Medical Institute
Director, Laboratory of Molecular Oncology and Cell Cycle Regulation

Clinical Research Building, Room 437A
415 Curie Blvd.
Philadelphia, PA 19104

215-898-9072
215-573-9139 fax


Program or Research Summary:

The EL-DEIRY LAB is a Molecular Oncology Laboratory dedicated to the identification and characterization of cell cycle and cell death abnormalities in chemo- and radioresistant cancers. Current areas of interest include the identification of alterations in gene expression and regulation of transcription by the tumor suppressors p53 and BRCA1, and by the oncoprotein c-Myc. DNA microarrays and subtractive hybridization screens have been yielding clues to novel pathways of cell death, cell cycle deregulation and transformation that we are dissecting using state-of-the-art molecular techniques. For example we have cloned the human and mouse homologues of the TRAIL receptor DR5 (also known as KILLER) as a p53 target gene and recently in collaboration with John Reed we identified Bax as a target of c-Myc. In collaborative studies with Barbara Weber we identified p53 as a BRCA1 target protein, and recently we found that BRCA1 is a target for repression by p53 in the DNA damage response. We are characterizing several novel target genes of p53 and c-Myc. A yeast two-hybrid screen has yielded a novel caspase-interacting protein and a novel Death Receptor 4-interacting protein that are being characterized. The isolated target genes are being characterized through promoter analysis and the proteins through interaction screens, and overexpression studies employing expression plasmid, adenoviral and retroviral vectors. Our goal is to understand the function of tumor suppressing proteins and oncoproteins through the actions of their downstream targets. We believe such an approach is crucial for understanding cancer pathogenesis and drug resistance and it should also lead to novel therapeutic strategies to enhance cancer cell death and reduce toxicity of chemo- and radiotherapy. Another area of interest is understanding the regulation and signaling by the TRAIL family of receptors, and the development of strategies for the use of TRAIL ligand in cancer therapy. TRAIL is a ligand in the TNF family and is very interesting to us because it specifically kills transformed and cancer cells but not most normal cells. We are analyzing naturally occurring resistance to TRAIL, as well as using genetic screens to identify cDNA's that can inhibit cell death signaling. Detailed mutagenesis of the death domain of DR5 is suggesting strategies for modulating cell death signaling through small moleculaes such as synthetic peptides. We are also developing strategies for the combination of TRAIL with other agents in cancer chemotherapy or gene therapy. The laboratory has had a long standing interest in the p53-dependent and -independent transcriptional regulation of expression of the p21(WAF1/CIP1) universal cell cycle inhibitor. A recent area of interest that has emerged involves studies of the post-translational control of the p21(WAF1/CIP1) protein. We have become interested in the cell cycle-dependent phosphorylation of p21, the physiological relevance thereof, pathways of transcriptional repression of p21 and the pathways of p21 degradation. Finally, efforts are underway to understand the effects of a recently discovered p53 mutant-conformation modifying drug. These studies which are being performed in collaboration with scientists at Pfizer are yielding novel insights for drug development and regulation of the p53 response.

Honors and Professional Activities:

Howard Hughes Medical Institute Investigator (1995 - Present)
Michael Brown Research Award, University of Pennsylvania (1998)
Associate Editor, Cancer Research (1999 - Present)
Associate Editor, Clinical Cancer Research (1999 - Present)
Member, American Society for Clinical Investigation (1999 - Present)
Editorial Board, Leukemia (2000 - Present)
Member, Pathology B Study Section (2001 - 2004)
Editor-in-Chief, Cancer Biology and Therapy (2001 - Present)
Chair, Cell Cycle Committee, American Association for Cancer Research (2001)
Editor, Tumor Suppressor Genes, Humana Press (2002)
Editorial Board, Journal of Biological Chemistry (2002-2007)
Editor, Death Receptors in Human Cancer, Humana Press (2003)

Dr. El-Deiry authored one of the top ten most highly cited papers of the 1990's (Cell 75:817-25, 1993 "WAF1, a potential mediator of p53 tumor suppression"), and is also among the top 40 most highly cited researchers of the 1990's. (See: In-Cites)

Other links of Interest:
Howard Hughes Medical Institute research page
Cancer Biology web site

Selected Recent References:

El-Deiry, W.S. Akt takes centre stage in cell-cycle deregulation. Nature Cell Biology 3:March 2001.

Fisher, M.J., Virmani, A. K., Wu, L., Aplenc, J.C., Harper, J.C., Powell, S.M., Rebbeck, T.R., Sidransky, D., Gazdar, A.F., and El-Deiry, W.S. Nucleotide substitution in the ectodomain of TRAIL receptor DR4 is associated with lung cancer and head and neck cancer. Clinical Cancer Research, accepted with minor revision, 2001.

Kim, K., Fisher, M.J., Xu, S.-Q., and El-Deiry, W.S. Molecular determinants of response to TRAIL in killing of normal and cancer cells. Clin. Cancer Res., 6:335-346, 2000.

MacLachlan, T.K., Dash, B., Dicker, D.T., and El-Deiry, W.S. Repression of BRCA1 through a feedback loop involving p53. J. Biol. Chem., 275:31869-31875, 2000.

MacLachlan, T.K., and El-Deiry, W.S. Pointing (zinc) fingers at BRCA1 targets. Nature Medicine 6:1318-1319, 2000.

McDonald, E.R., III, Chui, P.C., Martelli, P.F., Dicker, D.T., and El-Deiry, W.S. Death domain mutagenesis of KILLER/DR5 reveals residues critical for apoptotic signaling. J. Biol. Chem., in press, 2001. Published On-Line 2/13/01.

McDonald, E.R., III, and El-Deiry, W.S. Cell cycle control as a basis for cancer drug development. Int. J. Oncol. 16:871-886, 2000.

Meng, R.D., and El-Deiry, W.S. p53-independent upregulation of KILLER/DR5 TRAIL receptor expression by glucocorticoids and interferon-g. Exp. Cell Research, 262:154-169, 2001.

Mitchell, K.O., Ricci, M.S., Miyashita, T., Reed, J.C., and El-Deiry, W.S. Identification of Bax as a transcriptional target and mediator of c-Myc-induced apoptosis. Cancer Research, 60:6318-6325, 2000.

Ozoren, N. and El-Deiry, W.S. Introduction to cancer genes and growth control. In DNA Alterations in Cancer: Genetic and Epigenetic Changes. Ehrlich, M., Ed. Eaton Publishing, Natique, MA, pp. 3-43, 2000.

Ozoren, N., Kim, K., Burns, T.F., Dicker, D.T., Moscioni, A.D., and El-Deiry, W.S. The caspase 9 inhibitor Z-LEHD-FMK protects human liver cells while permitting death of cancer cells exposed to TRAIL. Cancer Research, 60:6259-6265, 2000.

Ricci, M.S., and El-Deiry, W.S. Novel strategies for therapeutic design in molecular oncology using gene expression profiles. Curr. Opin. Mol. Ther., 2:682-690, 2000.

Takimoto, R. and El-Deiry, W.S. Wild-type p53 transactivates the KILLER/DR5 gene through an intronic sequence-specific DNA-binding site. Oncogene, 19:1735-1743, 2000.

Takimoto, R., and El-Deiry, W.S. DNA replication blockade impairs p53-transactivation. Proc. Natl. Acad. Sci. USA, 98:781-783, 2001.

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