A Fragment‑Based Approach to Target WRN for MSI‑H Cancer Therapy
Microsatellite instability high (MSI-H) cancers, such as uterine and stomach cancer, have faults in their DNA repair systems, making them uniquely dependent on the protein, WRN helicase for survival; if WRN ceases to work, these cancer cells cannot survive. As healthy (MSS) cells are not WRN dependent, inhibiting WRN offers a high selectivity therapeutic strategy.
However, discovering drug like WRN inhibitors has been very difficult:
- Helicases have highly conserved ATP binding sites1 - they belong to a family of proteins that look very similar - so drugs often find specificity hard to achieve.
- The usual approach of high throughput screening (HTS) returns few hits, often non specific or inactive in cells.
- Some WRN ATP competitive compounds have failed due to impurities or covalent artifacts, not true inhibition.