When there is a glitch in a remodeling complex — for instance, when a mutation alters one of the proteins in the complex or there is too much of a transcription factor that interacts with it — the complex can malfunction, leading to overactivation of
cell growth-promoting genes or inactivation of genes that normally keep growth under control. The result can be the transformation of a normal cell into a cancer cell, and runaway growth leading to tumors.
Kadoch and her laboratory team are investigating a particular chromatin remodeler called mSWI/SNF, made up of 29 proteins, which interacts with more than 100 different transcription partners to activate certain genes. The mSWI/SNF complex is strongly
implicated in abnormal gene expression leading to disease owing to its high frequency of mutations in its component proteins.
As they dissect the intricate workings of the chromatin remodeling complexes, Kadoch and her affiliates are pursuing clever strategies to target misbehaving mSWI/SNF remodelers in cancer. One tactic is to directly inhibit the activity of specific remodeler
proteins in the complex, which is currently being tested for the first time in patients in clinical trials targeting both leukemia and melanoma. Another plan is to use drugs called protein degraders to eliminate certain proteins in the mSWI/SNF complex,
leading to cancer cell death, a second type of strategy on the precipice of clinical evaluation. And a third strategy is to interrupt the interaction between parts of the mSWI/SNF complex and transcription factors that are over-activating cancer-causing
genes.