00:00:06:12 - 00:00:07:29 Cancer sucks. 00:00:07:31 - 00:00:09:41 But what's worse is beating cancer. 00:00:09:42 - 00:00:11:42 Only for it to come back. 00:00:11:44 - 00:00:13:23 This happens all too often 00:00:13:23 - 00:00:14:23 and is devastating 00:00:14:24 - 00:00:16:55 to patients and their families. 00:00:16:57 - 00:00:19:05 Our lab studies chronic lymphocytic 00:00:19:05 - 00:00:20:47 leukemia, or CLL, 00:00:20:49 - 00:00:22:12 which is the most common adult 00:00:22:12 - 00:00:24:05 leukemia in the United States. 00:00:24:07 - 00:00:26:18 Cancer coming back and developing 00:00:26:18 - 00:00:27:41 resistance to medicine 00:00:27:41 - 00:00:29:57 is extremely common in this leukemia, 00:00:29:58 - 00:00:31:29 because it's incurable, 00:00:31:31 - 00:00:33:58 and we need better ways to treat it. 00:00:34:00 - 00:00:34:51 In CLL. 00:00:34:53 - 00:00:35:18 It has been 00:00:35:18 - 00:00:36:58 extremely effective to target 00:00:36:58 - 00:00:37:43 a protein called 00:00:37:43 - 00:00:39:28 BTK, which is stuck 00:00:39:28 - 00:00:41:30 in the always on position 00:00:41:32 - 00:00:43:38 and acts by turning on 00:00:43:38 - 00:00:44:46 other proteins 00:00:44:46 - 00:00:47:44 that help the cancer grow and survive. 00:00:47:46 - 00:00:50:26 Thus far, targeting BTK has been done 00:00:50:26 - 00:00:51:30 with inhibitors, 00:00:51:32 - 00:00:53:33 but although there are effective, 00:00:53:35 - 00:00:55:08 BTK can mutate 00:00:55:10 - 00:00:55:49 and prevent 00:00:55:49 - 00:00:57:53 these inhibitors from working. 00:00:57:55 - 00:00:59:23 I like to think of this 00:00:59:25 - 00:01:02:07 interplay between proteins, inhibitors 00:01:02:07 - 00:01:04:34 and mutations with Pac-Man. 00:01:04:36 - 00:01:06:19 Imagine that Pac-Man and panel 00:01:06:21 - 00:01:08:19 A is a protein helping 00:01:08:19 - 00:01:11:35 cells be cancerous, like BTK in CLL. 00:01:12:27 - 00:01:13:48 Inhibitors can be thought of 00:01:13:48 - 00:01:15:06 as pieces of pi 00:01:15:08 - 00:01:16:23 that fit into pac-man's 00:01:16:23 - 00:01:16:55 mouth, 00:01:16:57 - 00:01:18:18 prevent him from eating, 00:01:18:18 - 00:01:19:14 and stop him 00:01:19:14 - 00:01:21:30 from wreaking havoc within our cells. 00:01:21:32 - 00:01:23:11 But what if Pac-Man grows teeth? 00:01:23:13 - 00:01:23:54 Well, I can panel 00:01:23:56 - 00:01:25:10 B well, 00:01:25:12 - 00:01:26:15 the Pi won't fit, 00:01:26:16 - 00:01:28:37 and he stays on the attack. 00:01:28:39 - 00:01:30:21 Pac-Man's teeth can be thought of 00:01:30:21 - 00:01:32:25 as mutations in BTK 00:01:32:27 - 00:01:33:41 that prevent inhibitors 00:01:33:41 - 00:01:34:29 from binding 00:01:34:29 - 00:01:36:35 and cause drug resistance. 00:01:36:37 - 00:01:37:43 But because we know 00:01:37:43 - 00:01:39:51 that stopping Pac-Man from eating, 00:01:39:53 - 00:01:42:17 or really BTK from working 00:01:42:17 - 00:01:44:03 is extremely effective, 00:01:44:05 - 00:01:45:22 we need new ways to 00:01:45:22 - 00:01:48:22 target and stop BTK. 00:01:48:27 - 00:01:49:55 My project is the first 00:01:49:55 - 00:01:52:39 to explore molecular glues in CLL, 00:01:52:41 - 00:01:53:56 which are a type of protein 00:01:53:58 - 00:01:55:26 degrader that might help 00:01:55:26 - 00:01:57:30 overcome this resistance. 00:01:57:32 - 00:01:58:17 They work 00:01:58:17 - 00:02:00:08 by interacting with Pac-Man, 00:02:00:10 - 00:02:02:03 gluing him to our cells 00:02:02:03 - 00:02:03:49 natural recycling systems, 00:02:03:51 - 00:02:05:52 leading to his destruction. 00:02:05:54 - 00:02:07:34 But what about Pac-Man's teeth? 00:02:07:36 - 00:02:08:10 Well, 00:02:08:10 - 00:02:09:06 the best part 00:02:09:06 - 00:02:10:52 about our molecular glue is 00:02:10:52 - 00:02:11:28 they don't need to 00:02:11:28 - 00:02:13:16 fit into Pac-Man's mouth. 00:02:13:18 - 00:02:14:33 They just need to smell 00:02:14:33 - 00:02:15:45 like delicious pie 00:02:15:47 - 00:02:17:01 to lure Pac-Man 00:02:17:01 - 00:02:18:23 to the recycling centers 00:02:18:25 - 00:02:19:57 where he can be destroyed. 00:02:19:59 - 00:02:21:34 Like in panel C, 00:02:21:36 - 00:02:23:00 we think that because 00:02:23:00 - 00:02:24:48 our molecular glue avoids 00:02:24:48 - 00:02:26:45 pac-man's teeth, or really 00:02:26:47 - 00:02:28:37 because it degrades BTK 00:02:28:39 - 00:02:30:53 even in the presence of mutations, 00:02:30:55 - 00:02:33:06 that it will stop BTKs function 00:02:33:06 - 00:02:34:09 better than any of 00:02:34:09 - 00:02:35:27 the current therapeutics 00:02:35:27 - 00:02:37:56 and overcome drug resistance. 00:02:37:58 - 00:02:39:06 This will not only 00:02:39:06 - 00:02:40:20 bring new medicine 00:02:40:20 - 00:02:42:40 and hope to CLL patients, 00:02:42:42 - 00:02:44:21 but also the other patients who 00:02:44:23 - 00:02:46:16 suffer from cancers that use 00:02:46:16 - 00:02:48:25 BTK inhibitors and experience 00:02:48:27 - 00:02:49:50 drug resistance. 00:02:49:52 - 00:02:52:08 So let's stick it to cancer 00:02:52:08 - 00:02:53:25 and bring molecular glues 00:02:53:26 - 00:02:54:36 to the front line of medicine.