Abha Mishra1, Amit Singh2. 1. School of Biochemical Engineering, Indian Institute of Technology (BHU), Varanasi 221005, India. 2. Department of Pharmacology, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India.
Abstract
The histone acetylation-deacetylation at lysine regulates the functions of many cellular proteins. An increased expression of HDAC6 can cause an increased amount of deacetylated histones, which leads to an inhibition of gene expression and has been associated with cancer cell proliferation. The present study screened the ZINC database to find novel HDAC6 inhibitors using virtual high-throughput screening techniques. The docking score, free energy, and binding pattern of the complexes were used to select a best ligand for further study. Molecular dynamic simulations, binding interactions, and the stability of docked conformations were investigated. Several parameters that determine protein-ligand interactions, such as root-mean-square deviation (RMSD), root-mean-square fluctuation (RMSF), radius of gyration (Rg), and binding pattern, were observed. Hydrogen bonds were observed at His 573 and Gly 582 after a 150 ns simulation with identified compound ZINC000002845205, and they were similar to known inhibitor Panobinostat. The molecular mechanics with generalised Born and surface area solvation (MM/GBSA) free energy was comparable to known inhibitor Panobinostat. ZINC000002845205 qualifies drug-likeness according to Lipinski's rule-of-five, rule-of-three, and the World Drug Index (WDI)-like rule, but there is one violation in the lead-like rule.
The histone acetylation-deacetylation at lysine regulates the functions of many cellular proteins. An increased expression of HDAC6 can cause an increased amount of deacetylated histones, which leads to an inhibition of gene expression and has been associated with cancer cell proliferation. The present study screened the ZINC database to find novel HDAC6 inhibitors using virtual high-throughput screening techniques. The docking score, free energy, and binding pattern of the complexes were used to select a best ligand for further study. Molecular dynamic simulations, binding interactions, and the stability of docked conformations were investigated. Several parameters that determine protein-ligand interactions, such as root-mean-square deviation (RMSD), root-mean-square fluctuation (RMSF), radius of gyration (Rg), and binding pattern, were observed. Hydrogen bonds were observed at His 573 and Gly 582 after a 150 ns simulation with identified compound ZINC000002845205, and they were similar to known inhibitor Panobinostat. The molecular mechanics with generalised Born and surface area solvation (MM/GBSA) free energy was comparable to known inhibitor Panobinostat. ZINC000002845205 qualifies drug-likeness according to Lipinski's rule-of-five, rule-of-three, and the World Drug Index (WDI)-like rule, but there is one violation in the lead-like rule.
Lysine acetylation–deacetylation
processes regulate the
activity of biological proteins. The important classes of proteins
involved in this cycle are lysine acetyltransferases, a recognizing
protein, and histone deacetylases. Post-translational changes include
reversible acetylation and deacetylation of a histone by histone acetylase
and deacetylase enzymes, which add or remove acetyl groups from specific
lysine amino acids.[1−6] Alterations in the interaction between histones and DNA regulate
the compactness of chromatin and gene expression.[7,8] The
DNA histone deacetylation causes condensation of chromatin that results
in gene expression silencing and repression of gene transcription
factors.[9,10] The human histone deacetylase 6 (HDAC6)
has two catalytic parts comprising a ubiquitin-binding domain and
a dynein-binding domain.[11−13] The active site of the HDAC6
protein is mainly formed by H463, P464, F583, and L712.[15] An increased expression of HDAC6 can cause an
increase in deacetylated histones, which leads to an inhibition of
gene expression and has been associated with cancer cell proliferation.[12,16,17] HDAC6 is the cytosolic tubulin
deacetylase protein, and inhibition of HDAC6 can inhibit microtubule
functions to cause cell cycle apoptosis. Dysregulation of HDAC6 functions,
that is, abnormal expressions of HDAC6, has been associated with different
kind of malignancies.[18−22] All these factors make HDAC6 an important target for anticancer
therapy and other disorders. HDAC6 inhibition can cause increased
acetylation on the histone lysine residues and activation of target
genes that are selectively repressed in tumors, which primes cell
cycle arrest. Romidepsin, Vorinostat, Belinostat, and Panobinostat
are permitted HDAC6 inhibitors. HDAC6 inhibitors are in use for different
therapeutic indications like cutaneous T-cell lymphoma (Vorinostat),
peripheral T-cell lymphoma (Romidepsin), refractory peripheral T-cell
lymphoma (Belinostat), and multiple myeloma (Panobinostat). The crystal
structure of the zCD2, a surrogate for the human enzyme, showed that
the N-hydroxy-4-[(N(2-hydroxyethyl)-2-phenylacetamido)
methyl-benzamide] (HPB), a known HDAC6 inhibitor, binds to D612, H614,
D705, and a water molecule at the catalytic site. H573 and H574 establishes
hydrogen bonds with the Zn2+-bound water molecule.[23] Another inhibitor, ACY-1083, coordinates to
Zn2+ and interacts with Y745. The C=O group makes
a hydrogen bond with the water molecule linked with Zn2+; amino acids H573 and H574 also make hydrogen bonds with this water
molecule. The aromatic ring of the aminopyrimidine linker is compressed
between F583 and F643, which is the same as observed with inhibitor
HPB. The phenyl group of the inhibitor creates van der Waals interactions
with amino acids P464 and F583. The hydroxamate part of Ricolinostat
coordinates to Zn2+, and the side chain of Y745 donates
a hydrogen bond to the hydroxamate C=O group; H573 donates
a hydrogen bond to the hydroxamate N–O– group,
and H574 accepts a hydrogen bond from the hydroxamate NH group.[24,25] Pan-HDAC6 inhibitors, trichostatin A (TSA), H573, and H574, establish
hydrogen bonds with the N–O group, while Y745 provides a hydrogen
bond to the hydroxamate C=O.[26] Molecular
modeling techniques are an effective approach to understand protein–ligand
interaction dynamics.[27,28] The present study aims to screen
a novel potential HDAC6 inhibitor from ZINC databases for drug discovery
and development.
Methods
HDAC6 (PDB ID: 5EF8) and
about 832 686 compounds of molecular
weight from 300 to 350 Daand lipid solubility from 2.0 to 3.0 were
retrieved from the Protein Data Bank (PDB) and ZINC ligand database,
respectively. The Epik module and Protein Preparation Wizard tool
of the Schrödinger suite were used to modify the deficiencies
of the proteins[29] and protonation at biological
pH. Protein minimization and hydrogen bond optimization were done
by eliminating water molecules that were greater than 3 Å away
except one water molecule in the active site. The OPLS3 (Optimized
Kanhesia for Liquid Simulations) force field was used for restrained
molecular minimization to make the structures relax and minimize steric
clashes.[30,31] The ligand file preparation was carried
out using Ligprep.[32] Docking was completed
with the Glide tool of the Schrödinger suite. A cocrystallized
ligand was identified, and a grid was generated around the ligand
in HDAC6. Ligands under study were then docked with HDAC6. The docking
was performed by exploiting default parameters for an extra precision
(XP) study.[33,34] All compounds underwent molecular
docking, and then the docking score, free energy, and visual inspection
of the binding pattern of the complexes were used to select the best
ligand for further study.
Molecular Dynamics (MD) Simulations
MD simulations
of the identified protein ligand complex were done with the Desmond
module of the Schrodinger suite.[35] The
OPLS3 force field was used to solvate the docked HDAC6–ZINC
compund unit, employing the SPC (simple point charge) aqueous solvation
of the orthorhombic solvent box and a solvent buffer spreading 10
Å away from the protein.[36] Then, the
system was neutralized by using appropriate counterions. Prior to
production runs, the six-step relaxation protocol was applied. With
and without a restriction of 50 kcal/mol2 on the solute
atoms, the first two stages of steepest descent minimization (2000
steps) were employed. The final four short MD simulations were 12
ps in an NVT ensemble at 10 K, an NPT ensemble at 10 K with the same restraint for 12 ps, an NPT ensemble at 300 K with restraint for 12 ps, and a 24 ps NPT ensemble at 300 K without any restrictions. With a relaxation
time of 2 ps, the Nosé–Hoover chain thermostat and the
isotropic Martyna–Tobias–Klein barostat were used. Short-range
interactions were considered with a cutoff of 9 Å. The smooth
particle mesh Ewald method (PME) was used to examine long-range Coulombic
interactions. For nonbonded interactions, the r-RESPA integrator was
used, with short-range forces updated every step and long-range forces
updated every three steps. For the protein–ligand complex,
150 ns MD simulations were run, and trajectories were generated every
150 ps with an energy recording interval of 1.2 ps. The root-mean-square
deviation (RMSD) and root-mean-square fluctuation (RMSF) of the structure
of the protein–ligand complex were investigated using the OPLS3
(Optimized Kanhesia for Liquid Simulations) force fields with regard
to a 150 ns simulation.[37,38] For the binding energy
investigation, Prime-MM/GBSA (molecular mechanics/generalized Born
surface area) was employed.[39] This model
uses a Gaussian surface rather than a van der Waals surface to represent
the solvent accessible surface area.[40,41] The equations
used for binding energy (ΔGbind)
calculations are the following:where Ecomplex, Eprotein, and Eligand are the minimized energies
for the protein–ligand
complex, protein, and ligand, respectively;where Gsolv-complex, Gsolv-protein and Gsolv-ligand are the solvation energies for the
protein–ligand complex, protein, and ligand, respectively;
andwhere GSA-complex, GSA-protein, and GSA-ligand are the surface area energies for the protein–ligand complex,
protein, and ligand, respectively.In all docking postures,
the Prime program of the Schrödinger software suite was used
to calculate the MM/GBSA. The directionality of the hydrogen-bond
and π-stacking interactions was demonstrated using the variable
dielectric solvent model VSGB 2.0. The complex was minimized for molecular
mechanics by letting residues within 5.0 Å of the ligand to relax
while keeping the rest of the structure fixed.[42−44] Drug-likeness
of the most active compound was calculated using the QikProp &
PreADMET programs.
Results & Discussion
The intention
of this study is to recognize novel probable HDAC6
inhibitors from the ZINC database. This was achieved through a molecular
modeling study of ZINC database compounds with Glide software. Redocking
of a cocrystallized inhibitor with an acceptable RMSD value was used
to validate the docking technique. The native and redocked poses demonstrated
the same binding pattern. The docking approach is valid and reliable
for predicting potential inhibitors in our compound database, as demonstrated
by this run.The screening was conducted on the basis of XP
molecular docking
results for 832 686 compounds at the HDAC6 active site, and
the results are shown in Table . ZINC000002845205 displayed a good contact at the binding
site by creating hydrogen bonds and hydrophobic interactions with
HDAC6 and a good MM/GBSA binding energy. The MM/GBSA binding energy
estimates the free energy change during ligand target binding. The
hydrogen bonding occurred at Gly582 and His573. Hydrophobic bond formations
occurred with amino acids Phe583 and Asn643. Figure displays interactions with Panobinostat
(known inhibitor) and ZINC000002845205. The manner of interaction
for amino acids in both the cases were similar. The postdocking Glide
score of HDAC6 with ZINC000002845205 was found to be −9.70,
compared with −11.13 for HDAC6 with Panobinostat, while the
MM/GBSA binding free energy was found to be −52.03 and −56.08
kcal/mol, respectively (Table ). The docking of ZINC000002845205 showed two hydrogen bonds
with Gly582 and His573 and hydrophobic interaction with Phe583 and
Asn643 at the active site, which is similar to known inhibitor Panobinostat
(Figure ).
Table 1
Potential HDAC6 Inhibitors of ZINC
Database Docking and MM/GBSA Study
Figure 1
Molecular docking of (a) HDAC6 with Panobinostat [6918837] and
(b) HDAC6 with ZINC000002845205.
Molecular docking of (a) HDAC6 with Panobinostat [6918837] and
(b) HDAC6 with ZINC000002845205.This docking study only provides an initial understanding of the
interactions and binding mechanism, but additional factors such as
the solvent impact, protein flexibility, and structural stability
must be considered before reaching a final judgment. ZINC000002845205
was selected for additional molecular dynamic simulation study with
HDAC6 on the basis of its docking score, free energy, and polar and
nonbonded interactions.MD simulations were run for 150 ns to
study the binding mode and
to assess the stability of the docked conformation of the most active
compound, i.e., ZINC000002845205. Molecular dynamics simulations
explored the dynamic interactions, structural stability, and binding
site adjustments to the docked Panobinostat and ZINC000002845205 during
the 150 ns simulation. HDAC6 complexes were investigated to check
the fluctuations and stability of the interactions during the 150
ns simulation using the backbone atoms of proteins and ligands (Panobinostat
and ZINC compound). Figure shows the RMSD for Complex I (HDAC6 + Panobinostat) and Complex
2 (HDAC6 + ZINC000002845205). For Complex 1, the average RMSD for
the HDAC6 and Panobinostat are 1.13 and 1.47 Å, respectively.
The RMSD of the HDAC6 and ZINC000002845205 of Complex 2 are 1.21 and
0.65 Å. Complex 1 reached equilibrium after 5 ns and remained
stable afterward. The average RMSD of the ZINC000002845205 compound
is comparable to the known inhibitor Panobinostat (Figure ).
Figure 2
RMSD profile of HDAC6
during 150 ns MD simulation (blue, HDAC6;
orange, HDAC6 + Panobinostat; gray, HDAC6 + ZINC compound).
Figure 3
RMSD profile of Panobinostat and ZINC compound during
150 ns MD
simulation (blue, Panobinostat; orange, ZINC compound).
RMSD profile of HDAC6
during 150 ns MD simulation (blue, HDAC6;
orange, HDAC6 + Panobinostat; gray, HDAC6 + ZINC compound).RMSD profile of Panobinostat and ZINC compound during
150 ns MD
simulation (blue, Panobinostat; orange, ZINC compound).The root-mean-squared fluctuations (RMSF) of the amino acids
surrounding
the ligand were estimated during MD simulation to check the stability
of the active site. The HDAC6 structures of the two complexes have
similar RMSF and dynamic characteristic trends. The RMSF values of
the residues around the ligand, Gly582 and His573, were analyzed in
relation to the initial structures. The RMSF for each residue surrounding
the ligands is less than 0.53 Å in all of the complexes. RMSDs
of around 1.21 Å, with RMSF fluctuations of less than 0.53 Å,
showed the stability of the interactions (Figure ).
Figure 4
RMSF study to show local changes around the
protein chain (blue,
HDAC6; orange, HDAC6 + Panobinostat; gray, HDAC6 + ZINC compound).
RMSF study to show local changes around the
protein chain (blue,
HDAC6; orange, HDAC6 + Panobinostat; gray, HDAC6 + ZINC compound).The radius of gyration interactions between HDAC6
and the ligands
were also studied. This measure indicates the molecule’s shape
at any given point in time. It was computed when the Panobinostat
and ZINC000002845205 were bound in order to examine structural alterations
in HDAC6. The graph of the radius of gyration in simulation time for
the Panobinostat and ZINC000002845205 complex is given in Figure .
Figure 5
Compactness of the protein
in terms of radius of gyration (Rg)
during 150 ns MD simulation (blue, HDAC6; orange, HDAC6 + Panobinostat;
gray, HDAC6 + ZINC compound).
Compactness of the protein
in terms of radius of gyration (Rg)
during 150 ns MD simulation (blue, HDAC6; orange, HDAC6 + Panobinostat;
gray, HDAC6 + ZINC compound).During simulation, neither complex showed any substantial structural
changes. The resulting MD trajectory was used to investigate the hydrogen-bond
interactions between HDAC6 and its ligands. Figures –13 show the interactions of the
H-bond formations and amino acid residues between HDAC6 and the ZINC
compound throughout the 150 ns study. The top sections of Figures and 13 designate the interactions of HDAC6 with the inhibitors
as a whole. The bottom sections display the interactions between specific
amino acids and the ligands (Panobinostat and ZINC000002845205) in
each trajectory. Dark shading indicates more than one specific contact.
H-bond formations were calculated for HDAC6 in relation to the ligands
under study within the 150 ns trajectory shown in Figures –13. Complex 1 showed two hydrogen bonds, wherein the first H-bond
was generated by the −NH of Panobinostat with the Gly582 of
the receptor with 91% residency. The second H-bond was formed by the
−N of His573 with 50% residency. The amino acids Phe583 and
Asn643 were involved in hydrophobic interactions. Hydrogen-bond interactions
were also identified for Complex 2 after MD simulation. The first
H-bond was generated by the −NH of ZINC000002845205 with the
Gly582 of the receptor with 96% residency. The −N of His573
formed the second hydrogen bond with 96% residency. Hydrophobic interactions
were present between amino acids Phe583 and Asn643 with ZINC000002845205.
An H-bond was generated by Panobinostat and ZINC000002845205 with
Gly582, and His573 substantiated the docking result. The average number
of H-bond formations between HDAC6 with Panobinostat and with ZINC000002845205
were 2.12 and 2.07 respectively. The analysis of the HDAC6 Panobinostat
MD trajectory reveals that the interactions detected in the structure
are preserved all over the MD simulation. In conclusion, the MD simulations
suggest that the Panobinostat makes hydrogen bonds with the Gly582
and His573 in HDAC6.
Figure 6
H-bond formation between HDAC6 + Panobinostat during 150
ns MD
simulation study.
Figure 13
Top block shows specific contacts, and the bottom block
displays
HDAC6 + ZINC compound interactions during 150 ns simulation (dark
orange shade represents a stable interaction).
Figure 11
Top block shows specific contacts, and the bottom block
displays
HDAC6 + Panobinostat interactions during 150 ns simulation (dark orange
shade represents a stable interaction).
H-bond formation between HDAC6 + Panobinostat during 150
ns MD
simulation study.A 2D schematic of ligand
protein contacts (HDAC6 + Panobinostat)
during 150 ns MD simulation study.H-bond
formation between HDAC6 + ZINC compound during 150 ns MD
simulation study.A 2D schematic of protein
ligand contacts (HDAC6 + ZINC compound)
during 150 ns MD simulation study.HDAC6
+ Panobinostat interaction during 150 ns simulation (water
bridges, blue; H-bond, green; hydrophobic contacts, violet).Top block shows specific contacts, and the bottom block
displays
HDAC6 + Panobinostat interactions during 150 ns simulation (dark orange
shade represents a stable interaction).HDAC6
+ ZINC compound interactions during 150 ns simulation (water
bridges, blue; H-bond, green; hydrophobic contacts, violet).Top block shows specific contacts, and the bottom block
displays
HDAC6 + ZINC compound interactions during 150 ns simulation (dark
orange shade represents a stable interaction).IC50 values of 3–61 nM were reported for Panobinostat
with HDAC1–HDAC9, excepting for a slightly higher IC50 value of 248 nM for HDAC8.[45,46] The HDAC6 + ZINC000002845205
complex represented a similar kind of binding pattern. Evaluation
of the initial and final structures displayed a stable docked conformation
during the entire simulation of 150 ns (Figures and 13). The hydrogen-bond
construction with amino acids Gly582 and His573 were found to be constant
with the ligand. The residues Gly582 and His573 were critical for
the inhibitors’ binding, according to the entire analysis of
the evaluated trajectories. The variations of distance between the
backbone atoms of the important amino acids at the active site region
with ZINC000002845205 were estimated and plotted (Figures and 8). It was evident that hydrogen-bond formation is a crucial event,
as indicated by the stable interaction in the docking and molecular
dynamics results.
Figure 9
A 2D schematic of protein
ligand contacts (HDAC6 + ZINC compound)
during 150 ns MD simulation study.
Figure 8
H-bond
formation between HDAC6 + ZINC compound during 150 ns MD
simulation study.
Study of the free energy gives an insight
on interaction, folding
pattern, and other mechanisms. The components included in free energy
determination are various bonded and nonbonded interactions, such
as ionic, hydrogen, electrostatic, and van der Waals, and polarization
of the interacting groups. Docking and MD simulations support the
computation of the free energy of the HDAC6 + ZINC000002845205 binding
by using theoretical calculations.[47] In
free energy calculations, docking and scoring via MM/PBSA [molecular
mechanics (MM) with Poisson–Boltzmann (PB) and surface area
solvation] lacks accuracy but is fast and can classify ligands into
binders and nonbinders.[48] MM/GBSA, which
is an alternative method, is more statistically accurate than the
docking and scoring functions.[49−52]where Gbind is
the binding free energy, H is enthalpy, T is temperature, and S is entropy.where EMM is the
gas phase energy and Gsol is the solvation
free energy.where Einternal is the bond, angle, and dihedral energies; Eelectrostatic is the electrostatic energy; and Evdw is the van der Waals energy.where Gsol is
the solvation energy, GPB/GB is the nonelectrostatic
solvation energy for polar contributions, and GSA is the electrostatic solvation energy.where Gnonpolar is the nonelectrostatic
solvation energy for nonpolar contributions,
SASA is the solvent-accessible surface area, γ is a correlation
coefficient, and b is a fitting parameter.Polar contributions to the equation are represented by ΔGPB/GB for the GBSA or PBSA models, while SASA
represents nonpolar energy contributions. The calculation of −TΔS was done from snapshots retrieved
during the MD simulations. The MM/GBSA binding energy assessment was
performed for each Complex. The binding energies of HDAC6 + Panobinostat
and HDAC6 + ZINC000002845205 are shown in Table . It was evident that ZINC000002845205 showed
promising results compared with known inhibitor Panobinostat (Table ).
Table 2
Binding Energy (kcal/mol) of HDAC6
with Panobinostat and ZINC000002845205
protein + Panobinostat
protein + ZINC000002845205
electrostatic
–41.5497
–46.612
H-bond
–1.64344
–1.34565
van der Waals energy
–39.0996
–30.8053
lipophilic energy
–17.3848
–18.7312
π–π packing
correction
–6.53995
–3.23679
solv GB
46.63933
49.99878
ΔGbind
–54.115
–47.2366
The absorption, distribution,
metabolism, and excretion (ADME)
of drugs are important components of pharmacokinetics. According to
statistics, many drug candidates miss clinical trials because of ADME
issues; hence, it is important to research ADME qualities before selecting
compounds as therapeutic candidates. Predicted qualitative human oral
absorption was 3 (high), and percent human oral absorption on a scale
of 0–100% was found to be 96% for ZINC000002845205, which falls
under the category of good absorption (QikProp). Human intestinal
absorption (HIA) was predicted as good at 100% for ZINC000002845205.
Caco-2 and MDCK cell models are considered as reliable in
vitro models to predict oral drug absorption. Caco-2 cells
are derived from human colon adenocarcinoma and have multiple drug
transport pathways through the intestinal epithelium. MDCK cell refers
to Martin−Darby canine kidney cells. The compound was also
of a high permeability group with a PCaco-2 = 1639.51
nm/sec[53] and a PMDCK = 844.17
nm/sec.[54] The predicted in vitro skin permeability of ZINC000002845205 was −1.94 cm/hour,
which is considered to be within an acceptable range.[55] The predicted Blood–Brain Barrier (BBB) penetration,
i.e., logBB, of ZINC000002845205 is also within an acceptable range
(−0.70). ZINC000002845205 qualifies drug-likeness per Lipinski’s
rule-of-five, rule-of-three, and the World Drug Index (WDI)-like rule, but with one violation observed
in the lead-like rule.[56]
Conclusion
In the present study, the ZINC database was screened to find novel
HDAC6 inhibitors using virtual high-throughput screening techniques.
Many observations were noted during this process. Gly582 and His573
were recognized as important residues by the molecular modeling of
HDAC6 with a known inhibitor, Panobinostat, and with ZINC database
compound ZINC000002845205. The binding modes of Panobinostat and ZINC000002845205
with HDAC6 were comparable. The RMSDs of Complex 1, HDAC6 and Panobinostat,
were 1.13 and 1.47 Å, respectively. The RMSDs of Complex 2, HDAC6
and ZINC000002845205, were 1.21 and 0.65 Å, respectively. The
RMSFs at Gly582 and His573 were lower than 0.6 Å, which specifies
the stability of the binding pocket throughout the MD simulations.
The average number of H-bond formations of Panobinostat and ZINC000002845205
with HDAC6 were 2.12 and 2.07, respectively. The ΔGbind reported from MM/GBSA calculations indicated that
Complex 2 has a comparable binding energy to Complex 1. ZINC000002845205
qualifies the drug-likeness property according to Lipinski’s
rule-of-five, WDI-like rule, and the rule-of-three, but with one violation
observed in the lead-like rule. These observations give an insight
about the potential of the ZINC000002845205 compound for further drug
discovery and development process as an HDAC6 inhibitor.
Authors: Nicholas J Porter; Jeremy D Osko; Daniela Diedrich; Thomas Kurz; Jacob M Hooker; Finn K Hansen; David W Christianson Journal: J Med Chem Date: 2018-08-17 Impact factor: 7.446
Authors: Leigh Ellis; Yan Pan; Gordon K Smyth; Daniel J George; Chris McCormack; Roxanne Williams-Truax; Monica Mita; Joachim Beck; Howard Burris; Gail Ryan; Peter Atadja; Dale Butterfoss; Margaret Dugan; Kenneth Culver; Ricky W Johnstone; H Miles Prince Journal: Clin Cancer Res Date: 2008-07-15 Impact factor: 12.531