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        <identifier>oai:www.ideals.illinois.edu:2142/117518</identifier>
        <datestamp>2025-11-07</datestamp>
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        <thesis xmlns="http://www.ndltd.org/standards/metadata/etdms/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:dc="http://purl.org/dc/elements/1.1/" xsi:schemaLocation="http://www.ndltd.org/standards/metadata/etdms/1.1/ http://www.ndltd.org/standards/metadata/etdms/1.1/etdms11.xsd http://purl.org/dc/elements/1.1/ http://www.ndltd.org/standards/metadata/etdms/1.1/etdmsdc.xsd">
          <dc:contributor>Hergenrother, Paul J</dc:contributor>
          <dc:contributor>Hergenrother, Paul J</dc:contributor>
          <dc:contributor>Mitchell, Douglas A</dc:contributor>
          <dc:contributor>Chan, Jefferson</dc:contributor>
          <dc:contributor>Mehta, Angad P</dc:contributor>
          <dc:date>2022-12</dc:date>
          <dc:format>application/pdf</dc:format>
          <dc:language>en</dc:language>
          <dc:type>text</dc:type>
          <dc:description>Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2024-12-01</dc:description>
          <dc:description>The student, Emily Tonogai, accepted the attached license on 2022-08-02 at 12:58.</dc:description>
          <dc:description>The student, Emily Tonogai, submitted this Dissertation for approval on 2022-08-02 at 13:05.</dc:description>
          <dc:description>This Dissertation was approved for publication on 2022-08-17 at 09:28.</dc:description>
          <dc:description>DSpace SAF Submission Ingestion Package generated from Vireo submission #18441 on 2023-04-12 at 11:34:08</dc:description>
          <dc:title>Identifying the basis for anticancer synergy with PAC-1, with applications to meningioma</dc:title>
          <dc:creator>Tonogai, Emily J.</dc:creator>
          <dc:date>2022-08-17</dc:date>
          <dc:subject>cancer</dc:subject>
          <dc:subject>meningioma</dc:subject>
          <dc:subject>uveal melanoma</dc:subject>
          <dc:subject>PAC-1</dc:subject>
          <dc:subject>caspase</dc:subject>
          <dc:subject>procaspase</dc:subject>
          <dc:subject>small molecule</dc:subject>
          <dc:subject>comparative oncology</dc:subject>
          <dc:subject>canine</dc:subject>
          <dc:description>The procaspase-3/-7 activator, PAC-1, selectively activates apoptosis in cancerous cells by leveraging the overexpression of caspase-3 in a broad spectrum of cancer types. This unique mechanism is thought to contribute to the ability of PAC-1 to synergize with a variety of different therapeutics, which has been demonstrated in numerous literature reports. Herein, previously reported combinations with PAC-1 in different cancer types will be reviewed and recent research on new combinations will be described. In particular, focus will be placed on PAC-1 in combination with temozolomide (TMZ) and hydroxyurea (HU) in high-grade meningioma, a rare form of brain cancer with no FDA-approved therapies. PAC-1 + TMZ was found to have activity in canine patients with meningioma. Additionally, recent work has demonstrated the synergy of PAC-1 in combination with the NTRK/ROS1/ALK inhibitor entrectinib, in metastatic uveal melanoma which has led to a clinical trial. Further efforts to evaluate the synergy of this combination and understand its mechanism will also be described.
While PAC-1 has been reported to synergize with a broad spectrum of therapeutics, the underlying mechanism of this synergy has not yet been investigated. The diversity of caspase substrates cleaved during apoptosis may contribute to the ability of PAC-1 to synergize with such a wide variety of different therapies. To begin investigating the source of PAC-1’s broad synergy, the effect of PAC-1 on proteins involved in DNA repair pathways are investigated as many of these have been reported as caspase substrates. Understanding the proteins affected by PAC-1- induced caspase activity may inform our understanding of published PAC-1 combinations as well as aid in the design of novel combinations.</dc:description>
          <dc:type>Thesis</dc:type>
          <dc:language>eng</dc:language>
          <dc:identifier>https://hdl.handle.net/2142/117518</dc:identifier>
          <dc:rights>Copyright 2022 Emily Tonogai</dc:rights>
          <degree>
            <name>
        Ph.D.
    </name>
            <level>
            Dissertation
    </level>
            <discipline>
        Chemistry
    </discipline>
            <grantor>
        University of Illinois at Urbana-Champaign
    </grantor>
            <department>
        Chemistry
    </department>
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