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Chad Pecot, MD Profile
Chad Pecot, MD

@ChadPecot

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Cancer Killer | Engineering RNA medicines to End Cancer | Potentially sarcastic | Honey-badger

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Joined June 2020
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@ChadPecot
Chad Pecot, MD
2 months
Now in @Cancer_Cell our group reports the development of a first-in-class EGFR-directed KRAS G12V selective inhibitor. KRAS G12V mutations are the 2nd most common KRAS mutation in cancer, and there are still no approved inhibitors in the clinic. We address two major challenges
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@ChadPecot
Chad Pecot, MD
14 days
RT @oncodaily: Development of the First Dual KRAS+MYC Inhibitor - Chad Pecot (@ChadPecot). #Cancer #Oncology #Onco….
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Join millions who have switched to Grok.
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@ChadPecot
Chad Pecot, MD
16 days
I’m very proud of newly minted Dr. Yogitha Chareddy, who led this effort, along with much of my team. Grateful for collaborations with Albert Bowers and Martin Egli (Vandy). I’m very appreciative of the reviewers and editors at @jclinicalinvest for helping shape this paper. And.
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@ChadPecot
Chad Pecot, MD
16 days
Finally, recent work by @KenOliveLab et al demonstrated MYC copy number gains are a mechanism of resistance to pan-KRASi (RMC-7977): Consistent with this, we observed KRAS RNAi did not affect several RMC-7977 resistant lines, however, MYC RNAi and
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@ChadPecot
Chad Pecot, MD
16 days
Evaluating for potential mechanisms of resistance to single KRAS, MYC or dual KRAS/MYC inhibition, we observed:. - KRASi: Over-expression of KRAS.- MYCi: Decreased pYAP1 S127; increased total YAP.- KRAS/MYCi: Decreased pYAP1 S127; increased total YAP.- Note: Dual KRAS/MYCi
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@ChadPecot
Chad Pecot, MD
16 days
Using a KRAS G12C mutant lung model, we found the inverted KRAS/MYC chimera performed on a comparable level as sotorasib, the first FDA-approved KRAS G12C inhibitor. Due to the distinct modalities (RNAi to silence KRAS mRNA v. small molecule to block KRAS protein signaling), we
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@ChadPecot
Chad Pecot, MD
16 days
Another interesting observation came when we measured anti-sense strands for KRAS and MYC in tumors. The chimeras resulted in markedly increased accumulation in tumors (~30-fold increase) compared with single siRNA targeting, resulting in ~70-80% mRNA silencing of both targets.
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@ChadPecot
Chad Pecot, MD
16 days
This paper has a lot of in vivo characterization too! Although dual KRAS+MYC targeting was synergistic in vitro, it had more of an additive effect in vivo. Using a non-targeting control peptide, we confirmed our EGFR-directed delivery platform is necessary for effective chimera
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@ChadPecot
Chad Pecot, MD
16 days
Using structural modeling, we determined it’d likely be a requirement for the thymidine bridge to be cleaved in order to load into Ago2. We experimentally validated this using a non-cleavable phosphorothioate bridge. Interestingly, we found that 5’-antisense dT overhangs
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@ChadPecot
Chad Pecot, MD
16 days
Using a luciferase reporter, compared with single KRAS siRNAs, the inverted chimeras demonstrated marked improvement in potency. Also, for several KRAS mutant cell lines, although individual KRAS and MYC siRNAs showed potent inhibition of cell viability, the inverted chimeras
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@ChadPecot
Chad Pecot, MD
16 days
Stability assays demonstrated the chimeras are cleaved in the endosomes and are quite stable in plasma and the cytosol, and cleavage is pH independent. Using an EGFR-directed ligand conjugate design, the inverted chimeras essentially function like a targeted, 2-in-1 “pro-drug”,
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@ChadPecot
Chad Pecot, MD
16 days
Next, to realize a dual KRAS/MYC RNAi strategy, we considered 2 orientations of siRNAs:.· Inverted design: 2 siRNAs in a “mirror image”, separated by a 4-thymidine bridge.· Serial design: 2 siRNAs in tandem separated by a 4-thymidine bridge. Unexpectedly, the inverted design was
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@ChadPecot
Chad Pecot, MD
16 days
First, we did lots of work to develop potent MYC RNAi molecules with “drug-like” properties. We arrived at two highly potent drug candidates (Mseq2 and Mseq3). (3/13)
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@ChadPecot
Chad Pecot, MD
16 days
This work builds upon our recent study characterizing development of an EGFR-directed KRAS G12V mutant selective RNAi molecule (EFTX-G12V). Because mutant KRAS signaling activates MYC through several mechanisms, we evaluated whether co-targeting of KRAS.
@ChadPecot
Chad Pecot, MD
2 months
Now in @Cancer_Cell our group reports the development of a first-in-class EGFR-directed KRAS G12V selective inhibitor. KRAS G12V mutations are the 2nd most common KRAS mutation in cancer, and there are still no approved inhibitors in the clinic. We address two major challenges
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@ChadPecot
Chad Pecot, MD
16 days
What’s better than drugging one “undruggable” target? How about drugging 2 at the same time!. Now out in JCI our group reports the development of the first dual KRAS+MYC inhibitor. Here are some key highlights 👇
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@ChadPecot
Chad Pecot, MD
2 months
Due to a high volume of emails, I am no longer responding. 🫶.
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@ChadPecot
Chad Pecot, MD
2 months
RT @lpachter: This week in academia, a not so short🧵. 1. Staff reductions and other cost cutting measures coming to Brown University ht….
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highereddive.com
The Ivy League institution's top officials signaled possible staff reductions along with scaled back capital spending and other measures.
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@ChadPecot
Chad Pecot, MD
2 months
RT @Cancer_Cell: Online Now: A first-in-class EGFR-directed KRAS G12V selective inhibitor
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@ChadPecot
Chad Pecot, MD
2 months
This was a massive effort over many years led by Lyla Stanland and Hayden Huggins. Grateful to the hard work of my lab and excellent collaborators, Justin Milner, Martin Egli and Albert Bowers. Thanks so much to the reviewers who truly made the paper more robust and challenged us.
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@ChadPecot
Chad Pecot, MD
2 months
Because complete inhibition of mutant KRAS is challenging with any modality, we evaluated whether dual KRAS blockade with EFTX-G12V (RNAi-mediated silencing) and RMC-7977 (allosteric inhibition) could improve MAPK inhibition. We observed an additive or synergistic effect in
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