NIH-funded research U01 cooperative agreement

Why a protein-recycling system causes treatment resistance in small cell lung cancer

Official title: Understanding the molecular mechanism of a protein-recycling complex in small cell lung cancer treatment resistance.

Funded at University Health Network · NIH-11135364 · Data updated 2026-11-12

Researchers are looking at whether problems in a protein-recycling complex make small cell lung cancer resistant to platinum chemotherapy and PARP inhibitor drugs, to help people whose cancer returns after treatment.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionUniversity Health Network
NIH-funded
Lab location1 site (Toronto, Canada)
Project startSeptember 25, 2020
Project endAugust 31, 2026
Funding year2025
Award (this year)$246,062
NIH project number5U01CA253383-05
Project IDNIH-11135364 on NIH RePORTER

Who could benefit from this research

Could help

Patients with small cell lung cancer—especially those whose cancer has relapsed after platinum-based chemotherapy or who are being considered for PARP inhibitor therapy—are the most likely candidates to participate or benefit.

Less likely to help

People without small cell lung cancer or whose tumors do not show the specific protein-recycling defect identified here are unlikely to benefit directly from this research.

What this research studies

I have small cell lung cancer and the treatments that usually work sometimes stop working because the cancer becomes resistant. This project used a large-scale CRISPR genetic screen and laboratory experiments to find parts of a protein-recycling (SCF) complex that drive resistance to PARP inhibitors and platinum chemotherapy. The team validated their findings in cell models and compared them to genetic changes in patient relapse tumors, identifying loss of an F-box protein that may explain resistance in up to about 20% of relapsed cases. They aim to turn this knowledge into biomarkers and new approaches to overcome treatment resistance.

Why it matters

Potential benefit: If successful, this work could help predict which SCLC patients are unlikely to respond to PARP inhibitors or platinum drugs and point to new therapies that overcome resistance.

How similar studies have gone: PARP inhibitors are effective in BRCA-mutant cancers and CRISPR screens have revealed resistance mechanisms in other settings, but linking an F-box protein deficiency to PARP and cisplatin resistance in SCLC is a novel finding.

Where this research is happening

  • University Health Network
    Toronto, Canada
    Active

Researchers

  • Principal investigator: Lok, Benjamin H — University Health Network
  • Study coordinator: Lok, Benjamin H

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.