AbstractDirect targeting of several important cancer pathways has so far proved challenging, owing to the lack of pathway-specific targets that can be accessed by conventional small molecule drugs or therapeutic antibodies. Nexigen develops and advances peptide-based cancer therapeutics, a new class of drugs that functionally modulate currently undruggable pathways by targeting intracellular protein-protein-interactions.One of these undruggable pathways, the Wnt signaling cascade, has been identified as a key pathway in cancer stem cells maintenance. Targeting oncongenic Wnt signaling therefore holds great promise for tackling not only tumor growth but also disease relapse, metastasis and drug resistance. Using our proprietary next generation peptide screening system, we could identify cell-permeable peptides that efficiently inhibit the Wnt pathway through a specific interaction with a key component of intracellular signaling. Our most advanced preclinical candidate has nanomolar target affinity and significantly reduces the expression of Wnt target genes in triple-negative MDA-MB-231 breast cancer cells. The further functional analysis of the peptide in various cancer cell lines revealed a dose-dependent inhibition of cell migration, invasion, proliferation, and the cancer stem cell phenotype. The siRNA-mediated knock-down of the target protein or the inhibition of the Wnt pathway recapitulated the inhibitory peptide effect in these assays. Most importantly, we observed a significant suppression of primary tumor growth, tumor cell self-renewal and a reduction of metastatic potential after treatment in different xenograft models.In summary, our data suggest that our Wnt pathway peptide inhibitor could be a promising new drug candidate for the treatment of cancer stem cells in a broad diversity of cancers.Citation Format: Verena Arndt, Annette Friebe, Elena Meuser, Katharina Ross, Franziska Agerer, Carmen Schulten-Schulz, Jens Waak, Daniel Friedrich, Hanjo Hennemann, Jörg Vollmer. Targeting cancer stem cell pathways with cell-permeable peptide inhibitors. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 2646. doi:10.1158/1538-7445.AM2015-2646