{"id":27004,"date":"2021-04-29T14:17:41","date_gmt":"2021-04-29T14:17:41","guid":{"rendered":"https:\/\/scienceblog.cancerresearchuk.org\/?p=18468"},"modified":"2024-11-03T15:14:57","modified_gmt":"2024-11-03T15:14:57","slug":"stressed-out-the-cancer-cells-that-survive-chemotherapy-but-at-a-cost","status":"publish","type":"post","link":"https:\/\/ogkologos.com\/en\/stressed-out-the-cancer-cells-that-survive-chemotherapy-but-at-a-cost\/","title":{"rendered":"Stressed out \u2013 the cancer cells that survive chemotherapy, but at a cost"},"content":{"rendered":"
\"Alive<\/p>\n

Alive (green) and dead (red) myeloma cells under the microscope. Credit: Auner lab<\/span><\/p>\n<\/div>\n

The resilience of cancer cells and their ability to survive in extreme conditions is a large part of what makes cancer so difficult to treat.<\/p>\n

But being such effective survivors may come at a cost.<\/p>\n

A group of Cancer Research UK-funded scientists are beginning to discover new vulnerabilities in cancer cells, which emerge when they enter \u2018survival mode\u2019.<\/p>\n

Down, but not out<\/h2>\n

The research team, based at Imperial College London, looked at the effects of chemotherapy on multiple myeloma cells, an aggressive cancer that starts in the bone marrow.<\/p>\n

\"Three<\/p>\n

Three members of the Auner lab. Dr Paula Saavedra-Garcia (left), Dr Monica Roman-Trufero (middle) and Dr Holger Auner (right). Credit: Auner lab.<\/span><\/p>\n<\/div>\n

They saw the expected \u2013 some of the cells were killed immediately, whilst others survived.<\/p>\n

They assumed that some of these survivors came away reasonably unscathed. But the group they were most interested in, were those cancer cells that survived, but only just.<\/p>\n

\u201cI thought that this group of cells must have come away with some level of stress,\u201d explains Dr Holger Auner, head of the Imperial team.<\/p>\n

\u201cTo survive in the long term, they must have had to deal with that stress by repairing the damage and restoring processes that allow them to function as effective cancer cells again\u201d.<\/p>\n

Stress resolution at a cost<\/h2>\n

An \u2018effective\u2019 cancer cell is one that can grow, divide and has the potential to spread to other areas of the body, in a process called metastasis.<\/p>\n

Maintaining these processes is one thing, requiring a huge amount of a cancer cell\u2019s energy and resources. But having to restore these processes while recovering from the toxic effects of chemotherapy is even more taxing.<\/p>\n

And with finite resources available to the cancer cells, they are forced to sacrifice less essential processes to recover and survive.<\/p>\n

\u201cThe cells need to put energy and effort into resolving that stress,\u201d says Auner. \u201cAnd in nature, there is this principle of a trade-off which means every biological system is usually limited in its resources.\u201d<\/p>\n

Auner compares this trade-off process to what the human body experiences after intensive exercise.<\/p>\n

\u201cIf you go for a long run, you are putting your body under a high level of endurance stress, and your body will use a lot of energy and resources to prevent you from collapsing during your run.<\/p>\n

\u201cBut if you then try lifting weights, you will find this is more difficult than if you hadn\u2019t gone for a run first. That\u2019s because your body has had to allocate energy for endurance, leaving it with less to use for strength\u201d.<\/p>\n

The same is true of cancer. Which begs the question \u2013 do these trade-offs open up vulnerabilities in the stressed cancer cells?<\/p>\n

The team went hunting.<\/p>\n

Seeking vulnerabilities<\/h2>\n
\"Dr<\/p>\n

Dr Paula Saavedra-Garcia, lead author of the paper, running a gel in the lab. Credit: Auner lab.<\/span><\/p>\n<\/div>\n

One of the most promising vulnerabilities the team found was myeloma cells dependency on a molecule that plays a vital role in how cells respond to stress or a lack of nutrients, known as GCN2.<\/p>\n

GCN2\u2019s key purpose is to prevent the cell from producing too many proteins when amino acids \u2013 the building blocks for proteins \u2013 are scarce.<\/p>\n

Which has a big impact \u2013 proteins, as well as making up our muscles and bones, play a key role in every single process that occurs in our cells.<\/p>\n

It may seem counterproductive to switch off production of such a vital component at such a critical time. But it\u2019s all about damage limitation.<\/p>\n

Because for proteins to successfully carry out a complex array of jobs inside our cells, their structure \u2013 and therefore their production \u2013 must be finely tuned.<\/p>\n

If the assembly line becomes stressed, it becomes unproductive and can even start making mistakes. Resulting in broken or misfunctioning, misshapen products.<\/p>\n

This is not only a big waste of energy for the cell, but it\u2019s bad for the cell. The build-up of these misshapen proteins can be toxic.<\/p>\n

By stopping the protein factories running at full capacity, activated GCN2 helps keep the number of misshapen proteins down, and ensures the cell uses resources carefully, while it recovers.\u201d<\/p>\n

This period of recovery took several days, during which the cells lay low and GCN2 halts protein production. So timing, as always is everything.<\/p>\n

\u201cWe have to make sure we hit the cells when they are already down,\u201d says Auner. The team are now focused on the GCN2 molecule and its potential as a drug target.<\/p>\n

In theory, giving people a drug to target and deactivate GCN2 after chemotherapy could tip stressed cells over the edge, helping to mop up cells that were affected by chemotherapy, but not quite killed by it.<\/p>\n

And for Auner, this starts with multiple myeloma.<\/p>\n

Pushing back myeloma<\/h2>\n

Auner\u2019s lab is focused on blood cancers, specifically multiple myeloma.<\/p>\n

Whilst myeloma can go into remission, meaning the person has no physical signs of the disease, it\u2019s very likely to come back. Whether after a matter of months or years.<\/p>\n

\u201cWhen I started out 20 years ago, I found doing the myeloma clinics really hard because there was so little we could do for the patients.<\/p>\n

\u201cToday, many patients live a decade or even more.\u201d<\/p>\n

The current treatment approach to multiple myeloma aims to \u2018push it back\u2019 as Auner describes. Myeloma treatments are often given in weekly doses that will kill a fraction of the myeloma cells each time, but not all of them.<\/p>\n

Auner\u2019s research could help to increase the number of cells wiped out after each round of treatment, possibly adding years to people\u2019s lives.<\/p>\n

\u201cIt\u2019s not likely to be a cure\u201d, says Auner, \u201cbut it might be another step in the right direction for myeloma patients and we can\u2019t underestimate how important extra months or years of life is for a person.\u201d<\/p>\n

And it doesn\u2019t stop there. Myeloma cells aren\u2019t the only ones that get stressed when bombarded with chemotherapy.<\/p>\n

\u201cBy looking at stress induced vulnerabilities in one cancer, you could identify some really good drug targets that we haven\u2019t thought about before in other cancers,\u201d says Auner.<\/p>\n

\u201cWe\u2019ve found a way to turn cancer\u2019s incredible ability to survive in the harshest of conditions, into something we can use against it.\u201d<\/p>\n

Ellie Bennett is a science media officer at Cancer Research UK<\/em><\/p>\n

More on this topic<\/h3>\n<\/p>\n

Source<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Alive (green) and dead (red) myeloma cells under the microscope. Credit: Auner lab The resilience of cancer cells and their ability to survive in extreme conditions is a large part of what makes cancer so difficult to treat. But being such effective survivors may come at a cost. A group of Cancer Research UK-funded scientists […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[5137],"tags":[],"class_list":["post-27004","post","type-post","status-publish","format-standard","hentry","category-world-news"],"_links":{"self":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/27004","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/comments?post=27004"}],"version-history":[{"count":1,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/27004\/revisions"}],"predecessor-version":[{"id":43835,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/posts\/27004\/revisions\/43835"}],"wp:attachment":[{"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/media?parent=27004"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/categories?post=27004"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ogkologos.com\/en\/wp-json\/wp\/v2\/tags?post=27004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}