Targeting iron addiction: Mechanism of action of salinomycin and its synthetic derivative ironomycin against persister cancer cells. This involves lysosomal iron targeting, production of reactive oxygen species (ROS) and cell death by ferroptosis.
A deeper picture of cancer biology Every individual case of cancer is different, and the chromatin structure inside a cell plays a major role in determining how patients respond to treatment. We spoke to Dr Raphael Rodriguez about his research into how patients respond to anti-cancer drugs, which could lay down the foundations for more personalised treatment in future.
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The effectiveness of cancer treatment
Gene expression
can vary according to the physiology and genetic background of each individual patient, a topic of great interest to researchers. Based at the Institut Curie in Paris, Dr Raphael Rodriguez is a Research Director at the CNRS, a role in which he is probing deeper into cancer biology. “One of the major aims in our research is to better understand the molecular features of each patient, starting from their genetic and epigenetic features,” he outlines. The structure of chromatin, a component of eukaryotic cells, which is comprised of DNA and proteins, is an important consideration in that respect. “The DNA sequence is a major factor in the structure of chromatin,” explains Dr Rodriguez. “A second point is the histones, proteins around which DNA is wrapped. These histones can be chemically modified, and it is these modifications that essentially determine how the DNA is packed and whether it is accessible to other proteins.”
This helps to determine which genes are expressed or repressed and the defects that may be present in a cell, important considerations in terms of Dr Rodriguez’s wider research agenda. Some existing anticancer drugs target proteins that interact with DNA, or proteins that interact with chromatin, and the effectiveness of these approaches will depend to a degree on how chromatin is structured. “The response of individual patients will be different. This is what we are trying to understand,” says Dr Rodriguez. Cancer is often very heterogeneous in terms of cell types however, which adds another layer of complexity to Dr Rodriguez’s research. “We know that using one drug for a patient doesn’t work, because there are different types of cells and different types of defects,” he continues. “What we can do is try to identify the different types of cells and treat them with a combination of drugs.”
A major challenge here is to understand the heterogeneity of a particular cancer, which could then inform clinical decisionmaking and lead to improved outcomes for patients. Researchers in Dr Rodriguez’s group are using DNA sequencing to identify an individual’s genetic and epigenetic features, which will help clinicians choose the most effective drug for that particular patient. “That’s one aspect of what we are trying to achieve,” he explains. This research also holds relevance to understanding cancer resistance; for many years researchers struggled to identify the different types of cells in cancer, failing to recognise that some of the cells in a tumour do not divide as quickly as others. “That’s quite a natural thing to do in a way. When you use an antiproliferative drug and see that the tumour is shrinking then that’s a positive outcome,” points out Dr Rodriguez. “What you do not know is whether the remaining cells are dividing aggressively, and what’s going to happen when you stop this treatment.”
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Many cancers are or acquired the potential to become resistant, and ‘persister’ cancer cells are thought to be major actors underlying cancer relapse. Cancer stem cells are so named because they have some features and characteristics related to those that can be seen in stem cells, in particular the ability to self-renew and to seed new tumour tissues. “A single cancer stem cell or small group of these cells can generate an entire tumour from these cell, which is not the case with a normal cancer cell,” says Dr Rodriguez. It is thought that around 1-2 percent of the cells inside solid tumours exhibit these stem cell properties, which Dr Rodriguez says gives them the capacity to leave the site of a primary tumour and play a role in the development of a secondary tumour. “They can migrate and contribute to metastasis. This is something that normal cancer cells are not capable of doing,” he explains. “These cancer stem cells also do not typically divide as quickly as we would like them to.” A cancer cell’s identity is not fixed however and it can become a cancer stem cell, another topic of interest to Dr Rodriguez and his colleagues. Researchers are investigating how cells can shift between an epithelial, proliferative state, to a mesenchymal, less proliferative, but more migratory and invasive state. “Most
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of the migratory or invasive capacity of epithelial cells is reduced,” outlines Dr Rodriguez. During the course of their research, Dr Rodriguez and his colleagues have discovered that the transition between the epithelial and mesenchymal states is regulated by the presence of iron. “Iron is required to change the behaviour of cancer cells. We are looking at how metals can basically unlock the expression of certain genes involved in migration,” he continues. “We’re looking at the role of iron inside the nucleus of cells, at how it essentially unlocks the expression of genes involved in the mesenchymal state of cells.”
Iron uptake The next step beyond this could be to block the uptake of iron inside these cells, a possibility that Dr Rodriguez is exploring. When iron is in these cells it is transported via an organelle called the lysosome before eventually reaching the nucleus, a process that researchers are looking to disrupt. “We are developing new molecules that can block iron uptake and trafficking in cells. These molecules can interfere with translocation from the lysosome, such that the iron would no longer go to the nucleus and contributes instead to toxic oxidative stress, killing these cells through a mechanisms reminiscent to ferroptosis,” Cellular detection of lysosomal iron(II) in cancer cells.
Iron Lysosomes Cell Nucleus
Iron
Lysosomes
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