Lab+Life Scientist Apr/May 2022

Page 35

cancer genomics

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CRISPR cancer therapy doesn’t kill healthy cells A new cancer therapy called CINDELA, developed by researchers from South Korea’s Institute for Basic Science (IBS), employs CRISPR-Cas9 to kill cancer cells without affecting normal tissues. The breakthrough has been published in the journal PNAS.

R

First, the researchers confirmed that

mice. It was found that the CINDELA treatment

enzyme-driven DNA double-strand breaks using

can substantially suppress the growth of tumours in

CRISPR were able to induce cell deaths in cancer

these mice. Notably, since CINDELA targets InDel

similar to physical or chemical breaks driven

mutations which are generated as by-products

adiation and chemotherapy destroy

by radiation or chemotherapies, respectively.

during tumorigenesis, CINDELA can be applied

cancer cells by producing DNA double-strand breaks.

Then, they performed bioinformatics analysis

to treat most tumours.

Unfortunately, since both treatments target DNA in

to identify unique InDel mutations in several

“We believe CINDELA can become a novel

normal cells as well as cancer cells, indiscriminate

different cancer cell lines, including breast,

therapeutic application for cancer treatments as

killing of healthy cells and side effects are unavoidable

colon, leukaemia and glioblastoma, which are not

personalised and precision medicine for all cancer

when using these treatments. Scientists have long been

found in normal cells. Based on this information,

patients without severe side effects,” said CGI

searching for a method to selectively target only cancer

they successfully made CRISPR-Cas9 reagents

Director Kyungjae Myung. The researchers have

cells without affecting normal cells; now, researchers

targeting those mutations.

already started applying this technology in tumours

at the IBS Center for Genomic Integrity (CGI) have

The scientists named this new treatment

directly taken from patients, with research groups

combined the concepts of cancer genomics and

CINDELA, which stands for ‘cancer-specific

having expertise in the relevant technologies, such

CRISPR-Cas9 (commonly called genetic scissors)

InDel attacker’, and confirmed that it was able

as gene delivery, companion diagnostic platform

to propose a potential solution.

to selectively kill cancer cells without affecting

and cancer genomics.

Cancer genomics projects have found that

normal cells. It was discovered that CINDELA-

One obstacle that the researchers had during

regardless of their origins, most cancer cells

driven cancer cell death was dependent on the

all these experiments was the delivery of CINDELA

accumulate many mutations including small

number of DNA double-strand breaks created by

reagents to tumours. Although the researchers

insertion/deletion (InDel) of several nucleotides,

CRISPR-Cas9; for example, a CINDELA reagent

could achieve significant tumour growth inhibition

single nucleotide changes and large chromosomal

which induced 50 breaks in the DNA was much

using a high titre of the virus to deliver the CRISPR

aberrations. Meanwhile, CRISPR-Cas9 can be used

better at killing cancer cells than the reagent that

in mice, as of yet this may not be enough to directly

to make DNA double-strand breaks in a sequence-

induced only 10 breaks.

treat human patients. However, such an obstacle

specific manner. The CGI researchers proposed

In addition to cancer cell line experiments, the

is one of the major issues in the current CRISPR-

that by using CRISPR-Cas9 to produce DNA

researchers conducted further animal studies to

Cas9 field. Researchers believe that in the near

double-strand breaks at cancer-specific mutations

verify CINDELA’s efficacy in living organisms. To

future, the development of new delivery systems

that only exist in cancer cells, they could trigger cell

do so, tumour cells (colon and lung cancer) were

will eventually help establish the CINDELA cancer

death in cancer cells without affecting normal cells.

derived from patients and were xenografted into

treatment technology in cancer patients.

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