Epigenetic Driver of Glioblastoma Provides New Therapeutic Target

Epigenetic Driver of Glioblastoma Provides New Therapeutic Target

Dr. Weeks’ Comment: Glioblastoma is a terrifying and heart-breaking disease process which is increasing in incidence and is lethality. We humans have spent most of our evolution misunderstanding the brain and the nervous system. When I was studying in medical school, we were taught that nerves are hypo-metabolic and have no regenerative forces. But then, Dr. Rita Levi-Montalcini discovered something called Nerve Growth Factor and all of a sudden, we learned that, well, we learned that nerves grow and repair!  In those years,  brain cancer was initially quite rare, as far a cancers go, and today it is practically epidemic. But in the case of brain cancer, as with all cancers, epigenetics trumps genetics. The environment trumps the cell mechanisms. So let’s see what is exciting about how to approach glioblastoma …  turning off a number of genes required for maintaining cancer stem cell properties, including MYC, SOX2, OLIG2 and POU3F2. How can you do this? By using safe and effective anti-inflammation!  Whole organic seeds – especially seeds with anti-inflammatory properties are life-saving!

 

Enzyme turns off genes required for maintaining cancer stem cell properties

July 06, 2015  |  Heather Buschman, PhD

​Cancer’s ability to grow unchecked is often attributed to cancer stem cells, a small fraction of cancer cells that have the capacity to grow and multiply indefinitely. How cancer stem cells retain this property while the bulk of a tumor’s cells do not remains largely unknown. Using human tumor samples and mouse models, researchers at University of California, San Diego School of Medicine and Moores Cancer Center discovered that cancer stem cell properties are determined by epigenetic changes — chemical modifications cells use to control which genes are turned on or off.

The study, published this week in the Proceedings of the National Academy of Sciences, reports that an enzyme known as Lysine-Specific Demethylase 1 (LSD1) turns off genes required to maintain cancer stem cell properties in glioblastoma, a highly aggressive form of brain cancer. This epigenetic activity helps explain how glioblastoma can resist treatment. What’s more, drugs that modify LSD1 levels could provide a new approach to treating glioblastoma.

glioblastoma

Non-tumorigenic glioblastoma cells (left) can spontaneously acquire cancer stem cell characteristics (right).

The researchers first noticed that genetically identical glioblastoma cells isolated from patients differed in their tumorigenicity, or capacity to form tumors, when transplanted to mouse models. This observation suggested that epigenetics, rather than genetics (DNA sequence), determines tumorigenicity in glioblastoma cancer stem cells.

“One of the most striking findings in our study is that there are dynamic and reversible transitions between tumorigenic and non-tumorigenic states in glioblastoma that are determined by epigenetic regulation,” said senior author Clark Chen, MD, PhD, associate professor of neurosurgery and vice-chair of research and academic development at UC San Diego School of Medicine.

Probing further, Chen’s team discovered that the epigenetic factor determining whether or not glioblastoma cells can proliferate indefinitely as cancer stem cells is their relative abundance of LSD1. LSD1 removes chemical tags known as methyl groups from DNA, turning off a number of genes required for maintaining cancer stem cell properties, including MYC, SOX2, OLIG2 and POU3F2.

“This plasticity represents a mechanism by which glioblastoma develops resistance to therapy,” Chen said. “For instance, glioblastomas can escape the killing effects of a drug targeting MYC by simply shutting it off epigenetically and turning it on after the drug is no longer present. Ultimately, strategies addressing this dynamic interplay will be needed for effective glioblastoma therapy.”

Chen and one of the study’s first authors, Jie Li, PhD, note that the epigenetic changes driving glioblastoma are similar to those that take place during normal human development.

“Though most cells in our bodies contain identical DNA sequences, epigenetic changes help make a liver cell different from a brain cell,” said Li, an assistant project scientist in Chen’s lab. “Our results indicate that the same programming processes determine whether a cancer cell can grow indefinitely or not.”

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