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    CancerCancer

    SBL101SBL101

    JamesGomesSchoolofBiologicalSciencesIndianInstituteofTechnologyDelhi

    All Figures in this Lecture are taken from

    1. Molecular biology of the cell / Bruce Alberts et al., 5th ed.

    2. Research papers as cited OR3. Constructed

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    Basic property of cancer cellsBasic property of cancer cells

    Cancercellspossesstwoheritableproperties Reproduceindefianceto

    normalconstraints

    on

    growthandproliferation Invadeandcolonize

    territoriesreservedfor

    othercells Theabnormalcellsgive

    risetoatumoror

    neoplasm BenignMalignant

    Metastases Metastasis in Non-HodgkinLymphoma.

    Fluorodeoxyglucose shows up as

    yellow in regions of high glucose

    activity typical of tumor cells.

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    Cancer originates from a singleCancer originates from a single

    abnormal cellabnormal cell

    Cancerdevelopsfromasinglecellthathasacquiredaheritablechange

    Thisis

    passed

    on

    to

    its

    descendents

    allowing

    themtooutgrow,outdivideandoutlivetheirneighbors

    Bythetimethesecellsaredetected,thereare

    aboutabillion

    of

    them

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    Causes of CancerCauses of Cancer

    GeneticandEpigeneticchanges

    CarcinogenesisChemicalCarcinogenesis

    RadiationCarcinogenesis

    GeneticdefectinDNArepairmechanisms

    Peoplewithxeroderma pigmintosumaremorepronetocancer

    MicelackingcertainDNArepairgenesareabnormallypronetocancer

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    Mutations and CancerMutations and Cancer

    Itisestimatedthat1016 celldivisionsoccurinahumanbodyinonelifetime

    ErrorrateofDNAcoding106

    Everygeneislikelytohaveundergone1010 mutations

    SowhydoescanceroccursoInfrequently?

    Itmeansthatanumberofrare

    geneticaccidentsmustoccurinthelineageofonecelli.e.progressiveaccumulationofrandommutationsinasingle

    lineageofcells

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    Progression of cervical cancerProgression of cervical cancer

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    Tumor progressionTumor progression

    Involvessuccessionofrandominheritedchangesfollowedbynaturalselection

    Ateachstagethecellsacquireamutationorepigeneticchange

    Theenvironmentinsideatumoris

    harshandinhibitsthegrowthofnormalcells

    Isthisexpected?Higherorganismshavestringent

    generegulation

    Thecellshavetocrosstheselevels

    ofregulation

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    Epigenetic Changes: InheritedEpigenetic Changes: Inherited

    chromatin structurechromatin structureCellsareidentifiedbyabnormal

    appearancein

    tumor

    biopsies

    Containunusualamountofheterochromatin

    Associatedwithgenesilencing

    Genesareswitchedoffinacelltocellinheritedmanner

    Inrealitythisisthesameprinciplebywhichfetusgrowsinhigheranimals

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    Genetic &Genetic & EpigenticEpigentic changeschanges

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    Defective Control ofDefective Control of

    Programmed Cell DeathProgrammed Cell Death

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    Escapes limits of replicationEscapes limits of replication

    Normalprimary cellsproliferateinculture,butsoonstopdividingafteranumberofdividingcycles

    replicative senescence Celldivisioncountingmechanismdependsonthe

    shorteningoftelomeres Cellshavetheenzymetelomerase,thepromotedthe

    formationofproteincapstoprotecttheendsofthechromosomes

    Manyproliferationcells(withtheexceptionofstemcells)aredeficientintelomeraseandsoitultimatelyresultsinthecellcyclearrestofthecell

    Cancercellseither Blockthecontrolpointsothatcellcyclecontinuesinthe

    absenceoftelomeres Acquire/maintaintelomeraseactivitytocontinueindefinite

    celldividion

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    Tumors induce angiogenesisTumors induce angiogenesis

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    Viruses can cause cancerViruses can cause cancer

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    Analysis of stable states in Apoptotic pathways dependentAnalysis of stable states in Apoptotic pathways dependentupon the presence or absence of heat shock proteins forupon the presence or absence of heat shock proteins for

    predicting drug targetspredicting drug targets

    Apoptotic

    state

    Cell death

    Cell Survival

    HSPs

    Death

    signal

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    HypothesisHypothesis

    (i) Apoptosis regulated at multiple steps, cFLIP is the

    first level, IAP is second and Bcl2 at third level.

    (ii)Inhibition of Bcl2 signaling induces apoptosis.(iii)Bcl2 should be constitutively activated concurrently

    with p53 is essential for the long-term survival of cells

    and to reproduce cancer phenotype.

    (iv)Most stable state in pathway is where cFLIP, IAP, and

    Bcl2 are ON.

    (v) HSPs can prevent apoptotic pathway.

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    7025

    1186675

    7027

    1309567

    1833855

    7025

    1186675

    7027

    13095671833855

    2091901

    2090140

    2090142

    2091903

    2091901

    2090140

    2090142

    2091903

    911741 2091391

    912253 2091389

    129917

    654205129919

    654207

    Transient

    Survival Death

    Stable states

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    Node Mutation

    HSPHSP

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    HSPsHSPs

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    Experimental methodsExperimental methods

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    Differences between 2Differences between 2--D and 3D and 3--

    D culturesD culturesPhenotypeandmorphology

    Metabolicand

    gene

    expression

    pattern

    Tumorcellsgrownin3Dshowpronouncedresistancetodrugsasobserved

    invivo

    Alterspluripotency ofstemcells

    Responsiblefordevelopmentalchanges(whichmeansthisareaofresearchcannotbecarriedoutin2D)

    Spatiotemporalconsistencyofinformationandheirarchy

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    Variability in 2Variability in 2--D & 3D & 3--DD

    culturescultures

    Rolereversal:unlikein2Dcultures,breasttumour

    cellsin3Dculture(left)thatbecome

    malignant

    (centre)

    can

    be

    made

    to

    revert

    to

    their

    originalstate(right)whenanantibodyagainst

    1integrinisaddedtothesystem.M.BISSELL,theLawrenceBerkeleyNationalLaboratoryinCalifornia

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    Testing Cancer drugsTesting Cancer drugs

    Receptorsforgrowthfactorsplayakeyroleintheinitialdevelopmentoftumours

    themigrationofcellsawayfromprimarytumours tocausesecondarycancersaroundthe

    body

    Cancercells

    undergoing

    metastasisnormallycutthemselvesfreefromatumoursECMusingproteindigesting

    enzymes formationofamoebalikecells

    dependsonaparticularsignallingpathwayinarangeofdifferenttumour celllines

    Joined up: a cell in a 3-D cultureforming links by means of 1-integrin(orange) with the scaffolding.

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    Changes in Morphology :Changes in Morphology :

    MetastatisMetastatis

    Transition of spindle-shaped (mesenchymal) tomore spherical (amoeboid) migration inHT1080/MT1 and MDA-MB-231 cells for migration

    (metastatis) Wolf et al. JCB 2003 160 (2): 267

    Theinvasionandmigrationoftumor

    cellsinvolvescoordinatedadhesionaswellasproteolytic

    interactionwith

    the

    ECMsubstrate,resultinginthedegradationandremodelingofinterstitialtissuebarriers

    C f

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    Change in Morphology of HT 1080 inChange in Morphology of HT 1080 in

    Hollow Fiber ReactorHollow Fiber Reactor

    Adhered

    cells

    produce

    urokinase Amoeboidal cellsmigrate

    S. S. Khaparde, P. K.Roychoudhury, J. Gomes*, A.Mukhopdhyay, Biotechnol.Prog. 2008, 24, 1325

    Trajectories showing the course of physiologicalstates during the external modulation of HFR forurokinase production