Blocking certain enzymes in the cell may prevent cancer cell division and growth, according to new findings from researchers at the Graduate School of Biomedical Sciences at the Icahn School of Medicine at Mount Sinai. The discovery is published in the April 25, 2013 issue of the journal Molecular Cell.
In order to divide, a cell needs to create copies of its genetic material to provide to the new cells, called the "daughter" cells. Several enzymes in the cells, called cyclin dependent kinases (CDKs), act as the traffic cops for this process, making sure that DNA is copied correctly and determining when the cell should move into the next stage of division. Each CDK has a different responsibility during cell division. For example, CDK1 promotes the segregation of DNA into the new daughter cells; CDK4 and 6 act on a tumor suppressor gene; and CDK7 plays an important role in DNA transcription into RNA.
When the cell reaches a stage called the "restriction point," it has passed the threshold where division can be safely stopped—the point of no return. For years, scientists have been working to inhibit the activity of these CDK enzymes in cancer cells before they reach the restriction point, so that that cell division stops and cancer cannot proliferate.
Led by Robert Fisher, MD, PhD, Associate Professor of Structural and Chemical Biology at Mount Sinai, the research team evaluated human colon cancer cells in a petri dish to assess the activity of CDKs. Previous research had shown that CDK7 was a critical enzyme in cell division, but the team wanted to learn how its activity influenced other CDKs; specifically, CDK4 and CDK6, two critical enzymes that act prior to the restriction point and whose regulation is not completely understood.
"While we know that CDK7 plays an essential role in all cells, its precise activity and specific targets in the cell remained unclear," said Dr. Fisher. "CDK4 and CDK6 have also been elusive targets in our research, and we wanted to learn how CDK7 affected them."
Turning off CDK4 and CDK6 has been shown to be effective in blocking division of some cancer cells and is currently being tested in clinical trials. The new study suggests that turning off CDK7 might be equally or more effective, making all three enzymes viable therapeutic targets for the prevention of cancer cell proliferation. Taking advantage of a unique method they developed to control CDK activity in human cells, the research team found that when they "turned off" the activity of CDK7, CDK4 and CDK6 were also inactivated rapidly. This makes sense, because CDK7 is able to activate both CDK4 and CDK6 in the test tube, enabling them to modify a key tumor suppressor protein, which is thought to be how they promote cancer cell growth and division.
"These findings complete the story of CDK activation in human cells, in which one CDK is capable of activating others," said Dr. Fisher. "Now, we want to evaluate what signaling pathway earlier in the cell division process leads to CDK7 activation, so that it can in turn activate CDK4 and CDK6. This pathway may be an important therapeutic target for cancer, and possibly other diseases as well."
Next, Dr. Fisher and his team plan to find out what is happening upstream, or earlier, in the cell division process that turns up the activity of CDK7, and also to learn more specifically how it is interacting with CDK4 and CDK6.
The study was supported by a grant to Dr. Fisher from the National Institutes of Health, and by a pre-doctoral training grant from the NIH to the lead author, Miriam Merzel Schachter, a PhD candidate in Dr. Fisher's laboratory.
About The Mount Sinai Medical Center
The Mount Sinai Medical Center encompasses both The Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai. Established in 1968, the Icahn School of Medicine at Mount Sinai is one of the leading medical schools in the United States. The Icahn School of Medicine is noted for innovation in education, biomedical research, clinical care delivery, and local and global community service. It has more than 3,400 faculty members in 32 departments and 14 research institutes, and ranks among the top 20 medical schools both in National Institutes of Health (NIH) funding and by U.S. News & World Report.
The Mount Sinai Hospital, founded in 1852, is a 1,171-bed tertiary- and quaternary-care teaching facility and one of the nation's oldest, largest and most-respected voluntary hospitals. In 2012, U.S. News & World Report ranked The Mount Sinai Hospital 14th on its elite Honor Roll of the nation's top hospitals based on reputation, safety, and other patient-care factors. Mount Sinai is one of just 12 integrated academic medical centers whose medical school ranks among the top 20 in NIH funding and by U.S. News & World Report and whose hospital is on the U.S. News & World Report Honor Roll. Nearly 60,000 people were treated at Mount Sinai as inpatients last year, and approximately 560,000 outpatient visits took place.
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