Investigators at The Saban Research Institute of Children's Hospital Los Angeles have found that the gene PID1 enhances killing of medulloblastoma and glioblastoma cells. Medulloblastoma is the most commonly occurring malignant primary brain tumor in children; glioblastoma is the most commonly occurring malignant primary brain tumor in adults. Results of this study will be published in Scientific Reports on April 11.
Historically, chemotherapy played a small role in the treatment of brain tumors. Research done in the last decade has shown that certain tumors of the brain and spinal cord, are sensitive to chemotherapy. The PID1 gene was discovered during this period and was investigated for its role in metabolic disease. Anat Erdreich-Epstein, MD, PhD, a physician-scientist specializing in pediatric brain cancers at CHLA, published the first report on the role of PID1 in cancer - establishing that it suppressed growth of medulloblastoma and glioma cells. The current study builds on this work.
"Previously, my lab found that patients with medulloblastoma or glioma tumors with higher levels of PID1 mRNA had longer survival times," said Erdreich-Epstein, principal investigator of the study and associate professor of Pediatrics and Pathology at the Keck School of Medicine of USC. "We have now determined that PID1 increases the killing effect of etoposide and cisplatin, two common types of chemotherapy."
To determine how PID1 interacts with chemotherapy, the researchers engineered tumor cells to overexpress, or increase production, of PID1. When these cells were treated with etoposide and cisplatin, killing of cancer cells increased. The team also demonstrated that when PID1 production was 'knocked out', cisplatin killed fewer cells. This led the researchers to conclude that PID1 is necessary for cisplatin to be fully effective.
Further experiments allowed the investigators to determine that etoposide caused more PID1 mRNA and PID1 protein to be generated, while cisplatin caused a decrease in PID1 protein, although it did increase the PID1 mRNA. According to Erdreich-Epstein, accounts in the literature suggest that cisplatin diminishes the amount of proteins that contribute to death of the cells, thereby leading to resistance to cisplatin and protection of the cells from death by cisplatin. To test this, the researchers pretreated the tumor cells with an agent that selectively inhibits protein degradation, then exposed the cells to cisplatin. PID1 levels were restored.
"Clearly, PID1 has a role in how cells respond to chemotherapy," said Erdreich-Epstein. "If we can figure out how to block breakdown of PID1, we may be able to prevent drug resistance and make chemotherapy more effective."
Additional contributors to the study include Jingying Xu, Xiuhai Ren, Anup Singh Pathania, G. Esteban Fernandez, Anthony Tran, Yifu Zhang, Rex A. Moats, Gregory M. Shackleford, of The Saban Research Institute of Children's Hospital Los Angeles. Funding was provided in part by the National Institute of Neurological Disorders and Stroke (NS094990), St. Baldrick's Foundation, the Concern Foundation, the Margaret E. Early Medical Research Trust, the Barbara Mandel Family Fund, the Nautica Malibu Triathlon Fund, Grayson's Gift, the Brad Kaminsky Foundation Heroes of Hope Race and the Rachel Ann Hage Neuro-Oncology Fund.
About Children's Hospital Los Angeles
Children's Hospital Los Angeles has been named the best children's hospital in California and among the top 10 in the nation for clinical excellence with its selection to the prestigious U.S. News & World Report Honor Roll. Children's Hospital is home to The Saban Research Institute, one of the largest and most productive pediatric research facilities in the United States. Children's Hospital is also one of America's premier teaching hospitals through its affiliation since 1932 with the Keck School of Medicine of the University of Southern California. For more information, visit CHLA.org. Follow us on Twitter, Facebook, YouTube and LinkedIn, or visit our blog at http://researchlablog.