Gene deletion allows cancer cells to thrive when migrating within the brain

Study finding could open up new therapy strategies for glioma multiforme

Astronauts survive in space by wearing high-tech space suits. But how do brain cancer cells thrive when they migrate to inhospitable sites within the brain?

A study at Âé¶¹Ó³»­ MD Anderson Cancer Center believes their survival may be due to deficiency of a tumor suppressor gene called quaking (QKI), a potential new target for therapies. Findings from the study, led by , assistant professor of the Department of Cancer Biology, were published in the Nov. 14 online issue of .

¡°Cancer stem cells require ¡®niches¡¯ to remain viable but it is unclear how they survive in an environment outside of these niches both within the same tissues or during invasion to other organs,¡± said Hu. ¡°We discovered that QKI is a major regulator of these cancer stem cells in glioblastoma, the deadliest type of brain tumor.¡±

¡°Evidence is emerging that some brain cancer cells called glioma stem cells possess an inexhaustible ability to self-renew and produce tumors that resemble the features of original tumors,¡± said Hu.

Self-renewal is a unique feature of all stem cells that creates identical ¡°daughter¡± stem cells. To maintain this ability, they must be in a suitable environment providing them proper cellular cues. Hu¡¯s team knew that glioma stem cells thrived when they reside in niches, such as structures called subventricular zone, due to their ability to self-renew.

¡°However, left unanswered is how glioma stem cells still manage to maintain this ¡®stemness¡¯ when they invade and migrate from their niches to other areas where optimal niches are less likely to be available,¡± said Hu.

The research team believed glioma stem cells must acquire the ability for stemness maintenance independent of their niches during invasion and migration. Using a mouse model, they studied deletion of major suppressing genes including QKI to see what correlation might exist.

¡°Our previous studies showed that QKI is one of the tumor suppressor genes that can potentially regulate cancer stem cells and we confirmed this in our latest investigation,¡± said Hu.

QKI impacted a vital cellular activity called endocytosis, responsible for degrading the cell receptors that are essential for maintaining stem cell self-renewal. Loss of QKI can greatly enrich the level of these receptors and consequently enhance the self-renewal capacity even when glioma stem cells are not in the niches. Just as a space suit protects the astronaut from the dangers of space, a deficiency of QKI makes the new environment safe for the transported cancer stem cell.

¡°This study may lead to cancer therapeutic opportunities by targeting the mechanisms involved in maintaining cancer stem cells,¡± said Hu. ¡°Although loss of QKI allows glioma stem cells to thrive, it also renders certain vulnerabilities to the cancer cells. We hope to design new therapies to target these.¡±

MD Anderson study participants included Takashi Shingu, Ph.D., Liang Yuan, Ph.D., Xin Zhou, Ph.D., Congxin Dai, Ph.D., and Baoli Hu, Ph.D., all of Cancer Biology; Siyuan Zheng, Ph.D., and Qianghu Wang, Ph.D., Genomic Medicine; Yiwen Chen, Ph.D., and Roeland Verhaak, Ph.D., Bioinformatics and Computational Biology; Yi Zhong, Ph.D., Epigenetics and Molecular Carcinogenesis; James Horner, Institute for Applied Cancer Sciences; Brandon Liebelt, M.D., Amy Heimberger, M.D., and Qing Chang, M.D., Ph.D., Neurosurgery; and Gregory Fuller, M.D., Ph.D., Pathology.

Other participating institutions included Stanford University, Stanford, Calif.; Houston Methodist Neurological Institute, Houston; and Fudan University Huashan Hospital, Shanghai.

The study was funded by The National Cancer Institute (2P50CA127001) and the National Institutes of Health (R00 CA172700 and CA120813).