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Molecular Basis of Cancer 2021 - Rika

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Molecular Basis of Cancer:

Genetic and Epigenetic Interactions

Sofia Mubarika Haryana


18 November 2021
Kuliah S2 IKK FK KMK UGM
Outline
1. Cancer heterogeneity : chemoresistance and metastases
2. Specific Cancer Biomarker - Liquid Biopsy and exo-miRNA
3. Cancer Genetic and epigenetic – basic understanding of cancer
4. Cancer Precision Medicine – when ?
1. Cancer heterogeneity  chemoresistance

What and Why heterogeneity… ?

Health care industry. 2021


Heterogeneity
• Genetic heterogeneity is the result of multilineage somatic evolution of
genetically unstable cancer cells and it is regarded as the main reason for
failure of classic cytotoxic drugs, as well as modern targeted therapy 
• Spatial Heterogeneity Is a Fundamental Feature of the Tumor
Microenvironment. It is important to recognize that the orchestrated
influence of microenvironmental components on cancer is often
accompanied by strong regional differences (Gillies et al. 2012; Junttila and
de Sauvage 2013).
• Temporal heterogeneity. Heterogeneity during the course of disease
progression (temporal heterogeneity)
Martelooto, et al, 2016
Cancer heterogeneity  genomic
instability esp Tumor supressor gene,
and repair genes  chemoresistance

Nature .com 2015

Heterogeneity intratumoral
 Tissue is Issue
Reynaud et al., . Plos One, 2018
How to detect Cancer
heterogeneity?

• Liquid biopsy refers to


the sampling and
molecular analysis of
the biofluids of
circulating tumor cells,
extracellular vesicles,
nucleic acids, and so
forth.

Exosome ????
Liquid biopsy  DX and Therapy

- ctDNA mutations
- cfDNA Methylation
- Exosomal mRNA/ miRNA :
- mutations
- Variants
- Functions
- Transcription analysis
- Exosomal protein analysis

Exosomes
Tissue biopsy vs Liquid Biopsy
Heterogeneity spatial and temporal

Tissue Biopsy Liquid Biopsy

Eslami et al, Frontiers in Oncol, 2020


Tissue Biopsy Liquid Biopsy
Exosome ?
Exosomes are membrane-bound extracellular vesicles that are produced
in the endosomal compartment of most eukaryotic cells
Secreted into body fluid

• Exosomes are defined as nanometre-sized vesicles, being packages of


biomolecules ranging from 40-150 nanometres in size that are
released by virtually every cell type in the body. ...
• The exosomes released by regenerative cells such as stem cells, for
example, are potent drivers of healing and repair.

Cit : Kalluri et al, Science 2020


Exosome :
- the good
- the bad
- the ugly
- current state

Found in:
• blood, serum and plasma,
• urine,
• cerebrospinal fluid (CSF),
• tears,
• milk, etc.
• cell culture media used to
grow various cell lines.

Krol et al, 2021


Biogenesis
exosom

Kalluri et al., Science, 2020, 367, 640


Exosome miRNA : Carrier in Cell Communication

Zhang et al Techno Cancer Res and Treatment 2018


Exosomal miRNA trafficking, sorting and functioning
Characteristics :
• Content Very dynamics
• According to current situation
• 30 – 150 nm in size
• Pass blood brain barrier
• Stable in extreme pH,
Temperature , Enzyme, freeze-
thawed
• Cell and tissue specific

Ideal Biomarkers
Zhang et al, Genomic, Bioinformatics, Proteomics, 2015)
The key characteristics of exosomes – as potential for
diagnostic and therapeutic :
• Exosomes are nanometer sized, membrane bound vesicles released and received
by nearly all cells in the body.
• Exosomes play an integral role in cellular communication and regulation, of which
we are just beginning to understand.
• Exosome membranes contain cellular markers capable of targeting specific cell
types.
• Exosomes are not cells. Thus, they are non-immunogenic, more stable, and easier
to handle from a pharmaceutical delivery view.
• The contents of exosomes contain and deliver proteins, RNAs, DNAs and lipids
which can be endocytosed by neighboring or distant cells, and modulate the
recipient cells.
Kalluri et al., Science, 2020, 367, 640
Exosome Isolation and
Purification Methods
Hallmarks of Cancer -

Hallmarks of Prostate Cancer


Hallmarks of lung cancer
Hallmarks of Ovary cancer
etc
Cancer :
Genetics &
Epigenetics
Alterations
Cancer – Genetic and Epigenetic Disease
- miRNA dysregulated
- lnRNA dysregulated

CANCER

- Oncogenes  activated oncogene


- Tumour Suppressor Genes  inactivated

Chen et al, Oncol Reports 2013


Post Genome Era
Coding RNA 1.5-2% ; Non Coding RNA 98 - 98,5 %
Redefine Central Dogma

CHEM 18, Why RNA, Spring 2021


Non Coding RNA types
Non coding
• RNA

Housekeeping Regulatory
ncRNA RNA

Short Long
rRNA tRNA snRNA snoRNA ncRNA ncRNA
<200nt >200nt
Cancer - 40% preventable

Gene Environment Interactions


miRNA small molecules – big role • Small non coding RNA, about 17 – 24
nt
• Regulate gene expression through
binding to mRNA  down regulate
gene expression
• Regulate physiological to
pathological
• From developmental to diseases
• Found in all body fluid in exosome
• Stable
• Ideal biomarkers for all diseases
include cancer
• I miRNA can bind to hundreds of
mRNA targets

ncRNA – Regulate Gene and Protein Expression
Andrew
Andrew Z.Z. Fire
Fire
Craig
Craig C.
C. Mello
Mello

C. elegans

Cho WC. MicroRNAs in cancer - from research to therapy.


Biochim Biophys Acta - Rev Cancer 2010;1805(2):209-217.
Exosomes - Nano Molecules in body fluid
Exosome

Recipient cell

Claudia Bang, Int J of Bochem and Cell Biol 2012


miRNA in
carcinogenesis

Kong et al The Lancer Oncol, 2013)


miR oncogene ( OncomiRs) and TSG ( T supressosor miRs)
Correlation between Fragile chromosome sites and location of miRNA genes

Copyright © 2004, The National Academy of Sciences


Calin G. A. et.al. PNAS 2004;101:2999-3004
miRNA in chemoresistence

Ren & Yu, Ther N Clin Risk Manag, 2018


miRNA and lncRNA in cancer Chemoresistence

Wei et al, Mol. Cancer, 2019


Genetic and epigenetic interactions

Pannin et al, BBA Mol Gene Regul Mech. 2020


miRNA –Target mRNA - Biomarkers
Micro RNA - lncRNA - key role in cancer
signalling and regulations
• microRNA – transcribed never translated into protein
• role in protein expression regulation by binding its mRNA targets –
physiological and pathological, since start living until dead
• Small molecules with big roles (1 microNA can target hundreds of mRNA)

• Long nc RNA – 200 nt > , transcribed but never translated into protein
• Regulator in Transcription, translation and posttranslational activities,
• Key Regulator in Cancer Signalling
LncRNA in cancer

Dong et al, Frontiers in Genetics, 2018


How can we get the answer ?
• Tissue biopsy ? No Liquid Biopsy ? Yes
Lnc-RNA - Wiring Signalling Circuity in Cancer

lnRNA : key regulator in cancer signalling :


1. LncRNA – associate wit Receptor –
recruit kinase
2. lncRNA mediate 2nd Messenger
signalling molecules
3. lncRNA modulate posttranscriptional
activation
4. lnRNA regulate epigenetic mofifications
and transcriptional machinary

Lin and Yang, Trends in Cell Biology, 2018


a. lncRNA –
biomarkers
b. Liquid Biopsy:
all body Fluid
heterogeneity spatial
and temporal plus

Needed in
Precision
Medicine
Cancer and Precision Medicine
Carcinogenesis ( gene environment interaction)

Factors involved
1. Genetic and
epigenetics
2. Repair genes
3. Ethnics and gender
4. Heath status
5. Lifestyle and habit

Perera , Science, 1997


Multistep carcinogenesis: genetic and epigenetic alterations

Epigenetic
dysregulation

Carcinogenesis

Genetic
Mutation
Which Environment make Cancer?
Environmental factors

- Preventable
- Unpreventable

Kaleli et al, Oncol Res & Rev 2018


mRNA mRNA
Tumor Supp Gen Oncogene
Mekanisme
regulasi
aktivitas
gene :
Gene 
Protein
Functional genomics
miRNA –
regulate
epigenetic
regulators
NGS / Transcriptomics :
lncRNA and
hallmarks of cancer
EV lnRNA cross talk in TME

Zhang et al, Cancer Science 2020


miRNA in Cancer Hallmarks– diagnostic biomarker

Zeng et al, LncRNA in Cancer Biology, 2017


Future cancer research :
Target terapi dg EV
Cross
Kingdom
Regulations

Wang et al, Mol Sciences, 2019


Genetic mutation
and epigenetic
modification
informing Precision
medicine

Koyle et al, BRI, 2017


Cancer Precision
Medicine need
OMICS approaches

Drake et a, J. Surg. Oncol, 2019


Drake et al, Euro J. Surg Oncol, 2019

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