Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012

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Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
M2 onco 2011-2012

       Apoptosis in Tumor Progression
        From cell biology to therapy

An example with Microtubule-Targeting Drugs
             Diane BRAGUER

                     INSERM UMR911
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Plan

                            Introduction

               mort versus survie et contexte du cancer

                Les 3 grandes voies de mort cellulaire

                             Apoptose
                             Autophagie
                              Nécrose

                            Mitochondrie

                           Fonctions
                Dynamique du réseau mitochondrial

                    Cytosquelette microtubulaire

                             Fonctions
                           Cibles des MTA

Relations microtubules - mitochondries au travers de notre expérience
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Apoptosis and cancer : the genesis of a research field
                            Thomas G. Cotter

Nature reviews |Cancer 2009
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
No death without life : vital functions of apoptotic effectors
Apoptosis effectors exhibit vital functions that are predominantly involved in
                           the adaptation to stress
                                         Redox stress : AIF
                                    Metabolic stress : BH3-only
                                      DNA damage : Endo G
                                     Thermotolerance : Omit
                       Differentiation : caspases (inflammation, immunity)

    Defective ou inefficient apoptosis is an acquired hallmark of cancer cells
Tumor cells : genetic defects in progression of cell death that limit the clinical efficacy of the death
                    inducing agents  more focused in individualized therapies

          Therapy : to target the cell death pathways to render a cell once again sensitive

           Cell death pathways ubiquitinous but also differences in each type of cancer

                        3 highly conserved cell death pathways
                                   apoptosis autophagy necrosis
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Apoptotic Cell
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
2 apoptotic
signaling pathways
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Signal transduction pathways activated by TRAIL : apoptosis vs survival

                                                                                  Pavet oncogene 2010

                       Therapeutics: TRAIL receptor agonist antibodies
TRAILR1 (mapatumumab) TRAILR2 (lexatumumab and drozimumab) : few significant objective responses
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Bcl-2 protein family
                                                 Pore                Membrane
         phosphorylation sites                formation               anchor

        α1                 α2     α3    α4         α5     α6    α7 α8 α9
Bcl-2   BH4                 BH3              BH1               BH2     MA

                                 Hydrophobic pocket

                                 Bcl-2 homology domains (BH)

                                                                                                      Petros et al., 2000

                                                        BH3-only activators ( Bim, tBid, Puma) bind 5 antiapoptotic proteins
                                                         BH-only sensitizers : Bad and Bmf bind to Bcl2, BclXL and BclW
                                                                    Bik and Hrk bind to BclXL , BclW and A1
                                                                            Noxa bind to Mcl-1 and A1

                             Petros et al., 2000
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Activation of BH3-only proteins by different stimuli

                                                       2010
Apoptosis in Tumor Progression From cell biology to therapy An example with Microtubule-Targeting Drugs - M2 onco 2011-2012
Overview of the three models of regulation of apoptosis by Bcl-2
                       family proteins

                                                                    Andrews DW, et coll (BBA) - Mol Cell Res
                                                                     Vol 1813,(4), April 2011, Pages 508-520
                                                                      Mitochondria: The Deadly Organelle

               Anti Bcl-2 : oblimersen, Gossypol, obatoclax : low efficacy
                         BH3 mimetics (ABT 737) : promising
Caspases
                                14 mammalian caspases
          Synthesized as inactive precursors and upstream signals convert them
          into mature proteases

   Initiator caspases : long prodomains containing either a death effector domain (caspase-8 and
   caspase-10) or a caspase recruitement domain (caspase-2 and caspase-9), activated via
   oligomerization-induced autoprocessing

   Effector caspases : short prodomains (caspase-3, caspase-6 and caspase-7), activated by
   granzymeB or initiator of caspases

   Caspase-4 and -12 : endoplasmic reticulum stress pathway

            Proteolytic cleavage at Asp separating the large and small subunits

caspase-3 :capable of cleaving the DNA repair enzyme poly(ADP-ribose)polymerase (PARP) and the
inhibitor of caspase-activated DNAse (ICAD)

                   Could be considered to possess tumor suppressor function
                    Do their deregulation enhance tumorigenic potential ?
Mammalian inhibitors of apoptosis (IAP) family

                             Mads Gyrd-Hansen and Pascal Meier, 2010
Survivin

Survivin is a member of the IAPs family. It promotes cell survival through interference
           with multiple cell cycle-related proteins such as Aurora B kinase.

Survivin also inhibits cell death through interference with both caspase-dependent and
  -independent cell apoptosis. It may also play a role in the regulation of cancer cell
                                       autophagy.

  The physical association of XIAP with survivin was found to drive NFκB activation,
 which in turn leads to increased autocrine production of fibronectin, signalling by β1
  integrins and activation of the cell motility kinases focal adhesion kinase (FAK) and
  SRC11. This results in tumour cell invasion in vitro and metastatic dissemination in
vivo. Importantly, the role of XIAP in regulating metastasis seems to be independent of
             its ability to modulate cell survival through caspase inhibition.

At the clinical level, studies on clinical specimens have shown that survivin expression
  is up-regulated in various human cancers and its up-regulation is associated with
            tumour resistance to both chemotherapy and radiation therapy.

  However, the development of survivin inhibitors is relatively slow as compared to
                 other therapeutic inhibitors for cancer treatment.
Autophagy

A homeostatic cellular recycling mechanism that mediates removal of old or
dysfunctional proteins and organelles, and is particularly important for cell
               survival during conditions of metabolic stress

A dual role in cancer: it can allow cancer cells to overcome metabolic stress
   (hypoxia, lack of nutrients) or suppress tumor progression through
              degradation of oncogenic proteins and cell death

Many anticancer drugs (such as inhibitors of mTORC1, the proteasome, or
histone deacetylases) induce autophagy; whether autophagy enhances their
antitumor properties or contributes to therapeutic resistance often remains
                                 unclear
Autophagy
Model of apoptosis regulation by Beclin 1 and its fragments

                                   R Kang et al, Cell Death and Differentiation (2011)
Necrosis
Krishna Biochem J 2011
Mitochondrial network

APOPTOTIC INTRINSIC PATHWAY
                                                                  METABOLISM
                                                               (ATP, respiration, ROS)
                      Bcl-2-like
                                       Bax-like

                                               caspase cascade
                                          activation…and apoptosis
                            BH3-only

MITOCHONDRIA DYNAMICS

                                                              Motility

              Fusion/Fission balance
Mitochondria in tumor cells

glycolysis

             Bioenergetic index of the cell (BEC)

                                                    Indran et al, BBA 2011
Mitochondria: promising targets for cancer chemotherapy
Regulation of mitochondrial metabolism by Bcl-2
               (non canonical activity)
Dynamique des mitochondries et morphologie
                       Fusion-fission and transport
3 GTPases de la famille des dynamines

DRP1 dynamin-related protein  fission
MFN mitofusine 1 et 2 (mb externe) et OPA1 (optic atrophy 1, mb interne)  fusion

            Contrôle : fusion > fission  mito filamenteuses
            Inhibition fusion  fragmentation = fission (ponctiforme)
            Inhibition fission  filamenteux ++ et interconnecté

              Transport des mitochondries le long des microtubules
                       Intervention des protéines motrices
                          Fait intervenir fusion et fission

                        Transport d’ATP dans la cellule
Fusion mitochondriale

Permet l’échange de protéines, de complexes respiratoires et d’ADN

nécessaire à la stabilité de l’ADN mitochondrial (complémentation d’un
gène défectueux porté par une molécule d’ADN par un gène sain porté par
une autre molécule d’ADN)

Ne dépend pas du cytosquelette

Est abolie par dissipation du delta psy (apoptose)

Mb externe et interne fusionnent séparément

Utilisation de protéines fluorescentes photoconvertibles  2 types de fusion

                        Fusion instable : kiss and run
                        Fusion stable : mito allongée
Fission mitochondriale (fragmentation) et apoptose

    Nécessaire en fin de mitose
    Associée à l’apoptose
    Précède la libération de cyt c
    Bcl-2 proapoptotiques sont impliquées

A.Savry, V.Rey
Hypoxia and mitochondria
Hypoxie induit elargissement des mitochondries due à une fusion anormale
  (augmentation de l’expression de Mfn1), qui entraine une résistance à
                         l’apoptose et donc survie

                                                        Mazure et al, Bull Cancer 2011
Microtubule cytoskeleton : an Integrator of signaling cascades

                                                 Mitosis

                                            Cell proliferation

                                               Cell polarity

                                              Cell migration

                                              Intracellular
                                                transport

                                             Differenciation
Microtubule dynamics

                       Galjart 2010
Regulatory coordination of Microtubule Associated Proteins

     Structural MAPs (MAP1, MAP2, MAP4, Tau)
     + TIPs and co-polymerizing factors (EB1, CLIP 170, APC, CLASPs)
     Dis1/TOG

                                              Depolymerizing Kinesin-13 proteins
     Stathmin            Katanin
Delivery of +TIPs to microtubule ends
Classification        +TIP∗             Homologs†          Interaction with
                                                              other +TIPs
 ‘Core’ +TIPs     EB1-like proteins       Bim1 (Sc)        Most known +TIPs
                                          Mal3 (Sp)
CAP-Gly domain        CLIP-170          CLIP-190 (Dm)        EB1, CLIP-170,
                                          Bik1 (Sc)        CLIP-115, p150glued,
                                                           CLASP1,2, MCAK,
                                          Tip1 (Sp)
                                                                  LIS1

                      CLIP-115                –              EB1, CLIP-170,
                                                               CLASP1,2
                      p150glued          NudM (An)           EB1, CLIP-170
                                         Ssm4 (Sp)
  SxIP motif         CLASP1,2          Orbit/Mast (Dm)      EB1, CLIP-170,
                                          Stu1 (Sc)         CLIP-115, ACF7
                                         Peg1 (Sp)
                       APC               Kar9p (Sc)           EB1, MCAK
                       ACF7           Shot/Kakapo (Dm)       EB1, CLASP1,2

                       STIM1                 –                    EB1
                       MCAK             Klp10A (Dm)          EB1, CLIP-170,
                                         XKCM1 (Xl)           APC, Tip150
                       Tip150                –                 EB1, MCAK
                     Navigators              –                  Unknown
                    Melanophilin             –                    EB1
                      p140Cap                –                    EB1
                    CDK5RAP2                 –                    EB1
                   RhoGEF2 (Dm)              –                    EB1
                       DDA3                  –                    EB1
 TOG domain           Ch-TOG             Msps (Dm)                EB1
                                        XMAP215 (Xl)
                                          Stu2 (Sc)
 Not classified         LIS1             NudF (An)         CLIP-170, p150glued

                     NudA (An)        Dynein heavy chain     p150glued, LIS1
Microtubules are highly dynamic structures in living cells
It is not clear if microtubules serve as
molecular scaffolds for proteins to exert their activity or
                    if the proteins are
    sequestered by microtubules and therefore are
                  functionally inactive.
Microtubule-Targeting Agents are potent anticancer drugs

       Drugs largely prescribed in adult and children cancers
            Vinca alkaloids : vinblastine, vincristine, vinorelbine, vinflunine
               Taxanes : paclitaxel, docetaxel, carbazitaxel, abraxane

                        Drug family in development :
             Large reservoir of potentially therapeutic natural compounds
               Small molecules in preclinical and clinical investigation
                             Drug combination schedules
                                   Drug vectorisation
                     oral route with new pharmacokinetics profile
                                Novel therapeutic use

                                        Limits :
                                    Drug resistance
                                No tumor cell specificity
                                     Neurotoxicity

                                    Potent tools
   for understanding the function of microtubule cytoskeleton in cancer development
Microtubule targeting agents (MTA)
Microtubule targeting agents (MTA)
Microtubule Targeting Agents (MTA) mechanism of action

  Inhibit microtubule dynamic instability

   Tubulin-GFP                              EB1-GFP

 Inhibit chromosome congression to metaphase plate

 Induce apoptosis via the mitochondrial pathway
MTAs induce the intrinsic apoptotic pathway
Mitochondrial morphology changes : increase in the cristae/matrix surface ratio
                           Control           Paclitaxel (2 hr)

                        0.07 ± 0.05              0.22 ±0.1       p < 0.0001
 Cytochrome c release from mitochondria to the cytosol

   Ctrl   4h     24 h     48h
               VFL IC70                                                       N. André
                                     24 h                                     B. Pourroy
MTAs induce the intrinsic apoptotic pathway

   Paclitaxel mechanism of action in colon carcinoma cells
                                                        A.Gonçalves

  Modification of microtubule network and mitotic block
Caspase activation independent of death receptor activation
                 Ψm concomitent with caspase-8 cleavage
  Alteration of ∆Ψ
         Caspase-3 activation and PARP cleavage

                  Involvement of mitochondria ?
Mechanisms of drug resistance

                Cellular efflux (MDR, MRP)
                        Clinical relevance ?
                       Limit diffusion in CNS

                     Binding on the target
Qualitative and quantitative alterations of tubulin-microtubule sytem
    Β isotypes(betaIII), associated proteins such as MAP2, MAP4
   (Β

               Deficient induction of apoptosis
                          P53, Bcl2-family

Alterations in tumor cells that modulate microtubule functions
                        (protein, RNA, metabolism)

                                Others…
Microtubule-mitochondria communications

              MTA

                    Bim

     Dynein
                             ROS
   p53

                    Bax
              bax
                     Bcl-2
         bcl-2

                                   Pro-apoptotic factors
P53 = gene suppresseur de tumeur

          DNA damage  activation des kinases de check points (ATM et ATR) 
    phosphorylation de p53  libération de sa liaison à mdm2  p53 active les check points
             du cycle jusqu’à réparation, si pas possible induction de l’apoptose

                                P53 et apoptose

                                                            À la mitochondrie
Transcriptionnel Non transcriptionnel               Interaction avec Bcl-2 donc antagonise
                         Inhibe survivine
  bax, bid, puma                                      les antiapoptotiques, et libère ainsi
                         Activation de Bax
                                                              les proapoptotiques

                                                                                 Brenner
MTA and p53/Bcl-2 signaling

        MTA

          Dynein

        p53

                         Bax
                   bax
Ctrl
              bcl-2       Bcl-2

MTA

                                     Pourroy, Carré, Rey
MTAs and BCl-2
Diminution transcriptionnelle de Bcl-2 par les MTA

                  WB       VRL (nM)   0   10   100

                             Bcl-2
                            actine

           Q-RT-PCR                                         Luciferase assay

  Augmentation de la fixation de p53 sur le promoteur de Bcl-2 après traitement
                        (identification d’un nouveau site)
                                                                                  V.Rey
Bcl-2 down-regulation is associated with taxol and vinca resistance
                     in A2780 ovarian cells

                                                         120

                                        Resistance (%)
      Cell     Mito                                      100                                                            TC1-pUSE
                                                                                                                       Série1
                                                          80                                               *
 WT     TC1   WT   TC1                                               *                    *
                                                          60                                           *               Série2
                                                                                                                        TC1-Bcl-2
                                                                         *
                                                          40
                                                                                      *
                         Bcl-2                            20                                                           Série3
                                                                                                                        TC1-Bcl-2∆loop
                                                           0
                                                                    IC20             IC50             IC70

                                                                                              Resistance                          Resistance
                                                         A2780-wt        A2780-TC1             Factor          A2780-TC1-Bcl-2     Factor
                                                                                               TC1/wt                            TC1-Bcl-2/wt

                                 IC20                     20 nM              500 nM              25                30 nM             1,5

                                 IC50                     25 nM              20 µM               800               700 nM            28

                                 IC70                     30 nM              55 µM              1830                8 µM             270

  Restoring Bcl-2 expression led to a significant increase in TC1 cell sensitivity to VFL
                                                                                                                                     Esteve
Expression de Bcl-2 :
un facteur prédictif de réponse à la chimiothérapie   ?
Bcl-2 dependent transcriptional regulation of Bim   ?
Mitochondrial signaling related to microtubule cytoskeleton
        Mitochondrial ROS induce Bim translocation to mitochondria
                        and subsequent cell death

        Bim is involved in mitochontria fragmentation in Tax treated A549 cells
                Si ctrl            Si Bim

Taxol
                                                         Mechanism of Bim
                                                           translocation      ?
?
Bcl-2 nécessaire à la sensibilité des cellules A2780 au taxol ?
        Bcl-2 : une cible mitochondriale du Taxol ?
               Quels types de lignées/tissus ?

                          Interaction directe Bcl-2-Tax
 Tax mime Nur77 récepteur d’une protéine capable de transformer Bcl-2 en « killer »

Bim plus important que Bcl-2 dans la réponse aux MTA ?

                            Etude Translationnelle ?

                         Autres rôles de Bim ?

                                   migration ?
MTA

                 Bim

  Dynein
                           ROS
p53

                  Bax
           bax

      bcl-2        Bcl-2
MTA

                 Bim

  Dynein
                          ROS
p53

                 Bax
           bax
                  Bcl-2
      bcl-2

                                Pro-apoptotic factors
Olesoxime prevents
      MTA Neurotoxicity

       MTA + olesoxime

MTA
Selective preservation of EB comets in neuronal differentiated cells
                  Control                              olesoxime

  vehicle

  VCR

            PTX                      PTX + olesoxime

                   VCR                           VCR + olesoxime
Olesoxime prevents MTA-suppressed mitochondrial motility

                                                                                 **
                  Mitochondrial motility (µm/s)                    **
                                                   0,1
                                                  0,08
                                                  0,06
                                                  0,04
                                                  0,02
                                                     0
                                                         Control   olesoxime   MTA      MTA +
                                                                                      olesoxime

Rovini A et al, bicohem Pharmacol 2010
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