May 6, 2024

Chemotherapy Chaos: Tumor Cells’ Response to Treatment Is Driven by Randomness

Neuroblastoma cells (cyan) growing as a growth and the surrounding collagen matrix (magenta). The cells are revealing a biosensor (JNK-KTR) that reads out single-cell JNK activity in reaction to chemotherapy treatment. Neuroblastoma cells (cyan) growing as a tumor and the surrounding collagen matrix (magenta). The cells are expressing a biosensor (JNK-KTR) that reads out single-cell JNK activity in reaction to chemotherapy treatment. The cells are expressing a biosensor (JNK-KTR) that reads out single-cell JNK activity in reaction to chemotherapy treatment.

The brand-new research study shows that tumor cells from neuroblastoma– cancer that develops in the bodys battle or flight sympathetic nerve system– can move in between states of reacting, or not, to chemotherapy.
” We revealed there is noise in the procedure of cell death, which is what happens to cancer cells with chemotherapy treatment– which this inherent sound, or randomness, in the system of gene expression is an essential element of chemoresistance,” states Associate Professor David Croucher, Head of the Network Biology Lab at Garvan
About 15% of individuals with neuroblastoma dont react to chemotherapy treatment.
Neuroblastoma cells (cyan) growing as a growth and the surrounding collagen matrix (magenta). The cells are revealing a biosensor (JNK-KTR) that reads out single-cell JNK activity in response to chemotherapy treatment. Credit: Max Nobis/ Garvan
” Our findings suggest that genes dont represent everything; other layers of guideline and other systems of growth progression can likewise underpin drug response, so we require to consider them,” states Dr. Sharissa Latham, co-lead author on the study.
The team revealed that when neuroblastoma cells reach a state of resisting chemotherapy, they cant go back, recommending there is a little window where treatment could deal with a growth cell prior to its locked in.
” Combining chemotherapy with drugs that target this noise within tumors may have the best outcomes as a first-line treatment after medical diagnosis, prior to tumors lock into a state of resistance,” says Associate Professor Croucher. This turns on its head the typical protocol for medical trials in cancer where a brand-new treatment is provided to clients who have exhausted all other treatment alternatives.
The new research study is published in the journal, Science Advances.
Neuroblastoma cells (cyan) growing as a growth and the surrounding collagen matrix (magenta). The cells are revealing a biosensor (JNK-KTR) that reads out single-cell JNK activity in response to chemotherapy treatment. Credit: Max Nobis/ Garvan.
Noise in the tumor system
The scientists used mathematical modeling to limit the noise signals in the pathways of cell death in neuroblastoma growths. They then applied that to patient cell samples, using innovative imaging to look at single cells, en masse, to aesthetically isolate the cells that didnt react to treatment.
The found a marker for resistance– a set of proteins included in the procedure of cell death, called apoptosis.
” We wished to find out what underlies that randomness. What is it about those cells and can anything be manipulated to make them respond,” states Dr. Latham.
The group identified particular classes of approved drugs that may be integrated with chemotherapy to stabilize expression of the genes involved in cell death, or by altering the natural limit that might tip a growth cell into a resistant state.
The next step is to start progressing the work to scientific trial.
Recommendation: “Memory of stochastic single-cell apoptotic signaling promotes chemoresistance in neuroblastoma” 3 March 2023, Science Advances.DOI: 10.1126/ sciadv.abp8314.
This research study was supported by Cancer Institute NSW, NHMRC, Cancer Council NSW, NBCF and the Medical Research Future Fund.
Partner Professor David Croucher is a Conjoint Professor at St Vincents Clinical School, Faculty of Medicine and Health, UNSW Sydney. Dr. Sharissa Latham is a Conjoint Lecturer at St Vincents Clinical School, Faculty of Medicine and Health, UNSW Sydney.

Neuroblastoma cells (cyan) growing as a tumor and the surrounding collagen matrix (magenta). The cells are revealing a biosensor (JNK-KTR) that reads out single-cell JNK activity in action to chemotherapy treatment. Credit: Max Nobis/ Garvan
Fundamental noise in the system of gene expression in growth cell death, is another tool cancer cells utilize to resist chemotherapy treatment.
Cancer cells have an inherent randomness in their ability to react to chemotherapy, which is another tool in their toolbox of withstanding treatment, brand-new research led by the Garvan Institute of Medical Research reveals.
Comprehending why some tumor cells end up being resistant to chemotherapy is a core difficulty in cancer research study, as chemotherapy is still a frontline treatment for the majority of cancers.