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"Chaos Enzyme" EZH2 Identified as Key to Cancer Spread

"Chaos Enzyme" EZH2 Identified as Key to Cancer Spread

A new study identifies the EZH2 "chaos enzyme" as a key driver of metastasis in triple-negative breast cancer. Researchers found that inhibiting this enzyme restores order to cell division, offering a promising new strategy to halt the spread of this aggressive cancer.

Source:

Medical Xpress

Enzyme Drives Cancer Spread by Inducing Chaos

Researchers at Weill Cornell Medicine have identified a critical enzyme that fuels the spread of triple-negative breast cancer (TNBC), one of the most aggressive forms of the disease. The enzyme, EZH2, promotes metastasis by creating chaos during cell division.

This finding offers a new target for therapies aimed at preventing the spread of cancer, which is the leading cause of death for TNBC patients.

The Mechanism of Chaos

EZH2 is an epigenetic enzyme that functions by silencing other genes. The study revealed its specific role in TNBC progression:

  • Gene Silencing: EZH2 targets and silences the tankyrase 1 gene, which is essential for orderly chromosome separation during cell division.

  • Protein Buildup: When tankyrase 1 is silenced, a protein called CPAP accumulates, causing cellular structures known as centrosomes to multiply abnormally.

  • Flawed Division: These extra centrosomes disrupt cell division, leading to new cancer cells with abnormal numbers of chromosomes—a condition called chromosomal instability.

This instability allows cancer cells to rapidly evolve, adapt, and invade distant organs, a hallmark of metastatic cancer. According to the National Cancer Institute, metastasis is the primary reason breast cancer becomes fatal.

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Source:

Restoring Order to Stop Metastasis

The study marks a significant paradigm shift in cancer treatment strategy. While some previous approaches aimed to increase chromosomal chaos to kill cancer cells, this research demonstrates that restoring order is more effective at preventing their spread.

By inhibiting EZH2, the research team was able to reverse the process.

A New Therapeutic Avenue

Using preclinical models, the scientists showed that blocking EZH2 with specific inhibitors had a profound effect:

  • It restored the function of the tankyrase 1 gene.

  • It allowed for normal, orderly chromosome segregation during cell division.

  • It sharply reduced the cancer cells' ability to metastasize.

This suggests that targeting EZH2 doesn't just attack the primary tumor but, more critically, it cripples the cancer's ability to spread throughout the body. The findings open the door for new clinical trials for high-risk breast cancer patients.

Repurposing an Existing Drug

An FDA-approved drug already exists that inhibits EZH2. Tazemetostat, used to treat other cancers, was shown to be effective in the study's models. Repurposing this drug could accelerate its translation into clinical use for TNBC patients.

Source:

Nature

Implications for Patients and Future Research

For patients with triple-negative breast cancer, the prospect of metastasis is a primary concern. TNBC is notoriously difficult to treat because it lacks the common receptors—estrogen, progesterone, and HER2—that are targeted by many effective breast cancer drugs.

This new research provides a much-needed avenue for developing therapies that specifically combat the spread of the disease.

What Lies Ahead

The discovery has set the stage for the next critical phase: human trials. Key future directions include:

  • Clinical Trials: Collaborations are underway to launch clinical trials to test the safety and efficacy of EZH2 inhibitors in TNBC patients.

  • Broader Applications: Researchers believe this approach could also apply to other cancers driven by chromosomal instability, such as certain lung cancers.

  • Drug Development: In addition to repurposing tazemetostat, new and more potent EZH2 inhibitors may be developed specifically for this purpose.

As noted in the Weill Cornell Medicine news release, stabilizing the division machinery of cancer cells, rather than pushing them further into chaos, represents a promising new direction in the fight against metastatic cancer.

Implications for Patients and Future Research

For patients with triple-negative breast cancer, the prospect of metastasis is a primary concern. TNBC is notoriously difficult to treat because it lacks the common receptors—estrogen, progesterone, and HER2—that are targeted by many effective breast cancer drugs.

This new research provides a much-needed avenue for developing therapies that specifically combat the spread of the disease.

What Lies Ahead

The discovery has set the stage for the next critical phase: human trials. Key future directions include:

  • Clinical Trials: Collaborations are underway to launch clinical trials to test the safety and efficacy of EZH2 inhibitors in TNBC patients.

  • Broader Applications: Researchers believe this approach could also apply to other cancers driven by chromosomal instability, such as certain lung cancers.

  • Drug Development: In addition to repurposing tazemetostat, new and more potent EZH2 inhibitors may be developed specifically for this purpose.

As noted in the Weill Cornell Medicine news release, stabilizing the division machinery of cancer cells, rather than pushing them further into chaos, represents a promising new direction in the fight against metastatic cancer.

How does EZH2 specifically contribute to chromosomal instability in TNBC cells?

EZH2 is an epigenetic enzyme that silences a key gene called tankyrase 1. This gene is vital for the proper separation of chromosomes when a cell divides. By silencing tankyrase 1, EZH2 causes an accumulation of another protein, CPAP, leading to an abnormal multiplication of centrosomes. This disrupts the entire process, resulting in daughter cells with incorrect chromosome numbers, a state known as chromosomal instability, which fuels the cancer's ability to spread.

How does EZH2 specifically contribute to chromosomal instability in TNBC cells?

EZH2 is an epigenetic enzyme that silences a key gene called tankyrase 1. This gene is vital for the proper separation of chromosomes when a cell divides. By silencing tankyrase 1, EZH2 causes an accumulation of another protein, CPAP, leading to an abnormal multiplication of centrosomes. This disrupts the entire process, resulting in daughter cells with incorrect chromosome numbers, a state known as chromosomal instability, which fuels the cancer's ability to spread.

How does EZH2 specifically contribute to chromosomal instability in TNBC cells?

EZH2 is an epigenetic enzyme that silences a key gene called tankyrase 1. This gene is vital for the proper separation of chromosomes when a cell divides. By silencing tankyrase 1, EZH2 causes an accumulation of another protein, CPAP, leading to an abnormal multiplication of centrosomes. This disrupts the entire process, resulting in daughter cells with incorrect chromosome numbers, a state known as chromosomal instability, which fuels the cancer's ability to spread.

What are the potential side effects of using EZH2 inhibitors in cancer treatment?

What are the potential side effects of using EZH2 inhibitors in cancer treatment?

What are the potential side effects of using EZH2 inhibitors in cancer treatment?

Are there any other cancers besides TNBC that could benefit from EZH2 inhibition?

Are there any other cancers besides TNBC that could benefit from EZH2 inhibition?

Are there any other cancers besides TNBC that could benefit from EZH2 inhibition?

How long will it take to conduct clinical trials for EZH2 inhibitors?

How long will it take to conduct clinical trials for EZH2 inhibitors?

How long will it take to conduct clinical trials for EZH2 inhibitors?

What existing drugs could be repurposed as EZH2 inhibitors for TNBC?

What existing drugs could be repurposed as EZH2 inhibitors for TNBC?

What existing drugs could be repurposed as EZH2 inhibitors for TNBC?

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