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Anti-microtubule drugs kill cancer cells by inhibiting mitosis Written by: Tutored by: Verdi, Luana, Kollegium Spiritus Sanctus Brig Anna-Maria Olziersky, M.sc Nüssel, Jessica, Kantonsschule Olten Laboratory: Dr. Prof. Patrick Meraldi Department of cellular Physiology and Metabolism, Faculty of Medicine University of Geneva 1211 Geneva Switzerland Abstract As cancer cells are characterised by their very fast replication rate, common treatments against cancer target mitosis. The aim is to eliminate all the cancer cells by perturbing the process of duplication. Cancer cells treated with the anti-microtubule drug Eribulin, mostly prescribed to metastatic breast cancer patients, show an abnormal mitosis. The aim of our project was to define how eribulin acts on microtubules. To answer this question, we used two different cancer cell lines: MCF7 and HCC1954. We treated the cells with a multidrug resistance pump inhibitor, valspodar and Eribulin and we performed an assay to check the stability of the microtubules. Both cancer cell lines had less stable microtubules upon eribulin treatment compared to non-treated cells. Introduction Cells undergo cell division to guarantee preservation and in order to do so successfully, all the different steps of the cell cycle need to be faithfully completed1. The process of asexual reproduction of a cell is called Mitosis and is divided into 5 phases. In Prophase, the chromatin condenses and at the same time, the centrosomes start nucleating microtubules that help them to migrate on the two opposite sides of the cell. Microtubules are polymers consisting of α-Tubulin and β-Tubulin. In Prometaphase the nuclear envelope breaks down and the microtubules shrink and grow in search of chromosomes in the cytoplasm. This dynamic motion of microtubules happens thanks to their constant polymerisation and depolymerization. Microtubules coming from the two opposite poles have to attach on both sides of the chromosomes in order to be able to later pull the sister chromatids apart. In Metaphase, the chromosomes are aligned along the spindle equator. In Anaphase, the chromosomes consisting of two sister chromatids are pulled apart to the two opposite poles. In a normal cell division, the genetic material is now parted equally, thus both cells are identical and survivable. During Telophase, the nuclear envelope is rebuilt and the chromosomes start to de-condense. Successful cell division depends on the faithful segregation of chromosomes. If the DNA is not properly segregated, the cells recognise the mistake and undergo apoptosis, a process that leads to cell death. In general, cancer cells are duplicating very fast and a common therapy to cure cancer is chemotherapy. The aim is to eliminate all the cancer cells by perturbing proliferation. Not only the cancer cells are affected by chemotherapy but also every other fast growing cells in the body like hair, blood and intestine. That explains the side effects of chemotherapy. One of the drugs used in breast cancer chemotherapy is called Eribulin. It is used in the late stages of metastatic breast cancer. Eribulin is an anti-microtubule drug and targets mainly mitosis. The drug binds to the polymerizing microtubules and blocks polymerization2,3. Therefore, during mitosis it perturbs the dynamicity of microtubules, the chromosomes cannot properly attach to microtubules and the cell remains in prometaphase. As the cell cannot properly proceed into anaphase, it goes into Apoptosis4,5. Here, we show that overall eribulin destabilizes microtubules at a cellular level. Material and Methods Two different breast cancer cell lines (MCF 7, HCC1954) were used to investigate the effect of Eribulin in breast cancer cells. Four 3cm plates with coverslips inside were prepared for each cell line. 1. We seeded the cells 3cm dishes containing coverslips and the next day we added 1nM eribulin and the pump inhibitor Valspodar (2uM final concentration). 2. 15-20h after, we changed the medium of the cells to a cold one and left the cells on ice for 10 minutes. 3. The coverslips were rinsed one time with Cytoskeleton Buffer (CB, 10mM MES, 150mM NaCl, 5mM EGTA, 5mM MgCl2, 5mM glucose in water). 4. The cells were fixed with Glutaraldehyde fixation buffer (3% Formaldehyde, 0.05% Glutaraldehyde and 0.1% Triton X in CB buffer) for 15 minutes and were washed twice with CB for 10 minutes each and once with Phosphate Buffered Saline (PBS). 5. We blocked with blocking buffer (BB) for 30 minutes at room temperature. 6. The cells were incubated with primary antibodies (a-tubulin and CREST) for 1 hour at RT and were washed three times with PBS. 7. The cells were incubated with secondary antibodies (anti-rabbit alexa 488, anti-human alexa 647) for 30 minutes at RT and were washed 3 times with PBS. 8. The coverslips were mounted on slides with mounting medium containing DAPI. 9. We looked at the cells under the microscope and we took pictures. Results and Discussion In the figures below, we show control and eribulin treated cells after cold treatment. The entire spindle is built out correctly in the CTR cells but not in the Eribulin treated cells. The chromosomes are correctly aligned in the middle of the cell in the control cells whereas there are a lot of unaligned chromosomes in the eribulin treated cells. Figure1: Control and eribulin treated cells after 10min cold treatment. Cells were stained for a-tubulin (microtubules), CREST (kinetochores, complex of proteins on the centromere) and DAPI (nucleus). In both cancer cell lines, the drug Eribulin destabilized the microtubules, leading to a collapse of the entire spindle after cold treatment. We also noticed that the eribulin treated cells were stuck in prometaphase, as the number of the mitotic cells was increased upon eribulin treatment. This happens because the microtubules are destabilized upon eribulin treatment and thus they are not able to attach to chromosomes. As a result, the chromosomes cannot properly align along the spindle equator. The reason we used cold treatment is because it contributes also to the destabilization of the microtubules and helps us to see the difference between control and treated cells clearer. Conclusion and significance From the above experiment, we can conclude that overall eribulin destabilizes microtubules and thus leads to a mitotic arrest which leads to cell death. Eribulin causes cell death and is used for the treatment of breast cancer. However, only one out of three breast cancer patients responds to this drug and the cause of this differential response is not known. If we understand why only some of the patients respond to this drug, the treatment will be more personalized. Studying and understanding the mode of action of eribulin is important to also understand why some patients respond very well to Eribulin while others do not respond at all. References 1. Walczak, C. E., Cai, S. & Khodjakov, A. L. Mechanisms of chromosome behaviour during mitosis. Nat Rev Mol Cell Biol 11, 91–102 (2010). 2. Eribulin Mesylate: Mechanism of Action of a Unique Microtubule-Targeting Agent, Nicholas F. Dybdal-Hargreaves, April L. Risinger, and Susan L. Mooberry, April 2, 2015 3. Mary Ann Jordan, Kathryn Kamath, Tapas Manna, Tatiana Okouneva, Herbert P. Miller, Celia Davis, Bruce A. Littlefield, and Leslie Wilson, The primary antimitotic mechanism of action of the synthetic halichondrin E7389 is suppression of microtubule growth. Mol Cancer Ther, 4(7): 1086– 95 (2005) 4. James D. Orth, Alexander Loewer, Galit Lahav, and Timothy J. Mitchison, Prolonged mitotic arrest triggers partial activation of apoptosis, resulting in DNA damage and p53 induction. Molecular biology of the cell, 23, 567–576 (2012) 5. Karen E. Gascoigne and Stephen S. Taylor, How do anti-mitotic drugs kill cancer cells? Journal of Cell Science 122, 2579-2585 (2009) Acknowledgements We would like to thank the team of Dr. Prof. Patrick Meraldi Laboratory, especially Anna-Maria Olziersky for showing us around the whole week. We learnt many new things but what was most valuable was the experience of working in a research laboratory and to get an impression of how it could be after our studies at university. Because of this insight, we will surely be able to tell whether this is something we can imagine for the future or not. We also like to thank Swiss Youth in Science for the great opportunity we had to take part in this research week. To meet people with the same interests gave us the opportunity to exchange our thoughts and imaginations. Especially the closing ceremony at EPFL gave us the chance to exchange with other people who had different projects at different universities. It was most interesting to collaborate our results. Thank you very much once again for this opportunity.