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UE Principles of Cancer Biology Cellular stress (18-11-2015)! Patrice Lassus Institut de Génétique Moléculaire de Montpellier (CNRS) “HCV and Cancer” [email protected] 04 67 34 35 96 56 Cellular response to stress UE GMBP 321- Principles of Cancer Biology Senescence, Apoptosis (20-10-2014)! I- General Introduction -Definition/concepts! -Examples! II- Cellular stress -Examples! -Mechanisms / Role in cancer! III- What we do in the lab… UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? Some definitions: ! ! Stress is a condition / an event that is perceived by the organism / the cell as a threat to its homeostasis.! ! Homeostasis represents the equilibrium in which the physiological functions are optimum for the organism /the cells.! UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? Stress at the organism level:! ! Physiological stress ! ! Psychological stress! UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? Stress examples at the organism level:! ! Physiological stress: ! ! - - - - - - Heat! Cold! Sugar level! Oxygen level! Infection! Fear! ! Psychological stress! STRESS UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? Stress examples at the organism level:! STRESS ! Physiological stress: ! ! - - - - - - Heat: Sweating Cold: Shivering Sugar level: change in hormone balance / glycogenolysis-gluconeogenesis! Oxygen level: Ventilation rate / Vessels constriction-dilatation! Infection: Immune system activation! Fear: Fight or flight! Psychological stress! Sensors Specific RESPONSE ADAPTATION UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? STRESS Stress response is a fundamental survival mechanism! ! ! What happens if stress is not well managed?! Sensors Specific RESPONSE ADAPTATION UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? STRESS Stress response is a fundamental survival mechanism! ! What happens if stress is not well managed?! - Stress signal too strong/ too long! - Response not well adpated! Sensors ! ! Specific RESPONSE ADAPTATION UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? STRESS Stress response is a fundamental survival mechanism! ! What happens if stress is not well managed?! - Stress signal too strong/ too long! - Response not well adpated! Sensors ! ! Specific RESPONSE ADAPTATION Weak/sick/dead UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress II- Is stress a good thing? ! Too much stress is obviously not good.. However…! UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress II- Is stress a good thing? Too much stress is obviously not good.. However…! ! Stress is part of evolution.! New environment STRESS Mutations / adaptation no adaptation Selection / Survival Disadvantage / Death Bases of Darwinian Evolution! UE Principles of Cancer Biology Cellular stress (18-11-2015)! I- Introduction Cellular response to stress I- What is stress? Stress response is a fundamental survival mechanism! ! Stress response is an adaptative mechanism that contributes to the evolutionary process! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / introduction Organismal stress <–> Cellular stress! Many similarities - Same Signalling! STRESS Sensors Specific RESPONSE ADAPTATION UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / introduction Organismal stress <–> Cellular stress! Many similarities - Common stimuli! ! At the organism level:! - Temperature! - Sugar level! - Oxygen level! - Infection! - Fear! At the Cellular level:! - Temperature! - Nutrient! - Oxygen level! - Infection! - Genomic /protein /lipidic damage! - Mechanical! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / introduction Organismal stress <–> Cellular stress! Many similarities - Same concept for cancer cells! New environment STRESS Mutations / adaptation no adaptation Selection / Survival Disadvantage / Death Bases of Darwinian Evolution! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / introduction Uncontrolled growth of cancer cells Organismal stress <–> Cellular stress! Many similarities - Same concept for cancer cells! Abnormal / Rapidly evolving environment New environment STRESS High level of STRESS Mutations / adaptation no adaptation Selection / Survival Disadvantage / Death Bases of Darwinian Evolution! High! Selection pressure! Mutations / adaptation Selection / Survival / Agressiveness Stress response is fundamental to tumor progression UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - - - - Temperature! Nutrient! Genomic /protein / lipidic damage! Oxygen level! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Temperature (heat)! Organisms have adapted to growth temperatures from the freezing point of water to 113 C There is not a general optimal temperature for all organisms but a specific one for each specie For all living organisms, temperatures only moderately above the respective optimum growth temperature represent a challenging problem for survival. Heat shock response is very sensitive and is triggered by a temperature increase of just a few degrees. UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Temperature (heat)! Prolonged Heat shock induces profound changes in cells: - Stress fibers / defect in the cytoskeleton - Miss localization of organelles - Fragmentation of Golgi /ER - Drop in ATP levels - Aggregation of ribosomes - RNA splicing affected Heat Protein Unfolding Denaturation UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Temperature (heat)! Heat HSF1 HSPs HSPs chaperone complexes Folding / refolding Prevention of aggregates Protein Unfolding / denaturation UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Temperature (heat)! Heat Heat UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Nutrients (glucose / amino acids)! Nutrients mTOR pathway Autophagy Cell proliferation / size UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Nutrients (glucose / amino acids)! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Nutrients (glucose / amino acids)! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - Cellular damages: example of DNA! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen! Oxygen is essentiel for cell survival. Oxygen is an essentiel part of the reactions that give energy to the cells. These reactions take place in the mitochondria at the level of the electron transport chain. ETC uses oxygen to produce energy in the form of ATP UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen! Because it is essential, modulation of oxygen levels are a source of stress Two types of stress related to oxygen can be distinguished: -Oxygen deprivation: Hypoxia -Stress generated by oxygen byproducts: Oxidative stress UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! Oxygen is used in different types of reactions that give rise to different highly reactive byproducts called: ROS: Reactive Oxygen Species UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS are produced mainly in the mitochondria UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS can also be genenrated by other organelles or cytosolic enzymes. UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS are highly reactive and can be harmful for cells ROS Lipids protein DNA ROS are considered as powerful mutagens! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS can be induced by several stimuli including oncogenic events. Radiation Chemo drugs Oncogenes Metabolic defects Inflammation ROS Lipids protein DNA ROS are considered as powerful mutagens! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS levels need to be kept low: Role of scavengers UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS levels too high: Role of NRF2 UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS levels too high: Role of NRF2 UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! ROS levels too high: Role of NRF2 UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! NRF2 Radiation Chemo drugs Oncogenes Metabolic defects Inflammation ROS Lipids protein DNA ROS are considered as powerful mutagens! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Is NRF2/KEAP1 involved in cancer?! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Is NRF2/KEAP1 involved in cancer?! In light of its anti-oxidant activity, NRF2 should be considered as a powerful tumor suppressor gene.. ! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Is NRF2/KEAP1 involved in cancer?! In light of its anti-oxidant activity, NRF2 should be considered as a powerful tumor suppressor gene.. ! ! ! It is a bit more complicated than that…! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Is NRF2 involved in cancer?! Tumors sequencing revealed that: Both Keap1/ NRF2 are frequently mutated. Surprisingly, mutations on keap1 are mostly inactivating while mutation on NRF2 are activating.. NRF2 could then be an oncogene? UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Can NRF2 act as an oncogene?! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Is NRF2 an oncogene? Yes!!! How do we explain this paradox ?! Apoptosis Senescence UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - Is NRF2 an oncogene? Yes!!! How do we explain this paradox ?! Apoptosis Senescence UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - One might ask then…! Are anti-oxidants bad?! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - One might ask then…! Are anti-oxidants bad?! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Oxidative stress! - One might ask then…! Are anti-oxidants bad?! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! -Oxygen deprivation: Hypoxia Because oxygen is essential, decreases of oxygen levels are a source of major stress That trigger a very important and complex response UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! STRESS Hypoxia Sensors PHDs Specific RESPONSE HIF Transcription factors ADAPTATION ADAPTATION UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! Hif (hypoxia inducible factor)! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! Hif (hypoxia induced factor)! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! Complex adaptative response: 1-Metabolic reprogramming! The lack of oxygen inhibits oxydative phosphorylation in the mitochondria. To sustain energy, cells switch their metabolism to glycolysis UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples ! Hypoxia ! - 1-Metabolic reprogramming! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! Complex adaptative response: 2-Angiogenesis! The lack of oxygen induces angiogenesis as a survival mechanism in order to improve and increase oxygen supply through blood vessels. UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! Complex adaptative response: 3-Migration / invasion! Because the hypoxic environment is far from being optimal, hypoxic cells will try to move away from it toward a more oxygenated environment ECM degradation: MMPs Lowering extracellular pH HIF Induction of EMT: Induction of EMT factors: Twist, Snail UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia! Complex adaptative response:! HIF METABOLIC REPROGRAMING ANGIOGENESIS MIGRATION UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia / Cancer! - Is Hypoxia involved in cancer?! UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia / Cancer! Hypoxia is found in virtually all solid tumors Cancer cells grow quickly. The more the tumor grows the more there will be cells located far away from vessels and from blood supply. UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia / Cancer! Hif1a is now considered as a powerful oncogene. UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia / Cancer! Hypoxia induces many other phenotypes in cancer cells. All theses phenotype are traits of aggressiveness. Hypoxia is an environment of high selective pressure that is responsible for the generation and the selection of aggressive cancer cells Hypoxia is this very important for tumor malignancy UE Principles of Cancer Biology Cellular stress (18-11-2015)! II- Cellular stress Cellular response to stress I- Cellular stress / examples - The case of oxygen: Hypoxia / Cancer! Anti-angiogenic therapies Rational: blocking angiogenesis in tumor to starve them from oxygen / nutrients Improve overall survival in some cases but aggravates the outcome in others! AA therapies block blood supply. Consequence is…induction of hypoxia Higher degree of hypoxia means Increased selection pressure and appearance of even more agressive cancer cells.