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BIOMEDICAL How a virus can orchestrate cancer Professor Martin Bisaillon investigates the intricate ways that viruses modify the genetic patterns of the human cells they infect – and how this gives rise to a range of deadly cancers What inspired your focus on the role of human viruses in cancer? Cancer is still a leading cause of death worldwide. Like most individuals, I have lost members of my family to this devastating disease. After working for a decade on viral and cellular enzymes, I decided to use my knowledge and experience to try to improve our comprehension of the molecular causes of cancer. Every day is a very challenging, exciting and humbling experience because I am constantly learning new things. We also recently provided the first comprehensive portrait of global changes in the RNA splicing signatures that occur in both hepatitis B virus- and hepatitis C virus-associated liver cancer. We identified modifications in the alternative splicing patterns of transcripts encoded by more than 2,500 genes, such as tumour suppressor genes, transcription factors, splicing factors and kinases. The results also reveal widespread alternative splicing changes in liver cancer that impact cell metabolism and proliferation in a way that likely contributes to tumourigenesis. Why is a multidisciplinary approach vital to the success of your research? The most satisfying part of my work is working with the members of my research group. Each is unique and brings different skills to the group. Multidisciplinarity is crucial for the success of our research. For instance, in the Why is it so important to explore the links between human viruses and cancer? An estimated 15 per cent of all human cancers worldwide may be attributed to viral infections, representing a significant portion of the global cancer burden. THBV NNoV INTERNATIONAL INNOVATION profilin in HBV-ass (HCC). Heatmap representa transcrip ts for RNA-sequenc samplsplicing e s. The Global profiling of alternative heat map shows event modifications in hepatitis B virusfor HBV-associated associated hepatocellular carcinoma HCC. Eac tissue sample , and each line (HCC). Heatmap representations of isoform ratios for cellular transcripts event. HBV-a ssociated HCC for RNA-sequencing data obtained tis comparative healthy tissues (N from 377 tissue samples. The heat map What are your most interesting discoveries about the molecular mechanisms that viruses use to induce cancer? 1 1. Global modifications Establishing a link between a virus and cancer is challenging due to the long delay between infection and tumour development. Many complex genetic changes must occur in infected cells before cancer can develop. Our recent studies are investigating some of the changes that occur in order for a normal cell to become cancerous. We have recently demonstrated that viruses can modify the alternative splicing of cellular messenger ribonucleic acids (mRNAs). Alternative splicing is a central mechanism of genetic regulation which ultimately increases both the variability and diversity of proteins, by changing their composition through differential choice of the exons to be included in mature mRNAs. Figure shows the splicing levels of various transcripts for HBC-associated HCC. Each column represents the data from one tissue sample, and each line represents a specific alternate splicing event. HBV-associated HCC tissues (THBV) are shown in red, and the comparative healthy tissues (NNoV) are shown in green. 0 10 20 3 0 4 0 5 0 6 0 7 0 8 0 9 0 100 PSI past few months, we have been using the expertise of bio-informaticians to analyse large-scale data, something that we have never done before. All the members of the lab are now getting training in this fascinating field, and are seeking to apply the notions to their respective research projects. Can you summarise some of the most significant findings from your previous studies on viral enzymes and antivirals? My laboratory has been actively involved in the development of antivirals and/ or in the characterisation of known viral inhibitors for the past decade. We have used a variety of strategies and approaches to understand how specific molecules can inhibit the replication of viruses. For instance, we demonstrated a completely novel mechanism by which the broadspectrum antiviral nucleoside ribavirin can inhibit virus replication. Using vaccinia virus as a model, we showed that the antiviral can directly serve as a substrate for an enzyme which is involved in the synthesis of the cap structure found at the 5’ ends of viral mRNAs. Viral mRNAs capped with ribavirin are not efficiently recognised by the cellular translational apparatus, thereby inhibiting virus replication. Could you highlight the work of your laboratory with high school and college students, and explain how this benefits both the students and your own research group? Our laboratory has always welcomed many students from high schools and colleges to provide them with an opportunity to work in a research lab. This is a great opportunity for us to show them how exciting science can be and, hopefully, lead them to realise that they can pursue a career in the field. Our students frequently make a real contribution to our lab. For example, the work of two past high school students – Sabrina Bouchard and Geneviève Larivée – resulted in a publication last year where they elucidated the mechanism of action of an antiviral. Moreover, the presence of these students in our lab provides a great opportunity for our graduate students to supervise them and share their knowledge with them. The molecular mechanisms of viral cancers Biochemistry researchers at the University of Sherbrooke, Canada, are revealing the bases of essential viral and fungal colonisation processes, with the aim of identifying targets for combatting prevalent infectious diseases and the genetic damage they induce THE RELATIONSHIP BETWEEN a viral infection and the development of cancer was first discovered by the virologist Francis Peyton Rous in 1911. Though it took decades for his discovery to be formally recognised, it is now widely accepted that viruses are responsible for a significant percentage of human cancers worldwide. In most cases, whether or not a viral infection will persist and lead to a particular kind of cancer depends on environmental factors or an intrinsically weak immune response, as well as the nature of the virus itself. The Epstein-Barr virus – the first virus to be characterised as causing tumours in humans – is implicated in many gastric cancer cases; in fact, the annual burden is estimated at 80,000 new cases a year. Other examples are the hepatitis B and C viruses (HBV and HCV, respectively, which are the leading causes of the most common liver cancer), the Human T lymphotrophic virus type 1, which is linked to T-cell leukaemia, and strains of human papillomavirus (HPV), now known to be responsible for most cervical cancers. HPV and hepatitis infections in particular are at epidemic proportions globally, affecting hundreds of millions of people. So as targets for inhibiting the transmission of viruses are discovered, vaccination can be seen as part of standard healthcare practice to reduce the likelihood that cancer will develop later in life. Indeed, vaccinating young people against HPV and HBV is now the norm in many countries. EXPLORING PROTEIN INTERACTIONS Professor Martin Bisaillon, head of the biochemistry department in the medical and health sciences faculty of the University of Sherbrooke in Québec, conducts research into the molecular mechanisms that drive interactions between enzymes and their ligands, paying particular attention to infectious agents. To study these interactions, Bisaillon’s laboratory employs a multidisciplinary approach, using the proteins involved in the creation and maturation of the messenger RNAs (mRNAs) of viral and fungal organisms, such as West Nile virus, HBV, HCV, vaccinia virus, influenza virus and the Candida albicans yeast, since their mRNAs undergo many modifications during transcription before being translated into enzymes. As Bisaillon details, many viral mRNAs undergo a number of co-transcriptional modifications. Each modification involves many proteins and a vast network of interactions. In addition to exploring the enzymatic reactions involved, Bisaillon’s team examines these structural modifications, and investigates the thermodynamics of the processes that www.internationalinnovation.com 2 MOLECULAR MECHANISMS USED BY VIRUSES TO INDUCE CANCER OBJECTIVES • To understand the molecular mechanisms that dictate the interactions between enzymes and their ligands • To explore the biochemical properties of infectious agents that interact with RNA, metal ions and/ or nucleotides • To discover how enzymatic activities essential for viruses/yeast can be inhibited • To understand how viruses cause cancer KEY COLLABORATORS Dr Brian Geiss, Colorado State University, USA Dr Jean-Pierre Perreault, Université de Sherbrooke, Canada Dr Guy Boivin, Université Laval, Canada FUNDING Canadian Institutes of Health Research Natural Sciences and Engineering Research Council of Canada Fonds de recherche du Québec – Santé Centre de recherche du centre hospitalier universitaire de Sherbrooke Faculté de médecine et des sciences de la santé de l’Université de Sherbrooke CONTACT Martin Bisaillon Professor and Head of Biochemistry Department Faculté de Médecine et des Sciences de la Santé Université de Sherbrooke Pavillon de Recherche Appliquée sur le Cancer (PRAC) 3201 Jean Mignault Sherbrooke, Québec J1E 4K8 Canada T +1 819 821 8000 ext. 75287 E [email protected] http://bit.ly/1l9pLMO MARTIN BISAILLON is an expert in Biochemistry and viral enzymes. He obtained a PhD in Microbiology and Immunology at the Université de Montréal in 1999. He then completed his post-doctoral training at the SloanKettering Institute in New York City before directing a research team in the pharmaceutical industry aimed at developing antiviral agents. He is currently Chair of the Biochemistry Department at the Université de Sherbrooke. 3 INTERNATIONAL INNOVATION operate during mRNA synthesis and maturation. From this work, the researchers hope to identify a means of inhibiting the enzymatic activities of yeasts and viruses towards the development of new antifungal and antiviral therapies to ward off infectious diseases. Being able to inhibit essential viral enzymatic activities is key to winning the fight against persistent infections THE ROLE OF VIRAL POLYMERASES Viruses are now known to contain many enzymes that carry out polymerase activity, enabling the replication and transmission of genetic information and the transcription of viral genomes. Although divergent in size and structure, they all catalyse the addition of nucleotides on nucleic acids. However, viral polymerases often assemble nucleotides erroneously during polymerisation, which leads to cumulative changes in the viral genome and, consequently, antiviral resistance. Bisaillon’s team undertakes precise kinetic analyses to characterise how this happens at the molecular level during the incorporation of nucleotides, with a special emphasis on what takes place when certain inhibitors are added. For instance, one of their early studies revealed the molecular basis of the inhibition of HCV replication and proliferation by ribavirin, a commercially-available antiviral drug, showing that it interacts directly with the HCV RNA polymerase. More recently, the team has uncovered the intricacies of the catalytic mechanisms used by the hepatitis virus RNA polymerase, including identifying the many amino acids involved in the binding of cofactors, nucleotides and proteins. Bisaillon now hopes to develop new approaches for targeting these essential functions, particularly in regard to the HCV RNA polymerase and the human cytomegalovirus (which is associated with herpes) DNA polymerase, to inhibit their replication and thus their burden of infection. STUDIES OF THE VACCINIA AND WEST NILE VIRUSES Another strand of work in Bisaillon’s laboratory concerns how the vaccinia virus and the West Nile virus replicate upon infection. The smallpox virus – variola – disfigured, blinded and killed millions of people until its eradication was announced in 1979 – during the 20th Century alone, it is estimated that the death toll from smallpox was anything between 300 and 500 million. To date, smallpox remains the only human infectious disease that has been eradicated globally; variola continues to be studied because of the risk that residual samples may be weaponised for bioterrorism purposes. Vaccinia virus is closely related to variola – indeed, vaccinia was the basis of the vaccine for smallpox that successfully accomplished its eradication. West Nile virus, on the other hand, is a mosquito-borne infection that can lead to encephalitis or meningitis. While Bisaillon’s laboratory investigates the proteins of these viruses to obtain greater understanding of how the proteins interact with various ligands, they also are evaluating the molecular bases that determine elements such as the specificity of the West Nile virus RNA polymerase for nucleotides. So far, the team has identified numerous nucleotide analogues that have the ability to inhibit the West Nile virus RNA helicase, paving the way for their future application as antiviral agents. VIRUS-INDUCED CANCER Recently, Bisaillon has been exploring the molecular mechanisms used by viruses to induce cancer, in order to understand the structural modifications they drive and the thermodynamics of the reactions involved in the process: “Five years ago, I would never have imagined that I would be working on cancer,” he reflects. “The amazing thing with research is that you never know where it will take you.” Bisaillon’s recent work has led him to believe that being able to inhibit essential viral enzymatic activities is key to winning the fight against persistent infections. He is confident that his findings will contribute to future successful therapies for cancers arising from viral infection, and considers that they could ultimately underpin direct remedial treatment of tumours. “Certainly, we believe that our recent results could eventually lead to the development of novel biomarkers for the detection of virus-induced cancer cells,” he says. “We also envisage the use of molecular tools to correct aberrant alternative splicing events and/or to induce the expression of therapeutic splice variants to ‘cure’ cancer cells.”