In an online issue of The Journal of Clinical Endocrinology and Metabolism, they identify Stearoyl-CoA desaturase 1 (SCD1) as an oncogenic enzyme that when inhibited and paired with another targeted drug effectively shuts down ATC cell growth and induces cell death.
Investigators think that ATC relies on SCD1 to provide the fuel the cancer cells need to rapidly duplicate. The molecule provides this energy by promoting the cancer cell’s ability to generate certain fatty acids that are important for several biological processes such as cell division, survival, drug resistance and migration.
(A) Tissue staining comparing SCD1 protein expression in normal thyroid tissue, and anaplastic thyroid carcinoma (ATC). A Hematoxylin counter-stain (light blue) highlights the nuclei of the cells within each tissue section. The punctate dark brown stain within the cells indicates positive SCD1 protein expression. Little positive staining is observed in the normal tissue, however SCD1 is highly expressed in anaplastic thyroid carcinoma tissue suggesting that SCD1 is over-expressed in a tumor-specific manner.
(B) Tissue staining comparing Ki67- a nuclear protein that serves as a marker for cell growth, in placebo treated or combination SCD1 inhibitor and Carfilzomib (proteasome inhibitor) treated ATC tumors. A Hematoxylin counter-stain (light blue) highlights the nuclei of the cells within each tissue section. Positive Ki67 stain will color the nuclei brown, and increased Ki67 indicates a faster rate of tumor cell growth. The placebo treated tumors have high levels of Ki67 positive staining compared to the combination treated tumors, indicating that this treatment successfully slows the growth rate of ATC.
“We now have some hope for treatment of this cancer, which is arguably the most lethal solid tumor known to medicine,” says John Copland, Ph.D., a cancer biologist and the study’s senior author. “Although ATC is rare — accounting for only 1 to 2 percent of thyroid cancers, it is responsible for up to 39 percent of all thyroid cancer-related deaths.”
“Currently, there are no therapies for ATC that lead to prolonged survival, but I think combining an SCD1 inhibitor with a cocktail of other agents, all of which have dramatically different targets and approaches, may work,” says co-author Robert Smallridge, M.D., an endocrinologist who treats thyroid cancer.
The Mayo researchers have already developed SCD1 inhibitors and are testing the agents in different tumor models.
Cells normally take the fatty acids they need from the bloodstream, instead of making them internally, says lead author Christina von Roemeling, a graduate student and cancer researcher. “But we have found this very unique switch in tumors that makes them very dependent on this method of fatty acid synthesis,” she says.
“Given the work we have done in the past several years, it is becoming really clear to us that fatty acid metabolism is quite possibly a crutch used by many cancers,” von Roemeling says. “An SCD1 inhibitor might be a therapeutic target that is multipotent for several cancers — not just a one-hit wonder in a single cancer but very useful as a generic therapy.”
“We now have a new area of cancer therapy to explore that has not been looked at yet in anaplastic thyroid cancer,” adds Dr. Smallridge.
Other study co-authors include Laura Marlow, Angela Crist, James Miller and Han Tun, M.D., from Mayo Clinic; and Anthony Pinkerton from the Conrad Prebys Center for Chemical Genomics at Sanford-Burnham Medical Research Institute in La Jolla, California.
This work was funded in part from National Institutes of Health / National Cancer Institute grant R01CA136665; Florida Department of Health Bankhead-Coley Cancer Research Program (FL09B202, FL3BF01, JAC); Mr. and Mrs. Ompal Chauhan Research Fund; Scheidel Foundation; Fraternal Order of Eagles Florida State Auxiliary; a grant for rare cancers from Dr. Ellis and Dona Brunton; Mayo Sanford-Burnham Medical Research Institute Collaborative Drug Discovery Program; a gift from Alfred D. and Audrey M. Petersen; the Francis and Miranda Childress Foundation Fund for Cancer Research; John A. and Bette B. Klacsmann Fund for Cancer Research at Mayo Clinic in Florida; and the Betty G. Castigliano Fund in Cancer Research Honoring S. Gordon Castigliano, M.D. cancer research at Mayo Clinic in Jacksonville, Florida.
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