Whitehead Institute researchers have found that increased expression of a
 specific set of genes is strongly associated with metastasis and death 
in patients with breast, colon, and lung cancers. Not only could this 
finding help scientists identify a gene profile predictive of patient 
outcomes and response to treatment, it could also guide the development 
of therapeutics to target multiple cancer types.
The genes identified are activated by a transcription factor called 
heat-shock factor 1 (HSF1) as part of a transcriptional program distinct
 from HSF1's well-known role in mediating the response of normal cells 
to elevated temperature.
In normal cells, a variety of stressors, including heat, hypoxia, and
 toxins, activate HSF1 leading to increased expression of so-called 
heat-shock or chaperone proteins that work to maintain protein 
homeostasis in stressed cells. Scientists have known for some time that 
many cancer cells have higher levels of chaperones and that elevation of
 these proteins is important for survival and proliferation of tumor 
cells.
Now, however, researchers in the lab of Whitehead Member Susan 
Lindquist report that HSF1 supports cancers not only by increasing 
chaperones, but by unexpectedly regulating a broad range of cellular 
functions that are important for the malignant behavior of tumor cells. 
This activity allows for the development of the most aggressive forms of
 three of the most prevalent cancers -- breast, lung, and colon. The 
findings, published this week in the journal Cell, build on 
earlier research from the Lindquist lab showing that elevated levels of 
HSF1 are associated with poorer prognosis in some forms of breast 
cancer.
"This work shows that HSF1 is fundamentally important across a broad 
range of human cancers, cancers of various types from all over the body 
turn on this response," says Sandro Santagata, a postdoctoral researcher
 in the Lindquist lab. "That's very interesting. It suggests how 
important HSF1 must be for helping tumors become their very worst."
In addition to confirming that this gene activation program differs 
from that associated with heat shock, the researchers found that in many
 tumors, it becomes active in virtually all of the tumor's cells.
"This demonstrates it isn't simply regions of microenvironmental 
stress within a tumor that drive HSF1 activity, but rather that HSF1 
activation is wired into the core circuitry of cancer cells, 
orchestrating a distinct gene regulatory program that enables 
particularly aggressive phenotypes," says Marc Mendillo, a postdoctoral 
researcher in the Lindquist lab. "This suggests HSF1 itself could be a 
great therapeutic target."
Luke Whitesell, an oncologist and senior research scientist in the 
Lindquist lab, concurs that HSF1 is a conceptually appealing target for 
therapeutic intervention, noting that suppressing HSF1 for short periods
 of time should have minimal consequences on normal cells. However, he 
adds, actually developing such a drug could be problematic.
"Coming up with a drug that disrupts HSF1's interaction with DNA, 
which is how it activates all of these genes, that is going to be really
 tough," says Whitesell. "No one has come up with a clinically useful 
drug that directly interrupts a transcription factor's interaction with 
DNA yet. But there are ways to disrupt a transcription factor's function
 indirectly, as opposed to directly targeting the protein itself. What 
we have now from this research is a new view of the landscape and the 
possibilities for drug discovery and development that are out there."
This research was supported by the Johnson & Johnson Focused 
Funding Program, the Marble Fund, the American Cancer Society New 
England Division-SpinOdyssey, the National Institutes of Health (NIH), 
the Brain Science Foundation, the V Foundation, GlaxoSmithKline, the 
National Cancer Institute (NCI), Department of Health and Human Services
 (HHS), the Breast Cancer Research Foundation, and the Department of 
Defense (DoD).
Journal Reference:
- Marc L. Mendillo, Sandro Santagata, Martina Koeva, George W. Bell, Rong Hu, Rulla M. Tamimi, Ernest Fraenkel, Tan A. Ince, Luke Whitesell, Susan Lindquist. HSF1 Drives a Transcriptional Program Distinct from Heat Shock to Support Highly Malignant Human Cancers. Cell, 2012; 150 (3): 549 DOI: 10.1016/j.cell.2012.06.031
 
Courtesy: ScienceDaily 

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