Tumor heterogeneity and the relapse associated resistance suggest there are a small population which is similar to the tissue stem cell in the adult tissues. While most cancer cells in the tumors grow quickly, and can be targeted with many chemotherapeutic anti-proliferation reagents, the stem like cells (CSCs) have distinctive proliferation program and metabolism.
In collaboration with Dr. Sukjoon Yoon, we identified many CSCs selective targets, some of which are main regulators of lipid metabolism. We demonstrated that the cholesterol and monounsaturated fatty acid synthesis are key and novel target for CSC selective therapy with molecular mechanism. Development of new drugs targeting these vulnerable point is ongoing. (2021 Cells, 2019 BBRC, 2017 Faseb J.)
In addition, with other collaborators, we found many novel and natural reagents which targets the CSCs and demonstrated the molecular mechanism. Currently the phenotypical screening for new CSC targeting reagents are ongoing using some naturally existing materials.
Despite the tremendous efforts devoted to fighting cancer for the last half century, cancer is still the leading cause of death worldwide. Many chemo, radiational and targeted therapeutic approaches have improved the lifespan of cancer patients to a certain extent. However, many intrinsic or developed resistances to such treatments have created obstacles in freeing humanity from the disease.
In long term research, we found that an epigenetic modulator is related to the radio-resistance of lung cancers. Through a proteomic approach, we identified the chromatic remodeling factors, which are known to repair the double-strand DNA breakage, are regulated by this modulator. Currently we are investigating the detailed mechanism of how the modulator regulates the DNA repair and how to apply this to the therapy.
It has been shown that some targeted therapeutics may kill the cancer cells more selectively in synthetics lethal settings. The PARP inhibitors significantly improved recurrence free survival of the BRCA mutant ovarian and breast cancer patients.
With a crispr-dCAS9 screening using 200,000 guide RNAs targeting transcription regulation of 20,000 genes on 2 TNBC cell lines, we identified several novel candidate genes for the synthetic lethal targeting with PARP inhibitors on TNBC. Preliminary results showed some of those are novel repair molecules like BRCA1 and can be used for the biomarker of PARPi inhibitor susceptibility. We also found that some immune signaling axis contribute the PARPi efficacy and are pursuing the molecular mechanism study further.