An international team of researchers from the University of Zurich, the University Hospital Zurich, Heidelberg and Glasgow has identified that the cell death regulating protein MCL1 is essential in protecting the intestine against cancer development, independent of bacterial-driven inflammation. These findings, 'MCL1 is Required for Maintenance of Intestinal Homeostasis and Prevention of Carcinogenesis in Mice, published in Gastroenterology, could have implications for the use of MCL1 inhibitors, currently being tested for cancer treatment.
Through the use of genetically modified mice, the international team of researchers was able to demonstrate that the protein MCL1 is essential for maintaining intestinal homeostasis and thus protecting against intestinal cancer formation. The research project was led by Professor Achim Weber from the Institute of Molecular Cancer Research at the University of Zurich and at the Institute of Pathology and Molecular Pathology of the University Hospital Zurich, in collaboration with researchers from the German Cancer Research Center in Heidelberg and the Beatson Institute in Glasgow, Scotland.
For their study, the researchers modified the genetic makeup of mice so that the animals' intestinal cells would no longer produce the MCL1 protein. This protein normally prevents the death of cells and thus maintains the right balance of dying and new cells in the intestinal mucosa. The loss of MCL1 resulted in irreparable damage to the intestine and the subsequent formation of intestinal tumours. Similar changes can also be observed in the intestine of humans suffering from chronic intestinal inflammation, who also carry an elevated risk of developing intestinal cancer. Microbiota-driven chronic intestinal inflammation has long been considered essential in the development of intestinal cancer.
"What's remarkable, however, is that the loss of MCL1 can drive intestinal cancer even without bacteria-driven inflammation," explained Weber.
This was demonstrated by experiments in which mice without the MCL1 protein were held in a germfree environment.
"This means that the loss of certain genes is apparently enough to cause intestinal cancer—even in the absence of inflammation. This ground breaking finding significantly furthers our understanding of the critical early steps associated with intestinal cancer development," he added.
This study also reveals a second surprising result: In some types of tumour - including colorectal carcinoma - there is too much MCL1, rather than too little. Researchers assume that these tumours ramp up the production of MCL1 to gain an advantage for survival and enable them to better resist conventional treatment methods. As a result, a number of new therapies are currently being trialled to interfere with and reduce MCL1 function.
However, the study's findings show that not only the overexpression, but also the loss of MCL1 can be detrimental. It is possible that the loss of MCL1 function, even only temporarily, may trigger a disturbance of the intestinal mucosa and the initial steps of tumour development.
"The regulation of this protein is like walking a tightrope," cautioned Marc Healy, first author of the study. "Our study therefore urges an element of caution when it comes to using MCL1 inhibition in cancer therapy."
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