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posted by Fnord666 on Sunday May 12 2019, @04:02PM   Printer-friendly
from the seems-to-work-in-mice dept.

A research group headed by Professor Pirjo Laakkonen at the University of Helsinki has found a weakness in glioblastoma multiforme (GBM)

Glioblastoma is the most prevalent and also the most lethal type of brain tumour in adults, with no curative treatment currently available. Glioblastomas cannot be surgically completely excised, as the tumour cells are adept at invading tissues and spreading around the brain. In addition, glioblastoma cells are extremely resistant to existing drug therapies.

[...] "Our new research revealed that glioblastoma cells depend on the expression of a gene which produces the MDGI protein. Inhibiting the function of this gene results in the death of the tumour cells," Laakkonen explains.

Using existing drugs with known safety profiles is beneficial in bringing new treatments to market. In this case

What makes this finding particularly interesting is that cell death caused by leakage in the lysosomes of glioblastoma cells can be activated by using drugs that cross the blood-brain barrier. In their studies, Laakkonen's group used an antihistamine known as clemastine.

[...] "Our findings demonstrate that antihistamines and other drugs that increase the permeability of the lysosomal membrane can be considered as an enhancing therapy for patients with glioblastoma alongside established treatments," Laakkonen says.

One can hope that in the not too distant future the phrase 'no curative treatment currently available' will be just a little less common.


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  • (Score: 0) by Anonymous Coward on Sunday May 12 2019, @05:11PM (5 children)

    by Anonymous Coward on Sunday May 12 2019, @05:11PM (#842708)

    "Our new research revealed that glioblastoma cells depend on the expression of a gene which produces the MDGI protein. Inhibiting the function of this gene results in the death of the tumour cells,

    Odd they don't mention what is happening to the other cells.

  • (Score: 2) by janrinok on Sunday May 12 2019, @05:55PM (4 children)

    by janrinok (52) Subscriber Badge on Sunday May 12 2019, @05:55PM (#842717) Journal

    As it is only the glioblastoma cells that depend on the gene, inhibiting the function of this gene results in the death of the tumour cells. I suspect that they don't care if it kills other tumour cells too. As normal cells do not depend on the gene I cannot think why they should be affected. Although the effect on normal cells is not categorically stated in TFA I don't think that it is because nobody has checked to see what is happening to them.

    Are you suggesting something along the lines of "the treatment was successful and the patient died"?

    • (Score: 0) by Anonymous Coward on Sunday May 12 2019, @06:00PM (3 children)

      by Anonymous Coward on Sunday May 12 2019, @06:00PM (#842719)

      Are you suggesting something along the lines of "the treatment was successful and the patient died"?

      Yes. I didn't read the whole paper but what I saw was they "silenced" the gene from glioblastoma cells in a cell culture and then injected them into the brains of mice. They saw that if the gene was "silenced" there was no tumor later. But of course there is no reason to cut out a brain cancer just to reinject it back in to the patient.

      Then they showed cell culture results where the same dose that kills all the tumor cells after 4 days also kills at least ~50% of the other cell lines they check.

      • (Score: 2) by janrinok on Sunday May 12 2019, @06:12PM

        by janrinok (52) Subscriber Badge on Sunday May 12 2019, @06:12PM (#842722) Journal
        Well as my expertise in this matter is about the same as that of a standard house brick I will have to leave it up to the experts to make such judgements. But if what you are suggesting is, in fact, true then I would expect others with far more knowledge than I have to also notice this phenomenon and point it out to those conducting the research.
      • (Score: 2) by janrinok on Sunday May 12 2019, @06:17PM (1 child)

        by janrinok (52) Subscriber Badge on Sunday May 12 2019, @06:17PM (#842724) Journal

        Reading the paper again more fully, the mechanism that is used to fight the glioblastoma cells is rather more complicated than I thought after my first reading. I think that they have all the bases covered:

        The absence of MDGI caused instability in the membranes of lysosomes, cleaning organelles found inside tumour cells, which, in turn, resulted in the leakage of acidic and proteolytic enzymes contained in the lysosomes into the cytoplasm, initiating cell death.

        Further investigations of the mechanism leading to cell death revealed that silencing MDGI caused changes in the phospholipid composition of the lysosomes in glioblastoma cells. The transport of linoleic acid, a substance essential to humans found in food, from outside to inside cells was disturbed, resulting in a significant change to the fatty acid composition of the lysosomal membrane. This change apparently increased the permeability of the membrane.

        "Our research demonstrates that MDGI is a key factor regulating and maintaining the structure of the lysosomal membrane. This is the first gene found to regulate the stability of the membrane," Laakkonen says.

        • (Score: 0) by Anonymous Coward on Sunday May 12 2019, @06:27PM

          by Anonymous Coward on Sunday May 12 2019, @06:27PM (#842727)

          The lysosomal membrane is going to be in all cells, not just tumor cells. And here is what they say about it:

          About 90% cell death was observed with 2 ug/ml clemastine concentration, while 1 ug/ml clemastine concentration killed 50% of BT12 and BT13 cells and 64% of ZH305 cells at day 4 (Fig 6A). No significant cell death was observed when normal human endothelial cells (HuAR2T), normal human astrocytes (NHA), embryonic kidney (HEK293T; Fig 6B) or murine brain endothelial (Fig EV3C) cells were treated at 1–2 ug/ml of clemastine, suggesting a therapeutic window for clemastine treatment in gliomas.

          1) You want to give a dose that kills all the tumor cells or else the tumor will evolve resistance
          2) They say "no significant cell death" at 1-2 ug/ml but their figure 6 shows different. Eg, 50% of the NHA cells were dead by day four. Also, this is only looking out to 4 days, the patient is expected to live much longer than four days and will not want all their brain cells killed.