A new treatment that shows promise against hard-to-treat eye cancer has been reported by a research team led by scientists at Huntsman Cancer Institute at the University of Utah, University of Utah School of Medicine, and Navigen, Inc. The findings bring new insights to treating eye cancer, a disease that has largely flown under the radar because it is so rare, with fewer than 3,000 cases diagnosed in the U.S. each year. Eye cancer took the life of author and neurologist Oliver Sacks in 2015, bringing attention to the rare and deadly disease. Scientists have tried to develop precision treatments against cancers like this one, but the mutations that cause them have proven difficult to block with drugs.
‘A new treatment that shows promise against hard-to-treat eye cancer has been reported by a research team led by scientists.’
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Now, researchers found that the mutation relies on a protein, ARF6, to distribute cancer-promoting signals. Further, a drug that blocks ARF6 inhibits eye tumors in mice. The research appears in Cancer Cell online. "We completely bypass the mutations in oncogenes that have been so hard to target, and have found a different strategy for slowing the disease," says Dean Li, Huntsman Cancer Institute investigator and H.A. and Edna Benning Endowed Professor of Internal Medicine at the Eccles Institute of Human Genetics. He and Kirill Ostanin, Ph.D., senior director at Navigen, Inc., were senior authors on the study.
A new understanding of how eye cancer works led to the unexpected finding. Ordinarily ARF6 works to relay molecular signals within healthy cells. Here, the scientists report that a mutation that causes eye cancer hijacks ARF6, redirecting it to relay signals to cancer promoting pathways. Blocking ARF6 with the drug inhibits dissemination of the cancer message.
"In eye cancer, ARF6 is like a traffic cop at a major intersection that directs the traffic of cancer signals down a number of paths. The drug forces ARF6 to hold back traffic," says Li. "We think this same treatment strategy could also work against other cancers." These include skin, breast, brain, renal and additional cancers in which ARF6 is known to play a role in the disease. Li and Ostanin are now leading studies to further optimize and test the drug. Further, Li is investigating whether the general strategy, inhibiting proteins that distribute cancer signals, could be applied to more broadly.
Sacks was struck by the most common type of eye cancer, uveal melanoma, which is related to the skin cancer, cutaneous melanoma. Three years ago, Li's team found that ARF6 regulated late stages of skin cancer progression leading them to test whether it does the same in eye cancer.
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"A lot of work has focused on trying to develop drugs that target the oncogene," says Jae Hyuk Yoo, a postdoctoral fellow in internal medicine. Yoo co-led the study with colleagues Dallas Shi, and Allie Grossman, assistant professor of pathology. "By changing our thinking a little bit, we realized that we might be able to accomplish the same goal by targeting ARF6 instead."
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"This study is a milestone in uncovering the fundamental roles of ARF6 GTPase in oncogenesis, and establishing a new drug discovery avenue in the cancer field," says Ostanin.
As Ostanin's and LI's teams were collecting their final results, Sacks passed away. Just a few months prior, he wrote in The New York Times that he was handing life's baton, with all of its troubles and tribulations, to the next generation. "I feel the future is in good hands," he said.
Source-Newswise