DNA Archives - Sanford Burnham Prebys
Institute News

How misplaced DNA contributes to chronic illness

AuthorMiles Martin
Date

October 28, 2021

Though DNA is essential for life, it can also wreak havoc on our bodies as we age 

DNA is one of the essential building blocks of life, giving our cells instructions for virtually everything they do, but researchers at Sanford Burnham Prebys are investigating what happens to our cells when DNA ends up in places where it shouldn’t normally be, particularly as we age.

The answer – as described in their recent review in the journal Cell—is disease-causing inflammation. And the researchers hope that targeting this rogue DNA will lead to new therapeutic strategies for a range of age-related illnesses, including cancer, diabetes, rheumatoid arthritis, cardiovascular disease and neurodegenerative disorders.

“Age is the primary risk factor for all of these diseases, but they share another risk factor – chronic inflammation,” says first author Karl Miller, PhD, a postdoctoral researcher in the lab of Peter Adams, PhD, Sanford Burnham Prebys. “We’re trying to understand the underlying processes behind this inflammation so we can potentially treat all these age-related diseases together”

Typically, cells have DNA safely sequestered in their nucleus and in the mitochondria, where the DNA can do its job without interfering with the rest of the cells’ activities. When cells detect DNA in other areas, they unleash a series of biochemical responses designed to protect the cell from invaders. This response is a component of the innate immune system, our body’s first line of defense against infection.

Scientists have known about this system for decades, but until recently it was mostly thought to respond to foreign DNA, such as during a bacterial or viral infection. However, over the last decade, researchers have discovered that pieces of our own DNA, called endogenous cytoplasmic DNA, can escape from the nucleus or mitochondria and trigger this inflammatory response in our own cells, even in the absence of infection. The resulting ‘sterile’ inflammation can accumulate over time, contributing to a range of age-related diseases in all systems of the body.

But this inflammation is not without its upsides. Cytoplasmic DNA is actually an important short-term protective strategy against cancer formation. The inflammation can alert the immune system at the first sign of cancer, preventing its formation. But over the long term, the sterile inflammation caused by cytoplasmic DNA is also thought to contribute to cancer risk. In fact, we’ve only been able to observe the damage associated with sterile inflammation because people are now living long enough to experience it. 

“Systems like this exist because they’re beneficial in youth, but as we age, they break down,” says Miller. “100 years ago, a lot more people died from infectious diseases early in life. Over time, we’ve become better and better at treating these acute infections, and we’re living much longer. It’s in this later period in life that we see chronic diseases emerging that used to be much less common.”

Miller’s review describes four different types of cytoplasmic DNA fragments, classified according to when and how they appear. Some arise from the nucleus during mistakes in cell division. Others emerge because of errors in DNA repair or replication. Some even escape from mitochondria—energy-producing parts of the cell that have their own separate DNA. Others still are of unknown origin.

“They all look similar under a microscope, and they all can cause similar effects. That’s one of the major problems in this field. The benefit of studying how the different types emerge is that it gives us more points to target for therapeutics,” says Miller. 

In the Adams Lab, Miller and his colleagues look specifically at cytoplasmic chromatin fragments, one of the four types of cytoplasmic DNA. These fragments appear in the cell when the membrane surrounding the nucleus is weakened by senescence, a cellular stress response. Senescence is also associated with aging. 

“We’ve shown how this pathway works in mice, and now we’re actually moving forward with therapeutic applications for humans by doing drug screening to find compounds that can target it,” adds Miller. 

And while there is still a lot of work left for the researchers, their progress is encouraging. Adams, senior author on the Cell review, was recently awarded a $13 million grant by the NIH to study the effects of aging, including the role of cytoplasmic DNA, on the progression of liver cancer. 

“We like to call what we’re doing here ‘increasing the healthspan’, as opposed to the lifespan,” says Miller. “We’re hoping to maximize the healthy period of people’s lives.” 

Institute News

Marathon tradition continues for Sanford Burnham Prebys scientist despite pandemic

AuthorMonica May
Date

December 15, 2020

Jerold Chun and his brothers, Daven and Hingson in 1973

Jerold Chun (middle) and his brothers,
Daven (left) and Hingson (right), catch
their breath at the 1973 marathon, the
first year of the race. Daven is now
an internal and sports medicine
physician, and Hingson is a
cardiologist, both living in Honolulu.

 

Jerold Chun is one of only two people to run the Honolulu Marathon every year since 1973

When the Honolulu Marathon went virtual this year, Jerold Chun, MD, PhD, knew that skipping it wasn’t an option. He’s one of only two people who have run the race every year since 1973—the first year of the event—and this would be his 48th marathon to date.

“I ended up completing it on a Saturday morning on a treadmill,” says Chun. “I have to say that was quite a mind-numbing change from running in beautiful Honolulu! But this was the right thing to do to keep both marathoners and their many supporters safe.”

For Chun, who is a fifth-generation Hawaiian, running is more than just a way to stay in shape. The marathon is a tradition for his family, spearheaded by his father until his passing in 2002. Now the event also serves as a way to honor his father’s memory.

When he’s not training for the marathon, Chun can be found in his lab, where he’s working to understand the root cause of Alzheimer’s disease. His team recently discovered a new process in the brain that is linked to Alzheimer’s and might be stopped by existing HIV medicines—which have near-term treatment potential.

“In school we learned that all cells have the same DNA,” explains Chun. “However, our research showed that in the brains of patients, this wasn’t true because of DNA recombination. This process ‘mixed and matched’ a key Alzheimer’s gene into lots of new and different forms, many of which weren’t found in healthy people.”

 

Watch Jerold Chun run his 45th Honolulu marathon.

To create these new gene variants, reverse transcriptase—an infamous HIV enzyme—was required. This suggests that existing HIV medications, which halt reverse transcriptase, might be useful for treating Alzheimer’s disease.

Chun often uses a run as a way to think through tough problems he encounters in his research. He also sees many parallels between marathon running and the discovery process.

“Most research is more like a marathon than a sprint,” says Chun. “Our recent Alzheimer’s discovery is a great example of that. We encountered many ups and downs and starts and stops over the decades. But in the long run, we may be on the heels of an effective Alzheimer’s treatment.”

Institute News

SBP scientist presents at Fleet Science Center to help the public better understand precision medicine

AuthorMonica May
Date

January 29, 2019

From how much coffee we can tolerate to the amount of weight we can lift, our bodies differ from one another in myriad ways. But when it comes to medicine, historically every patient with the same disease or condition has received the same treatment—even though individual responses vary wildly. 

Now, technological advances are enabling medicine to move from “one size fits all” to tailored treatments based upon one’s specific genes. This approach is called precision medicine. 

This December, under the dome of the Fleet Science Center’s IMAX theater, Jessica Rusert, PhD, a postdoctoral researcher in the lab of Robert Wechsler-Reya, PhD, explained the promise and potential of precision medicine to a crowd of nearly 100 people as part of the museum’s Senior Monday presentation series (if interested, check out the 2019 schedule). 

We caught up with Rusert to learn more about the goals of precision medicine and her work in the Wechsler-Reya lab. 

Before the advent of precision medicine, how did doctors typically treat patients? 
In the past, all patients who had the same disease—say, breast cancer—received the same treatment, which was most likely surgery followed by chemotherapy and radiation. Your treatment might change if you have more advanced disease—in which case the approach would be more aggressive. But typically treatment was based upon physical criteria: the location of the tumor, your symptoms or how the tumor looks under a microscope. That’s not to say this is a bad approach; it was simply the only information doctors and scientists had to work from. 

What catalyzed the movement from one size fits all to personalized treatment?
The invention of DNA sequencing has revolutionized personalized medicine. As the cost of sequencing decreases and the use of the technology swells, we will glean even more information from the genome, and personalized medicine will expand further to new areas. 

What is the ultimate goal of precision medicine? 
Precision medicine aims to treat the right patient, with the right drug, at the right time.

How far away is precision medicine from this goal? 
We are making inroads, but it is still early days for precision medicine. Currently, we are making the most progress in cancer. But despite these advances, the vast majority of cancers—including the pediatric brain cancer our lab studies—are treated with surgery, chemotherapy and radiation. 

As scientists learn more about the underlying cause of disease(s), precision medicine will expand to new cancers and new disease areas. These advances are happening now, and for some cancers, the outlook is already much better than it used to be. Perhaps one day we will have personalized treatments for schizophrenia and autism. The approach is mostly limited by how much we know about a disease. 

What is an example of a precision medicine? 
The breast cancer treatment Herceptin® is a great example of a precision medicine. 

Cells in our body use molecular antennae called receptors to sense and respond to their environment. One receptor, called HER2, controls cellular growth, and is involved in the development of breast cancer. 

Herceptin works by blocking the HER2 receptor. Then, the receptor can’t tell cells to grow, and tumor growth stops. 

However, this medicine only works if your tumor cells have this receptor. HER2-positive breast cancer means your cells have this receptor. HER2-negative breast cancer means you do not have the receptor, and thus Herceptin wouldn’t work for you. So people with breast cancer are tested to ensure they have the HER2 receptor before receiving Herceptin. 

Herceptin has saved thousands of lives. It is a true testament to the power of precision medicine. 

What was a popular question from the audience?
A lot of people wondered if there’s a way to prevent cancer. This is understandable—cancer is scary, and we want to do all we can to stop it. But it’s a difficult question to answer. The science isn’t there yet. We are only just now starting to understand how to help people who have acute disease. We may understand how to prevent cancer one day—but that will take decades, not years. 

How do you use precision medicine in your work?
In the Wechsler-Reya lab, we are working to find personalized treatments for children with brain cancer. We are studying the most common malignant pediatric brain cancer, called medulloblastoma. 

Children with medulloblastoma undergo surgery to remove the tumor and then undergo chemotherapy and radiation treatment. This treatment is hard for adults to go through—and even more devastating for a developing child. The treatment leaves long-term effects, including cognitive impairment and increased risk of other cancers due to the DNA damage caused. A treatment that reduces or eliminates these side effects is urgently needed. 

Scientists are learning that medulloblastoma is not one cancer, but actually four clearly defined subgroups. We are working to better understand these subgroups so we can develop targeted treatments that are customized to each cancer type (read the lab’s recent discovery). 

Where is precision medicine heading in the future? 
Right now, most precision medicine focuses on our DNA, but there are many other ways we differ from one another. But increasingly, scientists are working toward precision medicine that also takes into account RNA, proteins, our metabolism, the epigenome (molecular tags on DNA) and more.

Interested in keeping up with SBP’s latest discoveries, upcoming events and more? Subscribe to our monthly newsletter, Discoveries.

Institute News

Genes and proteins go hand-in-hand

AuthorBill Stallcup, PhD
Date

July 14, 2017

Thanks to huge improvements in DNA sequencing technology, scientists have identified almost all the genes present in humans. Despite this achievement, there are still thousands of genes whose functions remain a mystery. Since genes are basically blueprints for making the proteins needed to run our cellular machinery, connecting genes with the specific functions of their encoded proteins is a critical next step in using genomic information to solve health-related problems.

Bridging the gap between gene sequence and protein function is the topic of a study published in the Journal of Biological Chemistry by Yu Yamaguchi, MD, PhD, professor at SBP. According to Yamaguchi, “There has been a long-standing mystery concerning the processing of hyaluronic acid (HA), a large sponge-like molecule required to maintain proper spacing between neighboring cells. We had already learned a lot about how cells make HA, but the other equally important side of the equation is how HA is broken down, which is needed to prevent HA build-up that can cause tissue fibrosis.”

The Yamaguchi lab knew that HA degradation must be accomplished by enzymes that cut HA into smaller pieces for further processing. “However, none of the known HA-cutting enzymes had the ability to cut the very large HA that exists outside the cell”, explains postdoctoral fellow Hayato Yamamoto, MD, PhD, first author on the study. “We decided to search gene sequence libraries to identify other proteins that were not previously suspected to cut HA, but which were structurally similar to known HA cutters.”

Their search turned up transmembrane protein 2 (TMEM2), whose structure predicted that it would exist on the cell surface and would also be able to cut HA. “My job was then to determine whether or not this protein could live up to our predictions,” recalls Yamaguchi. “We were able to show experimentally that the protein really did exist on the cell surface and was able to cut large HA molecules into smaller fragments for further processing inside the cell.”

Read the paper here.