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Mitochondria associated genes alteration in GBM induces Avastin resistance.
                                   Haseo Ryu, Sung Soo Kim, Jong Bae Park
    Department of Cancer Biomedical Science, Graduate School of Cancer Science and Policy, National Cancer
                                            Center, Goyang, Korea


                   BACKGROUND                                                  AIM

    Glioblastoma(GBM) have been known as aggressive cancer  To overcome the GBM, we should find target gene that
   type that begins from brain. Temozolomide(TMZ) was typically  causes avastin resistance. Especially mitochondria have
   used to treat GBM but there were many case of recurrence.  many great roles related to cancer like glycolysis, control
   After the recurrence of TMZ, avastin was used to be treated  redox, calcium homeostasis. Therefore, if the avastin
                                                          resistance target gene is found in the mitochondria gene,
   additionally. But this was also recurrenced GBM by avastin  then inhibiting that gene has great therapeutic potential.
   resistance.
                                                METHODS
    In order to understand mechanism underlying avastin resistance in GBM, we made GBM mouse models by injecting U87 MG
   (human GBM Tumor cell line) orthotopically. To make orthotopic Avastin resistance model, we use BALB/c nude mouse and
   U87 MG cells were transplanted into left striatum of female BALB/c nude mouse by stereotactic injection. The treatment of
   Avastin started 1 weeks after the injection and performed MRI analysis and proteomics analysis every week.
   In order to find avastin resistance target gene related to mitochondria, we used engineered ascorbate peroxidase, APEX
   technique. U87MG cells stably expressing matrix-V5-APEX2 were transplanted into left striatum of female BALB/c nude mouse
   by stereotactic injection. For labeling mitochondria protein of U87MG, biotin-phenol labeling was initiated with H O in tissue
                                                                                                2 2
   samples obtained for each time point  .

                                                RESULTS

   Figure 1                                             Figure 2

                                                                                               Hypoxia







   Figure 3                                             Figure 4










    We observed that the cancer in the mouse model temporarily shrink but was found to recur by drug resistance in 6 weeks
   after avastin treatment compared to vehicle treated mouse model of 4 weeks life span.(Fig. 1) Proteomics data described
   gene expression associated mitochondria gene module was upregulated in avatin resistance model.(Fig. 2) To find the critical
   mitochondria associated gene for GBM recurrence, we made mito matrix-V5-APEX2 expressing U87 MG cell line and injected
   these cells to nude mouse brain.(Fig. 3) The samples of each group were pulled down using biotin labeled agarose bead.
   APEX2 specific labeled samples were then used to perform proteomics analysis. Proteomics analysis revealed that
   mitochondria related genes SQRKL; SQOR and MCU were highly upregulated in avastin resistance model.(Fig. 4)

          CONCLUSION                                                           REFERENCES

    Mitochondria has a major role in the energy metabolism of cells, apoptosis control. And the role of  •Guntuku, L., Naidu, V. G. M., & Ganesh Yerra, V. (2016). Mitochondrial
   mitochondria is also important in hypoxia induced avastin treatment. HIF1-A , regulator of cellular  Dysfunction in Gliomas: Pharmacotherapeutic Potential of Natural
                                                                       Compounds. Current Neuropharmacology, 14(6), 567–583.
   and systemic homeostatic response to hypoxia was induced by mitochondria transmitting oxygen  https://doi.org/10.2174/1570159x14666160121115641
                                                                       •Li, X., Spelat, R., Bartolini, A., Cesselli, D., Ius, T., Skrap, M., … Torre, V. (2020).
   level signal under hypoxia condition. That makes the cancer cells adapt well in hypoxia.  Mechanisms of malignancy in glioblastoma cells are linked to mitochondrial
    Among the mitochondrial genes, the genes that are tightly related to avastin resistence were  Ca2+ uniporter upregulation and higher intracellular Ca2+ levels. Journal of
                                                                       Cell Science, 133(6), jcs237503. https://doi.org/10.1242/jcs.237503
   analyzed using apex techniques. As a result of analysis, 5 mitochondrial genes were sorted (ACO2,  •Strickland, M., & Stoll, E. A. (2017). Metabolic Reprogramming in
   MCU, OGDH, PDK1,SQRDL;SQOR) .                                       Glioma. Frontiers in Cell and Developmental Biology, 5.
                                                                       https://doi.org/10.3389/fcell.2017.00043
   Through all this results, we have shown that the mitochondrial genes plays an important role in
   avastin resistance. In particular, we plan to study how MCU, a mitochondrial calcium uniporter  Contact information
   located in mitochondria inner membrane, affects GBM cells. This is because MCU regulates the
   calcium concentration inside mitochondria matrix, and this calcium concentration regulates the  E-mail : 1905104@ncc.re.kr
   production of ROS, which is important for cells to adapt to the hypoxia. . if we target that gene to
   make drugs, it will be very helpful in treating GBM.                Phone : 031) 920 - 2443
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