{"id":4352,"date":"2022-06-21T22:00:00","date_gmt":"2022-06-21T22:00:00","guid":{"rendered":"https:\/\/modernsciences.org\/staging\/4414\/?p=4352"},"modified":"2022-06-09T00:57:58","modified_gmt":"2022-06-09T00:57:58","slug":"masked-cancer-drug-stealthily-trains-immune-system-to-kill-tumors-while-sparing-healthy-tissues-reducing-treatment-side-effects","status":"publish","type":"post","link":"https:\/\/modernsciences.org\/staging\/4414\/masked-cancer-drug-stealthily-trains-immune-system-to-kill-tumors-while-sparing-healthy-tissues-reducing-treatment-side-effects\/","title":{"rendered":"\u2018Masked\u2019 cancer drug stealthily trains immune system to kill tumors while sparing healthy tissues, reducing treatment side effects"},"content":{"rendered":"\n  <figure>\n    <img  decoding=\"async\"  src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABAQMAAAAl21bKAAAAA1BMVEUAAP+KeNJXAAAAAXRSTlMAQObYZgAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAApJREFUCNdjYAAAAAIAAeIhvDMAAAAASUVORK5CYII=\"  class=\" pk-lazyload\"  data-pk-sizes=\"auto\"  data-pk-src=\"https:\/\/images.theconversation.com\/files\/466370\/original\/file-20220531-14-t0h7ly.jpg?ixlib=rb-1.1.0&#038;rect=0%2C0%2C2048%2C2048&#038;q=45&#038;auto=format&#038;w=754&#038;fit=clip\" >\n      <figcaption>\n        Dendritic cells (green) produce cytokines like IL-12, which can train T cells (pink) to attack tumors.\n        <span class=\"attribution\"><a class=\"source\" href=\"https:\/\/flic.kr\/p\/JRzxEb\" target=\"_blank\" rel=\"noopener\">Victor Segura Ibarra and Rita Serda\/National Cancer Institute via Flickr<\/a>, <a class=\"license\" href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/\" target=\"_blank\" rel=\"noopener\">CC BY-NC<\/a><\/span>\n      <\/figcaption>\n  <\/figure>\n\n<span><a href=\"https:\/\/theconversation.com\/profiles\/aslan-mansurov-1347590\" target=\"_blank\" rel=\"noopener\">Aslan Mansurov<\/a>, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-chicago-pritzker-school-of-molecular-engineering-5602\" target=\"_blank\" rel=\"noopener\">University of Chicago Pritzker School of Molecular Engineering<\/a><\/em><\/span>\n\n<p>Many cancer treatments are notoriously savage on the body. Drugs often attack both healthy cells and tumor cells, causing a plethora of side effects. <a href=\"https:\/\/www.cancer.gov\/about-cancer\/treatment\/types\/immunotherapy\" target=\"_blank\" rel=\"noopener\">Immunotherapies<\/a> that help the immune system recognize and attack cancer cells are no different. Though they have <a href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2019.2535\" target=\"_blank\" rel=\"noopener\">prolonged the lives of countless patients<\/a>, they work in only a subset of patients. One study found that <a href=\"https:\/\/doi.org\/10.3389\/fonc.2020.600573\" target=\"_blank\" rel=\"noopener\">fewer than 30% of breast cancer patients<\/a> respond to one of the most common forms of immunotherapy. <\/p>\n\n<p>But what if drugs could be engineered to attack only tumor cells and spare the rest of the body? To that end, <a href=\"https:\/\/pme.uchicago.edu\/group\/hubbell-lab\" target=\"_blank\" rel=\"noopener\">my colleagues<\/a> <a href=\"https:\/\/scholar.google.com\/citations?user=7KTLoToAAAAJ&amp;hl=en&amp;oi=ao\" target=\"_blank\" rel=\"noopener\">and I<\/a> at the University of Chicago\u2019s <a href=\"https:\/\/pme.uchicago.edu\/\" target=\"_blank\" rel=\"noopener\">Pritzker School of Molecular Engineering<\/a> have <a href=\"https:\/\/doi.org\/10.1038\/s41551-022-00888-0\" target=\"_blank\" rel=\"noopener\">designed a method<\/a> to keep one promising cancer drug from wreaking havoc by \u201cmasking\u201d it until it reaches a tumor.<\/p>\n\n<figure>\n            <iframe loading=\"lazy\" width=\"440\" height=\"260\" src=\"https:\/\/www.youtube.com\/embed\/K09xzIQ8zsg?wmode=transparent&amp;start=0\" frameborder=\"0\" allowfullscreen=\"\"><\/iframe>\n            <figcaption><span class=\"caption\">Immunotherapies help the immune system recognize and target cancer cells.<\/span><\/figcaption>\n          <\/figure>\n\n<h2 id=\"the-promise-of-il-12\">The promise of IL-12<\/h2>\n\n<p><a href=\"https:\/\/doi.org\/10.1038\/s41416-018-0328-y\" target=\"_blank\" rel=\"noopener\">Cytokines<\/a> are proteins that can modulate how the immune system responds to threats. One way they do this is by activating <a href=\"https:\/\/doi.org\/10.1038\/nri819\" target=\"_blank\" rel=\"noopener\">killer T cells<\/a>, a type of white blood cells that can attack cancer cells. Because cytokines can train the immune system to kill tumors, this makes them very promising as cancer treatments.<\/p>\n\n<p>One such cytokine is interleukin-12, or IL-12. Though it was <a href=\"https:\/\/doi.org\/10.1084%2Fjem.2045fta\" target=\"_blank\" rel=\"noopener\">discovered more than 30 years ago<\/a>, IL-12 still isn\u2019t an FDA-approved therapy for cancer patients because of its <a href=\"https:\/\/doi.org\/10.1126\/science.270.5238.908.a\" target=\"_blank\" rel=\"noopener\">severe side effects<\/a>, such as liver damage. This is in part because IL-12 instructs immune cells to produce a large amount of inflammatory molecules that can damage the body.<\/p>\n\n<p>Scientists have since been working to reengineer IL-12 to be more tolerable while retaining its powerful cancer-killing effects.<\/p>\n\n<h2 id=\"masking-the-killer\">Masking the killer<\/h2>\n\n<p>To create a safer version of IL-12, my colleagues and I took advantage of one of the main differences between healthy and cancerous tissue: an excess of growth-promoting enzymes in cancers. Because cancer cells proliferate very rapidly, they overproduce <a href=\"https:\/\/doi.org\/10.1186\/s12885-019-5768-0\" target=\"_blank\" rel=\"noopener\">certain enzymes<\/a> that help them invade the nearby healthy tissue and <a href=\"https:\/\/doi.org\/10.1007\/s002800051097\" target=\"_blank\" rel=\"noopener\">metastasize to other parts of the body<\/a>. Healthy cells grow at a much slower pace and produce fewer of these enzymes.<\/p>\n\n<p>With this in mind, we \u201cmasked\u201d IL-12 with a cap that covers the part of the molecule that normally binds to immune cells to activate them. The cap is removed only when it comes into contact with enzymes found in the vicinity of tumors. When these enzymes chop off the cap, IL-12 is reactivated and spurs nearby killer T cells to attack the tumor.<\/p>\n\n<figure class=\"align-center zoomable\">\n            <a href=\"https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;rect=0%2C0%2C540%2C360&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip\" target=\"_blank\" rel=\"noopener\"><img  decoding=\"async\"  alt=\"Killer T cells surrounding a cancer cell\"  src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABAQMAAAAl21bKAAAAA1BMVEUAAP+KeNJXAAAAAXRSTlMAQObYZgAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAApJREFUCNdjYAAAAAIAAeIhvDMAAAAASUVORK5CYII=\"  class=\" pk-lazyload\"  data-pk-sizes=\"auto\"  data-ls-sizes=\"(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px\"  data-pk-src=\"https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;rect=0%2C0%2C540%2C360&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip\"  data-pk-srcset=\"https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https:\/\/images.theconversation.com\/files\/465808\/original\/file-20220527-13-galqhz.png?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w\" ><\/a>\n            <figcaption>\n              <span class=\"caption\">Killer T cells (green and red) can attach to cancer cells (blue, center) and kill them by releasing toxic chemicals (red), a move scientists have dubbed \u2018the kiss of death.\u2019<\/span>\n              <span class=\"attribution\"><a class=\"source\" href=\"https:\/\/flic.kr\/p\/xuSZkh\" target=\"_blank\" rel=\"noopener\">NIH\/Flickr<\/a><\/span>\n            <\/figcaption>\n          <\/figure>\n\n<p>When we applied these masked IL-12 molecules to both healthy and tumor tissue donated by melanoma and breast cancer patients, our results confirmed that only the tumor samples were able to remove the cap. This indicated that masked IL-12 could potentially drive a strong immune response against tumors without causing damage to healthy organs.<\/p>\n\n<p>We then examined how safe masked IL-12 is by measuring <a href=\"https:\/\/www.mayoclinic.org\/tests-procedures\/liver-function-tests\/about\/pac-20394595\" target=\"_blank\" rel=\"noopener\">liver damage biomarkers<\/a> in mice. We found that immune-related side effects typically <a href=\"https:\/\/doi.org\/10.1177%2F019262339902700112\" target=\"_blank\" rel=\"noopener\">associated with IL-12<\/a> were notably absent in mice treated with masked IL-12 over a period of several weeks, indicating improved safety.<\/p>\n\n<p>In breast cancer models, our masked IL-12 resulted in a 90% cure rate, while treatment with a commonly used immunotherapy called a <a href=\"https:\/\/www.cancerresearchuk.org\/about-cancer\/cancer-in-general\/treatment\/immunotherapy\/types\/checkpoint-inhibitors\" target=\"_blank\" rel=\"noopener\">checkpoint inhibitor<\/a> resulted in only a 10% cure rate. In a model of colon cancer, masked IL-12 showed a 100% cure rate.<\/p>\n\n<p>Our next step is to test the modified IL-12 in cancer patients. While it <a href=\"https:\/\/theconversation.com\/from-the-research-lab-to-your-doctors-office-heres-what-happens-in-phase-1-2-3-drug-trials-138197\" target=\"_blank\" rel=\"noopener\">will take time<\/a> to bring this encouraging development directly to patients, we believe a promising new treatment is on the horizon.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img  loading=\"lazy\"  decoding=\"async\"  src=\"data:image\/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAABAQMAAAAl21bKAAAAA1BMVEUAAP+KeNJXAAAAAXRSTlMAQObYZgAAAAlwSFlzAAAOxAAADsQBlSsOGwAAAApJREFUCNdjYAAAAAIAAeIhvDMAAAAASUVORK5CYII=\"  alt=\"The Conversation\"  width=\"1\"  height=\"1\"  style=\"border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important\"  class=\" pk-lazyload\"  data-pk-sizes=\"auto\"  data-pk-src=\"https:\/\/counter.theconversation.com\/content\/183588\/count.gif?distributor=republish-lightbox-basic\" ><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https:\/\/theconversation.com\/republishing-guidelines --><\/p>\n\n<p><span><a href=\"https:\/\/theconversation.com\/profiles\/aslan-mansurov-1347590\" target=\"_blank\" rel=\"noopener\">Aslan Mansurov<\/a>, Postdoctoral Researcher in Molecular Engineering, <em><a href=\"https:\/\/theconversation.com\/institutions\/university-of-chicago-pritzker-school-of-molecular-engineering-5602\" target=\"_blank\" rel=\"noopener\">University of Chicago Pritzker School of Molecular Engineering<\/a><\/em><\/span><\/p>\n\n<p>This article is republished from <a href=\"https:\/\/theconversation.com\" target=\"_blank\" rel=\"noopener\">The Conversation<\/a> under a Creative Commons license. Read the <a href=\"https:\/\/theconversation.com\/masked-cancer-drug-stealthily-trains-immune-system-to-kill-tumors-while-sparing-healthy-tissues-reducing-treatment-side-effects-183588\" target=\"_blank\" rel=\"noopener\">original article<\/a>.<\/p>\n\n","protected":false},"excerpt":{"rendered":"Dendritic cells (green) produce cytokines like IL-12, which can train T cells (pink) to attack tumors. Victor Segura&hellip;\n","protected":false},"author":99,"featured_media":4353,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","fifu_image_url":"","fifu_image_alt":"","footnotes":""},"categories":[12],"tags":[268,474],"class_list":{"0":"post-4352","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-health-and-body","8":"tag-cancer","9":"tag-the-conversation","10":"cs-entry","11":"cs-video-wrap"},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts\/4352","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/users\/99"}],"replies":[{"embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/comments?post=4352"}],"version-history":[{"count":1,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts\/4352\/revisions"}],"predecessor-version":[{"id":4354,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/posts\/4352\/revisions\/4354"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/media\/4353"}],"wp:attachment":[{"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/media?parent=4352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/categories?post=4352"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/modernsciences.org\/staging\/4414\/wp-json\/wp\/v2\/tags?post=4352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}