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State switching

Physiological process

  • 12 min read
  • 5 chapters

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Through Protist, Darwinism and Jean-Baptiste Lamarck

In contrast to normal cells, a striking characteristic of cancer cells is the remarkable degree of phenotypic plasticity they exhibit. For example, cancer cells undergo epithelial to mesenchymal transition (EMT) that plays important roles in their survival, proliferation, and development of resistance to therapeutic treatments, or switch to a phenotype that mimics stem cell-like features – the so-called Cancer Stem Cells (CSCs) or Tumour-initiating Cells. Unlike in the case of normal cells, state switching in cancer cells is widely believed to arise due to somatic mutations. However, there is growing concern that such a deterministic view of a phenomenon that is reversible is not entirely consistent with multiple lines of evidence which indicate that stochasticity may also play an important role in driving phenotypic plasticity.

Intrinsically Disordered Proteins (IDPs) and state switching

A hallmark of the factors implicated in phenotypic switching whether in cancer or in normal cells is that they are Intrinsically disordered proteins (IDPs). That is, they lack a rigid 3D-structure under physiological conditions at least in vitro and exist as conformational ensembles instead. However, many IDPs can transition from disorder to order upon interacting with a target or in response to post-translational modifications such as phosphorylation. IDPs are particularly enriched in transcriptional regulation, signaling and splicing, and are overexpressed in many pathological states including cancer. Thus, the products of most oncogenes such as Jun, Fos, Myc, the Yamanaka factors namely, OCT3/4, SOX2, MYC, NANOG, and KLF4 that induce reprogramming of pluripotent stem (iPS) cells, and >90% of the Cancer/Testis Antigens several of which are implicated in EMT are predicted, and in many cases experimentally verified, to be IDPs. Consistent with these observations, the key factors implicated in EMT/MET namely, OVOL1/2, ZEB1 and SNAI1 are also strongly predicted to be IDPs.

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