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Mitochondrial Health<br />
IMPLICATIONS FOR BREAKTHROUGH CANCER TREATMENT<br />
SARAH KIM<br />
B<br />
eginning in the late 1980s, health<br />
disorders and genetic diseases have<br />
become increasingly attributed to the<br />
mitochondria. Current research projects<br />
use model organisms to understand the<br />
implications of mitochondrial health on the<br />
whole organism. Some of the most fruitful<br />
research has been performed using the<br />
model organism Caenorhabditis elegans, or<br />
C. elegans. C. elegans is a type of nematode<br />
(roundworm) that is only 1 millimeter in<br />
length. Most viewers peer into a microscope<br />
of these nematodes and see modest, squirmy<br />
lines. Dr. Natasha Kirienko peers into the<br />
microscope and sees limitless potential for<br />
discovery. In an attempt to redefine disease<br />
treatment at a global level, Dr. Kirienko<br />
studies mitochondria surveillance pathways<br />
and their implications on genetics and cancer<br />
medicine.<br />
Dr. Kirienko was brought to Rice University<br />
by a $2 million grant from the Cancer<br />
Prevention Research Institute of Texas<br />
(CPRIT). As an undergraduate and graduate<br />
student in Russia, Dr. Kirienko didn’t have<br />
the opportunities or equipment to pursue<br />
the research she was interested in. Coming<br />
to America, however, she found herself with<br />
access to advanced lab equipment and a<br />
relatively enormous stipend—compared<br />
to her maximum stipend of $12/month in<br />
Russia—with which she could do whatever<br />
she wanted. “Suddenly, the sky is your limit,”<br />
she declared, as a sure smile reached her<br />
eyes. “I didn’t need any encouragement to<br />
work hard.” Dr. Kirienko’s mindset has been<br />
infectious, as it has definitely motivated<br />
Elissa Tjahjono, a graduate student currently<br />
working in the Kirienko Lab. Dr. Kirienko<br />
elaborates on how “hardworking and<br />
motivated” Ms. Tjahjono was during her<br />
studies and how her determination has led<br />
her into graduate school, allowing her “to do<br />
substantial amount of work in a year or so.”<br />
Ms. Tjahjono was the first author of a recent,<br />
monumental paper in Dr. Kirienko’s lab on a<br />
mitochondrial surveillance pathway important<br />
in the pathogenesis of Pseudomonas<br />
aeruginosa, a bacteria that affects cell iron<br />
availability and causes organism death. 1<br />
Dr. Kirienko’s fascination with the<br />
mitochondria began in graduate school.<br />
She had read about a particular gene motif,<br />
or a distinct sequence of DNA, called the<br />
Ethanol Stress Response Element (ESRE).<br />
This motif had been identified by different<br />
scientists seven different times, and it was<br />
shown to be upregulated (expressed more<br />
as a gene) by ethanol-induced heat shock<br />
(heat shock occurs when a cell is subjected<br />
to a higher temperature than ideal). 1 During<br />
Mitochondrial<br />
diseases have<br />
now become<br />
the number<br />
one genetic<br />
disorder<br />
her PhD studies, Dr. Kirienko discovered an<br />
anomaly: a genetic mutant that was actually<br />
supposed to reduce expression of the ESRE<br />
gene instead caused upregulation. Further,<br />
she found that the mutant was sensitive<br />
to not just one , but multiple stressors. So,<br />
“there was this puzzle [relating to ESRE]<br />
that [involved] multiple conditions that<br />
were different from each other.” She began<br />
asking the questions: what is the underlying<br />
mechanism? What triggers ESRE activation?<br />
This led into her postdoctoral studies, during<br />
which she researched interactions between<br />
C. elegans and its accompanying pathogen,<br />
Pseudomonas aeruginosa. During that time,<br />
Dr. Kirienko and her colleagues found a<br />
siderophore (iron carrier) called pyoverdine,<br />
produced by P. aeruginosa, kills C. elegans by<br />
causing severe mitochondrial damage. Almost<br />
all living organisms require iron for their<br />
survival, but it is difficult to acquire iron from<br />
the environment. Animals have complicated<br />
immune systems that limit the ability of<br />
pathogens to acquire iron during infection. 2<br />
Pyoverdine has evolved to surmount this<br />
difficulty, and it is capable of getting inside<br />
of host cells, taking away iron, and bringing<br />
it back to bacteria. Pyoverdine, she found,<br />
can remove up to a third of iron (III), which<br />
is about 20-25% of iron within the host. This<br />
results in organismal death. 1<br />
How are the two distinct concepts of ESRE<br />
and pyoverdine related, one may ask? At Rice,<br />
Dr. Kirienko found that the ESRE pathway<br />
was also upregulated after exposure to<br />
pyoverdine, leading her to understand that<br />
pyoverdine exposure and heat shock are<br />
two very different stressors. It also led her<br />
to draw the connection between ESRE and<br />
mitochondrial damage. ESRE is upregulated<br />
in mutants that are affected by a variety of<br />
stressors. Pyoverdine is a direct stressor<br />
that upregulates ESRE in the mitochondria.<br />
According to the two previous statements,<br />
there must be some kind of association<br />
between ESRE and mitochondrial damage.<br />
With this juncture acting both as a conclusion<br />
and a foundation, the Kirienko lab took the<br />
next step. They used small molecule drugs<br />
such as rotenone and antimycin (known<br />
mitochondrial poisons) to test the possibility<br />
of the effects of ESRE on mitochondrial<br />
damage. After much experimentation in the<br />
lab, they “were able to link this presence of<br />
[ESRE] in the promoter of effector genes of<br />
mitochondrial damage.”<br />
Now, the Kirienko lab is working on<br />
understanding how pyoverdine is produced<br />
in bacteria. Testing for drugs that may inhibit<br />
this pyoverdine factor, the lab recently<br />
found small molecules that can prevent<br />
pyoverdine synthesis or function. The tests<br />
are on a path to success, and a collaborator is<br />
24 | CATALYST