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[Catalyst 2018]

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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

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