Genotoxic Agents: An Unexpected Effect on Healthy Epithelia

Michael Cangkrama1, Sabine Werner1

  • 1Institute of Molecular Health Sciences, Department of Biology, ETH Zurich, Zurich, Switzerland.

Developmental Cell
|December 8, 2020
PubMed

Insights

DNA cross-linking agents, used in cancer therapy, unexpectedly cause normal tissue overgrowth and stem cell errors. This occurs through inflammasome activation in skin cells, impacting tissue regeneration.

Area of Science:

  • Developmental Biology
  • Cancer Therapeutics
  • Immunology

Background:

  • DNA cross-linking agents are widely used as chemotherapeutics in cancer treatment.
  • The impact of these agents on normal cells and tissue homeostasis remains poorly understood.
  • Non-cell-autonomous effects in tissue response to chemotherapy are an emerging area of research.

Purpose of the Study:

  • To investigate the effects of DNA cross-linking agents on normal cells and tissue development.
  • To elucidate the mechanisms underlying the observed cellular and tissue responses.
  • To understand the role of cell-cell communication in chemotherapy's impact on normal tissues.

Main Methods:

  • Utilized DNA cross-linking agents in a model system.
  • Analyzed tissue morphology, focusing on epithelial hyperplasia and stem cell populations.
  • Investigated inflammasome activation in dermal fibroblasts and its signaling pathways.

Main Results:

  • DNA cross-linking agents induced significant epithelial hyperplasia in normal tissues.
  • These agents led to stem cell fate mis-specification, altering normal tissue regeneration.
  • The effects were mediated in a non-cell-autonomous manner through inflammasome activation in dermal fibroblasts.

Conclusions:

  • DNA cross-linking agents can disrupt normal tissue homeostasis by affecting non-cancerous cells.
  • Inflammasome activation in fibroblasts is a key mechanism mediating these adverse effects.
  • Findings highlight the importance of considering non-cell-autonomous effects in chemotherapy.

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