Researchers have created a protein 'switch' that instructs cancer cells to produce their own anti-cancer medication and lab tests showed it can activate a powerful cell-killing drug when the device detects a marker linked to cancer.

The goal in cancer treatment is to some day cause cancer cells to self-destruct  and spare healthy tissue, damage to all tissue being the downside to current treatments like chemotherapy.

 In the protein switch strategy,  a doctor would instead administer a “prodrug,” meaning an inactive form of a cancer-fighting drug. When a cancer marker is present the cellular switch would turn this harmless prodrug into chemotherapy. “The switch in effect turns the cancer cell into a factory for producing the anti-cancer drug inside the cancer cell,” said Marc Ostermeier, a Johns Hopkins chemical and biomolecular engineering professor who supervised development of the switch. “The healthy cells will also receive the prodrug, and ideally it will remain in its non-toxic form. Our hope is that this strategy will kill more cancer cells while decreasing the unfortunate side effects on healthy cells.”

To demonstrate that these switches can work, the research team successfully tested them on human colon cancer and breast cancer cells in Ostermeier’s lab and in the laboratory of James R. Eshleman, a professor of pathology and oncology in the Johns Hopkins School of Medicine.

“This is a radically different tool to attack cancers,” said Eshleman, a co-author of thePNAS journal article, “but many experiments need to be done before we will be able to use it in patients.”

The next step is animal testing, expected to begin within a year, Ostermeier said.

Ostermeier’s team made the cancer-fighting switch by fusing together two different proteins. One protein detects a marker that cancer cells produce. The other protein, from yeast, can turn an inactive prodrug into a cancer-cell killer. “When the first part of the switch detects cancer, it tells its partner to activate the chemotherapy drug, destroying the cell,” Ostermeier said.

In order for this switch to work, it must first get inside the cancer cells. Ostermeier said this can be done through a technique in which the switch gene is delivered inside the cell. The switch gene serves as the blueprint from which the cell’s own machinery constructs the protein switch. Another approach, he said, would be to develop methods to deliver the switch protein itself to cells.

Once the switches are in place, the patient would receive the inactive chemotherapy drug, which would turn into a cancer attacker inside the cells where the switch has been flipped on.

Although many researchers are developing methods to deliver anti-cancer drugs specifically to cancer cells, Ostermeier said the protein switch tactic skirts difficulties encountered in those methods. “The protein switch concept changes the game by providing a mechanism to target production of the anti-cancer drugs inside cancer cells instead of targeting delivery of the anti-cancer drug to cancer cells,” he said.

The switches have not been tested in human patients, and much more testing must be done before that is possible.

Citation: Chapman M. Wright,  R. Clay Wright, James R. Eshleman, and Marc Ostermeier, 'A protein therapeutic modality founded on molecular regulation', Published online before print September 19, 2011, doi: 10.1073/pnas.1102803108