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How Cancer Cells Survive A Chemotherapy Drug

January 30, 2009
Weizmann Institute of Science
New techniques enabled scientists to assess the actions of thousands of proteins in cancer cells and identify those that help some survive a chemotherapy treatment.

What separates the few cancer cells that survive chemotherapy – leaving the door open to recurrence – from those that don’t? Weizmann Institute scientists developed an original method for imaging and analyzing many thousands of living cells to reveal exactly how a chemotherapy drug affects each one.

For research student Ariel Cohen, together with Naama Geva-Zatorsky and Eran Eden in the lab of Prof. Uri Alon of the Institute’s Molecular Cell Biology Department, the question posed an interesting challenge. To approach it, they needed a method that would allow them to cast a wide net on the one hand – to sift through the numerous cellular proteins that could conceivably affect survival – but that would let them zoom in on the activities of individual cells in detail, on the other.

Letting the computer take over the painstaking work of searching for anomalies enabled the team to look at the behavior of over 1000 different proteins. Even so, it took several years to complete the project, which entailed tagging the specific proteins in each group of cancer cells with a fluorescent gene and capturing a series of time-lapse images over 72 hours. A second, fainter fluorescent marker was added to outline the cells, so the computer could identify them. A chemotherapy drug was introduced 24 hours into this period, after which the cells began the process of either dying or defending themselves against the drug.

The team’s efforts have produced a comprehensive library of tagged cells, images and data on cancer cell proteins – a virtual goldmine of ready material for further cancer research. And they succeeded in pinpointing two proteins that seem to play a role in cancer cell survival.

Although most of the proteins behaved similarly in all the cells, the researchers found that a small subset of them – around five percent – could act unpredictably, even when the cells and drug exposure were identical. The scientists called these proteins bimodal, as they acted in one of two ways.

The team then asked whether any of the bimodal proteins they had identified were those that occasionally promote cell survival. They found two molecules that seem to fit the bill. One of them, known by the letters DDX5, is a multitasking protein that, among other things, plays a role in initiating the production of other proteins. The other, RFC1, also plays varied roles, including directing the repair of damaged DNA. When the researchers blocked the production of these proteins in the cancer cells, the drug became much more efficient at wiping out the growth.

Cohen said, ‘This method gave us tremendous insight into how a cell responds to a drug. By conducting an unbiased study – we started with no preconceived notions of which proteins were involved – we were able to pinpoint possible new drug targets and to see how certain activities might boost the effectiveness of current drugs.’    

Prof. Uri Alon’s research is supported by the Kahn Family Foundation for Humanitarian Support and Keren Isra - Pa’amei Tikva.

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Journal Reference:

  1. Cohen et al. Dynamic Proteomics of Individual Cancer Cells in Response to a Drug. Science, 2008; 322 (5907): 1511 DOI: 10.1126/science.1160165

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Weizmann Institute of Science. "How Cancer Cells Survive A Chemotherapy Drug." ScienceDaily. ScienceDaily, 30 January 2009. <>.
Weizmann Institute of Science. (2009, January 30). How Cancer Cells Survive A Chemotherapy Drug. ScienceDaily. Retrieved March 29, 2017 from
Weizmann Institute of Science. "How Cancer Cells Survive A Chemotherapy Drug." ScienceDaily. (accessed March 29, 2017).