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Subject: UPHS News: Penn Researchers Discover Second Molecular Pathway that Promotes Cell Survival During Low Oxygen Conditions
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          <TD>&nbsp;</TD>
          <TD class=3DstoryTitle colSpan=3D2>Penn Researchers Discover =
Second=20
            Molecular Pathway that Promotes Cell Survival During Low =
Oxygen=20
            Conditions</TD></TR>
        <TR>
          <TD>&nbsp;</TD>
          <TD class=3Dstory colSpan=3D2><EM>Findings Give Clues to =
Cancer,=20
            Cardiovascular Disease Physiology</EM></TD></TR>
        <TR>
          <TD>&nbsp;</TD>
          <TD class=3Dstory width=3D5>&nbsp;</TD>
          <TD class=3Dstory>
            <P>(Philadelphia, PA) - Researchers at the =
<STRONG>University of=20
            Pennsylvania School of Medicine</STRONG> have identified a =
second=20
            molecular pathway that promotes cell survival in low-oxygen=20
            conditions. By teasing apart the details of cellular =
adaptation=20
            during oxygen deprivation, or hypoxia, the researchers hope =
to gain=20
            a better understanding of the abnormal hypoxic environments =
that are=20
            characteristic of many diseases, including solid-tumor =
cancers and=20
            stroke.<BR><BR>Oxygen sensing, the ability of a cell to =
gauge the=20
            oxygen concentrations in its environment and to protect =
itself=20
            through internal regulation, is a fundamental process in =
most=20
            species of animals that depend entirely on oxygen to =
maintain=20
            cellular function. There are multiple, oxygen-dependent =
pathways in=20
            the cell that are regulated by changes in oxygen =
levels.<BR><BR><A=20
            =
href=3D"http://www.uphs.upenn.edu/news/News_Releases/feb06/O2cellsrv_phot=
o.htm"><IMG=20
            height=3D358=20
            =
src=3D"http://www.uphs.upenn.edu/news/News_Releases/feb06/Simon_thumb.jpg=
"=20
            width=3D150 align=3Dleft border=3D0></A>By starving human =
cells of oxygen,=20
            <STRONG>Celeste Simon, PhD</STRONG>, Professor of Cell and=20
            Developmental Biology at Penn and a Howard Hughes Medical =
Institute=20
            (HHMI) Investigator, and colleagues discovered an =
oxygen-sensitive=20
            cellular pathway that leads to a decrease in protein =
synthesis. This=20
            finding is the second hypoxic cellular pathway to be =
identified by=20
            this research team. Simon, who is also a member of =
Penn=E2=80=99s=20
            <STRONG>Abramson Cancer Center</STRONG>, and colleagues =
report their=20
            most recent findings in the February issue of <EM>Molecular=20
            Cell</EM>.<BR><BR>In order to promote cellular adaptations =
to=20
            hypoxia, the cell must first recognize the presence of a =
low-oxygen=20
            environment. Previous genetic studies from Simon=E2=80=99s =
laboratory helped=20
            to establish that the mitochondria-the energy center of the=20
            cell-play a major role in oxygen sensing. Like an alarm,=20
            mitochondria alert the cells when oxygen levels fall too =
low,=20
            resulting in hypoxic cells activating a protein called=20
            hypoxia-inducible factor (HIF). HIF, in turn, signals for=20
            physiological changes in nearby tissue that serve to protect =

            oxygen-deprived cells. These changes include an increase in =
the=20
            number of red blood cells and blood vessels, the dilation of =

            vessels, and changes in cell motility.<BR><BR>=E2=80=9CThese =
physiological=20
            changes make biological sense,=E2=80=9D explains Simon. =
=E2=80=9CThe changes allow=20
            the affected cell, or tissue, to withstand the stress of low =
oxygen.=20
            Changes in the blood cells and vasculature enhance the =
ability of=20
            the blood stream to carry oxygen to the effected =
regions.=E2=80=9D<BR><BR>In=20
            their most recent studies, Simon=E2=80=99s group revealed =
the ability of=20
            cells to adapt to low-oxygen concentrations through a second =

            molecular pathway. In order to protect itself during hypoxic =

            conditions, a cell will conserve energy by greatly reducing =
protein=20
            synthesis. By exposing human cells to low-oxygen conditions, =
the=20
            researchers observed the inactivation of mTOR, a central =
regulator=20
            of global protein synthesis. Further genetic testing =
revealed that=20
            the mTOR pathway operates independent of the HIF=20
            pathway.<BR><BR>Though paradoxical, Simon=E2=80=99s findings =
suggest that=20
            the HIF pathway leads to the activation and translation of =
nearly=20
            200 target genes essential to the cell=E2=80=99s protective =
physiological=20
            changes, while the second and most recently discovered =
pathway-the=20
            mTOR pathway-inhibits protein synthesis. =E2=80=9CThe cell =
needs to take=20
            what energy it has to redirect to the molecular response =
that=20
            results in the necessary physiological changes,=E2=80=9D =
Simon=20
            suggests.<BR><BR>=E2=80=9CThere is something about the =
messenger RNAs=20
            present in the HIF pathway that allows them to escape =
inhibition of=20
            global protein synthesis,=E2=80=9D Simon notes. She believes =
that the=20
            directions for these mRNAs to move forward and make protein, =
while=20
            many are left behind, lies in the genetic makeup of mRNA. =
Her lab is=20
            currently working to identify these molecular=20
            directions.<BR><BR>Although hypoxic conditions exist =
throughout=20
            early embryonic development, the presence of hypoxic =
environments in=20
            adult tissue is often a response to disease. As Simon =
explains, =E2=80=9CA=20
            lot of the major Western world scourges involve a decrease =
in oxygen=20
            availability that falls below the threshold that cells need =
to=20
            remain healthy and carry out their functions.=E2=80=9D =
Hypoxia is a=20
            prominent component of solid tumors, myocardial infarctions, =
stroke,=20
            diabetic retinopathy, inflammation, and =
atherosclerosis.<BR><BR>In=20
            addition to hypoxia, solid cancer tumors are comprised of =
abnormal=20
            cells and convoluted blood vessels, which allow the tumors =
to resist=20
            chemotherapy and radiation treatments. New treatments for =
cancer are=20
            now aiming to turn off HIF and mTOR activity, halting the =
ability of=20
            the cell to signal its low-oxygen alert system and undergo =
protein=20
            synthesis. <BR><BR>=E2=80=9CIf we are able to create a =
treatment for tumors=20
            by inactivating the factor that is promoting cell survival =
and tumor=20
            cell motility - a key regulator of tumor metastasis - we may =
have=20
            another option to treat solid tumors,=E2=80=9D notes Simon. =
<BR><BR>Study=20
            co-authors are Liping Liu, Timothy P. Cash, Russell G. =
Jones, Brian=20
            Keith and Craig B. Thompson, all from the Abramson Family =
Cancer=20
            Research Institute (AFCRI). The research was funded by the =
National=20
            Institutes of Health, HHMI, and AFCRI.</P>
            <P align=3Dcenter>###</P>
            <P><EM><STRONG>PENN Medicine</STRONG> is a $2.7 billion =
enterprise=20
            dedicated to the related missions of medical education, =
biomedical=20
            research, and high-quality patient care. PENN Medicine =
consists of=20
            the University of Pennsylvania School of Medicine (founded =
in 1765=20
            as the nation's first medical school) and the University of=20
            Pennsylvania Health System.</EM></P>
            <P><EM>Penn=E2=80=99s School of Medicine is ranked #2 in the =
nation for=20
            receipt of NIH research funds; and ranked #4 in the nation =
in U.S.=20
            News &amp; World Report=E2=80=99s most recent ranking of top =

            research-oriented medical schools. Supporting 1,400 fulltime =
faculty=20
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