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Tumor Discovery                                                  RNA-protein complexes deregulated in cancer



              Paraspeckle disintegration has been achieved using   eIF2α phosphorylation, ER stress from unfolded protein
            DNA intercalators. Actinomycin D (ActD) binds to the   retention, thapsigargin, and arsenite (an SG inducer).
            DNA minor groove, promoting paraspeckle disassembly   Notably, P bodies remain functional and unaffected by
            and resulting in smaller condensates. While ActD   ISRIB treatment or stressors. ISRIB increases the activity
            administration reduces the size of NEAT1_2 speckles, it   of eIF2B, eIF5, and other initiation factors by directly or
            does not alter their number. Meanwhile, core paraspeckle   indirectly reversing the effects of phosphorylated eIF2α.
            proteins SFPQ and NONO remain localized to  the    It acts as a molecular glue, linking eIF2B tetramers to
            perinucleolar caps.                                decameric active enzymes.
              Because DNA-binding molecules can induce double-   A hollow nanoparticle-based  delivery  system
            strand breaks, it has been demonstrated that paraspeckle   was developed for ISRIB. PEGylated copper sulfide
            disintegration is not linked to DNA damage or RNA   nanoparticles (HCuS NPs) encapsulating ISRIB, combined
            polymerase inhibition. An increase in smaller NEAT1_2   with phase-change material lauric acid (LA), were used in
            paraspeckles was observed following treatment with   photothermal therapy (PTT). This light-controlled ISRIB
            etoposide, a topoisomerase II inhibitor, and flavopiridol,   release  inhibited SG formation during PTT, enhancing
            an inhibitor of cyclin-dependent kinases. In contrast, the   the antitumor effect and inducing immunogenic cell
            microtubule inhibitor vincristine had no effect, as it does   death (ICD).  In addition, a pH-driven and NIR photo-
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            not bind to dsDNA. 285
                                                               responsive smart drug delivery system (IL@H-PP)
              The structural basis of double-stranded DNA helix   promoted the production of ROS by tumor-associated
            binding  underpins the  assembly  and  maintenance  of   macrophages (TAMs). TAMs were repolarized toward an
            paraspeckles, speckles, and other nuclear ncRNA-based   M1 phenotype, remodeling the tumor microenvironment
            condensates. This insight opens new avenues for studying   from immunosuppressive to immunity-competent.
            the mechanisms of drugs such as etoposide, actinomycin D,   ISRIB has demonstrated therapeutic potential beyond
            and mithramycin A, which are widely used in osteosarcoma   cancer treatment. It has shown promise in addressing
            treatment. Targeting P bodies also holds potential for   pulmonary veno-occlusive disease, Fragile X syndrome,
            cancer therapy. A recent review discussed the therapeutic   neurodegenerative disorders associated with SG formation,
            implications of modulating P body formation. 184,286,287  eIF2α phosphorylation, and cognitive impairment. 289,290
              Hyperphosphorylation of eIF2a enhances the anticancer   Inhibition of the ISR has also been explored for the
            activity of bortezomib  by eradicating quiescent cancer   treatment of diseases beyond cancer. In lysosomal storage
            cells and inhibiting their survival. Under ER stress, the   disorders, two compounds (patent U.S. Ser. No. 63/675,391)
            transmembrane protein kinase/endoribonuclease inositol-  have been found to enhance glucocerebrosidase function
            requiring enzyme 1 (IRE1) is activated, clustering into   in Gaucher  patient-derived fibroblasts  through an  MiT/
            ER  membrane-bound  condensates  associated  with  SGs.   TFE  transcription factor that  promotes  lysosomal  gene
            IRE1α clusters tether SGs to the ER in response to various   translation. An ISR antagonist was combined with a
            stressors. This clustering facilitates the splicing of XBP1   PIKfyve (FYVE finger-containing phosphoinositide
            mRNA to produce the XBP1 isoform 2, which is involved in   kinase) modulator to improve cellular glucocerebrosidase
            the unfolded protein response.  Diseases linked to XBP1   activity. This combination likely succeeded because  ISR
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            dysfunction include bipolar disorders, B-cell lymphomas,   signaling appears to be slightly activated by treatment with
            and leukemias. XBP1 is frequently overexpressed in BCs   either of these small molecules individually. 291
            and metastatic malignancies. MG132, a proteasome
            inhibitor, has been shown to activate GCN2.        5. Application of emerging technologies in
                                                               BC studies
              The integrated stress response (ISR) inhibitor, ISRIB
            (M7425, AbMole, Huston, USA), is a selective small   The potential of RNA to adopt diverse structures within
            molecule inhibitor of eukaryotic translation initiation   or outside condensates can be utilized for innovative
            factor 2-alpha kinase 3, also known as protein kinase R   therapeutic purposes. This includes enzymatic RNA
            (PKR)-like ER kinase (PERK) signaling. ISRIB effectively   molecules, known as ribozymes, exhibiting activity
            reverses eIF2α phosphorylation and disassembles SGs.   exclusively within condensates. These structures influence
            When administered to be stressed cells with preformed SGs,   RNA–RNA interactions, affecting the material properties
            ISRIB induces their rapid disassembly, releasing mRNAs   of RNA-seeded condensates and impacting RNA sorting
            into the RNA pool for active translation. ISRIB reverses   during the development of phase-separated assemblies.
            the translational inhibition caused by stress and eIF2α   Analyzing RNA structures in dense phases and the
            phosphorylation. ISRIB prevents SG formation induced by   supramolecular formations within them poses significant


            Volume 3 Issue 4 (2024)                         24                                doi: 10.36922/td.4657
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