Page 28 - Luce 2024
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S tudent  Voice





                                   JCH post-graduate         the ongoing development of cancer drug-resistance (Graph
                                   student, Honglin          2). These challenges highlight the need for new generations
                                                             of therapeutics that are both highly specific and flexible, to
                                   (Kevin) Chen, is          design for precision personalised medicine.
                                   studying a Ph.D. at
                                                             Switching the target from protein to DNA and RNA
                                   the University of         Intuitively, if proteins are too complex to target, we should
                                   Melbourne with a focus    look at their precursor DNAs and RNAs (Graph 1). Unlike
                                   on cancer biochemistry    proteins, these precursors are only made up of four simpler
                                                             building blocks (A, G, C, T for DNA; A, G, C, U for RNA)
                                   and genetics. Kevin       with less complex three-dimensional structures. Furthermore,
          kindly agreed to share with us some of his insights   recent breakthroughs in DNA sequencing and computational
                                                             technologies enable us to efficiently detect genetic aberrations
          into the development of RNA-editing tools in
                                                             found in individual tumours. However, the ability to sequence
          cancer research.                                   the genome is not equivalent to the ability to modify them.
                                                             Altering DNAs and RNAs still seems distant and intangible
          When Francis Crick coined the term ‘the central dogma’ in   – although they are only made up of four simple bases, their
          1958, the field of molecular biology was revolutionised. The   seemingly random sequences create an infinite array of
          vastly complex and seemingly convoluted cellular biology was   functions. This makes it hard for scientists to target a specific
          simplified and broken down into two crucial steps:  RNA sequence without affecting a similar one.

            1   DNA is first transcribed into messenger RNA;   CRISPR to the rescue
            2   Messenger RNA is then translated into protein by      The breakthrough discovery of the CRISPR (Clustered
                ribosomes (Graph 1).                         Regularly Interspaced Short Palindromic Repeats) and Cas
                                                             (CRISPR-associated protein) systems has revolutionised
          Like Einstein’s Unified Field Theory, the central dogma   biological sciences and holds immense potential for gene
          elegantly demonstrated the striking uniformity of all biological   editing technologies to rewrite the blueprint of life. The
          organisms. At the very heart of the central dogma is the   key emphasis here being the word ‘discovery’ rather than
          messenger RNA, a crucial intermediate product that links   ‘invention’ – we merely discovered the system in bacteria,
          DNA and protein and is the key to all organisms’ survival.  which functions as their adaptive immune system. A key
                                                             feature of a functioning immune system is the ability to
          Cancer & current challenges                        differentiate foreign entities from the host. Failure to recognise
          Cancer isn’t just a single condition but a result of a cellular   foreign invaders will expose the host to infections, which can
          circus gone haywire due to excessive genetic mutations.   cause the invaders to take over the host machinery for their
          Picture this: a genetic meltdown leading to abnormal proteins   own replication and will often become fatal. Since bacteria
          causing unchecked cell growth. As cancer is a disease that   have been fighting against invaders like bacteriophage viruses
          originates from ‘self’, there is a lack of ‘foreign’ targets that   and other mobile genetic elements for millions of years, such
          distinguish cancer cells from normal cells. Current first-line   principle is as critical for bacteria, if not more, as for humans.
          treatments heavily weigh on chemotherapy or radiotherapy,   CRISPR/Cas system evolved as a nucleic acid-based (different
          which induce cell death by causing massive unrepairable   variants target either DNA or RNA) defence system.
          mutations. However, these treatments work by killing cells
          with fast metabolism – while effective, they are blunt tools   CRISPR/Cas13 – an RNA-targeting system
          that also cause massive collateral damage to healthy fast-  There are numerous CRISPR/Cas systems individually evolved
          dividing cells, leading to severe side effects in the patients.   in different bacteria to target different viral targets. For my
                                                             research, I am focusing on CRISPR/Cas13, an RNA-targeting
          Enter the cavalry: small-targeted drugs that zero in on specific   CRISPR system. When an RNA virus infiltrates a bacterial host,
          rogue proteins within cancer pathways, which solves the issue   a cascade of events is triggered: the Cas13 protein and the
          of non-specific cell killing as only cancer cells with aberrant   CRISPR locus spring into action (Graph 3). This orchestrated
          proteins are targeted. Sounds promising, right? But here’s   response leads to the generation of Cas13 effector proteins
          the catch – cancer cells are crafty and can quickly develop   and crRNA molecules that align with specific segments of the
          resistance to these drugs, rendering them less effective over   viral RNA sequence. When the target is found and sequence
          time. Plus, targeted drugs take up a huge amount of time to   matching occurs, the Cas13 protein undergoes a shape change
          develop due to the complexity of protein structure. There is   to expose its endonuclease domain, thus cleaving the target
          a very limited number of drugs available for known tumour   RNA.
          driver proteins, which also makes it hard to keep up with














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