Professor Emeritus of Biological Sciences
PhD, 1976 Brandeis University
Genetic mechanism for resistance to chemotherapeutic drugs
Research descriptionChemotherapy is widely used to treat many different forms of cancer. However, tumors can become resistant to the drugs used for treatment and this seriously hampers treatment. In order to improve therapy, we need a detailed understanding of the molecular mechanisms underlying drug resistance. We have use a combination of genetic, biochemical and cell biological approaches to understand why cancer cells become resistant to the widely used drug cisplatin and to develop methods to increase the efficiency of the drug.
We use the model organism Dictyostelium discoideum as a primary genetic system, and then translate the results to human cells. We have identified several novel genes that are involved in resistance to cisplatin. One of these genes encodes sphingosine-1-phosphate (S-1-P) lyase, which is a key regulatory protein in controlling the level of sphingolipids in cells. We reasoned that the lack of S-1-P lyase activity increased the S-1-P level in cells which in turn promoted cell survival in the presence of cisplatin. To validate this hypothesis, we generated mutant stains that either overexpressed the S-1-P lyase (lower S-1-P) or sphingosine kinase (increase S-1-P), as well as sphingosine kinase null strains (lower S-1-P) and studied the relationship between the levels of these enzymes and cisplatin resistance. As predicted, both sphingosine kinase null and S-1-P lyase overexpressing cells are more sensitive to cisplatin, while sphingosine kinase overexpressing and S-1-P lyase null cells are more resistant to cisplatin. Significantly, the changes in resistant were only seen for cisplatin and the related platinum drug carboplatin, but not for drugs that damage DNA by other mechanisms.
We also have expressed the human S-1-P lyase and sphingosine kinase in human HEK293 and A549 cells. In agreement with the D. discoideum studies, overexpression of the S-1-P lyase sensitizes both cell types to cisplatin, while overexpression of the sphingosine kinase lowers sensitivity to the drug. Again, the increase in sensitivity was limited primarily to platinum based drugs. The increase in sensitivity is mediated through the p38 MAPK pathway. We have just finished a study in which we modulated the levels of the ceramide synthase enzymes in human cells, and we have shown that this too affects sensitivity to cisplatin.
Further biochemical and cell biological studies on the ceramide synthase 1 enzyme have shown that it is uniquely regulated by ubiquitination and proteasomal degradation in response to a wide variety of stresses including anti-cancer drugs, UV light and chemicals that induce the unfolded protein response. This stress-induced turnover is positively regulated by the P38 MAPK pathway and negatively by protein kinase C. Moreover, stress induces a the translocation of the ceramide synthase 1 enzyme from the endoplasmic reticulum to the Golgi apparatus and proteasomal processing is required for this intracellular relocation of the enzyme.
Overall, the studies have identified the sphingolipid metabolizing enzymes as important new chemotherapeutic targets, and revealed important details about the cell biology of the regulation of the enzymes. We continue to use the D. discoideum system to isolate mutants which are resistant to other important chemotherapeutic drugs, and as a high throughput screen for compounds with cytotoxic activity.
In a new study in collaboration with Mark Hannink (Biochemistry) and John Viator (Biological Engineering) we are characterizing the molecular changes that enable melanoma cells to become metastatic and form secondary tumors throughout the body.
Vijayan, M., Seo, Y.-J., Pritzl, C.J. Squires, S.A., Alexander, S., Hahm, B. (2014). Sphingosine kinase 1 regulates measles virus replication. Virology, 450-451: 55-63
Alexander, S., Swatson, W.S., Alexander, H. (2013). Pharmacogenetics of resistance to cisplatin and other anti-cancer drugs and the role of sphingolipid metabolism. Methods in Molecular Biology, 983: 185-204
Seo, Y.-J., Pritzl, C.J., Vijayan, M., Bomb, K., McClain, M.E., Alexander, S., Hahm, B. (2013). Sphingosine kinase 1 serves as a pro-viral factor by regulating viral RNA synthesis and nuclear export of viral ribonucleoprotein complex upon influenza virus infection. PLoS ONE, 8: e75005.
Bhattacharyya, K., Goldschmidt, B.S., Hannink, M., Alexander, S., Viator, J.A. (2012). Gold nanoparticle mediated detection of circulation cancer cells. Clinics in Laboratory Medicine, 32: 89-101.
Alexander, S., Alexander, H. (2011) Lead genetic studies in Dictyostelium discoideum and translational studies in human cells demonstrate that sphingolipids are key regulators of sensitivity to cisplatin and other anticancer drugs. Seminars in Cell and Developmental Biology. 22: 97-104 Epub. October 14, 2010.
Seo, Y.-J., Alexander, S. Hahm, B. (2011) Cytokine signaling links sphingolipid metabolism to host defense and immunity against virus infections. Cytokine and Growth Factor Reviews. 22: 55-61.
Sridevi, P., Alexander, H., Laviad, E.L., Min, J., Mesika, A., Hannink, M., Futerman, A.H., Alexander, S. (2010) Stress-induced ER to Golgi translocation of ceramide synthase 1 is dependent on proteasomal processing. Exp. Cell Res., 316: 78-91. Epub. October 2, 2009.
Seo, Y.-J., Blake, C., Alexander, S. Hahm, B. (2010) Sphingosine 1-phosphate-metabolizing enzymes control influenza virus propagation and viral cyto-pathogenicity. J. Virology, 84: 8124-8131.
Sridevi, P., Alexander, H., Laviad, E.L., Pewzner-Jung, Y., Hannink, M., Futerman, A.H., Alexander, S. (2009) Ceramide synthase 1 is regulated by proteasomal mediated turnover. Biochem. Biophys. Acta, 1793: 1218-1227.
McCaw, D. L., Chan, A.S., Stegner, A.L., Mooney, B., Bryan, J.N, Turquist, S.E., Henry, C.J., Alexander, H., and Alexander, S. (2007) Proteomics of canine lymphoma identifies potential cancer specific protein markers. Clin Cancer Res 13: 2496-2503.
Min, J., Mesika, A., Sivaguru, M., Van Veldhoven, P.P., Alexander, H., Futerman, A.H., and Alexander, S. (2007) (Dihydro)ceramide Synthase 1–regulated sensitivity to cisplatin is associated with the activation of p38 MAP kinase and is abrogated by sphingosine kinase 1. Mol Cancer Res 5: 801-812. (COVER ARTICLE)
Van Driessche, N., Alexander, H., Min, J., Kuspa, A., Alexander, S., and Shaulsky, G. (2007) Global transcriptional responses to cisplatin in Dictyostelium discoideum identify potential drug targets. Proc Natl Acad Sci USA 104: 15406-15411.
Alexander, S., Min, J., and Alexander, H. (2006). Dictyostelium discoideum to human cells: pharmacogenetic studies demonstrate a role for sphingolipids in chemoresistance. Biochim Biophys Acta 1760: 301-309. Epub. December 22, 2005.
Williams, R.S., Boeckeler, K., Graf, R., Muller-Taubenberger, A., Li, Z., Isberg, R.R., Wessels, D., Soll, D.R., Alexander, H., and Alexander, S. (2006). Towards a molecular understanding of human diseases using Dictyostelium discoideum. Trends Mol Med 12: 415-424. Epub. August 4, 2006.
Min, J., Van Veldhoven, P.P., Zhang, L., Hanigan, M.H., Alexander, H., and Alexander, S. (2005b). Sphingosine-1-phosphate lyase regulates sensitivity of human cells to select chemotherapy drugs in a p38-dependent manner. Mol Cancer Res 3: 287-296.
Honors & Awards
Selected honors and awards
Gold Chalk Award 2016
Fellow, American Association for the Advancement of Science 2012
Morris Belkin Visiting Professor, Weizmann Institute of Science, 2006-2007
American Cancer Society Faculty Research Award (Career Development Award), 1994-1999
May 4, 2016
Professor Alexander recognized for contributions to graduate studies
Jan. 28, 2015
Kimberly Jasmer Receives AAAS Travel Award
Dec. 16, 2013
Drs. Stephen and Hannah Alexander featured on SyndicateMizzou
Dec. 17, 2012
Prof. Alexander on KBIA
Dec. 6, 2012
Stephen Alexander featured in Missourian article
Nov. 29, 2012
Stephen Alexander Named 2013 AAAS Fellow
Nov. 2, 2012
Five Biology Professors Celebrated at Faculty Recognition Banquet
July 30, 2009
Alexanders study model to learn why certain cancers become resistant to drugs
Jan. 1, 2006
Alumna Story: Junxia Min