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Life is about Choices: Evolutionary Biology of Cancer Chi-Ping Day, Ph.D. Laboratory of Cancer Biology and Genetics National Cancer Institute

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Page 1: Evolutionary Biology of Cancer-1

Life is about Choices: Evolutionary Biology

of CancerChi-Ping Day, Ph.D.

Laboratory of Cancer Biology and GeneticsNational Cancer Institute

Page 2: Evolutionary Biology of Cancer-1

System dynamics model of evolution.

Resource(R)

ComplexStructure

(C)

DegradationK1

UptakeK2 K3

Page 3: Evolutionary Biology of Cancer-1

Resource directs the evolution of multicellular organisms

Availability

Diversity

Overall complexity

Low stressEasy extraction

High stressEasy extraction

High stressHard extraction

Low stressHard extraction

Page 4: Evolutionary Biology of Cancer-1

Aging and offspring: strategy of complexity maintenance under stress (segregation of damages)

xx xx

xx

xx

xxx xx

xx

xx

Imperfect process

Remove/dilute damage

Resource

xxx

Imperfect process

Resource

Aging

Continuous surviving

Page 5: Evolutionary Biology of Cancer-1

Strategy of multicellular organisms

xx

xx

x

x

Resource

Somatic

Germline

ResourceDevelopment

xx

xx

x

x

Resource

Somatic

x

x

x

x

x

Aging(e.g. human)

Continuous surviving(e.g. hydra)

Page 6: Evolutionary Biology of Cancer-1

xx

xx

x

xSomatic x

x

x

x

x

AgingTelomeraseTelomere

(Growth rate)

Replicative limit

Aging Cell (2011) 10, pp761–768

Growth rate

Germline

Control of growth rate and body size in multicellular organisms

Page 7: Evolutionary Biology of Cancer-1

Somatic cells are given a “warranty” and disposable

Nature Genet 2014, 15:531

Page 8: Evolutionary Biology of Cancer-1

Stem cell output over damage determines aging rate

Age

Stem

cel

l fitn

ess

Stem

cell

outp

ut ca

paci

tyPre-adolescent Reproductive Post-reproductive

Stem cell population

Accumulated damages

death

Page 9: Evolutionary Biology of Cancer-1

Strategies of continuous existence: Trade-off in rate and power

Maintenance

Regeneration

Energy-generating mechanism 1

Mechanism 2

Niche 2

Niche 1

Time

% F

uncti

onal

stem

cell

rese

rve

(sol

id li

ne)

Damage level (dash line)

Lifespan 1 Lifespan 2

High stressEasy resource

Low stressHard resource

Page 10: Evolutionary Biology of Cancer-1

J Am Coll Cardiol 1997;30:1104–6

Scaling law in biology is based on trade-off in rate and power

Biological Reviews 83 (2008) 259-294

Page 11: Evolutionary Biology of Cancer-1

Clonal expansion and dominance occur more frequently when functional stem cell pool size is smaller

x

x

x

xx x

xx x

xx

x

x

Big SC pool

Small SC pool

Page 12: Evolutionary Biology of Cancer-1

Exp Gerontol. 2007 May ; 42(5): 385–390

Clonal dominance and expansion during hematopoietic stem cell aging

Page 13: Evolutionary Biology of Cancer-1

Clonal dominance and expansion during stem cell depletion in aging

Age

Canc

er in

cide

nce

Stem

cell

outp

ut ca

paci

ty

Pre-adolescent Reproductive Post-reproductive

Stem cell population

Functional stem cell pool size

Page 14: Evolutionary Biology of Cancer-1

Inci

denc

e (p

er 1

00,0

00)

Age-specific cancer incidence reflects the change of functional SC pool over time

Page 15: Evolutionary Biology of Cancer-1

NATURE 2000, 408:248

Why the cancer spectrum is so different between human and mouse?

Page 16: Evolutionary Biology of Cancer-1

The switched weakest link in 110 years

Page 17: Evolutionary Biology of Cancer-1

Func

tiona

l ste

m ce

ll po

ol si

ze

Pre-adolescent Reproductive Post-reproductive

Age

Canc

er in

cide

nce

Func

tiona

l ste

m ce

ll po

ol si

ze

Pre-adolescent Reproductive Post-reproductive

AgeCa

ncer

inci

denc

e

Oesteosarcoma, leukemia

Lung and colon cancers

Oesteosarcoma, leukemia

Lung and colon cancers

The switch of “weakest link” in life styles changes the spectrum of cancers in human

death death

Pre-industrial era Modern era

Page 18: Evolutionary Biology of Cancer-1

Summary (I)

1. Aging and limited lifespan are caused by the cost of complexity maintenance.2. Lifespan is determined by the functional stem cell output to tissue damage.3. Cancer arises from expansion of mutant clones when the size functional stem cell pool is small,

which may take place in (1) the early life stage or (2) stem cell decline during aging.4. Change in life history may modify the stem cell aging rate, resulting in change in cancer spectrum. 5. Deceleration in tissue damaging and stem cell declining may delay cancer occurrence.

Page 19: Evolutionary Biology of Cancer-1

Immunity: a damage control system for somatic cells

Virus

Damaged DNA

“damage” signal

Interferons

NK cell lignads NK cell killing

DC activation

“Non-self” antigens

T-cell and B-cell responses

Page 20: Evolutionary Biology of Cancer-1

Adaptive immunity as a system to maintain multicellular integrity

Initiating event Tissue damage Adaptive immunityAntigen release

Molecular pattern

Innate immunity

Microbial infection, DNA damage, etc.

Initiating event Damage expanding Damage removal Tissue repair

Page 21: Evolutionary Biology of Cancer-1

Immunosuppressant drugs increase cancer risk in patients receiving transplanted organs

JAMA. 2011;306(17):1891-1901

Page 22: Evolutionary Biology of Cancer-1

Acute infection in earlier stage may reduce cancer incidence later in life

Cancer Causes Control. 2010 August ; 21(8): 1193–1201.

Page 23: Evolutionary Biology of Cancer-1

Correlation of tumor-associated antigen Ab with lower cancer risk in healthy individuals

Conditions include bone fracture/osteoporosis, mastitis, pelvic surgeries, IUD use, no genital talc use, OC use, and current smoking

Cancer Epidemiol Biomarkers Prev 2005;14(5). May 2005

Page 24: Evolutionary Biology of Cancer-1

Trends in Immunology, 2013, 34:471

The tissue aging accelerates when the immunity declines, resulting in chronic inflammation

Page 25: Evolutionary Biology of Cancer-1

Immunity

Reproduction Environmental stress

Resource

Vital function

Endocrine system

Autonomous nervous system

Autonomous nervous and endocrine systems are resource distributing controllers

Page 26: Evolutionary Biology of Cancer-1

Allocation of resource to stress responses results in immunosuppression

Exp: cat; control: rabbit

Journal of Zoology 268 (2006) 9–16

Page 27: Evolutionary Biology of Cancer-1

Circadian rhythm functions to optimize energy allocation for efficiency

Stress response

Repair & Regeneration

Th1 immunity

Energy metabolism

Th2 immunity

Page 28: Evolutionary Biology of Cancer-1

Summary (II)

1. Immunity maintains the integrity of somatic tissues.2. Tumors may continuously form during lifetime, but are kept asymptomatic by immunosurveillance.3. However, the decline or suppression of immunity may allow the outbreak of small tumors,

becoming symptomatic.4. The allocation of resource away from immune system by life style may cause immune suppression,

promoting cancer occurrence.

Page 29: Evolutionary Biology of Cancer-1

Func

tiona

l ste

m ce

ll po

ol si

ze

Pre-adolescent Reproductive Post-reproductive

Age

Canc

er

inci

denc

e

death

Canc

er

sym

ptom

Imm

unitySummary (II)

xx

Initiating tumor

Expanding tumor

Mutant clone

Stem cell pool

Peripheral tissue

Evolutionary trade-off:• Reproduction vs.

Somatic maintenance• Nutrition vs. prolonged

exposure to carcinogens

Life history trade-off:• Reduction of infection

vs. lack of “training” of immunity

• Stress vs. immunity• Prolonged active time

vs. circadian rythem

Page 30: Evolutionary Biology of Cancer-1
Page 31: Evolutionary Biology of Cancer-1

Stress response

Repair & Regeneration

Th1 immunity

Energy metablism

Th2 immunity

太陽

陽明

少陽

少陰 太陰厥陰