Ben-Gurion University scientists can now see how white blood cells differentiate between cancer cells and healthy cells

They answered, “The God of the Hebrews has manifested Himself to us. Let us go, we pray, a distance of three days into the wilderness to sacrifice to Hashem our God, lest He strike us with pestilence or sword.”




(the israel bible)

June 14, 2021

4 min read

In recent years, immune system therapy has joined the traditional weapons of oncologists – surgery, radiation therapy and chemotherapy – to defeat cancer.  After years in development, scientists at Ben-Gurion University (BGU) of the Negev have developed a breakthrough nanochip that could propel cancer immunotherapy forward. 


The silicone microchip has a surface that mimics an artificial cancer cell; this can attach the receptors and control their organization. Their findings have just been published in the prestigious peer-reviewed journal Science Advances under the title “Molecular-scale spatio-chemical control of the activating-inhibitory signal integration in NK cells.”


Their study has two inventive and important aspects – one from a nanotechnology perspective and the other from a biological perspective. “The field of nanotechnology took off about 20 years ago, primarily stemming from a need to reduce the size of components on computer processing chips,” explained principal investigator Prof. Mark Schvartzman, a chemical engineering graduate of the Technion-Israel Institute of Technology in Haifa. 


 “Nowadays, the field offers unique tools that serve scientists from many different fields. These tools allow us to create, view and control objects just 10 nanometers or less in size. That is the size-scale of a single biomolecule in the body. We achieved unprecedented control setting up a molecule as a single cell and we even managed to ‘suppress’ or ‘activate’ important processes in the cell for the first time.” 


The study also has important ramifications for medicine and biology, said co-author Prof. Angel Porgador, dean of BGU’s Faculty of Health Sciences who is a world-renowned researcher in cancer and viral infections.  His research focuses on innate immunity of health and disease. He also investigates prolongation of protein lifespans in a host and the direct killing of tumor cells and has published more than 130 papers in scientific journals. “We managed to understand how the size and physical arrangement of the receptors on the cell affect how the white blood cells ‘talk to’ the other cells in the body,” noted Porgador.


“This understanding is of far-reaching significance in developing immunotherapy treatments against cancer. Today, cell activities within the body can be directed to fight cancer by genetically engineering receptors. This innovative approach is at the forefront of cancer treatments and has been proven effective for certain types of blood cancers, but there is a need to develop other methods that are effective against different types of cancer. That development requires a deep understanding of how the immune system operates. Today, that understanding comes about through new nanotechnology tools,” continued Porgador.


Last year, the two BGU scientists developed a nanomaterial coating that can be painted onto different surfaces and has the ability to kill the COVID-19 virus. 


Lymphocytes, a type of white blood cell, are the gatekeepers of the immune system. Like guards on patrol who stop suspicious people on occasion, lymphocytes glide through the blood in the body and know how to distinguish between healthy cells and sick cells that could turn cancerous. If the cell is identified as sick – infected by a virus or cancerous – the “patrol” breaks them up and destroys them. If the cell signals that it is healthy, the white blood cells go on as usual. 


To differentiate sick cells from healthy cells, the white blood cells are equipped with receptors – molecules which know how to connect to other molecules on the suspicious cells (ligands). There are receptors that when connecting to a ligand signal the white blood cell to attack the suspicious cell, and there are receptors called immune checkpoints that signal to suppress an attack and “save” the cell. 


The delicate balance between signals enables the immune system to differentiate between cells and prevent healthy cells from being attacked. Discovery of the immune attack suppressors has led in recent years to the immunotherapy approach to tackling cancer, which helps the body identify and attack cancer cells. This approach blocks and neutralizes the immune checkpoints and enables the lymphocytes to attack the cancer cells masquerading as healthy cells. 


Despite the vast amount of research in the field, there are still several open questions concerning the activities of these immune checkpoint inhibitors such as: Does the distance between the receptor that signals attack and the receptor that signals do not attack affect the attack suppression? If so, how? 


Using nanolithography, whose origins lie in creating computer processors, the BGI researchers created a chip with metal etchings just 10 nanometers in size. The researchers then glued both types of ligands to the chip. The spacing of the ligands was varied in a controlled manner and to ensure that only one molecule attached to each receptor. The team was able to confirm that lymphocyte cells interacted with the chip as if it were a cancerous cell and attempted to destroy it. They discovered that the distance between receptors had a dramatic effect on the lymphocytes’ response – the farther away the receptors for attack and suppression, the greater the suppression. 

The research was carried out by doctoral student Esti Toledo and post-doc student Dr. Guillaume Le Saux, with the assistance of research groups from Germany and France. 

The team members were very surprised by this finding because it contradicts the prevailing understanding of the scientific community that proximity is required to suppress an attack. According to the researchers, the cell membrane has limited flexibility and therefore when the receptors near each other, the lymphocyte cannot attach to both receptors. 


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