Parthenolide and costunolide reduce microtentacles and tumor cell attachment by selectively targeting detyrosinated tubulin independent from NF-κB inhibition

Introduction Detyrosinated tubulin, a post-translational modification of α-tubulin and a hallmark of stable microtubules, has gained recent attention given its association with tumor progression, invasiveness, and chemoresistance. We also recently reported that epithelial-to-mesenchymal transition (EMT) promotes tubulin detyrosination through tubulin tyrosine ligase (TTL) suppression. Furthermore, detyrosinated tubulin-enriched membrane protrusions, termed microtentacles (McTN), facilitate tumor cell reattachment to endothelial layers. Given the induction of EMT associated with inflammation and cancer progression, we tested anti-inflammatory nuclear factor-kappaB (NF-κB) inhibitors on a panel of human breast carcinoma cells to examine their effects on detyrosinated tubulin to identify more specific tubulin-directed anti-cancer treatments. Methods Using metastatic human breast carcinoma cells MDA-MB-157, MDA-MB-436, and Bt-549, we measured the impact of NF-κB inhibitors parthenolide, costunolide, and resveratrol on detyrosinated tubulin using protein expression analysis and immunofluorescence. A luciferase reporter assay and a viability screen were performed to determine if the effects were associated with their NF-κB inhibitory properties or were a result of apoptosis. Real-time monitoring of cell-substratum attachment was measured utilizing electrical impedance across microelectronic sensor arrays. We compared the selectivity of the NF-κB inhibitors to specifically target detyrosinated tubulin with traditional tubulin-targeted therapeutics, paclitaxel and colchicine, throughout the study. Results Sesquiterpene lactones, parthenolide and costunolide, selectively decrease detyrosinated tubulin independent of their inhibition of NF-κB. Live-cell scoring of suspended cells treated with parthenolide and costunolide show reduction in the frequency of microtentacles and inhibition of reattachment. Structural analysis shows that parthenolide and costunolide can decrease detyrosinated microtubules without significantly disrupting the overall microtubule network or cell viability. Paclitaxel and colchicine display indiscriminate disruption of the microtubule network. Conclusions Our data demonstrate that selective targeting of detyrosinated tubulin with parthenolide and costunolide can reduce McTN frequency and inhibit tumor cell reattachment. These actions are independent of their effects on NF-κB inhibition presenting a novel anti-cancer property and therapeutic opportunity to selectively target a stable subset of microtubules in circulating tumor cells to reduce metastatic potential with less toxicity in breast cancer patients.

Methods: Using metastatic human breast carcinoma cells MDA-MB-157, MDA-MB-436, and Bt-549, we measured the impact of NF-κB inhibitors parthenolide, costunolide, and resveratrol on detyrosinated tubulin using protein expression analysis and immunofluorescence. A luciferase reporter assay and a viability screen were performed to determine if the effects were associated with their NF-κB inhibitory properties or were a result of apoptosis. Realtime monitoring of cell-substratum attachment was measured utilizing electrical impedance across microelectronic sensor arrays. We compared the selectivity of the NF-κB inhibitors to specifically target detyrosinated tubulin with traditional tubulin-targeted therapeutics, paclitaxel and colchicine, throughout the study.
Results: Sesquiterpene lactones, parthenolide and costunolide, selectively decrease detyrosinated tubulin independent of their inhibition of NF-κB. Live-cell scoring of suspended cells treated with parthenolide and costunolide show reduction in the frequency of microtentacles and inhibition of reattachment. Structural analysis shows that parthenolide and costunolide can decrease detyrosinated microtubules without significantly disrupting the overall microtubule network or cell viability. Paclitaxel and colchicine display indiscriminate disruption of the microtubule network.
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Introduction
Microtubules have long been a target for cancer therapy given their critical and diverse cellular functions in intracellular transport and metabolism, as well as cell shape, signaling, migration, polarization and division [1]. Despite the attractiveness of microtubules as cancer targets, the clinical effectiveness and tolerance of microtubule-directed agents are limited, largely due to toxicity, broad and/or undetermined mechanisms of action, inherent or acquired resistance and tubulin mutations that reduce drug binding [2]. Alterations in tubulin-binding sites, microtubule associated proteins (MAPs) and microtubule dynamics have all been implicated as mechanisms for tumorigenesis, chemoresistance and metastasis [3]. To improve and advance the therapeutic benefits of microtubule-targeted compounds for cancer treatment, research has focused on combination therapy, discovering novel tubulin or tubulinassociated drug targets and elucidating more specific drug mechanisms. More importantly, better characterization of microtubule function, regulation and role in cancer progression and chemoresistance continue to advance the development of clinically-applicable, novel tubulin-directed chemotherapies.
Microtubules can undergo phases of growth and shrinkage by modulating dynamic instability; however, stabilization of a subset of microtubules is necessary for cell motility [4] and morphogenetic events [5]. Selective stabilization occurs prior to changes in cell behavior [6], indicating that stabilization is an early causative event rather than a result of alterations in cell behavior. These stable microtubules are enriched in detyrosinated tubulin, a reversible post-translational modification on the C-terminus of α-tubulin, regulated by the enzymatic activity of tubulin tyrosine ligase (TTL) and an ill-defined tubulin carboxypeptidase (TCP). Detyrosination has been shown to be a consequence of microtubule stability and the precise function of this post-translational modification on microtubule dynamics and regulation is still unclear. Early insight into microtubule stability suggests that stable microtubules enriched in detyrosinated tubulin are more resistant to microtubule antagonists [4]. In addition to its implications for chemoresistance, research has shown that increased detyrosinated tubulin is associated with poor cancer prognosis [7] and may arise from suppressed TTL activity during tumor growth which prevents re-tyrosination [8,9]. Moreover, TTL−/− cells exhibit decreased microtubule sensitivity to depolymerizing drugs as well as microtubule overgrowth and persistence at the cell's leading edge [10], potentially contributing to abnormal cell behavior. We have recently reported that epithelial-to-mesenchymal transition (EMT) promotes α-tubulin detyrosination by downregulating expression of TTL and that detyrosinated tubulin accumulates at invasive tumor fronts in patient samples [11]. Furthermore, we have shown that microtentacles (McTNs), tubulin-based, dynamic membrane protrusions that occur at high frequencies in detached metastatic cell lines, are enriched in detyrosinated tubulin and facilitate tumor cell reattachment and cell-cell adhesion [11,12]. This evidence highlights the importance of the tubulin tyrosination cycle in cancer progression and reveals detyrosinated tubulin as a novel microtubule target in the metastatic cascade.
The relationship between EMT, inflammation and cancer progression has received considerable attention in the last several years [13]. Given our recent discovery that EMT promotes detyrosination of α-tubulin in combination with data linking chronic inflammation and associated nuclear factor-kappaB (NF-κB) activation to the induction of an EMT [14,15], we decided to test anti-inflammatory compounds to determine their impact on tubulin detyrosination and McTN occurrence. Parthenolide and costunolide, members of the natural compound sesquiterpene lactone group, have been wellcharacterized as inhibitors of the NF-κB pathway and effective anti-inflammatory drugs but are less recognized for their microtubule-interfering properties [16,17]. A recent report, however, uncovered parthenolide's ability to inhibit TCP activity to restore functional tyrosinated tubulin levels and reduce detyrosination [18]. Parthenolide and costunolide could possibly interfere with microtubules through their potent NF-κB inhibitory properties. There is conflicting evidence suggesting that depolymerization of microtubules can decrease translocation of active NF-κB into the nucleus or induce NF-κB activity and transactivation of NF-κB-dependent genes [19,20]. Additionally, microtubule stabilizers such as Taxol may promote NF-κB activation [21] or have no effect [20]. Despite the conflicting data, it is apparent that interfering with microtubule dynamics can affect transcription factor activity. Therefore, the question remains whether the ability of parthenolide and costunolide to reduce stable, detyrosinated tubulin in metastatic breast cancer cells occurs through a mechanism that is dependent or independent of their NF-κB inhibitory properties.
Our past research has used broad microtubule and actin disrupting agents as tools to determine the structure and function of McTNs. These tools have been useful to define McTNs as tubulin-based and distinguish McTNs from actin-based membrane structures, but have limited value when translated to the clinic due to their toxicity and severe disruption of the entire microtubule array. The primary focus of the current report is to identify novel therapeutic candidates that move beyond indiscriminate targeting of microtubules, enabling reductions in McTNs and the reattachment proficiencies of metastatic breast cancer cell lines by specifically targeting detyrosinated tubulin. We also investigate whether the effects of parthenolide and costunolide on detyrosination are related to their NF-κB inhibitory activity or if a separate mechanism is responsible and reveals multi-faceted targets for these anti-cancer therapies.

NF-κB activation
Cells were transduced with NF-κB -luciferase reporter adenovirus (Ad-NF-κB -Luc; 1 × 10 6 PFU/ml) obtained from Vector Biolabs (Philadelphia, PA, USA) for 24 hours. Cells were then split into a microplate to ensure uniform cell density. Following four hours of drug treatment, cells were stimulated with TNF-α (100 ng/ml) for one hour remaining in the presence of drug. D-Luciferin (Caliper Life Sciences, Alameda, CA; 200 μg/ml) was added and luminescence was detected on a Berthold LB 940 Mirthras. All values are shown as mean ± SD of triplicate samples.

Cell viability
Cells were seeded into 96-well microplates and treated in triplicate for six hours. CellTiter 96 AQ ueous One Solution (Promega, Madison, WI) was followed according to the manufacturer's protocol to determine cell viability. Absorbance was measured using a Biotek Synergy HT Multidetection Microplate Reader. All values are shown as mean ± SD of triplicate samples.

Live cell imaging and microtentacle scoring
GFP-membrane targeted AcGFP1-Mem plasmid (Clontech, Mountain View, CA) was used to generate a custom adenovirus (Ad-GFP-Mem; Vector BioLabs) for McTN scoring and population imaging. Cells were transduced for 24 hours and then treated with drug for 6 hours prior to detachment. Detailed methods for live cell imaging and McTN scoring were previously described [12]. Single Ad-GFP-Mem+cells were scored blindly for McTNs at 15 to 30 minutes while suspended in an ultra-low attachment plate (Corning, Corning, NY) in the respective drug-containing growth media. Images were collected using an Olympus CKX41 inverted fluorescent microscope (Melville, NY, USA) and analysis was performed using Olympus MicroSuite Five software. Cell images were collected following detachment as grayscale images and subsequently color inverted for better visualization contrast. The original images were contrasted equivalently using ImageJ.

Cell-electrode impedance attachment assay
Real-time monitoring of cell-substratum attachment was measured utilizing the xCELLigence RTCA SP real-time cell sensing device (ACEA Biosciences, San Diego, CA). Cells were pretreated for six hours, trypsinized and counted. Cells (20,000) were seeded into 96-well microelectronic sensored standard plates (E-plates) containing the respective drug. Briefly, attachment is measured from the interaction of cells with the electrodes and represented as a change in cell index (CI), an arbitrary unit derived from the relative change in electrical impedance across microelectronic sensor arrays. The electrical impedance was captured every three minutes for an experimental duration of 3.5 hours. The attachment rate is expressed as the CI, or the change in electrical impedance at each timepoint. Values are expressed as the +/− SD of the triplicate wells. Three independent trials were conducted.

Parthenolide and costunolide decrease detyrosinated tubulin in human breast carcinoma cells
Human breast carcinoma cell lines, MDA-MB-157, Bt-549 and MDA-MB-436 were treated with antiinflammatory or microtubule-targeting drugs to determine their effect on detyrosinated tubulin. These cell lines were selected based on their metastatic properties as well as our previous research demonstrating high McTN frequencies and detyrosination of α-tubulin [12]. Following six hours of treatment, all cell lines show a significant dose-dependent decrease in detyrosinated tubulin in the presence of 10 to 25 μM of Parth and Cost ( Figure 1A and B) (Bt-549: Parth10 (P <0.001), Parth25 (P < .001); Cost5 (P <0.05), Cost10 (P <0.05), Cost25 (P <0.001)), (MDA-MB-157: Parth10 (P <0.001), Parth25 (P <0.001); Cost10 (P <0.001), Cost25 (P <0.05)). The absence of PARP cleavage indicates that this concentration range did not reduce detyrosinated tubulin as a result of apoptosis. Treatment with ResV, a nonsesquiterpene lactone NF-κB inhibitor ( Figure 1A and B), did not show a significant decrease (MDA-MB-157 and Bt-549 = P >0.5) in detyrosinated tubulin suggesting that the effects of Parth and Cost on detyrosinated tubulin are independent of their NF-κB inhibitory properties. Traditional microtubule-targeting drugs were included to show the effect on detyrosinated tubulin when microtubules are either destabilized (Col) or stabilized (Tax). The six-hour timepoint was chosen based on prior reports that have shown that the NF-κB inhibitory effects of Parth, Cost and ResV are realized within a three-to eight-hour window [22,23] as well as a time course of Parth and Cost in the experimental cell lines to determine when detyrosinated tubulin was significantly reduced [see Additional file 1: Figure S1].
Comparison of the drug structures shows strong similarity between Parth and Cost, which differ only in an epoxide group, while the other compounds are structurally dissimilar ( Figure 1B).
Previous research using a novel high-throughput cell-based immunoluminescence assay has shown that Parth, but not Cost, can prevent accumulation of detyrosinated tubulin purportedly through TCP inhibition following a two hour treatment duration; however, these experiments were conducted in HeLa cells which have undetectable levels of detyrosinated microtubules (13). We report here that both Parth and Cost can significantly reduce detyrosinated tubulin in multiple invasive breast carcinomas with abundant detyrosinated microtubules. Our observation that Cost can reduce detyrosinated tubulin similarly to Parth may indicate that breast cancer cell lines with increased detyrosination levels are more susceptible to inhibition, or that extending treatment beyond two hours is required to realize the inhibitory action of Cost [see Additional file 1: Figure S1].

Tubulin detyrosination is independent of the NF-κB pathway
Since normal cells are not generally as sensitive as tumor cells to sesquiterpene lactones due to low basal NF-κB activity, these compounds may target cancers in which the NF-κB pathway is constitutively activated. Studies have also shown that NF-κB activity has been associated with the polymerization state of microtubules. Therefore, we used an NF-κB reporter assay to determine if the effects of Parth and Cost on detyrosinated tubulin are related to their anti-inflammatory properties. Parth and Cost effectively inhibit TNF-α-induced NF-κB activation (Figure 2A, Additional file 2: Figure S2A) at the concentrations that reduce detyrosinated tubulin ( Figure 1A). ResV also inhibited NF-κB (Figure 2A, Additional file 2: Figure S2A) but did not affect detyrosinated tubulin ( Figure 1A), highlighting that the reduction in detyrosinated tubulin is independent of NF-κB inhibition. Tax increased detyrosinated tubulin but did not inhibit or synergistically increase TNF-α activation of NF-κB in all cell lines. Interestingly, Col decreased detyrosinated tubulin but caused a moderate increase in the NF-κB activation in all lines, suggesting that microtubule depolymerization may activate NF-κB as previously reported. Furthermore, the drug concentrations used did not affect viability ( Figure 2B, Additional file 2: Figure S2B). These results indicate that the effects on detyrosinated tubulin are independent of NF-κB activation, revealing novel anticancer properties of these two sesquiterpene lactones.
Parthenolide and costunolide decrease detyrosinated tubulin without compromising the overall microtubule network While detyrosinated microtubules have been implicated in tumor aggressiveness, exclusive targeting of this posttranslational modification with effective small molecule compounds has been a greater challenge. The majority of current anti-tubulin agents bind directly to tubulin and affect microtubule dynamics, ultimately impairing cellular functions to an extent that inhibits proliferation and triggers apoptosis. While this is the desired outcome for cancer cells, the side effects can lead to toxicity in non-target cells resulting in clinical limitations. Therefore, immunofluorescence was performed to investigate the structural impact of Parth and Cost on detyrosinated microtubules relative to the overall microtubule network. The vehicle treatment (0.1% DMSO) did not affect the elaborate filamentous detyrosinated tubulin that was observed in nearly every cell in the population ( Figure 3A and B). ResV did not affect either detyrosinated tubulin or the microtubule network. The microtubule destabilizing drug Col significantly disrupted the detyrosinated microtubules while also destroying the overall microtubule array. Tax increased cellular levels and bundling, and altered the organization of detyrosinated microtubules while also affecting the microtubule network. Tax also caused cell shrinkage in both lines. Interestingly, Parth and Cost decreased detyrosinated microtubules without disrupting the overall microtubule network, demonstrating that these compounds have more targeted effects on stabilized microtubules than either Col or Tax. These results, in combination with the western blot, show that Parth and Cost selectively decrease detyrosinated microtubules.

Parthenolide and costunolide decrease microtentacle (McTN) frequency
Our previous research has identified detyrosinated αtubulin as a structural component of McTNs observed in detached cells. Additionally, increased McTN frequency has been correlated with invasiveness in a panel of breast tumor cell lines [12]. Based on Parth and Cost's ability to selectively reduce detyrosinated tubulin, we investigated their effects on McTN frequency using a panel of invasive human breast carcinoma cells with high McTN frequency. Following six hours of treatment, cells infected with a membrane-targeted GFP were detached in drug-containing media and McTNs were scored blindly. Parth and Cost significantly (all lines: P <0.001) reduced McTN frequency to a greater extent than Col ( Figure 4A; Additional file 3: Figure S3A). ResV and Tax did not change McTN frequency compared to the vehicle control ( Figure 4A and B, Additional file 3: Figure S3A and B). Live-cell imaging of the detached population illustrates the considerable reduction in McTNs in the presence of Parth and Cost ( Figure 4B, Additional file 3: Figure S3B).

Parthenolide and costunolide reduce tumor cell attachment
We previously showed that McTNs facilitate cell attachment to ECM and to an endothelial layer [11]. Additionally, mesenchymal cells with increased detyrosinated tubulin and McTNs attach at a faster rate than their epithelial counterpart [11]. Given the significant reductions in McTN frequencies and selective targeting of detyrosinated tubulin by Parth and Cost, we compared the reattachment efficiency of each line in the presence of drug using real-time electrical impedance monitoring. Each cell line was pretreated for six hours and then plated into media containing the respective drug in specialized E-plates with sensor electrode arrays. Real-time attachment monitoring shows that Parth and Cost inhibited cells from reattaching in all lines while ResV and Tax attached similarly to the vehicle control ( Figure 5; Additional file 4: Figure S4 and Additional file 5: Figure  S5). Interestingly, Col treatment decreased attachment in Bt-549 and MDA-MB-436 more strongly than in MDA-MB-157, illustrating differences in cell sensitivity. These results suggest that Parth and Cost reduced attachment by affecting detyrosinated tubulin, a major structural component of McTNs.

Discussion
Metastasis causes 90% of deaths from solid tumors; therefore, novel chemotherapeutic strategies that go beyond primary tumor treatment and inhibit metastatic dissemination are critical. Since cancer cells can be shed from primary tumors that remain below the threshold of detection [24] and microtubules can influence the metastatic cascade, the effects of microtubule-directed compounds on circulating tumor cells are a crucial area for investigation. Interestingly, treatment with a tubulin depolymerizing agent prevents circulating colon carcinoma cells from attaching to the microvascular endothelium in vivo, highlighting a microtubule-dependent mechanism for circulating tumor cell retention in distant tissues [25]. Recent patient studies have further shown a rapid increase of circulating tumor cells in the bloodstream with neoadjuvant taxane treatment and a two-fold higher frequency of relapse compared to adjuvant taxane treatment [24]. Furthermore, higher paclitaxel concentrations have been correlated with increased survival in some tumor cells compared to lower doses [26]. Research from our laboratory has identified tubulin-based McTNs in detached cells that facilitate reattachment to endothelial layers, a tubulin-driven mechanism that possibly connects the data observed in vivo and in patients treated with microtubule stabilizers. These data necessitate a strategic and cautious approach for selecting the most appropriate patient treatment when circulating tumor cells are present.
Our present results show that Parth and Cost can reduce McTNs by specifically targeting detyrosinated tubulin unlike traditional tubulin-targeted compounds, Tax and Col. These observations support previous evidence showing that Tax alone is insufficient to stimulate the formation of new McTNs in invasive cell lines but can stabilize existing structures to promote MT-dependent adhesion and cell spreading [27]. Interestingly, conditions where filamentous actin is disrupted within the cell show a robust increase in stable microtubules [28] and McTN frequency when treated with Tax [27], highlighting the consequences when the microtubule-microfilament interaction is unbalanced and stable microtubules are unrestricted. This evidence is of particular relevance given data showing that EMT destabilizes cortical actin [29] and that malignant cells have a 40% reduction in filamentous actin [30]. Furthermore, microtubules can continue to grow after membrane contact, divert along the plasma membrane, push the membrane outward, and even grow inward in TTL knockout cells [10], conditions that increase detyrosinated tubulin and promote invasiveness. Therefore, the effects of indiscriminate disruption of major cytoskeletal networks may contribute to metastasis or toxic side effects.
Chronic tissue damage and inflammation have been associated with tumor development as well as EMT [13,31,32], conditions that may promote persistent microtubule stability and aberrant detyrosinated tubulin elevation. Persistent stimuli that activate inflammatory pathways and elicit a microtubule stabilization response may provide selective pressure for mutations that suppress TTL activity and/or upregulate the TCP. Interestingly, suppression of TTL has been associated with poor prognosis in several cancers [7][8][9]. Due to the limited characterization of the TCP or resources to measure its expression, it is unclear what alterations in the TCP might exist in cancer cells to increase microtubule stability and possibly provide the cell a selective advantage. Only recently has AGLB2 been identified as the TCP that regulates the tubulin tyrosination cycle by interacting with retinoic acid receptor responder 1 (RARRES1), a carboxypeptidase inhibitor that is suppressed in aggressive prostate and breast cancer cells with a mesenchymal phenotype [33]. Nevertheless, research has shown that detyrosinated microtubules are oriented towards a wound site [4] in addition to being upregulated at the tumor invasive front [11]. This increase in tubulin detyrosination supports cell migration, proliferation and EMT, likely influencing metastatic success and chemoresistance. Once detached and disseminated from the primary tumor, a circulating tumor cell can reattach at a distant site, a process proposed to be microtubule-driven [25,34]. Therefore, compounds that can reduce detyrosinated tubulin as well as inflammation could be a multi-pronged approach for cancer treatment as well as prevention.
There is growing evidence that select nonsteroidal anti-inflammatory drugs (NSAID) have anti-cancer properties, although the mechanisms are still being elucidated [35]. We show that the NSAIDs Parth, Cost and ResV can inhibit TNF-α activation of NF-κB; however, only Parth and Cost can selectively reduce detyrosinated tubulin highlighting that NF-κB inhibition is independent of effects on tubulin detyrosination. Parth and Cost Figure 5 Parthenolide and costunolide reduce reattachment efficiency of human breast carcinoma cells. Real-time electrical impedance monitoring shows that parthenolide (10 μM) and costunolide (25 μM) significantly reduce attachment when compared to vehicle while Taxol (0.5 μg/ml) and resveratrol (50 μg/ml) did not. Colchicine (50 μM) reduced attachment to a greater extent in Bt-549 than in MDA-MB-157. Lines, mean for three triplicate wells; bars, SD; representative graph is shown. Three independent experiments were performed [see Additional file 4: Figure S4]. could be capable of modulating the enzymatic reaction responsible for tubulin detyrosination [18] and reduce McTNs without total microtubule disruption. Modulating microtubule stability with alternative chemotherapeutics may also enable the benefits of Tax treatment to be realized with combination therapy [36]. Supporting data indicate that Parth has displayed a significantly better prognosis in combination therapy with paclitaxel than paclitaxel alone in vivo using human gastric cancer cells as well as breast cancer cells [37,38]. The combination treatment with Parth in vitro using non-small cell lung cancer lowered the effective Tax dose required to induce cytotoxicity [39] as well as resensitized Taxresistant cells [40]. Moreover, NSAID sesquiterpene lactones in cancer clinical trials, including Parth, have displayed selectivity to target tumor and cancer stem cells while sparing normal cells [38]. Of particular relevance is Parth's ability to suppress the formation of disseminated nodules in vivo (gastric cancer) and inhibit bone metastasis of W256 breast cancer cells in mice [41]. Cost has also shown antiproliferative activity in leukemia cells as well as efficacy in drug resistant lines [42] but has been studied to a lesser extent than Parth. Given detyrosinated tubulin's role in cell migration and reattachment, it is possible that Parth's ability to reduce detyrosinated tubulin and McTN formation is a contributing factor to the inhibition of metastasis, a mechanism that is independent from its anti-inflammatory effects.
Most clinical microtubule-targeted drugs bind directly to tubulin, resulting in an increase or decrease in the microtubule mass [43]. It has been noted that tubulin binding and subsequent dynamic suppression contribute to the benefits but also to the toxic side effects of these drugs [2]. Intact microtubule arrays are necessary for normal cell functions, so it is expected that disrupting the microtubule network will have significant effects on both cancer and normal cells. For example, it has been reported that Col has such high toxicity to normal tissues that its development as an anticancer therapeutic has been unsuccessful [2]. Encouragingly, it has been previously shown that it is possible to interfere with microtubule dynamics without dismantling the entire microtubule array in order to successfully reduce migration [44]. Our data show that both Col and Tax severely affect the microtubule network while Parth and Cost selectively reduce a subset of detyrosinated, stable microtubules that are associated with tumor aggressiveness and EMT. The therapeutic goal is to reduce the broad toxicity associated with many of the microtubule chemotherapeutics and direct the treatment at malignant cell hallmarks. Therefore, the enzymes regulating the detyrosination/tyrosination cycle could be an appealing and more specific drug target to moderate microtubule stability in tumors with high levels of detyrosinated tubulin rather than broadly targeting tubulin polymerization with compounds that bind tubulin subunits directly.

Conclusions
Based on the developing evidence, we propose that circulating tumor cell reattachment is facilitated by detyrosinated tubulin enriched McTNs [25,34]. Detyrosinated tubulin may favor aberrant microtubule stability associated with cell migration [4], proliferation [45], chemoresistance [4], EMT [11], McTN formation [12], reattachment [11,25] and tumor aggressiveness [7]. Our data demonstrate that targeting detyrosinated tubulin with compounds such as Parth and Cost can reduce McTN frequency and inhibit reattachment without significantly disrupting the overall microtubule network or cell viability. These actions are independent of their effects on NF-κB inhibition presenting a novel property to these sesquiterpene lactones and an opportunity to move beyond simply targeting tumor cell growth. Our results highlight Parth and Cost as potential compounds to target detyrosinated tubulin more selectively. Since this α-tubulin modification promotes McTNs and tumor cell reattachment, such treatment could reduce tumor aggressiveness and decrease the risk of recurrence with less toxicity in breast cancer patients.