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Targeted cellular metabolism for cancer chemotherapy with recombinant arginine-degrading enzymes
Macus Tien Kuo1, Niramol Savaraj, Lynn G Feun
1Department of Molecular Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, USA. tkuo@mdanderson.org
Abstract:
It has been shown that a subset of human cancers, notably, melanoma and hepatocellular carcinoma (HCC) are auxotrophic for arginine (Arg), because they do not express argininosuccinate synthetase (ASS), the rate-limiting enzyme for the biosynthesis of arginine from citrulline. These ASS-negative cancer cells require Arg from extracellular sources for survival. When they are exposed to recombinant Arg-degrading enzymes, e.g. arginine deiminase (ADI) or arginase, they die because of Arg starvation; whereas normal cells which express ASS are able to survive. A pegylated ADI (ADI-PEG20) has been developed for clinical trials for advanced melanoma and HCC; and favorable results have been obtained. ADI-PEG20 treatment induces autophagy in auxotrophic cancer cells leading to cell death. Clinical studies in melanoma patients show that re-expression of ASS is associated with ADI-PEG20 resistance. ADI-PEG20 treatment down-regulates the expression of HIF-1α but up-regulates c-Myc in culture melanoma cells. Induction of ASS by ADI-PEG20 involves positive regulators c-Myc and Sp4 and negative regulator HIF1α. Since both HIF-1α and c-Myc play important roles in cancer cell energy metabolism, together these results suggest that targeted cancer cell metabolism through modulation of HIF-1α and c-Myc expression may improve the efficacy of ADI-PEG20 in treating Arg auxotrophic tumors.
Insights
Certain cancers like melanoma and HCC need external arginine (Arg) due to lacking argininosuccinate synthetase (ASS). Arginine-degrading enzyme ADI-PEG20 shows promise but resistance can occur, suggesting metabolic pathway modulation is key.
Area of Science:
- Oncology
- Biochemistry
- Cancer Metabolism
Background:
- Melanoma and hepatocellular carcinoma (HCC) are often auxotrophic for arginine (Arg) due to absent argininosuccinate synthetase (ASS).
- These cancer cells rely on external Arg for survival and are vulnerable to Arg-depleting therapies.
- Pegylated arginine deiminase (ADI-PEG20) is a promising agent for treating these cancers, inducing cell death via autophagy.
Purpose of the Study:
- To investigate the mechanisms of ADI-PEG20 resistance in arginine auxotrophic cancers.
- To explore the role of metabolic regulators HIF-1α and c-Myc in ADI-PEG20 efficacy.
- To identify potential strategies for improving ADI-PEG20 treatment outcomes.
Main Methods:
- Analysis of ASS expression in melanoma patients treated with ADI-PEG20.
- Assessment of ADI-PEG20 effects on HIF-1α and c-Myc expression in cultured melanoma cells.
- Investigation of the regulatory network involving c-Myc, Sp4, and HIF1α in ASS induction.
Main Results:
- Re-expression of ASS is linked to ADI-PEG20 resistance in melanoma patients.
- ADI-PEG20 down-regulates HIF-1α and up-regulates c-Myc in cultured melanoma cells.
- c-Myc and Sp4 positively regulate ASS induction, while HIF1α negatively regulates it.
Conclusions:
- Targeting cancer cell metabolism by modulating HIF-1α and c-Myc may enhance ADI-PEG20 efficacy.
- Understanding the interplay between ASS, HIF-1α, and c-Myc is crucial for overcoming treatment resistance.
- ADI-PEG20's mechanism involves complex metabolic reprogramming in arginine auxotrophic tumors.
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