V-ATPase is a candidate therapeutic target for Ewing sarcoma

Sofia Avnet1, Gemma Di Pompo, Silvia Lemma

  • 1Laboratory for Orthopaedic Pathophysiology and Regenerative Medicine, Istituto Ortopedico Rizzoli, via di Barbiano 1/10, 40136, Bologna, Italy. sofia.avnet@ior.it

Insights

Ewing sarcoma cells survive by increasing glycolysis and activating proton pumps (V-ATPase). Targeting these mechanisms, like with omeprazole, selectively reduced tumor cells, offering new treatment strategies.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Molecular Biology

Background:

  • Cancer cells often exhibit altered metabolism, including enhanced glycolysis and proton production.
  • Intracellular acidification is a risk in cancer, countered by proton pump activation.
  • Ewing sarcoma (ES) has been linked to EWS-FLI1 and HIF-1α, but metabolic derangements are less understood.

Purpose of the Study:

  • To investigate the role of metabolic pathways, specifically V-ATPase, in Ewing sarcoma survival and progression.
  • To explore the link between glycolysis, proton production, and V-ATPase activity in ES cells.
  • To evaluate V-ATPase as a potential therapeutic target in Ewing sarcoma.

Main Methods:

  • Analysis of metabolic pathways in ES cells, including glycolysis and mitochondrial respiration.
  • Assessment of lysosomal compartment size and sensitivity to V-ATPase inhibitors.
  • Investigation of V-ATPase expression, localization, and activity in relation to acidification.
  • In vitro studies on the effect of acidic extracellular pH on ES cell invasion and clonogenic efficiency.
  • Treatment of ES cells with siRNA targeting V-ATPase and omeprazole.

Main Results:

  • ES cells exhibit simultaneous mitochondrial respiration and high glycolysis.
  • ES cells have poorly developed lysosomes but are sensitive to V-ATPase inhibitors.
  • V-ATPase expression correlates with cellular acidification rates and is found on vacuolar and plasma membranes.
  • Acidic extracellular pH promotes ES cell invasion and clonogenic potential.
  • Targeting V-ATPase with siRNA or omeprazole significantly reduced ES tumor cell numbers.

Conclusions:

  • Glycolytic activity and V-ATPase activation are critical for Ewing sarcoma cell survival.
  • V-ATPase plays a key role in managing intracellular acidification in ES cells.
  • V-ATPase represents a promising and selective therapeutic target for Ewing sarcoma treatment.

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