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The dark face of AMPK as an essential tumor promoter
1Research Oncology; Genentech, Inc.; South San Francisco, CA USA.
Abstract:
Numerous studies have shown that supraphysiological activation of AMPK could inhibit tumor growth. On the other hand, accumulating data also suggest that AMPK activity is required for tumor growth and migration. These findings suggest that physiological activation of AMPK is critical for tumor growth/migration, possibly through maintenance of ATP levels. Our recent study provides the first evidence that the maintenance of cellular NADPH homeostasis is the predominant mechanism by which AMPK promotes tumor cell survival and solid tumor formation. We showed that AMPK activation is required to maintain intracellular NADPH levels through the activation of fatty acid oxidation (FAO) or the inhibition of fatty acid synthesis (FAS) during glucose deprivation or matrix detachment respectively. Through these processes AMPK activation inhibits the rise in reactive oxygen species (ROS) levels and promotes metabolic adaptation in response to metabolic stress. This finding also provides a new therapeutic opportunity through targeting metabolic adaptation of cancer cells, either alone or in combination with conventional anti-cancer drugs that cause metabolic stress.
Insights
AMPK activation maintains cellular NADPH levels, promoting tumor cell survival and growth. This metabolic adaptation helps cancer cells cope with stress, offering new therapeutic targets.
Area of Science:
- Cellular metabolism
- Cancer biology
- Biochemistry
Background:
- AMPK's dual role in tumor growth is debated.
- Physiological AMPK activation is linked to tumor growth and migration, potentially via ATP levels.
Purpose of the Study:
- To investigate the predominant mechanism of AMPK in promoting tumor cell survival and solid tumor formation.
- To elucidate the role of AMPK in maintaining cellular NADPH homeostasis under metabolic stress.
Main Methods:
- Investigated AMPK's role in regulating intracellular NADPH levels.
- Examined the impact of AMPK activation on fatty acid oxidation (FAO) and fatty acid synthesis (FAS).
- Assessed the effect of AMPK on reactive oxygen species (ROS) levels and metabolic adaptation.
Main Results:
- AMPK activation maintains intracellular NADPH levels, crucial for tumor cell survival.
- AMPK promotes NADPH maintenance by activating FAO during glucose deprivation and inhibiting FAS during matrix detachment.
- AMPK activation inhibits ROS production and facilitates metabolic adaptation to stress.
Conclusions:
- Maintenance of cellular NADPH homeostasis is the primary mechanism by which AMPK promotes tumor cell survival and solid tumor formation.
- Targeting cancer cell metabolic adaptation, influenced by AMPK, presents a therapeutic opportunity.
- Combination therapies involving AMPK modulators and conventional anti-cancer drugs warrant further investigation.
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