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A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Synthetic lethal metabolic targeting of cellular senescence in cancer therapy
Jan R Dörr1, Yong Yu, Maja Milanovic
1Charité-Universitätsmedizin Berlin, Molekulares Krebsforschungszentrum, Augustenburger Platz 1, 13353 Berlin, Germany.
Abstract:
Activated oncogenes and anticancer chemotherapy induce cellular senescence, a terminal growth arrest of viable cells characterized by S-phase entry-blocking histone 3 lysine 9 trimethylation (H3K9me3). Although therapy-induced senescence (TIS) improves long-term outcomes, potentially harmful properties of senescent tumour cells make their quantitative elimination a therapeutic priority. Here we use the Eµ-myc transgenic mouse lymphoma model in which TIS depends on the H3K9 histone methyltransferase Suv39h1 to show the mechanism and therapeutic exploitation of senescence-related metabolic reprogramming in vitro and in vivo. After senescence-inducing chemotherapy, TIS-competent lymphomas but not TIS-incompetent Suv39h1(-) lymphomas show increased glucose utilization and much higher ATP production. We demonstrate that this is linked to massive proteotoxic stress, which is a consequence of the senescence-associated secretory phenotype (SASP) described previously. SASP-producing TIS cells exhibited endoplasmic reticulum stress, an unfolded protein response (UPR), and increased ubiquitination, thereby targeting toxic proteins for autophagy in an acutely energy-consuming fashion. Accordingly, TIS lymphomas, unlike senescence models that lack a strong SASP response, were more sensitive to blocking glucose utilization or autophagy, which led to their selective elimination through caspase-12- and caspase-3-mediated endoplasmic-reticulum-related apoptosis. Consequently, pharmacological targeting of these metabolic demands on TIS induction in vivo prompted tumour regression and improved treatment outcomes further. These findings unveil the hypercatabolic nature of TIS that is therapeutically exploitable by synthetic lethal metabolic targeting.
Insights
Therapy-induced senescence (TIS) involves metabolic reprogramming, increasing glucose use and ATP production. Targeting these metabolic demands selectively eliminates senescent tumor cells, improving treatment outcomes.
Area of Science:
- Oncology
- Cell Biology
- Metabolism
Background:
- Activated oncogenes and chemotherapy induce cellular senescence, a state of terminal growth arrest.
- Therapy-induced senescence (TIS) improves outcomes but senescent tumor cells require elimination.
- Senescence involves histone modifications like H3K9me3 and is linked to the senescence-associated secretory phenotype (SASP).
Purpose of the Study:
- To elucidate the mechanism of metabolic reprogramming in TIS.
- To explore therapeutic exploitation of metabolic vulnerabilities in TIS.
- To investigate the role of Suv39h1 in TIS-dependent metabolic changes.
Main Methods:
- Utilized the Eµ-myc transgenic mouse lymphoma model.
- Compared TIS-competent and TIS-incompetent (Suv39h1(-)) lymphomas.
- Analyzed glucose utilization, ATP production, proteotoxic stress, endoplasmic reticulum stress, unfolded protein response (UPR), and ubiquitination.
- Assessed sensitivity to glucose utilization and autophagy inhibition.
- Investigated caspase-12 and caspase-3 mediated apoptosis.
- Employed pharmacological targeting in vivo.
Main Results:
- TIS-competent lymphomas showed increased glucose utilization and ATP production compared to TIS-incompetent lymphomas.
- This metabolic shift was linked to proteotoxic stress, SASP, endoplasmic reticulum stress, UPR, and increased ubiquitination.
- TIS lymphomas were selectively eliminated by blocking glucose utilization or autophagy, inducing apoptosis.
- Pharmacological targeting of these metabolic demands led to tumor regression and improved outcomes.
Conclusions:
- TIS exhibits a hypercatabolic nature driven by proteotoxic stress and SASP.
- Metabolic vulnerabilities in TIS, specifically glucose utilization and autophagy, are therapeutically exploitable.
- Synthetic lethal metabolic targeting represents a promising strategy for enhancing cancer therapy outcomes.
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