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.

Nature
|August 16, 2013
PubMed

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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