A novel direct activator of AMPK inhibits prostate cancer growth by blocking lipogenesis
Giorgia Zadra1, Cornelia Photopoulos, Svitlana Tyekucheva
1Department of Medical Oncology, Dana-Farber Cancer Institute Harvard Medical School, Boston, MA, USA.
Abstract:
5'AMP-activated kinase (AMPK) constitutes a hub for cellular metabolic and growth control, thus representing an ideal therapeutic target for prostate cancers (PCas) characterized by increased lipogenesis and activation of mTORC1 pathway. However, whether AMPK activation itself is sufficient to block cancer cell growth remains to be determined. A small molecule screening was performed and identified MT 63-78, a specific and potent direct AMPK activator. Here, we show that direct activation of AMPK inhibits PCa cell growth in androgen sensitive and castration resistant PCa (CRPC) models, induces mitotic arrest, and apoptosis. In vivo, AMPK activation is sufficient to reduce PCa growth, whereas the allelic loss of its catalytic subunits fosters PCa development. Importantly, despite mTORC1 blockade, the suppression of de novo lipogenesis is the underpinning mechanism responsible for AMPK-mediated PCa growth inhibition, suggesting AMPK as a therapeutic target especially for lipogenesis-driven PCas. Finally, we demonstrate that MT 63-78 enhances the growth inhibitory effect of AR signaling inhibitors MDV3100 and abiraterone. This study thus provides a rationale for their combined use in CRPC treatment.
Insights
AMP-activated kinase (AMPK) activation directly inhibits prostate cancer growth by suppressing lipogenesis. This finding supports AMPK as a therapeutic target, particularly in combination with other treatments for advanced prostate cancer.
Area of Science:
- Oncology
- Metabolic pathways
- Cellular signaling
Background:
- Prostate cancer (PCa) often exhibits increased lipogenesis and mTORC1 pathway activation.
- 5'AMP-activated kinase (AMPK) is a key regulator of cellular metabolism and growth, making it a potential therapeutic target for PCa.
- The sufficiency of AMPK activation in blocking cancer cell proliferation requires further investigation.
Purpose of the Study:
- To investigate the therapeutic potential of direct AMPK activation in prostate cancer.
- To identify specific AMPK activators for PCa treatment.
- To elucidate the mechanisms underlying AMPK-mediated inhibition of PCa growth.
Main Methods:
- Small molecule screening to identify a direct AMPK activator (MT 63-78).
- In vitro studies using androgen-sensitive and castration-resistant PCa (CRPC) cell models.
- In vivo studies in PCa models.
- Analysis of lipogenesis and mTORC1 pathway activity.
- Combination studies with androgen receptor (AR) signaling inhibitors.
Main Results:
- MT 63-78, a direct AMPK activator, was identified.
- Direct AMPK activation inhibited PCa cell growth, induced mitotic arrest, and apoptosis in vitro.
- AMPK activation reduced PCa tumor growth in vivo.
- Loss of AMPK catalytic subunits promoted PCa development.
- AMPK-mediated PCa growth inhibition was primarily driven by suppression of de novo lipogenesis, independent of mTORC1 blockade.
- MT 63-78 enhanced the efficacy of AR signaling inhibitors (MDV3100, abiraterone) in CRPC models.
Conclusions:
- Direct AMPK activation is sufficient to inhibit prostate cancer cell growth and tumor development.
- Suppression of de novo lipogenesis is the key mechanism for AMPK-driven PCa growth inhibition.
- AMPK represents a promising therapeutic target for lipogenesis-driven prostate cancers, especially in combination with AR signaling inhibitors for CRPC treatment.
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