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Published on: July 17, 2019
MR-detectable metabolic consequences of mitogen-activated protein kinase kinase (MEK) inhibition
Alessia Lodi1, Sarah M Woods, Sabrina M Ronen
1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, USA.
Abstract:
Metabolic reprogramming is increasingly being viewed as a hallmark of cancer. Accordingly, metabolic readouts can serve as biomarkers of response to therapy. The goal of this study was to investigate some of the MRS-detectable metabolic consequences of mitogen-activated protein kinase kinase (MEK) inhibition. We investigated PC3 prostate cancer, MCF-7 breast cancer and A375 melanoma cells, and determined that, consistent with previous studies, MRS-detectable levels of phosphocholine decreased significantly in all cell lines (to 63%, 50% and 18% of the control, respectively) following MEK inhibition with U0126. This effect was mediated by a decrease in the expression of choline kinase α, the enzyme that catalyzes the phosphorylation of choline. In contrast, the impact of MEK inhibition on glycolysis was cell line dependent. A375 cells, which express mutant BRAF, demonstrated significant decreases in glucose uptake (to 36% of control) and lactate production (to 42% of control) in line with positron emission tomography data. In contrast, in PC3 and MCF-7 cells, increases in glucose uptake (to 198% and 192% of control, respectively) and lactate production (to 177% and 212% of control, respectively) were observed, in line with a previous hyperpolarized (13) C MRS study. This effect is probably mediated by the activation of the phosphoinositide 3-kinase pathway and AMP-activated protein kinase. Our findings demonstrate the value of translatable non-invasive MRS methods for the provision of information on cellular metabolism as an indication of the activation of potential feedback loops following MEK inhibition.
Insights
Metabolic reprogramming in cancer is key. MEK inhibition impacts cellular metabolism differently across cancer types, affecting phosphocholine, glucose uptake, and lactate production, offering insights into therapy response biomarkers.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Metabolic reprogramming is a recognized hallmark of cancer.
- Metabolic alterations can serve as predictive biomarkers for therapeutic response.
- Mitogen-activated protein kinase kinase (MEK) inhibitors are a therapeutic strategy in oncology.
Purpose of the Study:
- To investigate the metabolic consequences of MEK inhibition detectable by magnetic resonance spectroscopy (MRS).
- To assess changes in phosphocholine, glucose uptake, and lactate production in response to MEK inhibition.
- To explore the cell-line-dependent effects of MEK inhibition on cancer cell metabolism.
Main Methods:
- Utilized MRS to detect metabolic changes in PC3 prostate cancer, MCF-7 breast cancer, and A375 melanoma cell lines.
- Administered U0126, a MEK inhibitor, to treated cell lines.
- Quantified levels of phosphocholine, glucose uptake, and lactate production.
Main Results:
- MEK inhibition significantly decreased phosphocholine levels across all tested cell lines, mediated by reduced choline kinase α expression.
- Glycolytic response to MEK inhibition was cell-line dependent: A375 cells showed decreased glucose uptake and lactate production, while PC3 and MCF-7 cells showed increased uptake and production.
- Observed metabolic changes in PC3 and MCF-7 cells were linked to the activation of the phosphoinositide 3-kinase and AMP-activated protein kinase pathways.
Conclusions:
- Non-invasive MRS methods can provide valuable information on cellular metabolism following MEK inhibition.
- Metabolic readouts can indicate the activation of feedback loops and serve as biomarkers for MEK inhibitor therapy.
- Understanding cell-specific metabolic responses to MEK inhibition is crucial for optimizing cancer treatment strategies.
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