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Targeting ABL1-mediated oxidative stress adaptation in fumarate hydratase-deficient cancer
Carole Sourbier1, Christopher J Ricketts1, Shingo Matsumoto2
1Urologic Oncology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Abstract:
Patients with germline fumarate hydratase (FH) mutation are predisposed to develop aggressive kidney cancer with few treatment options and poor therapeutic outcomes. Activity of the proto-oncogene ABL1 is upregulated in FH-deficient kidney tumors and drives a metabolic and survival signaling network necessary to cope with impaired mitochondrial function and abnormal accumulation of intracellular fumarate. Excess fumarate indirectly stimulates ABL1 activity, while restoration of wild-type FH abrogates both ABL1 activation and the cytotoxicity caused by ABL1 inhibition or knockdown. ABL1 upregulates aerobic glycolysis via the mTOR/HIF1α pathway and neutralizes fumarate-induced proteotoxic stress by promoting nuclear localization of the antioxidant response transcription factor NRF2. Our findings identify ABL1 as a pharmacologically tractable therapeutic target in glycolytically dependent, oxidatively stressed tumors.
Insights
Patients with fumarate hydratase (FH) mutations develop aggressive kidney cancer. Targeting the proto-oncogene ABL1 offers a potential therapeutic strategy for these tumors.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Germline mutations in fumarate hydratase (FH) predispose individuals to aggressive kidney cancer.
- FH-deficient tumors exhibit upregulated proto-oncogene ABL1 activity, crucial for survival.
- ABL1 activation is linked to impaired mitochondrial function and fumarate accumulation.
Purpose of the Study:
- To investigate the role of ABL1 in FH-deficient kidney cancer.
- To identify ABL1 as a potential therapeutic target.
Main Methods:
- Analysis of ABL1 activity in FH-deficient kidney tumors.
- Investigating the metabolic and signaling pathways regulated by ABL1.
- Assessing the effects of ABL1 inhibition or knockdown.
- Evaluating the impact of wild-type FH restoration.
Main Results:
- ABL1 activity is upregulated in FH-deficient kidney tumors.
- ABL1 promotes aerobic glycolysis via the mTOR/HIF1α pathway.
- ABL1 mitigates fumarate-induced proteotoxic stress by activating NRF2.
- Restoring wild-type FH reduces ABL1 activation and ABL1-dependent cytotoxicity.
Conclusions:
- ABL1 is a key driver of metabolic and survival pathways in FH-deficient kidney cancer.
- ABL1 represents a pharmacologically tractable target for these aggressive tumors.
- Targeting ABL1 may be effective in glycolytically dependent, oxidatively stressed tumors.
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