Methionine Deprivation Induces a Targetable Vulnerability in Triple-Negative Breast Cancer Cells by Enhancing TRAIL

Elena Strekalova1, Dmitry Malin1, David M Good1

  • 1Department of Medicine, University of Wisconsin Carbone Cancer Center, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Abstract

Insights

Methionine restriction sensitizes triple-negative breast cancer (TNBC) cells to TRAIL-R2 agonists by increasing receptor expression. This suggests combining dietary methionine restriction with TRAIL-R2 agonists for cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Neoplasms exhibit vulnerability to methionine deficiency through poorly understood mechanisms.
  • Gene profiling indicates methionine depletion elevates TNF-related apoptosis-inducing ligand receptor-2 (TRAIL-R2) mRNA expression.

Purpose of the Study:

  • To investigate if methionine stress sensitizes breast cancer cells to proapoptotic TRAIL-R2 agonists.
  • To explore the role of MAGED2 in sensitizing triple-negative breast cancer (TNBC) cells to methionine stress.

Main Methods:

  • Cultured human triple-negative breast carcinoma cell lines in control or methionine-free media.
  • Assessed effects of methionine depletion on TRAIL receptor expression and sensitivity to lexatumumab (TRAIL-R2 agonist) and chemotherapy.
  • Utilized an orthotopic TNBC model to evaluate dietary methionine deficiency and lexatumumab combination therapy.
  • Silenced melanoma-associated antigen MAGED2 to determine its role in methionine stress sensitization.

Main Results:

  • Methionine depletion increased TRAIL-R2 mRNA and cell surface expression, sensitizing TNBC cells to lexatumumab-induced apoptosis.
  • Transformed MCF-10A cells and matrix-detached TNBC cells showed high sensitivity to combined lexatumumab and methionine depletion.
  • Methionine stress suppressed MAGED2, which normally reduces TRAIL-R2 expression, mimicking methionine deprivation effects.
  • Dietary methionine deprivation enhanced lexatumumab's antitumor effects in an orthotopic metastatic TNBC model.

Conclusions:

  • Methionine depletion reveals a targetable defect in TNBC cells by upregulating TRAIL-R2 expression.
  • Findings support a clinical trial combining dietary methionine restriction with TRAIL-R2 agonists for TNBC treatment.

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