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Identification of EGFR and RAS Inhibitors using Caenorhabditis elegans
Published on: October 5, 2020
Endogenous Sterol Metabolites Regulate Growth of EGFR/KRAS-Dependent Tumors via LXR
Linara Gabitova1, Diana Restifo2, Andrey Gorin1
1Molecular Therapeutics Program, Fox Chase Cancer Center, Philadelphia, PA 19111, USA; Institute of Fundamental Medicine and Biology, Kazan Federal University, Kazan, Tatarstan 420000, Russia.
Abstract:
Meiosis-activating sterols (MAS) are substrates of SC4MOL and NSDHL in the cholesterol pathway and are important for normal organismal development. Oncogenic transformation by epidermal growth factor receptor (EGFR) or RAS increases the demand for cholesterol, suggesting a possibility for metabolic interference. To test this idea in vivo, we ablated Nsdhl in adult keratinocytes expressing KRAS(G12D). Strikingly, Nsdhl inactivation antagonized the growth of skin tumors while having little effect on normal skin. Loss of Nsdhl induced the expression of ATP-binding cassette (ABC) transporters ABCA1 and ABCG1, reduced the expression of low-density lipoprotein receptor (LDLR), decreased intracellular cholesterol, and was dependent on the liver X receptor (LXR) α. Importantly, EGFR signaling opposed LXRα effects on cholesterol homeostasis, whereas an EGFR inhibitor synergized with LXRα agonists in killing cancer cells. Inhibition of SC4MOL or NSDHL, or activation of LXRα by sterol metabolites, can be an effective strategy against carcinomas with activated EGFR-KRAS signaling.
Insights
Inhibiting cholesterol synthesis enzymes (NSDHL) in KRAS-driven skin tumors reduced cancer growth. This metabolic interference strategy also involved liver X receptor (LXR) activation and epidermal growth factor receptor (EGFR) signaling.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Meiosis-activating sterols (MAS) are crucial for development and are synthesized via SC4MOL and NSDHL.
- Oncogenic signaling pathways like EGFR and RAS elevate cellular cholesterol demands, presenting a metabolic vulnerability.
Purpose of the Study:
- To investigate the therapeutic potential of interfering with cholesterol metabolism in KRAS-driven skin cancer.
- To explore the interplay between cholesterol homeostasis, LXRα, and EGFR signaling in oncogenesis.
Main Methods:
- In vivo ablation of Nsdhl in adult keratinocytes expressing KRAS(G12D).
- Analysis of gene expression (ABC transporters, LDLR) and intracellular cholesterol levels.
- Assessment of liver X receptor (LXR) α dependency and EGFR signaling interactions.
Main Results:
- Nsdhl inactivation significantly antagonized skin tumor growth without affecting normal skin.
- Loss of Nsdhl upregulated ABCA1 and ABCG1, downregulated LDLR, and reduced cholesterol, mediated by LXRα.
- EGFR signaling counteracted LXRα's effects, while EGFR inhibition synergized with LXRα agonists against cancer cells.
Conclusions:
- Targeting cholesterol synthesis enzymes (SC4MOL, NSDHL) or activating LXRα represents a viable therapeutic strategy for EGFR-KRAS-driven carcinomas.
- Metabolic interference with cholesterol homeostasis offers a promising avenue for cancer treatment.
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