Targeting metabolic flexibility by simultaneously inhibiting respiratory complex I and lactate generation retards

Balkrishna Chaube1, Parmanand Malvi1, Shivendra Vikram Singh1

  • 1National Centre for Cell Science, Savitribai Phule Pune University Campus, Ganeshkhind, Pune, India.

Oncotarget
|October 21, 2015
PubMed

Insights

Metformin inhibition of complex I in melanoma paradoxically increases tumor growth by raising lactate. Blocking lactate production or lactate dehydrogenase halts melanoma progression, revealing a synthetic lethality strategy.

Area of Science:

  • Oncology
  • Metabolic pathways
  • Cancer research

Background:

  • Melanoma exhibits metabolic flexibility, utilizing either oxidative phosphorylation (OXPHOS) or glycolysis for energy.
  • Metabolic heterogeneity and resistance complicate melanoma treatment.
  • Understanding metabolic dependencies is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the roles of respiratory complex I and lactate dehydrogenase (LDH) in melanoma progression.
  • To explore the therapeutic potential of targeting these metabolic pathways.

Main Methods:

  • Inhibition of complex I using metformin in a mouse melanoma model.
  • Inhibition of lactate dehydrogenase (LDH) or lactate generation.
  • Assessment of melanoma cell proliferation, tumor growth, extracellular acidification, and apoptosis in vitro and in vivo.

Main Results:

  • Metformin inhibition of complex I promoted melanoma growth in mice by increasing lactate and VEGF.
  • Metformin induced in vitro growth arrest due to enhanced extracellular acidification from increased glycolysis.
  • Inhibition of LDH or lactate generation led to growth arrest both in vitro and in vivo.
  • Combined inhibition of LDH and complex I resulted in ATP depletion and apoptosis, indicating synthetic lethality.

Conclusions:

  • Lactate dehydrogenase (LDH) and complex I play distinct roles in regulating melanoma glycolysis and proliferation.
  • Targeting both LDH and complex I simultaneously can induce synthetic lethality in melanoma.
  • This study suggests a novel therapeutic strategy for treating melanoma by exploiting its metabolic vulnerabilities.