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Published on: July 21, 2018
lncRNA NBR2 modulates cancer cell sensitivity to phenformin through GLUT1
Xiaowen Liu1, Boyi Gan1,2,3
1a Department of Experimental Radiation Oncology , University of Texas MD Anderson Cancer Center , Houston , TS , USA.
Abstract:
Biguanides, including metformin (widely used in diabetes treatment) and phenformin, are AMP-activated protein kinase (AMPK) activators and potential drugs for cancer treatment. A more in-depth understanding of how cancer cells adapt to biguanide treatment may provide important therapeutic implications to achieve more effective and rational cancer therapies. NBR2 is a glucose starvation-induced long non-coding RNA (lncRNA) that interacts with AMPK and regulates AMPK activity upon glucose starvation. Here we show that phenformin treatment induces NBR2 expression, and NBR2 deficiency sensitizes cancer cells to phenformin-induced cell death. Surprisingly, unlike glucose starvation, phenformin does not induce NBR2 interaction with AMPK, and correspondingly, NBR2 deficiency does not affect phenformin-induced AMPK activation. We further reveal that NBR2 depletion attenuates phenformin-induced glucose transporter GLUT1 expression and glucose uptake. GLUT1 deficiency sensitizes cancer cells to phenformin-induced cell death, whereas GLUT1 restoration in NBR2 deficient cells rescues the increased cell death upon phenformin treatment. Together, the results of our study reveal that NBR2-GLUT1 axis may serve as an adaptive response in cancer cells to survive in response to phenformin treatment, and identify a novel mechanism coupling lncRNA to biguanide-mediated biology.
Insights
Phenformin, a diabetes drug, can treat cancer. Cancer cells use NBR2 and GLUT1 to resist phenformin by affecting glucose uptake. Blocking this NBR2-GLUT1 axis may improve cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Metabolic Pathways
Background:
- Biguanides like metformin and phenformin activate AMP-activated protein kinase (AMPK) and are explored as cancer treatments.
- Understanding cancer cell adaptation to biguanides is crucial for developing effective cancer therapies.
- NBR2, a long non-coding RNA (lncRNA), is induced by glucose starvation and regulates AMPK activity.
Purpose of the Study:
- To investigate the role of NBR2 in cancer cell adaptation to phenformin treatment.
- To elucidate the molecular mechanisms by which NBR2 influences phenformin's anti-cancer effects.
- To identify potential therapeutic targets for enhancing biguanide-based cancer therapies.
Main Methods:
- Phenformin treatment of cancer cells.
- Analysis of NBR2 expression and its interaction with AMPK.
- Assessment of glucose transporter GLUT1 expression and glucose uptake.
- Gene depletion (siRNA) and restoration experiments.
- Cell viability assays.
Main Results:
- Phenformin treatment increased NBR2 expression but did not enhance its interaction with AMPK.
- NBR2 deficiency sensitized cancer cells to phenformin-induced cell death.
- NBR2 depletion reduced phenformin-induced GLUT1 expression and glucose uptake.
- GLUT1 deficiency mimicked the sensitization seen with NBR2 depletion, and its restoration rescued cell death in NBR2-deficient cells.
Conclusions:
- The NBR2-GLUT1 axis represents an adaptive response enabling cancer cells to survive phenformin treatment.
- NBR2 promotes cancer cell survival by upregulating GLUT1 and glucose uptake under phenformin stress.
- This study reveals a novel mechanism linking lncRNAs to biguanide-mediated cancer biology, offering potential therapeutic strategies.
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