Genome-Scale Modeling of NADPH-Driven β-Lapachone Sensitization in Head and Neck Squamous Cell Carcinoma

Joshua E Lewis1, Francesco Costantini2, Jade Mims3

  • 11 The Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University , Atlanta, Georgia .

Abstract

Insights

This study reveals that differences in nicotinamide adenine dinucleotide phosphate, reduced (NADPH) production predict head and neck squamous cell carcinoma (HNSCC) cell sensitivity to the chemotherapeutic β-lapachone. Computational modeling accurately predicted treatment responses and identified key genes.

Area of Science:

  • Metabolic modeling
  • Cancer biology
  • Pharmacology

Background:

  • Head and neck squamous cell carcinoma (HNSCC) exhibits varying sensitivity to radiation and chemotherapy.
  • Nicotinamide adenine dinucleotide phosphate, reduced (NADPH) plays a critical role in cellular redox balance and drug metabolism.

Purpose of the Study:

  • To investigate differential NADPH production in radiation-sensitive versus -resistant HNSCC cell lines.
  • To determine if NADPH production differences predict sensitivity to the chemotherapeutic agent β-lapachone.

Main Methods:

  • Development of a novel human genome-scale metabolic modeling platform integrating transcriptomic, kinetic, thermodynamic, and metabolite concentration data.
  • Application of cell line-specific models to predict metabolic flux redistribution and responses to gene knockdown.
  • Experimental validation of model predictions using β-lapachone treatment and assessment of NADPH/NADP+ ratio and cell viability.

Main Results:

  • Radiation-resistant HNSCC models showed flux redistribution in major NADPH-producing reactions.
  • Metabolic networks rerouted flux through alternate NADPH biosynthesis pathways upon gene knockdown.
  • Computational predictions of NADPH perturbations and β-lapachone effects on cell viability were experimentally verified.

Conclusions:

  • Metabolic modeling accurately predicts HNSCC cell response to β-lapachone based on NADPH production.
  • Differences in metabolism and β-lapachone redox cycling underlie radiation sensitivity phenotypes in HNSCC.
  • The modeling approach can be extended to investigate synergistic therapies involving NAD(P)H: quinone oxidoreductase 1 bioactivatable drugs and radiation.

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