Metabolic reprogramming ensures cancer cell survival despite oncogenic signaling blockade

Hui-Wen Lue1, Jennifer Podolak1, Kevin Kolahi2

  • 1Knight Comprehensive Cancer Institute, Oregon Health and Science University, Portland, Oregon 97239, USA.

Genes & Development
|November 16, 2017
PubMed

Insights

Cancer therapies trigger autophagy, a process supplying nutrients for cell survival. Inhibiting phospholipase A2 (PLA2) alongside therapy can overcome this resistance by blocking nutrient supply and promoting apoptosis.

Area of Science:

  • Cancer Biology
  • Metabolic Pathways
  • Cellular Respiration

Background:

  • Limited understanding of metabolic reprogramming in cancer therapy resistance.
  • Cancer cells adapt metabolically to survive treatment.
  • PI3K-AKT-mTOR signaling inhibition impacts cancer cell metabolism.

Purpose of the Study:

  • Investigate metabolic reprogramming and autophagy in response to PI3K-AKT-mTOR inhibition.
  • Elucidate the role of phospholipase A2 (PLA2) in cancer cell survival.
  • Identify novel cotreatment strategies to overcome therapeutic resistance.

Main Methods:

  • Inhibition of PI3K-AKT-mTOR signaling pathway.
  • Analysis of cellular metabolism, including glycolysis and oxidative phosphorylation.
  • Assessment of autophagy induction and its role in nutrient supply.
  • Investigation of lipid droplet accumulation and mobilization.
  • Gene silencing of ATG5 and inhibition of PLA2.

Main Results:

  • PI3K-AKT-mTOR inhibition decreased glycolysis but induced autophagy.
  • Autophagy supplied metabolites for mitochondrial respiration and redox homeostasis.
  • Cancer cell survival depended on PLA2-mediated mobilization of lipids for fatty acid oxidation.
  • Inhibition of PLA2 reduced lipid droplets, oxidative phosphorylation, and increased apoptosis.

Conclusions:

  • Treatment-induced autophagy provides essential nutrients for cancer cell survival.
  • PLA2 is critical for mobilizing lipids to sustain mitochondrial respiration.
  • Targeting PLA2 in combination with PI3K-AKT-mTOR inhibitors offers a strategy to overcome therapeutic resistance.

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