Related Experiment Video
Updated: Feb 18, 2026

Author Spotlight: Transmitochondrial Cybrid Generation Using Cancer Cell Lines
Published on: March 17, 2023
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.
Abstract:
There is limited knowledge about the metabolic reprogramming induced by cancer therapies and how this contributes to therapeutic resistance. Here we show that although inhibition of PI3K-AKT-mTOR signaling markedly decreased glycolysis and restrained tumor growth, these signaling and metabolic restrictions triggered autophagy, which supplied the metabolites required for the maintenance of mitochondrial respiration and redox homeostasis. Specifically, we found that survival of cancer cells was critically dependent on phospholipase A2 (PLA2) to mobilize lysophospholipids and free fatty acids to sustain fatty acid oxidation and oxidative phosphorylation. Consistent with this, we observed significantly increased lipid droplets, with subsequent mobilization to mitochondria. These changes were abrogated in cells deficient for the essential autophagy gene ATG5 Accordingly, inhibition of PLA2 significantly decreased lipid droplets, decreased oxidative phosphorylation, and increased apoptosis. Together, these results describe how treatment-induced autophagy provides nutrients for cancer cell survival and identifies novel cotreatment strategies to override this survival advantage.
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.
Related Concept Videos
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
Cancer Stem Cells and Tumor Maintenance
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Treatment Resistant Cancers
Targeted Cancer Therapies
There are several types of targeted therapies against...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...

