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Selective eradication of cancer displaying hyperactive Akt by exploiting the metabolic consequences of Akt activation
Veronique Nogueira1, Krushna C Patra1, Nissim Hay1,2
1Department of Biochemistry and Molecular Genetics, College of Medicine, University of Illinois at Chicago, Chicago, United States.
Abstract:
Akt activation in human cancers exerts chemoresistance, but pan-Akt inhibition elicits adverse consequences. We exploited the consequences of Akt-mediated mitochondrial and glucose metabolism to selectively eradicate and evade chemoresistance of prostate cancer displaying hyperactive Akt. PTEN-deficient prostate cancer cells that display hyperactivated Akt have high intracellular reactive oxygen species (ROS) levels, in part, because of Akt-dependent increase of oxidative phosphorylation. High intracellular ROS levels selectively sensitize cells displaying hyperactive Akt to ROS-induced cell death enabling a therapeutic strategy combining a ROS inducer and rapamycin in PTEN-deficient prostate tumors in mouse models. This strategy elicited tumor regression, and markedly increased survival even after the treatment was stopped. By contrast, exposure to antioxidant increased prostate tumor progression. To increase glucose metabolism, Akt activation phosphorylated HK2 and induced its expression. Indeed, HK2 deficiency in mouse models of Pten-deficient prostate cancer elicited a marked inhibition of tumor development and extended lifespan.
Insights
Targeting Akt-activated prostate cancer involves inducing reactive oxygen species (ROS) and inhibiting glucose metabolism. This strategy shows promise for eradicating chemoresistance and improving survival in PTEN-deficient tumors.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Akt activation in human cancers contributes to chemoresistance.
- Pan-Akt inhibition can lead to adverse effects.
- Prostate cancer with hyperactive Akt exhibits altered metabolism and high reactive oxygen species (ROS) levels.
Purpose of the Study:
- To develop a therapeutic strategy for chemoresistant prostate cancer with hyperactive Akt.
- To exploit Akt-mediated metabolic alterations for selective cancer cell eradication.
- To investigate the role of ROS and glucose metabolism in PTEN-deficient prostate tumors.
Main Methods:
- Combining a ROS inducer with rapamycin in PTEN-deficient prostate tumor mouse models.
- Evaluating the effects of antioxidant exposure on tumor progression.
- Assessing the impact of Hexokinase 2 (HK2) deficiency on tumor development.
Main Results:
- The combination therapy of a ROS inducer and rapamycin led to tumor regression and increased survival in mouse models.
- Antioxidant exposure exacerbated prostate tumor progression.
- HK2 deficiency significantly inhibited tumor development and extended lifespan in Pten-deficient prostate cancer models.
Conclusions:
- Targeting ROS-induced cell death and inhibiting glucose metabolism are effective strategies against chemoresistant prostate cancer.
- Modulating metabolic pathways offers a novel approach to overcome Akt-driven chemoresistance.
- HK2 is a critical factor in Akt-driven prostate cancer progression.
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