Targeting glutamine metabolism in PIK3CA mutant colorectal cancers

Xiujing Feng1, Yujun Hao1, Zhenghe Wang1

  • 1Department of Genetics and Genome Sciences and Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.

Genes & Diseases
|September 28, 2018
PubMed

Insights

PIK3CA-mutant colorectal cancers rely on glutamine via GPT2. Inhibiting GPT2 stops tumor growth in these specific cancers, suggesting glutamine targeting as a treatment strategy.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Molecular Biology

Background:

  • PIK3CA mutations are common drivers in colorectal cancer (CRC).
  • PIK3CA-mutant CRCs exhibit a metabolic dependency on glutamine.
  • Glutamate pyruvate transaminase 2 (GPT2) is upregulated in these cancers.

Purpose of the Study:

  • To investigate the role of glutamine metabolism in PIK3CA-mutant CRCs.
  • To evaluate the therapeutic potential of targeting GPT2 in PIK3CA-mutant CRCs.

Main Methods:

  • Analysis of gene expression in colorectal cancer cell lines and patient samples.
  • In vivo studies using xenograft models of PIK3CA-mutant and wild-type CRCs.
  • Pharmacological inhibition of GPT2.

Main Results:

  • PIK3CA-mutant CRCs show increased reliance on glutamine metabolism.
  • Upregulation of GPT2 was confirmed in PIK3CA-mutant CRCs.
  • GPT2 inhibition effectively suppressed the in vivo growth of PIK3CA-mutant CRCs, but not wild-type CRCs.

Conclusions:

  • Targeting glutamine metabolism, specifically through GPT2 inhibition, is a promising therapeutic strategy for PIK3CA-mutant colorectal cancers.
  • This approach offers a potential precision medicine strategy for a subset of CRC patients.

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