Endogenous toxic metabolites and implications in cancer therapy

Namgyu Lee1, Meghan E Spears1, Anne E Carlisle1

  • 1Department of Molecular, Cell and Cancer Biology, University of Massachusetts Medical School, Worcester, MA, 01605, USA.

Oncogene
|July 26, 2020
PubMed

Insights

Cancer cells can be selectively poisoned by targeting metabolic enzymes that prevent the buildup of toxic metabolites. This strategy exploits pathways overactive in cancer, offering a novel approach to cancer therapy.

Area of Science:

  • Biochemistry
  • Oncology
  • Metabolic Engineering

Background:

  • Metabolic enzymes are crucial for cancer cell proliferation, supplying essential building blocks like nucleotides.
  • The role of metabolic enzymes in detoxifying harmful substrates is often overlooked.
  • Many endogenous metabolites possess inherent toxicity due to reactive groups or competitive inhibition.

Purpose of the Study:

  • To highlight the underappreciated role of metabolic enzymes in preventing the accumulation of toxic metabolites.
  • To propose a novel cancer-killing strategy based on inducing the accumulation of toxic metabolic intermediates.
  • To explore the potential for cancer cell-selective toxicity by targeting overactive metabolic pathways.

Main Methods:

  • Reviewing evidence and mechanisms of metabolite toxicity.
  • Analyzing metabolic pathways with toxic intermediates, such as selenocysteine metabolism.
  • Illustrating the concept of targeting downstream enzymes to induce toxic metabolite accumulation.

Main Results:

  • Identified several toxic metabolites, including methylglyoxal, 4-hydroxynonenal, glutaconyl-CoA, deoxyuridine triphosphate, and l-2-hydroxyglutarate.
  • Demonstrated that targeting downstream enzymes can lead to the accumulation of these toxic metabolites.
  • Showcased the potential for cancer-selective toxicity when metabolic pathways are dysregulated in cancer.

Conclusions:

  • Metabolic pathways containing toxic intermediates can be therapeutically exploited to selectively kill cancer cells.
  • Targeting enzymes that normally detoxify metabolites presents a promising avenue for novel cancer treatments.
  • Further research into exploiting toxic metabolites holds significant potential for developing new anti-cancer therapies.

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