In cancer, all roads lead to NADPH

Gulam Mohmad Rather1, Alvinsyah Adhityo Pramono2, Zoltan Szekely3

  • 1Rutgers Cancer Institute of New Jersey, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.

Insights

Cancer cells need more NADPH for growth and survival. Targeting its production offers a new strategy for cancer therapy by disrupting this essential metabolic pathway.

Area of Science:

  • Biochemistry
  • Cancer Biology
  • Metabolic Pathways

Background:

  • Cancer cells exhibit elevated requirements for nicotinamide adenine dinucleotide phosphate (NADPH).
  • NADPH is crucial for nucleotide synthesis and cellular defense against reactive oxygen species (ROS).
  • Several mechanisms contribute to increased NADPH generation in cancer cells.

Purpose of the Study:

  • To elucidate the diverse pathways responsible for elevated NADPH levels in cancer.
  • To identify potential therapeutic targets within NADPH synthesis pathways for cancer treatment.

Main Methods:

  • Review of recent studies on NADPH generation mechanisms in cancer.
  • Analysis of the roles of specific enzymes and signaling pathways (e.g., AKT, NADK, G6PD, malic enzymes, calmodulin).
  • Investigation of NADPH's role in IDH1/2 mutant cancers and oncometabolite production.

Main Results:

  • Activated AKT phosphorylates NAD kinase (NADK), enhancing its activity.
  • Glucose-6-phosphate dehydrogenase and malic enzymes convert NADP to NADPH, often overexpressed in mutant p53 tumors.
  • Calmodulin overexpression also boosts NADK activity.
  • In IDH1/2 mutant cancers, NADPH is essential for generating the oncometabolite D-2-hydroxyglutarate.

Conclusions:

  • The heightened demand for NADPH in cancer cells presents a vulnerability.
  • Targeting the synthesis of NADPH is a promising therapeutic strategy for various cancers.

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