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Published on: July 20, 2019
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.
Abstract:
Cancer cells require increased levels of NADPH for increased nucleotide synthesis and for protection from ROS. Recent studies show that increased NADPH is generated in several ways. Activated AKT phosphorylates NAD kinase (NADK), increasing its activity. NADP formed, is rapidly converted to NADPH by glucose 6-phosphate dehydrogenase and malic enzymes, overexpressed in tumor cells with mutant p53. Calmodulin, overexpressed in some cancers, also increases NADK activity. Also, in IDH1/2 mutant cancer, NADPH serves as the cofactor to generate D-2 hydroxyglutarate, an oncometabolite. The requirement of cancer cells for elevated levels of NADPH provides an opportunity to target its synthesis for cancer treatment.
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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