Apoptolidin family glycomacrolides target leukemia through inhibition of ATP synthase

Benjamin J Reisman1,2, Hui Guo3,4, Haley E Ramsey5

  • 1Department of Chemistry, Vanderbilt University, Nashville, TN, USA.

Nature Chemical Biology
|December 3, 2021
PubMed

Insights

Apoptolidin A targets the F1 subcomplex of mitochondrial ATP synthase, inhibiting cancer cell growth. This discovery offers a new therapeutic strategy for oxidative phosphorylation-dependent cancers.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Cancer Biology

Background:

  • Cancer cells possess distinct bioenergetic needs.
  • Apoptolidin glycomacrolides show selective toxicity to cancer cells, but their mechanism is unknown.

Purpose of the Study:

  • To elucidate the molecular mechanism of apoptolidin A's anti-cancer activity.
  • To identify the specific molecular target of apoptolidin A.

Main Methods:

  • Photoaffinity labeling to identify target proteins.
  • Cryogenic electron microscopy (cryo-EM) for structural analysis.
  • Deep mutational scanning and CRISPR-Cas9 for functional validation.

Main Results:

  • Mitochondrial ATP synthase F1 subcomplex identified as the direct target of apoptolidin A.
  • Cryo-EM revealed a novel shared inhibition mechanism between apoptolidin and ammocidin.
  • In vivo studies demonstrated ammocidin A suppresses leukemia with minimal toxicity.

Conclusions:

  • The study defines the mechanism of action for apoptolidin family glycomacrolides.
  • Identified ATP synthase as a target provides a new avenue for treating oxidative phosphorylation-dependent cancers.

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