Targeting glutamine metabolism network for the treatment of therapy-resistant prostate cancer

Lingfan Xu1, Bing Zhao1, William Butler1

  • 1Department of Pathology, Duke University School of Medicine, Durham, NC, 27710, USA.

Oncogene
|January 20, 2022
PubMed

Insights

Advanced prostate cancer relies on glutamine. Inhibiting both its carbon and nitrogen pathways simultaneously improves treatment outcomes and overcomes therapy resistance in prostate cancer (PCa) patients.

Area of Science:

  • Oncology
  • Metabolic pathways
  • Cancer cell metabolism

Background:

  • Advanced prostate cancer (PCa) is highly dependent on glutamine for survival and proliferation.
  • Previous research demonstrated therapeutic effects of inhibiting glutaminase 1, a key enzyme in glutamine metabolism, but resistance remains a challenge.

Purpose of the Study:

  • To investigate the role of glutamine's carbon and nitrogen catabolism in prostate cancer.
  • To explore the reciprocal feedback mechanisms between these pathways and their contribution to therapy resistance.
  • To evaluate the efficacy of combination therapy targeting both glutamine pathways.

Main Methods:

  • Analysis of glutamine metabolism in advanced prostate cancer cells.
  • Investigation of parallel pathways for glutamine carbon and nitrogen utilization.
  • Assessment of feedback mechanisms between metabolic pathways.
  • Clinical evaluation of combination therapy targeting both glutamine pathways.

Main Results:

  • Glutamine carbon is crucial for PCa survival, but glutamine nitrogen catabolism is equally vital for pyrimidine synthesis.
  • A reciprocal feedback loop exists between glutamine carbon and nitrogen pathways, leading to resistance when only one is inhibited.
  • Simultaneous inhibition of both pathways resulted in improved clinical outcomes for advanced PCa patients.

Conclusions:

  • Targeting both glutamine carbon and nitrogen catabolism is a promising strategy for advanced prostate cancer.
  • Combination therapy overcomes therapy resistance mediated by reciprocal feedback between glutamine metabolic pathways.
  • This approach offers a new therapeutic avenue for patients with advanced and aggressive prostate cancer.