LDHA Desuccinylase Sirtuin 5 as A Novel Cancer Metastatic Stimulator in Aggressive Prostate Cancer

Oh Kwang Kwon1, In Hyuk Bang2, So Young Choi1

  • 1BK21 Plus KNU Multi-Omics Based Creative Drug Research Team, College of Pharmacy, Research Institute of Pharmaceutical Sciences, Kyungpook National University, Daegu 41566, Republic of Korea.

Insights

Decreased Sirtuin 5 (SIRT5) protein levels correlate with aggressive prostate cancer (PCa) and reduced survival. This study identifies increased LDHA succinylation as a key driver of PCa progression and a potential therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Prostate cancer (PCa) is a leading cause of cancer death in men, often progressing to castration-resistant PCa (CRPC) with bone metastasis.
  • The molecular mechanisms driving PCa progression and CRPC remain incompletely understood.
  • Sirtuin 5 (SIRT5), an NAD+-dependent desuccinylase, is implicated in cancer, but its specific role in PCa requires further investigation.

Purpose of the Study:

  • To investigate the role of Sirtuin 5 (SIRT5) in prostate cancer (PCa) progression.
  • To identify molecular mechanisms linking SIRT5 to PCa aggressiveness and castration-resistant PCa (CRPC).
  • To explore potential therapeutic targets for PCa and CRPC based on SIRT5 function.

Main Methods:

  • Quantitative analysis of SIRT5 protein levels in PCa cells across different stages.
  • Global succinylome analysis to identify protein succinylation changes in PCa.
  • Biochemical assays to assess lactate dehydrogenase A (LDHA) activity and PCa cell migration/invasion.

Main Results:

  • Significantly decreased SIRT5 protein expression was observed in aggressive PCa cells and correlated with reduced patient survival.
  • Increased succinylation at lysine 118 (K118su) of lactate dehydrogenase A (LDHA) was identified as a key post-translational modification.
  • LDHA-K118su was found to enhance LDHA activity, promote PCa cell migration and invasion, and was elevated in PCa patients.

Conclusions:

  • Reduced SIRT5 protein expression and increased LDHA succinylation (LDHA-K118su) represent a novel mechanism driving PCa progression.
  • This pathway contributes to increased cell migration, invasion, and overall disease aggressiveness.
  • Targeting SIRT5 or LDHA succinylation may offer new therapeutic strategies to prevent CRPC progression in prostate cancer.