Targeting mitochondrial one-carbon enzyme MTHFD2 together with pemetrexed confers therapeutic advantages in lung

Juanfen Mo1, Zhenzhen Gao2, Li Zheng1

  • 1The Key Laboratory, The Second Affiliated Hospital of Jiaxing University, Jiaxing, 314000, Zhejiang, China.

Insights

MTHFD2, a key metabolic enzyme, is upregulated in lung adenocarcinoma (LUAD), driving cancer growth and poor survival. Inhibiting MTHFD2 enhances chemotherapy effectiveness, offering a new therapeutic strategy for LUAD patients.

Area of Science:

  • Biochemistry
  • Oncology
  • Molecular Biology

Background:

  • Metabolic reprogramming is crucial for cancer cell proliferation.
  • MTHFD2, a mitochondrial enzyme, is implicated in various cancers.
  • Understanding MTHFD2's role in lung adenocarcinoma (LUAD) is vital for targeted therapies.

Purpose of the Study:

  • To investigate the role of MTHFD2 in LUAD progression.
  • To identify molecular mechanisms and upstream regulators of MTHFD2 in LUAD.
  • To evaluate MTHFD2 inhibition as a therapeutic strategy for LUAD.

Main Methods:

  • Gene and protein expression analysis in LUAD tissues.
  • Assessment of MTHFD2's impact on cell proliferation, migration, and apoptosis.
  • Investigation of downstream effectors including MCM4, MCM7, ZEB1, Vimentin, and SNAI1.
  • Identification of miRNA-99a-3p as a regulator of MTHFD2 and MCM4.
  • Evaluation of MTHFD2 inhibition using siRNA and chemical compounds in combination with pemetrexed.

Main Results:

  • MTHFD2 expression is significantly upregulated in LUAD tissues and correlates with poor patient survival.
  • MTHFD2 promotes LUAD cell proliferation, migration, and epithelial-to-mesenchymal transition (EMT).
  • miRNA-99a-3p directly targets and regulates MTHFD2 and MCM4 expression.
  • Inhibition of MTHFD2 enhances LUAD cell sensitivity to pemetrexed chemotherapy.

Conclusions:

  • MTHFD2 plays a critical role in LUAD pathogenesis by regulating cell metabolism and EMT.
  • miRNA-99a-3p acts as an upstream regulator of MTHFD2 in LUAD.
  • Targeting MTHFD2 presents a promising therapeutic strategy to improve LUAD treatment outcomes, particularly in combination with existing chemotherapies.