Sequential Accumulation of 'Driver' Pathway Mutations Induces the Upregulation of Hydrogen-Sulfide-Producing Enzymes

Kelly Ascenção1, Nahzli Dilek1, Karim Zuhra1

  • 1Chair of Pharmacology, Faculty of Science and Medicine, University of Fribourg, 1700 Fribourg, Switzerland.

Insights

Sequential mutations in colon cancer organoids increase hydrogen sulfide (H2S) production by upregulating H2S-generating enzymes. This leads to enhanced cellular bioenergetics and promotes more aggressive, invasive colon cancer phenotypes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Cancer development involves sequential acquisition of driver mutations in key signaling pathways like WNT, MAPK, TP53, and PI3K.
  • Hydrogen sulfide (H2S) producing enzymes are implicated in colon cancer pathogenesis.
  • Previous studies show mutations in APC, SMAD4, TP53, and KRAS promote proliferative and invasive properties in intestinal organoids.

Purpose of the Study:

  • To investigate the effect of sequential driver mutations on the expression of H2S-producing and degrading enzymes in human intestinal organoids.
  • To determine if these mutations influence H2S levels, cellular bioenergetics, and epithelial-mesenchymal transition (EMT) markers.

Main Methods:

  • CRISPR-Cas9 genome editing was used to introduce sequential mutations into human intestinal epithelial organoids.
  • Western blotting assessed expression of H2S-producing enzymes (CBS, CSE, 3-MST) and degrading enzymes (TST, ETHE1, SQR).
  • Live-cell imaging measured H2S levels, Extracellular Flux Analysis evaluated bioenergetics, and Western blotting assessed EMT markers.

Main Results:

  • Sequential mutations led to gradual upregulation of H2S-producing enzymes (CBS, CSE, 3-MST), including a truncated CBS form.
  • Advanced organoids showed decreased expression of the H2S-degrading enzyme SQR, correlating with increased H2S generation.
  • Elevated H2S levels coincided with enhanced cellular bioenergetics and Wnt/β-catenin pathway activation, a key EMT driver.

Conclusions:

  • Sequential mutations mimicking the Vogelstein model in colon epithelial cells progressively upregulate H2S-generating pathways.
  • Increased H2S production contributes to altered cellular bioenergetics and dedifferentiation.
  • These molecular and functional changes promote more aggressive and invasive colon cancer phenotypes.