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TIMP-1 Dependent Modulation of Metabolic Profiles Impacts Chemoresistance in NSCLC
Wei Xiao1, Pankaj Ahluwalia1, Lan Wang1
1Department of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA.
Abstract:
The development of chemoresistance remains a significant barrier to treating NSCLC. Alteration of cancer cell metabolism is an important mechanism for chemoresistance. This study explored the role of aberrant metabolism in TIMP-1-mediated chemoresistance. Bioinformatics analysis identified an association of high TIMP-1 with altered energy metabolism. We have defined the role of depolarized mitochondria through a reduction in lactate secretion, higher ROS levels in TIMP-1 KD cells and reduced GSH levels. TIMP-1 modulates the metabolic profile via acetylation of mitochondrial STAT3 and its interaction with CD44. Intriguingly, monomers of acetylated STAT3 were critical for altered metabolism, whereas STAT3 dimers abrogated this function. Further, the mitochondrial metabolic profile was also altered in a cisplatin-resistant clone of A549 cells. We also correlated the immunoexpression of CD44, STAT3 and TIMP-1 in patient samples. This study provided evidence that TIMP-1 alters the metabolic profile by modulating mitochondrial metabolism via the CD44-STAT3 axis through its effects on STAT3 acetylation. It also lent further support to the critical role of TIMP-1 in chemoresistance. Interrogation of the TCGA-LUAD dataset revealed perturbations in the critical modulator that can alter metabolic states in cancer cells. Higher expression of a five-gene signature, including TIMP-1, correlated with immunosuppressive cells and was found to be associated with overall survival. This study identified several metabolic mechanisms that could influence therapeutic options and prognosis in NSCLC patients.
Insights
Tissue inhibitor of metalloproteinase-1 (TIMP-1) drives chemoresistance in non-small cell lung cancer (NSCLC) by altering cell metabolism. This involves mitochondrial changes mediated by STAT3 acetylation, impacting treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metabolism
Background:
- Chemoresistance is a major challenge in non-small cell lung cancer (NSCLC) treatment.
- Altered cancer cell metabolism is a key mechanism underlying chemoresistance.
Purpose of the Study:
- To investigate the role of aberrant metabolism in TIMP-1-mediated chemoresistance in NSCLC.
- To elucidate the molecular mechanisms by which TIMP-1 influences cancer cell metabolism.
Main Methods:
- Bioinformatics analysis to identify associations between TIMP-1 and energy metabolism.
- Experimental validation of mitochondrial function, including lactate secretion, ROS levels, and GSH levels.
- Investigation of the role of STAT3 acetylation and its interaction with CD44.
- Correlation of CD44, STAT3, and TIMP-1 immunoexpression in patient samples.
- Analysis of TCGA-LUAD dataset for gene expression signatures.
Main Results:
- High TIMP-1 expression correlates with altered energy metabolism and chemoresistance.
- TIMP-1 modulates mitochondrial metabolism via acetylation of mitochondrial STAT3, affecting its monomeric and dimeric forms.
- Depolarized mitochondria, reduced lactate secretion, higher ROS, and reduced GSH levels were observed in TIMP-1 knockdown cells.
- The CD44-STAT3 axis is crucial for TIMP-1's metabolic modulation.
- A five-gene signature including TIMP-1 is associated with immunosuppressive cells and poorer overall survival in NSCLC.
Conclusions:
- TIMP-1 promotes chemoresistance in NSCLC by reprogramming mitochondrial metabolism through STAT3 acetylation and the CD44-STAT3 axis.
- Understanding these metabolic alterations offers potential therapeutic targets and prognostic markers for NSCLC.
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