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Updated: Aug 21, 2025

Author Spotlight: Transmitochondrial Cybrid Generation Using Cancer Cell Lines
Published on: March 17, 2023
NNMT-DNMT1 Axis is Essential for Maintaining Cancer Cell Sensitivity to Oxidative Phosphorylation Inhibition
Changqing Wu1, Yu'e Liu1, Wenju Liu2
1Tongji University Cancer Center, Shanghai Tenth People's Hospital of Tongji University, School of Medicine, Tongji University, Shanghai, 200092, China.
Abstract:
Lacking a clear understanding of the molecular mechanism determining cancer cell sensitivity to oxidative phosphorylation (OXPHOS) inhibition limits the development of OXPHOS-targeting cancer treatment. Here, cancer cell lines sensitive or resistant to OXPHOS inhibition are identified by screening. OXPHOS inhibition-sensitive cancer cells possess increased OXPHOS activity and silenced nicotinamide N-methyltransferase (NNMT) expression. NNMT expression negatively correlates with OXPHOS inhibition sensitivity and functionally downregulates the intracellular levels of S-adenosyl methionine (SAM). Expression of DNA methyltransferase 1 (DNMT1), a SAM consumer, positively correlates with OXPHOS inhibition sensitivity. NNMT overexpression and DNMT1 inhibition render OXPHOS inhibition-sensitive cancer cells resistant. Importantly, treatments of OXPHOS inhibitors (Gboxin and Berberine) hamper the growth of mouse tumor xenografts by OXPHOS inhibition sensitive but not resistant cancer cells. What's more, the retrospective study of 62 tumor samples from a clinical trial demonstrates that administration of Berberine reduces the tumor recurrence rate of NNMTlow /DNMT1high but not NNMThigh /DNMT1low colorectal adenomas (CRAs). These results thus reveal a critical role of the NNMT-DNMT1 axis in determining cancer cell reliance on mitochondrial OXPHOS and suggest that NNMT and DNMT1 are faithful biomarkers for OXPHOS-targeting cancer therapies.
Insights
Cancer cells
Area of Science:
- Cancer Biology
- Metabolic Pathways
- Molecular Mechanisms
Background:
- Understanding cancer cell sensitivity to oxidative phosphorylation (OXPHOS) inhibition is crucial for developing targeted therapies.
- The molecular mechanisms governing this sensitivity are not fully understood.
- Identifying biomarkers for OXPHOS-targeting treatments is a key challenge.
Purpose of the Study:
- To identify molecular mechanisms determining cancer cell sensitivity to OXPHOS inhibition.
- To screen for cancer cell lines with varying sensitivity to OXPHOS inhibitors.
- To evaluate the NNMT-DNMT1 axis as a predictor for OXPHOS inhibitor efficacy.
Main Methods:
- Screening of cancer cell lines for sensitivity to OXPHOS inhibition.
- Analysis of nicotinamide N-methyltransferase (NNMT) and DNA methyltransferase 1 (DNMT1) expression.
- In vitro experiments involving NNMT overexpression and DNMT1 inhibition.
- In vivo studies using mouse tumor xenografts with OXPHOS inhibitors (Gboxin, Berberine).
- Retrospective analysis of clinical trial data from colorectal adenoma patients.
Main Results:
- OXPHOS inhibition-sensitive cells exhibit higher OXPHOS activity and lower NNMT expression.
- NNMT expression inversely correlates with OXPHOS inhibition sensitivity by regulating S-adenosyl methionine (SAM) levels.
- DNMT1 expression positively correlates with OXPHOS inhibition sensitivity.
- NNMT overexpression or DNMT1 inhibition confers resistance to OXPHOS inhibitors.
- OXPHOS inhibitors effectively reduced tumor growth in sensitive xenografts.
- Berberine treatment decreased recurrence in patients with NNMTlow/DNMT1high colorectal adenomas.
Conclusions:
- The NNMT-DNMT1 axis is a critical determinant of cancer cell reliance on mitochondrial OXPHOS.
- NNMT and DNMT1 serve as reliable biomarkers for predicting response to OXPHOS-targeting cancer therapies.
- Targeting OXPHOS presents a promising therapeutic strategy for specific cancer subtypes.
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