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Updated: Aug 20, 2025

Automated Imaging and Analysis for the Quantification of Fluorescently Labeled Macropinosomes
Published on: August 24, 2021
ATM inhibition drives metabolic adaptation via induction of macropinocytosis
Zhentai Huang1, Chi-Wei Chen1, Raquel Buj1
1Department of Pharmacology & Chemical Biology and UPMC Hillman Cancer Center, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Abstract:
Macropinocytosis is a nonspecific endocytic process that may enhance cancer cell survival under nutrient-poor conditions. Ataxia-Telangiectasia mutated (ATM) is a tumor suppressor that has been previously shown to play a role in cellular metabolic reprogramming. We report that the suppression of ATM increases macropinocytosis to promote cancer cell survival in nutrient-poor conditions. Combined inhibition of ATM and macropinocytosis suppressed proliferation and induced cell death both in vitro and in vivo. Supplementation of ATM-inhibited cells with amino acids, branched-chain amino acids (BCAAs) in particular, abrogated macropinocytosis. Analysis of ATM-inhibited cells in vitro demonstrated increased BCAA uptake, and metabolomics of ascites and interstitial fluid from tumors indicated decreased BCAAs in the microenvironment of ATM-inhibited tumors. These data reveal a novel basis of ATM-mediated tumor suppression whereby loss of ATM stimulates protumorigenic uptake of nutrients in part via macropinocytosis to promote cancer cell survival and reveal a potential metabolic vulnerability of ATM-inhibited cells.
Insights
Loss of ATM tumor suppressor enhances cancer cell survival by increasing macropinocytosis under nutrient scarcity. Inhibiting both ATM and macropinocytosis, or supplementing BCAAs, suppressed cancer growth.
Area of Science:
- Cancer Biology
- Cellular Metabolism
- Tumor Suppression
Background:
- Macropinocytosis is a cellular process potentially aiding cancer cell survival in nutrient-poor environments.
- Ataxia-Telangiectasia mutated (ATM) is a tumor suppressor involved in metabolic reprogramming.
- The interplay between ATM, macropinocytosis, and cancer metabolism remains incompletely understood.
Purpose of the Study:
- To investigate the role of ATM suppression in regulating macropinocytosis and cancer cell survival.
- To explore the therapeutic potential of targeting ATM and macropinocytosis in cancer.
- To elucidate the metabolic alterations associated with ATM inhibition and their impact on nutrient uptake.
Main Methods:
- In vitro and in vivo experiments involving cancer cell lines and tumor models.
- Genetic suppression of ATM and pharmacological inhibition of macropinocytosis.
- Amino acid supplementation assays, BCAA uptake analysis, and metabolomics.
Main Results:
- Suppression of ATM significantly increased macropinocytosis, enhancing cancer cell survival under nutrient-poor conditions.
- Combined inhibition of ATM and macropinocytosis led to suppressed proliferation and induced cell death.
- Supplementation with BCAAs abrogated ATM-induced macropinocytosis and normalized BCAA levels in the tumor microenvironment.
Conclusions:
- Loss of ATM function promotes cancer cell survival by upregulating macropinocytosis for nutrient acquisition.
- Targeting ATM and macropinocytosis presents a potential therapeutic strategy.
- ATM-inhibited cancer cells exhibit a metabolic vulnerability related to BCAA uptake, offering a novel target for intervention.
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