LKB1-Dependent Regulation of TPI1 Creates a Divergent Metabolic Liability between Human and Mouse Lung Adenocarcinoma

Benjamin D Stein1, John R Ferrarone1, Eric E Gardner1

  • 1Sandra and Edward Meyer Cancer Center, Department of Medicine, Weill Cornell Medicine, New York, New York.

Cancer Discovery
|January 30, 2023
PubMed

Insights

Human lung cancer with KRAS mutations rarely loses LKB1 function due to an evolutionary divergence in triosephosphate isomerase (TPI1) regulation, unlike mouse models. This metabolic difference impacts tumor aggressiveness.

Area of Science:

  • Biochemistry
  • Oncology
  • Metabolic Regulation

Background:

  • KRAS mutations are common in human lung adenocarcinomas (hLUAD) and often co-occur with TP53 or STK11/LKB1 mutations.
  • Simultaneous mutation of KRAS, TP53, and STK11/LKB1 is rare in hLUAD but leads to aggressive disease in mouse models (mLUAD).

Purpose of the Study:

  • To mechanistically explain the difference in tri-mutated LUAD between humans and mice.
  • To uncover evolutionary divergence in metabolic regulation relevant to LUAD genotypes.

Main Methods:

  • Phosphoproteomics and metabolomics were employed.
  • Studies utilized genetically engineered human cell lines and mouse models (GEMM).

Main Results:

  • An evolutionary divergence in triosephosphate isomerase (TPI1) regulation was identified.
  • In hLUAD, TPI1 is regulated by LKB1-dependent SIK phosphorylation; in mice, TPI1 cysteine oxidation alters activity independently of SIKs/LKB1.
  • This metabolic flexibility in mice supports rapid growth in KRAS and TP53-mutated cells.

Conclusions:

  • The differential regulation of TPI1 explains why LKB1 loss is tolerated in mouse models but creates a liability in human LUAD.
  • Findings highlight the limits of GEMMs in studying human diseases and offer therapeutic implications for LUAD.