Akt enhances the vulnerability of cancer cells to VCP/p97 inhibition-mediated paraptosis
Dong Min Lee1,2, In Young Kim1,2, Hong Jae Lee1,2
1Department of Biochemistry and Molecular Biology, Ajou University School of Medicine, Suwon, Republic of Korea.
Abstract:
Valosin-containing protein (VCP)/p97, an AAA+ ATPase critical for maintaining proteostasis, emerges as a promising target for cancer therapy. This study reveals that targeting VCP selectively eliminates breast cancer cells while sparing non-transformed cells by inducing paraptosis, a non-apoptotic cell death mechanism characterized by endoplasmic reticulum and mitochondria dilation. Intriguingly, oncogenic HRas sensitizes non-transformed cells to VCP inhibition-mediated paraptosis. The susceptibility of cancer cells to VCP inhibition is attributed to the non-attenuation and recovery of protein synthesis under proteotoxic stress. Mechanistically, mTORC2/Akt activation and eIF3d-dependent translation contribute to translational rebound and amplification of proteotoxic stress. Furthermore, the ATF4/DDIT4 axis augments VCP inhibition-mediated paraptosis by activating Akt. Given that hyperactive Akt counteracts chemotherapeutic-induced apoptosis, VCP inhibition presents a promising therapeutic avenue to exploit Akt-associated vulnerabilities in cancer cells by triggering paraptosis while safeguarding normal cells.
Insights
Targeting valosin-containing protein (VCP) selectively kills breast cancer cells via paraptosis, a unique cell death pathway. This approach spares normal cells and exploits cancer-specific vulnerabilities for therapy.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Valosin-containing protein (VCP)/p97 is an AAA+ ATPase crucial for proteostasis.
- VCP is a promising target for cancer therapy due to its role in protein homeostasis.
Purpose of the Study:
- To investigate the therapeutic potential of VCP inhibition in breast cancer.
- To elucidate the mechanism of VCP inhibition-induced cell death and identify factors influencing cancer cell susceptibility.
Main Methods:
- Cell viability assays in breast cancer and non-transformed cells.
- Analysis of cell death mechanisms, including paraptosis markers (ER and mitochondrial dilation).
- Investigation of signaling pathways involved in protein synthesis regulation and cell death.
Main Results:
- VCP inhibition selectively eliminated breast cancer cells by inducing paraptosis.
- Oncogenic HRas sensitized non-transformed cells to VCP inhibition.
- Cancer cell susceptibility was linked to sustained protein synthesis and mTORC2/Akt activation.
- The ATF4/DDIT4 axis amplified VCP inhibition-mediated paraptosis.
Conclusions:
- Targeting VCP induces paraptosis, a selective cell death mechanism effective against breast cancer.
- Exploiting VCP inhibition leverages cancer-specific vulnerabilities related to protein synthesis and Akt signaling.
- VCP inhibition offers a promising therapeutic strategy to selectively eliminate cancer cells while preserving normal tissues.
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