The unique catalytic properties of PSAT1 mediate metabolic adaptation to glutamine blockade

Yijian Qiu1, Olivia T Stamatatos1, Qingting Hu1,2

  • 1Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA.

Nature Metabolism
|August 27, 2024
PubMed

Insights

Cancer cells adapt to glutamine starvation by upregulating the serine synthesis pathway (SSP) to produce alpha-ketoglutarate (α-KG). Targeting this adaptive pathway synergizes with glutaminase (GLS) inhibitors to suppress tumor growth.

Area of Science:

  • Biochemistry
  • Cancer Metabolism
  • Molecular Biology

Background:

  • Cultured cancer cells often depend on glutamine metabolism via glutaminase (GLS).
  • This glutamine dependency can be lost in the tumor microenvironment, limiting the clinical efficacy of GLS inhibitors.
  • Understanding cancer cell adaptation to nutrient stress is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the adaptive mechanisms of breast cancer cells to glutamine starvation or GLS inhibition.
  • To identify key metabolic pathways and enzymes involved in cancer cell survival under nutrient-limited conditions.
  • To explore therapeutic strategies targeting metabolic vulnerabilities in cancer.

Main Methods:

  • Utilized cultured breast cancer cells and analyzed metabolic pathway alterations.
  • Investigated the role of AMP-activated protein kinase (AMPK) in regulating metabolic pathways.
  • Assessed the production of serine and alpha-ketoglutarate (α-KG) by the serine synthesis pathway (SSP).
  • Examined the function of phosphoserine aminotransferase 1 (PSAT1) in α-KG production.
  • Evaluated the efficacy of combined SSP and GLS inhibition in preclinical models.

Main Results:

  • Glutamine-addicted breast cancer cells adapt to glutamine starvation or GLS inhibition by upregulating the SSP via AMPK.
  • The primary metabolic output of the upregulated SSP under these conditions is α-KG, not serine.
  • Phosphoserine aminotransferase 1 (PSAT1) plays a critical role in sustained α-KG production when glutamate is depleted.
  • Cancer cells resistant to glutamine starvation or GLS inhibition exhibit a strong dependence on SSP-derived α-KG.
  • Inhibiting the SSP prevents adaptation to glutamine blockade and synergizes with GLS inhibitors to suppress tumor growth.

Conclusions:

  • Metabolic redundancy in cancer is context-dependent and influenced by enzyme catalytic properties.
  • Breast cancer cells can adapt to glutamine deprivation by rerouting metabolism through the SSP to generate α-KG.
  • Targeting the SSP in combination with GLS inhibitors represents a promising therapeutic strategy for overcoming resistance in cancer treatment.
  • These findings have significant implications for the design of cancer therapies that target metabolic vulnerabilities.

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