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MAT2A inhibition combats metabolic and transcriptional reprogramming in cancer
Fadi E Pulous1, Barbara Steurer1, Frank W Pun2
1Insilico Medicine US Inc, 1000 Massachusetts Avenue, Suite 126, Cambridge, MA 02138, USA.
Abstract:
Metabolic and transcriptional reprogramming are crucial hallmarks of carcinogenesis that present exploitable vulnerabilities for the development of targeted anticancer therapies. Through controlling the balance of the cellular methionine (MET) metabolite pool, MET adenosyl transferase 2 alpha (MAT2A) regulates crucial steps during metabolism and the epigenetic control of transcription. The aberrant function of MAT2A has been shown to drive malignant transformation through metabolic addiction, transcriptional rewiring, and immune modulation of the tumor microenvironment (TME). Moreover, MAT2A sustains the survival of 5'-methylthioadenosine phosphorylase (MTAP)-deficient tumors, conferring synthetic lethality to cancers with MTAP loss, a genetic alteration that occurs in ∼15% of all cancers. Thus, the pharmacological inhibition of MAT2A is emerging as a desirable therapeutic strategy to combat tumor growth. Here, we review the latest insights into MAT2A biology, focusing on its roles in both metabolic addiction and gene expression modulation in the TME, outline the current landscape of MAT2A inhibitors, and highlight the most recent clinical developments and opportunities for MAT2A inhibition as a novel anti-tumor therapy.
Insights
Targeting MAT2A (MET adenosyl transferase 2 alpha) offers a novel anti-tumor therapy. Its inhibition exploits cancer vulnerabilities, particularly in MTAP-deficient tumors, by disrupting metabolic and transcriptional processes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Metabolism
Background:
- Carcinogenesis involves metabolic and transcriptional reprogramming, creating vulnerabilities for targeted therapies.
- MET adenosyl transferase 2 alpha (MAT2A) regulates cellular methionine metabolism and epigenetic transcription.
- Aberrant MAT2A function drives malignant transformation via metabolic addiction, transcriptional rewiring, and immune modulation.
Purpose of the Study:
- To review the biological roles of MAT2A in cancer.
- To outline the current landscape of MAT2A inhibitors.
- To highlight clinical developments and opportunities for MAT2A-targeted therapies.
Main Methods:
- Literature review of MAT2A biology and its role in cancer.
- Analysis of current MAT2A inhibitor drug development.
- Summary of recent clinical trial data and therapeutic strategies.
Main Results:
- MAT2A plays a critical role in sustaining MTAP-deficient tumors, presenting a synthetic lethality vulnerability.
- MAT2A inhibition impacts tumor metabolism, gene expression, and the tumor microenvironment (TME).
- Several MAT2A inhibitors are in preclinical and clinical development.
Conclusions:
- Pharmacological inhibition of MAT2A is a promising therapeutic strategy against various cancers, especially those with MTAP loss.
- Targeting MAT2A offers a novel approach to combat tumor growth by exploiting metabolic and epigenetic vulnerabilities.
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