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Updated: Jun 6, 2025

Automated Imaging and Analysis for the Quantification of Fluorescently Labeled Macropinosomes
Published on: August 24, 2021
CARMIL1-AA selectively inhibits macropinocytosis while sparing autophagy
Rebecca M Lim1, Alexa Lu2, Brennan M Chuang1
1Department of Developmental and Cell Biology, Charlie Dunlop School of Biological Sciences, University of California, Irvine, CA 92617.
Abstract:
Macropinocytosis is reported to fuel tumor growth and drug resistance by allowing cancer cells to scavenge extracellular macromolecules. However, accurately defining the role of macropinocytosis in cancer depends on our ability to selectively block this process. 5-(N-ethyl-N-isopropyl)-amiloride (EIPA) is widely used to inhibit macropinocytosis but affects multiple Na+/H+ exchangers (NHE) that regulate cytoplasmic and organellar pH. Consistent with this, we report that EIPA slows proliferation to a greater extent than can be accounted for by macropinocytosis inhibition and triggers conjugation of ATG8 to single membranes (CASM). Knocking down only NHE1 would not avoid macropinocytosis-independent effects on pH. Moreover, contrary to published reports, NHE1 loss did not block macropinocytosis in multiple cell lines. Knocking down CARMIL1 with CRISPR-Cas9 editing limited macropinocytosis, but only by 50%. In contrast, expressing the CARMIL1-AA mutant inhibits macropinocytosis induced by a wide range of macropinocytic stimuli to a similar extent as EIPA. CARMIL1-AA expression did not inhibit proliferation, highlighting the shortcomings of EIPA as a macropinocytosis inhibitor. Importantly, autophagy, another actin dependent, nutrient-producing process, was not affected by CARMIL1-AA expression. In sum, constitutive or inducible CARMIL1-AA expression reduced macropinocytosis without affecting proliferation, RAC activation, or autophagy, other processes that drive tumor initiation and progression.
Insights
Cancer cells use macropinocytosis to grow and resist drugs. A new CARMIL1-AA mutant selectively inhibits macropinocytosis without impacting cell proliferation or autophagy.
Area of Science:
- Cell Biology
- Cancer Research
- Molecular Biology
Background:
- Macropinocytosis fuels tumor growth and drug resistance by enabling cancer cells to internalize extracellular macromolecules.
- Selective inhibition of macropinocytosis is crucial for understanding its precise role in cancer.
- The widely used inhibitor EIPA affects multiple Na+/H+ exchangers (NHE), leading to off-target effects on pH and proliferation.
Purpose of the Study:
- To develop a selective inhibitor of macropinocytosis.
- To evaluate the role of macropinocytosis in cancer progression independently of its inhibitors' side effects.
- To investigate the efficacy of CARMIL1-AA as a selective macropinocytosis inhibitor.
Main Methods:
- CRISPR-Cas9 gene editing to knock down CARMIL1.
- Expression of a CARMIL1-AA mutant to inhibit macropinocytosis.
- Assessing macropinocytosis, proliferation, RAC activation, and autophagy.
- Utilizing the inhibitor EIPA and NHE1 knockdown for comparison.
Main Results:
- EIPA inhibits proliferation more than macropinocytosis and triggers ATG8 conjugation (CASM).
- NHE1 loss did not block macropinocytosis and had off-target pH effects.
- CARMIL1-AA expression selectively inhibited macropinocytosis without affecting proliferation or autophagy.
- CARMIL1-AA demonstrated comparable inhibition to EIPA but without EIPA's side effects.
Conclusions:
- CARMIL1-AA is a selective inhibitor of macropinocytosis, offering a better tool than EIPA for studying cancer.
- Selective inhibition of macropinocytosis via CARMIL1-AA does not impede cell proliferation or autophagy.
- Targeting macropinocytosis with selective inhibitors like CARMIL1-AA is a promising strategy for cancer research.
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