Dual targeting PPARα and NPC1L1 metabolic vulnerabilities blocks tumorigenesis

Xiaona You1, Xi Hu2, Zenghui Sun2

  • 1Advanced Medical Research Institute, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China; School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China.

Cancer Letters
|January 25, 2025
PubMed

Insights

Targeting lipid metabolism in breast cancer, this study found that inhibiting Niemann-Pick C1-like 1 (NPC1L1) alongside activating peroxisome proliferator-activated receptor α (PPARα) induced cancer cell death and suppressed tumor growth.

Area of Science:

  • Oncology
  • Molecular Biology
  • Metabolic Pathways

Background:

  • Dysregulated lipid metabolism is a hallmark of cancer, influencing tumor progression.
  • PKM2 (Pyruvate Kinase M2) plays a role in cancer metabolism, but its downstream effectors are not fully understood.
  • Niemann-Pick C1-like 1 (NPC1L1) is involved in cholesterol absorption and its role in cancer is emerging.

Purpose of the Study:

  • To investigate the role of NPC1L1 as a downstream target of PKM2 in breast cancer.
  • To explore the therapeutic potential of targeting NPC1L1 and PPARα signaling in breast cancer.

Main Methods:

  • Utilized PKM2 knockout (KO) breast cancer cell models.
  • Investigated the effects of fenofibrate (PPARα activator) and ezetimibe (NPC1L1 inhibitor) on cell apoptosis and tumor growth.
  • Analyzed molecular mechanisms including transcription factor recruitment, IRE1α/XBP1s pathway activation, and histone modifications (H3K27 demethylation).

Main Results:

  • PKM2 KO enhanced NPC1L1 expression and downregulated PPARα signaling.
  • Fenofibrate and ezetimibe synergistically induced breast cancer cell apoptosis via IRE1α/XBP1s/KDM6B pathway activation and H3K27 acetylation.
  • Combined treatment significantly inhibited tumor growth in vivo.

Conclusions:

  • NPC1L1 is a downstream effector of PKM2 in breast cancer.
  • Dual targeting of PPARα and NPC1L1 presents a promising novel therapeutic strategy for breast cancer.
  • The IRE1α/XBP1s/KDM6B axis mediates the anti-cancer effects of combined fenofibrate and ezetimibe treatment.

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