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ADAR1 Regulates Lipid Remodeling to Dictate Ferroptosis Sensitivity
Abstract:
Triple-negative breast cancer (TNBC), defined by the lack of estrogen, progesterone, and HER2 receptor expressions, is aggressive and lacks targeted treatment options. Adenosine deaminase acting on RNA 1 (ADAR1) has been shown to contribute to TNBC tumorigenesis by modulating innate immune response. However, little is known about its role in regulating the metabolic fitness of TNBC. We tested the hypothesis that ferroptosis is an ADAR1-protected vulnerability by showing that ADAR1 knockdown sensitizes TNBC cells to ferroptosis inducers. Lipidomic analyses showed that ADAR1 loss increased the abundance of polyunsaturated fatty acid phospholipids, of which peroxidation is the main driver of ferroptosis. Transcriptomic analyses discovered that proto-oncogene MDM2 contributes to the lipid remodeling phenotype. A ferroptosis-focused drug screen identified FDA-approved cobimetinib as a drug-repurposing candidate to synergize with ADAR1 loss. This finding supports further basic, pre-clinical, and clinical studies to develop novel therapeutic strategies for TNBC through ADAR1-mediated metabolic regulation.
Insights
Adenosine deaminase acting on RNA 1 (ADAR1) protects aggressive triple-negative breast cancer (TNBC) from cell death. Inhibiting ADAR1 sensitizes TNBC to ferroptosis, offering a new therapeutic vulnerability for this challenging cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Triple-negative breast cancer (TNBC) is aggressive and lacks targeted therapies.
- Adenosine deaminase acting on RNA 1 (ADAR1) is implicated in TNBC development.
- ADAR1 may protect TNBC from metabolic stress.
Purpose of the Study:
- To investigate the role of ADAR1 in ferroptosis, an iron-dependent cell death pathway, in TNBC.
- To identify therapeutic strategies targeting ADAR1-mediated metabolic vulnerabilities in TNBC.
Main Methods:
- ADAR1 knockdown in TNBC cells.
- Sensitivity assays with GPX4 inhibitors.
- Liquid chromatography-mass spectrometry (LC-MS) for lipid profiling.
- Transcriptomic analysis.
- Phenotypic drug screening with a ferroptosis-focused library.
Main Results:
- ADAR1 knockdown sensitized TNBC cells to GPX4 inhibitors, indicating a role in ferroptosis regulation.
- Loss of ADAR1 increased polyunsaturated fatty acid phospholipids (PUFA-PL), key drivers of ferroptosis.
- Transcriptomic analysis identified the proto-oncogene MDM2 as involved in lipid remodeling upon ADAR1 loss.
- Cobimetinib was identified as a potential drug-repurposing candidate to synergize with ADAR1 loss.
Conclusions:
- ADAR1 acts as a homeostatic factor protecting TNBC from ferroptosis.
- Targeting ADAR1 could exploit a metabolic vulnerability in TNBC.
- Findings support further investigation for novel TNBC therapeutic strategies.
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