Elucidation of lorlatinib toxicity mechanisms through GC-MS-based metabolomics

Di Niu1, Shiyuan Zhao2, Shanshan Kong3

  • 1Department of Neurosurgery, Jining No.1 People's Hospital, Shandong First Medical University, Jining 272000, China.

Insights

Lorlatinib, an ALK inhibitor for non-small cell lung cancer, may cause toxicity by disrupting lipid, linoleic acid, niacin, and amino acid metabolism. This study reveals lorlatinib

Area of Science:

  • Pharmacology
  • Metabolomics
  • Toxicology

Background:

  • Lorlatinib is a third-generation ALK inhibitor effective against non-small cell lung cancer (NSCLC).
  • The toxicological profile of lorlatinib is not fully understood.
  • Understanding lorlatinib's toxicity is crucial for patient safety.

Purpose of the Study:

  • To investigate the toxicological mechanisms of lorlatinib using metabolomics.
  • To identify specific metabolic pathways affected by lorlatinib exposure in mice.

Main Methods:

  • Untargeted metabolomics was performed on mouse hippocampus, cerebral cortex, lungs, and serum.
  • Differential metabolites were identified between control and lorlatinib-treated groups.
  • KEGG pathway enrichment analysis was conducted on identified metabolites.

Main Results:

  • Lorlatinib exposure altered metabolite profiles in multiple tissues and serum.
  • Key disrupted pathways include lipid metabolism, linoleic acid metabolism, niacin and nicotinamide metabolism, and amino acid metabolism.
  • Significant changes were observed in the brain, lungs, and systemic circulation.

Conclusions:

  • Lorlatinib toxicity may stem from disruptions in lipid, niacin, and amino acid metabolism.
  • Metabolomic analysis provides insights into lorlatinib's tissue-specific effects.
  • This study elucidates potential mechanisms underlying lorlatinib-induced toxicity.