Metabolomic Profiling Reveals Key Metabolic Alterations in MCF7 Tamoxifen-Resistant Cells Following EPAS1 Inhibition

Enzhi Luo1, Neeraj Manvi Agarwal1, Junjeong Choi1

  • 1Yonsei Institute of Pharmaceutical Sciences, College of Pharmacy, Yonsei University, Incheon 21983, South Korea.

PubMed

Insights

Tamoxifen resistance in breast cancer is linked to EPAS1-driven metabolic changes. Inhibiting EPAS1 with PT2977 may restore tamoxifen sensitivity by normalizing cell metabolism.

Area of Science:

  • Molecular Biology
  • Cancer Metabolism
  • Drug Resistance

Background:

  • Tamoxifen (TAM) is a primary treatment for luminal A breast cancer.
  • Acquired resistance to TAM presents a major clinical obstacle.
  • Understanding resistance mechanisms is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the role of EPAS1 (HIF-2α) in tamoxifen resistance.
  • To explore EPAS1-driven metabolic reprogramming under hypoxia.
  • To evaluate the efficacy of EPAS1 inhibitor PT2977 in overcoming TAM resistance.

Main Methods:

  • Comparative transcriptomic analysis of resistant vs. sensitive cells.
  • Untargeted LC-MS/MS metabolomics to identify altered metabolites.
  • Investigating the impact of EPAS1 inhibition on metabolic pathways and cell viability.

Main Results:

  • Resistant cells showed upregulated EPAS1 and enriched hypoxia-associated pathways (JAK-STAT, TGF-beta, lipid metabolism).
  • Significant dysregulation in glutamate, glutathione, Warburg effect, and fatty acid oxidation was observed.
  • EPAS1 promoted fatty acid uptake (CD36) and glutamine metabolism (SLC1A5), aiding survival.
  • PT2977 treatment normalized metabolite profiles and reduced cell viability.

Conclusions:

  • EPAS1-mediated metabolic reprogramming is a key driver of tamoxifen resistance.
  • EPAS1 inhibition by PT2977 shows promise for overcoming resistance in luminal A breast cancer.
  • Targeting EPAS1 offers a potential therapeutic strategy for resistant breast cancer.

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