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Updated: Sep 10, 2025

Author Spotlight: Unveiling the Role of TMOD3 in Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
GPT2 mediates glutamine metabolism-driven metabolic alterations in platinum-resistant ovarian cancer cells
Adriana Ponton-Almodovar1,2, Mary P Udumula3,4, Vrinda Khullar1,2
1Precision Health Program, Michigan State University, East Lansing, MI, 48824, USA.
Abstract:
Metabolic reprogramming is recognized as a hallmark of cancer frequently associated with drug resistance in ovarian cancer. This is problematic as ovarian cancer is one of the deadliest gynecologic cancers with platinum resistance contributing to poor survival. However, the mechanism by which ovarian cancer cell metabolism contributes to platinum resistance is not well understood. Herein, metabolic signatures were determined in platinum-resistant ovarian cancer cell lines compared to the more platinum-sensitive parental lines. Chemoresistant ovarian cancer cells showed increased oxidative phosphorylation (OXPHOS) compared to chemosensitive cells. This was associated with elevated levels of glutaminolysis and tricarboxylic acid (TCA)-related metabolites supporting their dependence on OXPHOS. Key enzymes involved in glutaminolysis, specifically, glutamic-pyruvic transaminase 2 (GPT2), were upregulated in chemoresistant compared to chemosensitive cells. Interestingly, high GPT2 gene expression is associated with worse prognosis in ovarian cancer patients, adding translational relevance to the pre-clinical findings. GPT2 knockout in chemoresistant cells restored the metabolic phenotype to that of the sensitive cells and reversed drug resistance. These data suggest that GPT2 is a critical link between glutaminolysis, the TCA cycle, and OXPHOS and is a potential target to attenuate the increased metabolic activity associated with a chemoresistant phenotype.
Insights
Metabolic reprogramming drives platinum resistance in ovarian cancer. Targeting glutamic-pyruvic transaminase 2 (GPT2) may reverse chemoresistance by normalizing cell metabolism.
Area of Science:
- Oncology
- Cancer Metabolism
- Drug Resistance
Background:
- Metabolic reprogramming is a hallmark of cancer, contributing to drug resistance, particularly in ovarian cancer.
- Platinum resistance significantly impacts survival rates in ovarian cancer patients.
- The specific metabolic mechanisms underlying platinum resistance in ovarian cancer remain unclear.
Purpose of the Study:
- To investigate metabolic differences between platinum-resistant and platinum-sensitive ovarian cancer cells.
- To identify key metabolic enzymes and pathways involved in chemoresistance.
- To evaluate glutamic-pyruvic transaminase 2 (GPT2) as a potential therapeutic target.
Main Methods:
- Comparative analysis of metabolic signatures in platinum-resistant versus sensitive ovarian cancer cell lines.
- Quantification of oxidative phosphorylation (OXPHOS), glutaminolysis, and tricarboxylic acid (TCA) cycle metabolites.
- Assessment of key enzyme expression, including GPT2.
- GPT2 gene knockout in chemoresistant cells to determine its functional role.
Main Results:
- Chemoresistant ovarian cancer cells exhibit increased OXPHOS, glutaminolysis, and TCA cycle activity.
- Upregulation of GPT2, a key glutaminolysis enzyme, was observed in chemoresistant cells.
- High GPT2 gene expression correlates with poorer prognosis in ovarian cancer patients.
- GPT2 knockout reversed the metabolic phenotype and restored sensitivity to platinum drugs.
Conclusions:
- GPT2 is a critical mediator linking glutaminolysis, the TCA cycle, and OXPHOS in chemoresistant ovarian cancer.
- GPT2 represents a promising therapeutic target to overcome platinum resistance.
- Targeting GPT2 could potentially re-sensitize ovarian cancer to chemotherapy.
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