GSTK1 suppresses HCC aggravation via L-carnitine metabolism by PGAM5/DRP1 complex-mediated mitochondrial quality

Yuze Shi1,2,3, Jinyao Zhang2,3,4, Bojiao Song2,3,4

  • 1Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu Province, 210008, China.

Abstract

Insights

Glutathione S-transferase kappa 1 (GSTK1) suppresses hepatocellular carcinoma (HCC) by regulating mitochondrial quality control and L-carnitine metabolism. Bexarotene and L-carnitine show promise for HCC treatment.

Area of Science:

  • Hepatology
  • Oncology
  • Biochemistry

Background:

  • Hepatocellular carcinoma (HCC) presents a significant global health challenge due to high mortality rates and treatment resistance.
  • Novel therapeutic strategies are crucial for improving clinical outcomes in HCC patients.
  • The specific role of Glutathione S-transferase kappa 1 (GSTK1) in HCC pathogenesis remained unexplored.

Purpose of the Study:

  • To elucidate the function of GSTK1 in the progression of hepatocellular carcinoma.
  • To investigate the underlying molecular mechanisms by which GSTK1 influences HCC development.

Main Methods:

  • Established murine HCC models using N-nitrosodiethylamine (DEN) with chemical or dietary insults.
  • Utilized human HCC cell lines with manipulated GSTK1 expression (overexpression/knockdown) for in vitro functional assays.
  • Employed omics analyses (metabolomics, RNA-seq), microscopy (TEM), and biochemical assays (IP, LC-MS/MS) to determine GSTK1's mechanism of action.

Main Results:

  • GSTK1 demonstrated tumor-suppressive activity against HCC both in vivo and in vitro.
  • GSTK1 modulates L-carnitine metabolism, and L-carnitine supplementation inhibited HCC cell proliferation and promoted apoptosis.
  • GSTK1 enhances mitochondrial quality control by promoting mitochondrial biosynthesis and fusion, while inhibiting fission and mitophagy, partly through interaction with PGAM5.

Conclusions:

  • GSTK1 acts as a tumor suppressor in HCC through its influence on mitochondrial quality control and L-carnitine metabolism.
  • Targeted interventions, including bexarotene and L-carnitine supplementation, represent potential therapeutic avenues for HCC treatment.