FASN targeting by G28UCM impairs mitochondrial fatty acid synthesis and reveals a FASN-SDHB synthetic interaction

Nastasia Wilfinger-Lutz1, Kristina M Kuehrer1, Maria J Bueno2

  • 1Internal Medicine I, Medical University Vienna and Comprehensive Cancer Center, Austria.

Pharmacological Research
|January 11, 2026
PubMed

Insights

A novel fatty acid synthase (FASN) inhibitor, G28UCM, disrupts both cytosolic and mitochondrial metabolism, inducing significant cancer cell stress. Dual inhibition of FASN and succinate dehydrogenase B (SDHB) shows therapeutic promise across multiple cancer types.

Area of Science:

  • Biochemistry
  • Cancer Biology
  • Metabolic Pathways

Background:

  • Metabolic reprogramming is crucial for cancer growth, involving lipid synthesis and mitochondrial function.
  • The interplay between lipogenesis and oxidative metabolism in cancer is not fully understood.
  • Lipid synthesis inhibitors' effects on oxidative metabolism require further investigation.

Purpose of the Study:

  • To identify novel therapeutic targets by investigating the impact of FASN inhibition on cancer metabolism.
  • To explore the mechanism of action of the FASN inhibitor G28UCM.
  • To evaluate the therapeutic potential of combined FASN and SDHB inhibition in cancer.

Main Methods:

  • Utilized the FASN inhibitor G28UCM to assess its effects on cellular metabolism.
  • Investigated the impact of G28UCM on mitochondrial fatty acid synthase (mtFAS) and succinate dehydrogenase subunit B (SDHB).
  • Performed genetic depletion of FASN and assessed tumor growth in preclinical cancer models.

Main Results:

  • G28UCM destabilized mtFAS and SDHB, leading to metabolic stress, including pseudohypoxia and ferroptosis.
  • Genetic FASN depletion did not replicate G28UCM's effects, suggesting a broader mechanism.
  • Dual inhibition of FASN and SDHB demonstrated synthetic lethality and suppressed tumor growth in vitro and in vivo.

Conclusions:

  • G28UCM targets both cytosolic and mitochondrial metabolism, offering a unique therapeutic strategy.
  • A synthetic interaction between FASN and SDHB is identified, highlighting a novel therapeutic vulnerability.
  • Combined FASN and SDH inhibition presents a promising approach for treating cancers, particularly those with SDHB mutations.