Complex I protein NDUFB9 is a metabolic vulnerability in triple negative breast cancer brain metastases

Mingxi Lin1,2, Zhexu Wen3, Cheng Zeng1,2

  • 1Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.

Insights

Targeting NDUFB9 offers a new strategy for triple-negative breast cancer brain metastases (TNBC BrMs). This approach exploits a brain-specific metabolic vulnerability to selectively inhibit BrM growth by disrupting aspartate metabolism.

Area of Science:

  • Oncology
  • Metabolic pathways
  • Cancer metastasis

Background:

  • Triple-negative breast cancer brain metastases (TNBC BrMs) present significant therapeutic challenges.
  • Understanding the metabolic differences between primary tumors and brain metastases is crucial for developing targeted therapies.

Purpose of the Study:

  • To identify brain-specific metabolic vulnerabilities in TNBC BrMs.
  • To elucidate the mechanisms underlying TNBC BrM growth and develop targeted therapeutic strategies.

Main Methods:

  • Comparative analysis of primary tumors and BrMs.
  • Metabolomic profiling of patient-matched cerebrospinal fluid and plasma.
  • High-throughput in vivo CRISPR loss-of-function screens to identify key genes.

Main Results:

  • NDUFB9 (NADH: Ubiquinone Oxidoreductase Subunit B9) was identified as a brain-specific metabolic vulnerability.
  • NDUFB9 knockout selectively inhibited BrM outgrowth without affecting extracranial metastases.
  • A dual-hit mechanism involving aspartate depletion and compensatory asparagine biosynthesis was elucidated, leading to suppressed nucleotide synthesis and BrM growth.

Conclusions:

  • NDUFB9 is a promising therapeutic target for TNBC BrMs.
  • Targeting NDUFB9 exploits a unique metabolic vulnerability in the brain microenvironment.
  • This strategy offers a selective approach to suppress TNBC brain metastasis growth.