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Published on: February 8, 2017
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.
Abstract:
Triple-negative breast cancer (TNBC) brain metastases (BrMs) remain a therapeutic challenge. We depict the discrepancies between primary tumors and BrMs, and examine patient-matched cerebrospinal fluid and plasma to provide detailed profiles of BrMs' metabolic microenvironment. High-throughput in vivo loss of function CRISPR screens identify NDUFB9 (NADH: Ubiquinone Oxidoreductase Subunit B9) as a brain-specific metabolic vulnerability. NDUFB9-knockout selectively inhibits the BrMs outgrowth without affecting extracranial metastases. Mechanistically, TNBC cells exhibit an imbalance between aspartate upstream supply and downstream biosynthetic demand. NDUFB9-knockout disrupts mitochondrial complex I and reduces intracellular aspartate, but this alone is insufficient to inhibit TNBC proliferation. Instead, the lower asparagine concentration in the brain microenvironment induces compensatory upregulation of asparagine synthetase, which further diverts aspartate toward asparagine biosynthesis. This dual-hit mechanism exhausts the aspartate pool and restricts nucleotide biosynthesis, thereby selectively suppressing BrM outgrowth. Our findings uncover a therapeutic strategy for TNBC BrMs.
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.
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