Mathur Deepti, Stratikopoulos Elias, Ozturk Sait, Steinbach Nicole, Pegno Sarah, Schoenfeld Sarah, Yong Raymund, Murty Vundavalli V, Asara John M, Cantley Lewis C, Parsons Ramon
Department of Oncological Sciences, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Department of Integrated Cellular and Molecular Biology, Columbia University, New York, New York.
Cancer Discov. 2017 Apr;7(4):380-390. doi: 10.1158/2159-8290.CD-16-0612. Epub 2017 Mar 2.
Metabolic changes induced by oncogenic drivers of cancer contribute to tumor growth and are attractive targets for cancer treatment. Here, we found that increased growth of -mutant cells was dependent on glutamine flux through the pyrimidine synthesis pathway, which created sensitivity to the inhibition of dihydroorotate dehydrogenase, a rate-limiting enzyme for pyrimidine ring synthesis. S-phase -mutant cells showed increased numbers of replication forks, and inhibitors of dihydroorotate dehydrogenase led to chromosome breaks and cell death due to inadequate ATR activation and DNA damage at replication forks. Our findings indicate that enhanced glutamine flux generates vulnerability to dihydroorotate dehydrogenase inhibition, which then causes synthetic lethality in -deficient cells due to inherent defects in ATR activation. Inhibition of dihydroorotate dehydrogenase could thus be a promising therapy for patients with -mutant cancers. We have found a prospective targeted therapy for -deficient tumors, with efficacy and in tumors derived from different tissues. This is based upon the changes in glutamine metabolism, DNA replication, and DNA damage response which are consequences of inactivation of .
癌症致癌驱动因素诱导的代谢变化有助于肿瘤生长,是癌症治疗的有吸引力的靶点。在这里,我们发现突变细胞生长的增加依赖于通过嘧啶合成途径的谷氨酰胺通量,这使得细胞对二氢乳清酸脱氢酶(嘧啶环合成的限速酶)的抑制产生敏感性。S期突变细胞显示复制叉数量增加,二氢乳清酸脱氢酶抑制剂导致染色体断裂和细胞死亡,原因是ATR激活不足以及复制叉处的DNA损伤。我们的研究结果表明,增强的谷氨酰胺通量使细胞易受二氢乳清酸脱氢酶抑制的影响,进而由于ATR激活的固有缺陷在缺乏的细胞中导致合成致死。因此,抑制二氢乳清酸脱氢酶可能是患有突变癌症患者的一种有前景的治疗方法。我们已经为缺乏的肿瘤找到了一种前瞻性的靶向治疗方法,在源自不同组织的肿瘤中具有疗效。这是基于谷氨酰胺代谢、DNA复制和DNA损伤反应的变化,这些都是失活的后果。