L 型氨基酸转运蛋白 1 通过促进氨基酸代谢与乳腺癌的化疗耐药性相关。

L-type amino acid transporter 1 is associated with chemoresistance in breast cancer via the promotion of amino acid metabolism.

机构信息

Department of Breast and Endocrine Surgical Oncology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.

Department of Pathology, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.

出版信息

Sci Rep. 2021 Jan 12;11(1):589. doi: 10.1038/s41598-020-80668-5.

Abstract

F-FDG PET/CT has been used as an indicator of chemotherapy effects, but cancer cells can remain even when no FDG uptake is detected, indicating the importance of exploring other metabolomic pathways. Therefore, we explored the amino acid metabolism, including L-type amino acid transporter-1 (LAT1), in breast cancer tissues and clarified the role of LAT1 in therapeutic resistance and clinical outcomes of patients. We evaluated LAT1 expression before and after neoadjuvant chemotherapy and examined the correlation of glucose uptake using FDG-PET with the pathological response of patients. It revealed that LAT1 levels correlated with proliferation after chemotherapy, and amino acid and glucose metabolism were closely correlated. In addition, LAT1 was considered to be involved in treatment resistance and sensitivity only in luminal type breast cancer. Results of in vitro analyses revealed that LAT1 promoted amino acid uptake, which contributed to energy production by supplying amino acids to the TCA cycle. However, in MCF-7 cells treated with chemotherapeutic agents, oncometabolites and branched-chain amino acids also played a pivotal role in energy production and drug resistance, despite decreased glucose metabolism. In conclusion, LAT1 was involved in drug resistance and could be a novel therapeutic target against chemotherapy resistance in luminal type breast cancer.

摘要

氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(18F-FDG PET/CT)已被用作化疗效果的指标,但即使没有检测到 18F-FDG 摄取,癌细胞仍可能存在,这表明探索其他代谢组学途径的重要性。因此,我们探索了乳腺癌组织中的氨基酸代谢,包括 L 型氨基酸转运蛋白 1(LAT1),并阐明了 LAT1 在治疗耐药性和患者临床结局中的作用。我们评估了新辅助化疗前后 LAT1 的表达,并检查了葡萄糖摄取使用 18F-FDG-PET 与患者病理反应的相关性。结果表明,LAT1 水平与化疗后增殖相关,且氨基酸和葡萄糖代谢密切相关。此外,LAT1 被认为仅在腔型乳腺癌中与治疗耐药性和敏感性有关。体外分析结果表明,LAT1 促进氨基酸摄取,通过将氨基酸供应给 TCA 循环来产生能量。然而,在接受化疗药物治疗的 MCF-7 细胞中,即使葡萄糖代谢减少,代谢物和支链氨基酸也在能量产生和耐药性中发挥关键作用。总之,LAT1 参与了耐药性的发生,可能成为针对腔型乳腺癌化疗耐药性的新治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e0f/7803739/f4aed33bdf1e/41598_2020_80668_Fig1_HTML.jpg

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