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贝达喹啉是一种经 FDA 批准的药物,通过靶向 ATP 合酶的γ亚基(ATP5F1C)抑制线粒体 ATP 产生和体内转移。

Bedaquiline, an FDA-approved drug, inhibits mitochondrial ATP production and metastasis in vivo, by targeting the gamma subunit (ATP5F1C) of the ATP synthase.

机构信息

Translational Medicine, School of Science, Engineering and Environment (SEE), University of Salford, Greater Manchester, UK.

The Department of Pharmacy, Health and Nutritional Sciences, The University of Calabria, Cosenza, Italy.

出版信息

Cell Death Differ. 2021 Sep;28(9):2797-2817. doi: 10.1038/s41418-021-00788-x. Epub 2021 May 13.

Abstract

Here, we provide evidence that high ATP production by the mitochondrial ATP-synthase is a new therapeutic target for anticancer therapy, especially for preventing tumor progression. More specifically, we isolated a subpopulation of ATP-high cancer cells which are phenotypically aggressive and demonstrate increases in proliferation, stemness, anchorage-independence, cell migration, invasion and multi-drug resistance, as well as high antioxidant capacity. Clinically, these findings have important implications for understanding treatment failure and cancer cell dormancy. Using bioinformatic analysis of patient samples, we defined a mitochondrial-related gene signature for metastasis, which features the gamma-subunit of the mitochondrial ATP-synthase (ATP5F1C). The relationship between ATP5F1C protein expression and metastasis was indeed confirmed by immunohistochemistry. Next, we used MDA-MB-231 cells as a model system to functionally validate these findings. Importantly, ATP-high MDA-MB-231 cells showed a nearly fivefold increase in metastatic capacity in vivo. Consistent with these observations, ATP-high cells overexpressed (i) components of mitochondrial complexes I-V, including ATP5F1C, and (ii) markers associated with circulating tumor cells (CTCs) and metastasis, such as EpCAM and VCAM1. Knockdown of ATP5F1C expression significantly reduced ATP-production, anchorage-independent growth, and cell migration, as predicted. Similarly, therapeutic administration of the FDA-approved drug, Bedaquiline, downregulated ATP5F1C expression in vitro and prevented spontaneous metastasis in vivo. In contrast, Bedaquiline had no effect on the growth of non-tumorigenic mammary epithelial cells (MCF10A) or primary tumors in vivo. Taken together, our results suggest that mitochondrial ATP depletion is a new therapeutic strategy for metastasis prophylaxis, to avoid treatment failure. In summary, we conclude that mitochondrial ATP5F1C is a promising new biomarker and molecular target for future drug development, for the prevention of metastatic disease progression.

摘要

在这里,我们提供了证据表明,线粒体 ATP 合酶产生的高 ATP 是癌症治疗的新治疗靶点,特别是用于预防肿瘤进展。更具体地说,我们分离出了一群 ATP 高的癌细胞亚群,这些细胞具有侵袭性表型,并表现出增殖、干性、锚定独立性、细胞迁移、侵袭和多药耐药性增加,以及高抗氧化能力。临床上,这些发现对于理解治疗失败和癌细胞休眠具有重要意义。通过对患者样本的生物信息学分析,我们确定了一个与转移相关的线粒体相关基因特征,其特征是线粒体 ATP 合酶的γ亚基(ATP5F1C)。ATP5F1C 蛋白表达与转移之间的关系确实通过免疫组织化学得到了证实。接下来,我们使用 MDA-MB-231 细胞作为模型系统来验证这些发现。重要的是,ATP 高的 MDA-MB-231 细胞在体内的转移能力增加了近五倍。与这些观察结果一致,ATP 高的细胞过度表达了(i)线粒体复合物 I-V 的组成部分,包括 ATP5F1C,和(ii)与循环肿瘤细胞(CTC)和转移相关的标志物,如 EpCAM 和 VCAM1。ATP5F1C 表达的敲低显著降低了 ATP 产生、锚定独立性生长和细胞迁移,正如预测的那样。同样,FDA 批准的药物贝达喹啉的治疗性给药在体外下调了 ATP5F1C 的表达,并防止了体内自发性转移。相比之下,贝达喹啉对非致瘤性乳腺上皮细胞(MCF10A)或体内原发性肿瘤的生长没有影响。总之,我们的结果表明,线粒体 ATP 耗竭是预防转移的一种新的治疗策略,以避免治疗失败。综上所述,我们得出结论,线粒体 ATP5F1C 是未来药物开发的一种有前途的新生物标志物和分子靶点,用于预防转移性疾病的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/008c/8408289/19b345b58b52/41418_2021_788_Fig1_HTML.jpg

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