Department of Obstetrics and Gynecology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
Department of Biochemistry and Molecular Biology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China.
Cell Metab. 2023 Nov 7;35(11):2044-2059.e8. doi: 10.1016/j.cmet.2023.10.002. Epub 2023 Oct 26.
Amino acid metabolism has been actively investigated as a potential target for antitumor therapy, but how it may alter the response to genotoxic chemotherapy remains largely unknown. Here, we report that the depletion of fumarylacetoacetate hydrolase (FAH), an enzyme that catalyzes the final step of tyrosine catabolism, reduced chemosensitivity in epithelial ovarian cancer (EOC). The expression level of FAH correlated significantly with chemotherapy efficacy in patients with EOC. Mechanistically, under genotoxic chemotherapy, FAH is oxidized at Met308 and translocates to the nucleus, where FAH-mediated tyrosine catabolism predominantly supplies fumarate. FAH-produced fumarate binds directly to REV1, resulting in the suppression of translesion DNA synthesis (TLS) and improved chemosensitivity. Furthermore, in vivo tyrosine supplementation improves sensitivity to genotoxic chemotherapeutics and reduces the occurrence of therapy resistance. Our findings reveal a unique role for tyrosine-derived fumarate in the regulation of TLS and may be exploited to improve genotoxic chemotherapy through dietary tyrosine supplementation.
氨基酸代谢已被积极研究作为抗肿瘤治疗的潜在靶点,但它如何改变对遗传毒性化疗的反应在很大程度上尚不清楚。在这里,我们报告说,延胡索酰乙酰乙酸水解酶(FAH)的耗竭,FAH 是催化酪氨酸分解代谢最后一步的酶,降低了上皮性卵巢癌(EOC)的化疗敏感性。FAH 的表达水平与 EOC 患者的化疗疗效显著相关。在遗传毒性化疗下,FAH 在 Met308 处被氧化并易位到核内,在核内 FAH 介导的酪氨酸分解代谢主要提供富马酸。FAH 产生的富马酸直接与 REV1 结合,从而抑制跨损伤 DNA 合成(TLS)并提高化疗敏感性。此外,体内酪氨酸补充可提高对遗传毒性化疗药物的敏感性,并降低治疗耐药性的发生。我们的研究结果揭示了酪氨酸衍生的富马酸在调节 TLS 中的独特作用,可能通过饮食酪氨酸补充来改善遗传毒性化疗。