Department of Surgical Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences, Jinan, Shandong, 250117, China.
School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, 261000, China.
J Exp Clin Cancer Res. 2024 Aug 16;43(1):227. doi: 10.1186/s13046-024-03154-0.
The failure of proper recognition of the intricate nature of pathophysiology in colorectal cancer (CRC) has a substantial effect on the progress of developing novel medications and targeted therapy approaches. Imbalances in the processes of lipid oxidation and biosynthesis of fatty acids are significant risk factors for the development of CRC. Therapeutic intervention that specifically targets the peroxisome proliferator-activated receptor gamma (PPARγ) and its downstream response element, in response to lipid metabolism, has been found to promote the growth of tumors and has shown significant clinical advantages in cancer patients.
Clinical CRC samples and extensive in vitro and in vivo experiments were carried out to determine the role of ZDHHC6 and its downstream targets via a series of biochemical assays, molecular analysis approaches and lipid metabolomics assay, etc. RESULTS: To study the effect of ZDHHC6 on the progression of CRC and identify whether ZDHHC6 is a palmitoyltransferase that regulates fatty acid synthesis, which directly palmitoylates and stabilizes PPARγ, and this stabilization in turn activates the ACLY transcription-related metabolic pathway. In this study, we demonstrate that PPARγ undergoes palmitoylation in its DNA binding domain (DBD) section. This lipid-related modification enhances the stability of PPARγ protein by preventing its destabilization. As a result, palmitoylated PPARγ inhibits its degradation induced by the lysosome and facilitates its translocation into the nucleus. In addition, we have identified zinc finger-aspartate-histidine-cysteine 6 (ZDHHC6) as a crucial controller of fatty acid biosynthesis. ZDHHC6 directly interacts with and adds palmitoyl groups to stabilize PPARγ at the Cys-313 site within the DBD domain of PPARγ. Consequently, this palmitoylation leads to an increase in the expression of ATP citrate lyase (ACLY). Furthermore, our findings reveals that ZDHHC6 actively stimulates the production of fatty acids and plays a role in the development of colorectal cancer. However, we have observed a significant reduction in the cancer-causing effects when the expression of ZDHHC6 is inhibited in in vivo trials. Significantly, in CRC, there is a strong positive correlation between the high expression of ZDHHC6 and the expression of PPARγ. Moreover, this high expression of ZDHHC6 is connected with the severity of CRC and is indicative of a poor prognosis.
We have discovered a mechanism in which lipid biosynthesis is controlled by ZDHHC6 and includes the signaling of PPARγ-ACLY in the advancement of CRC. This finding provides a justification for targeting lipid synthesis by blocking ZDHHC6 as a potential therapeutic approach.
对结直肠癌(CRC)病理生理学复杂性质的认识不足,对新型药物和靶向治疗方法的发展产生了重大影响。脂质氧化和脂肪酸生物合成过程的失衡是 CRC 发展的重要危险因素。针对脂质代谢,特异性靶向过氧化物酶体增殖物激活受体 γ(PPARγ)及其下游反应元件的治疗干预已被发现可促进肿瘤生长,并在癌症患者中显示出显著的临床优势。
进行了临床 CRC 样本和广泛的体外和体内实验,通过一系列生化测定、分子分析方法和脂质代谢组学测定等,确定 ZDHHC6 及其下游靶标的作用。
研究 ZDHHC6 对 CRC 进展的影响,并确定 ZDHHC6 是否是一种调节脂肪酸合成的棕榈酰转移酶,它直接棕榈酰化并稳定 PPARγ,这种稳定作用反过来激活 ACLY 转录相关代谢途径。在这项研究中,我们证明了 PPARγ 在其 DNA 结合域(DBD)部分发生棕榈酰化。这种脂质相关修饰通过防止其不稳定来增强 PPARγ 蛋白的稳定性。因此,棕榈酰化的 PPARγ 抑制其由溶酶体诱导的降解,并促进其向核内易位。此外,我们已经确定锌指天冬氨酸组氨酸半胱氨酸 6(ZDHHC6)是脂肪酸合成的关键控制器。ZDHHC6 直接与 PPARγ 相互作用并在 PPARγ 的 DBD 域内的 Cys-313 位点添加棕榈酰基,从而稳定 PPARγ。因此,这种棕榈酰化导致 ATP 柠檬酸裂解酶(ACLY)的表达增加。此外,我们的发现表明,ZDHHC6 积极刺激脂肪酸的产生,并在结直肠癌的发展中发挥作用。然而,在体内试验中抑制 ZDHHC6 的表达时,我们观察到其致癌作用显著降低。重要的是,在 CRC 中,ZDHHC6 的高表达与 PPARγ 的表达之间存在强烈的正相关。此外,这种高表达的 ZDHHC6 与 CRC 的严重程度相关,并预示着预后不良。
我们发现了一种由 ZDHHC6 控制的脂质生物合成机制,包括 PPARγ-ACLY 在 CRC 进展中的信号传导。这一发现为通过阻断 ZDHHC6 作为一种潜在的治疗方法来靶向脂质合成提供了依据。