Oyama Toshinao, Brashears Caitlyn B, Rathore Richa, Benect-Hamilton Heather, Caldwell Katharine E, Dirckx Naomi, Hawkins William G, Van Tine Brian A
Department of Medicine, Division of Medical Oncology, Washington University in St. Louis, St. Louis, MO, USA.
Department of Surgery, Division of Hepatobiliary Surgery, Washington University in St. Louis, St. Louis, MO, USA.
Cell Death Dis. 2025 Feb 12;16(1):89. doi: 10.1038/s41419-025-07378-6.
Osteosarcoma is a bone cancer that has been found to be metabolically dependent on the conversion of glucose to serine through the rate-limiting enzyme 3-phosphoglycerate dehydrogenase (PHGDH). The upregulation of PHGDH has been correlated with poor patient survival, and the inhibition of the serine synthesis pathway using targeted small-molecule inhibition of PHGDH induces a rapid metabolic adaptation that prevents cell death due to pro-survival signaling through the mammalian target of rapamycin complex 1 (mTORC1) pathway. Here, PHGDH inhibition in combination with mTORC1 signaling modulation for the treatment of osteosarcoma was evaluated. When combined with PHGDH inhibition, several non-rapalog inhibitors of mTORC1 activated Forkhead box O (FOXO) transcription factor 3 (FOXO3), a transcription factor associated with various cellular processes driving apoptosis. The activation of FOXO3 led to transcriptional activation of the pro-apoptotic gene p53 upregulated modulator of apoptosis (PUMA), inducing apoptosis when combined with PHGDH inhibition. These data suggest a path for the clinical development of PHGDH inhibitors in conjunction with mTORC1 pathway modulators in osteosarcoma.
骨肉瘤是一种骨癌,已发现其在代谢上依赖于通过限速酶3-磷酸甘油酸脱氢酶(PHGDH)将葡萄糖转化为丝氨酸。PHGDH的上调与患者生存率低相关,使用靶向小分子抑制PHGDH对丝氨酸合成途径进行抑制会诱导快速的代谢适应,从而通过雷帕霉素复合物1(mTORC1)途径的促生存信号传导防止细胞死亡。在此,评估了PHGDH抑制与mTORC1信号调节联合用于治疗骨肉瘤的效果。当与PHGDH抑制联合使用时,几种mTORC1的非雷帕霉素类似物抑制剂激活了叉头框O(FOXO)转录因子3(FOXO3),FOXO3是一种与驱动细胞凋亡的各种细胞过程相关的转录因子。FOXO3的激活导致促凋亡基因p53上调凋亡调节因子(PUMA)的转录激活,在与PHGDH抑制联合使用时诱导细胞凋亡。这些数据为PHGDH抑制剂与骨肉瘤中mTORC1途径调节剂联合进行临床开发提供了一条途径。