选择性丙氨酸转运体的利用是ARID1A突变型卵巢癌的一个治疗弱点。

Selective Alanine Transporter Utilization is a Therapeutic Vulnerability in ARID1A-Mutant Ovarian Cancer.

作者信息

Nie Hao, Liao Liping, Zielinski Rafal J, Gomez Javier A, Basi Akshay V, Seeley Erin H, Tan Lin, Bilecz Agnes Julia, Zhou Wei, Liu Heng, Wang Chen, Wu Shuai, Qi Yuan, Miyamoto Taito, Severi Federica, Goldman Aaron R, Gu Shengqing, Sood Anil K, Jazaeri Amir A, Drapkin Ronny, Claiborne Daniel T, Zhang Nan, Lorenzi Philip L, Burks Jared K, Lengyel Ernst, Gottlieb Eyal, Zhang Rugang

机构信息

The University of Texas MD Anderson Cancer Center, Houston, TX, United States.

The University of Texas at Austin, Austin, Texas, United States.

出版信息

Cancer Res. 2025 Jul 14. doi: 10.1158/0008-5472.CAN-25-0654.

Abstract

Subunits of the SWI/SNF chromatin remodeling complex are altered in ~20% of human cancers. Exemplifying the alterations is the ARID1A mutation that occurs in ~50% ovarian clear cell carcinoma (OCCC), a disease with limited therapeutic options. Here, we showed that ARID1A mutations create a dependence on alanine by regulating alanine transporters to increase intracellular alanine levels. ARID1A directly repressed alanine importer SLC38A2 and simultaneously promoted alanine exporter SLC7A8. ARID1A inactivation increased alanine utilization predominantly in protein synthesis and passively through the tricarboxylic acid cycle. Indeed, ARID1A-mutant OCCCs were hyper-sensitive to inhibition of SLC38A2. In addition, SLC38A2 inhibition enhanced chimeric antigen receptor-T cell assault in vitro and synergized with immune checkpoint blockade using an anti-PD-L1 antibody in a genetically engineered mouse model of OCCC driven by conditional Arid1a inactivation in a CD8+ T-cell dependent manner. These findings suggest that targeting alanine transport alone or in combination with immunotherapy may represent an effective therapeutic strategy for ARID1A-mutant cancers.

摘要

SWI/SNF染色质重塑复合体的亚基在约20%的人类癌症中发生改变。ARID1A突变就是这种改变的一个例子,它发生在约50%的卵巢透明细胞癌(OCCC)中,这是一种治疗选择有限的疾病。在此,我们表明ARID1A突变通过调节丙氨酸转运体以增加细胞内丙氨酸水平,从而产生对丙氨酸的依赖性。ARID1A直接抑制丙氨酸转运体SLC38A2,同时促进丙氨酸转运体SLC7A8。ARID1A失活主要在蛋白质合成中增加丙氨酸的利用,并通过三羧酸循环被动增加丙氨酸利用。实际上,ARID1A突变的OCCC对SLC38A2的抑制高度敏感。此外,在体外,SLC38A2抑制增强了嵌合抗原受体T细胞的攻击,并在由条件性Arid1a失活以CD8 + T细胞依赖性方式驱动的OCCC基因工程小鼠模型中,与使用抗PD-L1抗体的免疫检查点阻断协同作用。这些发现表明,单独靶向丙氨酸转运或与免疫疗法联合使用可能是ARID1A突变癌症的一种有效治疗策略。

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