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Energy metabolism and redox. - the cancer cell scenario. Maria Shoshan, Cancer Center Karolinska. metabolism. redox. life & death. Fuels are consumed - oxidized -. - in order to build something new. This requires reductive events. metabolism. redox. life & death. Cancer cells:
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Energy metabolism and redox - the cancer cell scenario Maria Shoshan, Cancer Center Karolinska
metabolism redox life & death Fuels are consumed - oxidized - - in order to build something new. This requires reductive events Maria Shoshan
metabolism redox life & death Cancer cells: - increased macromolecule synthesis • increased • ox stress • decreased • apoptosis Maria Shoshan
Hanahan and Weinberg, 2000 ”The Hallmarks of Cancer” Altered energy metabolism Immune system Maria Shoshan
Tumor cells have: • High glycolytic rate • aerobic glycolysis High uptake of glucose High expression of GLUT1-3 Maria Shoshan
Normal cells: 95% of ATP from mitochondria - electron transport chain, ox-phos… Tumor cells: 40-60% of ATP is via glycolysis Maria Shoshan
Glucose Purine synthesis Glu-6-P glut; ser NADPH ATP; Amino acids Fatty acids Pyruvate acetyl-CoA Krebs cycle, ATP via mitoch. Advantages for the tumor cell: Maria Shoshan
Anti-apoptotic via AKT/HXK glut; ser lactate Advantages for the tumor cell: Glucose Glu-6-P ATP; Amino acids Fatty acids Pyruvate acetyl-CoA Krebs cycle, ATP via mitoch. Maria Shoshan
What comes first - transformation, decreased ox-phos or metabolic adaptations? Maria Shoshan
Oncogenic signaling Metabolic alterations Redox events Maria Shoshan
Glycolytic effects Oncogenic signaling Mitochondrial effects Mutations in SDH and FH (complex II,Krebs cycle) Loss of p53 leading to loss of SCO2 (complex IV) Loss of p53 leading to increased PGM (glycolysis) Loss of PTEN leading to sustained AKT activity (glycolysis) Maria Shoshan
Oncogenic signaling Metabolism HIF HIF + O2 OHdegradation Fe2+ Fe3+ RNS (iNOS + ROS) Glycolysis & PDK1 + ascorbate Increased HIF1(glycolysis) • by hypoxia, via ablation of PHD and mito-ROS • by anomalous inhibition of PHD (succinate, fumarate, oxaloacetate, pyruvate; H2O2) • by loss of p53, or loss of PTEN PHD FIH-1 - another regulatory hydroxylase Maria Shoshan
HIF1 repression of differentiation stimulation of angiogenesis IGF, MMP-2 extracellular acidification Tumor progression High levels of HIF1a correlate with poor prognosis Maria Shoshan
Metabolism Growth; anti-apoptosis AKT- PTEN phosphatase PI3K P Nox: NADPH oxidases Nox O2* - PTEN inhibition PTPase inhibition Loss of PTEN leads to increased AKT activity PTEN is a tumor suppressor. PTEN mutations are common in human cancer. PTEN is inhibited by oxidization (two Cys). In a growth-factor stimulated cell (or with onco-Ras) : PI3K Maria Shoshan
PTEN(ox) PTEN(red) TrxR/Trx NADPH NADP+ PTEN is reduced (activated) by NADPH-TrxR/Trx Helps keep AKT- mediated glycolytic metabolism in check Resp./ETC Accumulation of NADH (Krebs cycle) NADH PTEN reactivation, by competing with NADPH PTEN can also be inhibited by Trx-1 binding. PTEN is inactivated upon impaired respiration Pelicano et al., 2006 Maria Shoshan
17 ov ca ascitic samples were tested in vitro for antiproliferative effects of cisplatin ± DG, a glycolysis inhibitor. In 10 samples, DG reduced individual IC50:s by >50%; these were classified as HP (high- potentiated). Low levels of ß-ATPase protein correlated with sensitivity to potentiation. Hernlund et al., MCT 2009 Impaired respiration supports oncogenic signaling • mtDNA mutations • - sustained hypoxia, HIF1a • sustained PTEN inactivation / AKT activation • impaired respiration correlates with increased • glycolytic dependence, tumor progression and chemoresistance Maria Shoshan
ROS in cancer cells: ROS from growth factor/GFR signaling - Nox family upregulation in cancer - ROS stimulation of growth and motility NAD(P)H oxidases (Nox) • inhibit PTPs • Rac1 • also target TFs • AP-1, NFkB Maria Shoshan
ROS-sensitive mitoch enzymes Fe/S (aconitase & other Krebs cycle enz., COX) Thiols ROS in cancer cells: Mitochondrial ROS: Higher metabolic rate; Impaired respiration/ETC; Decreased antioxidant defense Fewer mitochondria RNS, peroxynitrite; iNOS (mtNOS?) ROS induction by chemotherapy Maria Shoshan
Pervaiz & Clement, 2007 Opposite effects of superoxide and peroxide? e.g., caspase inhibition PTEN inhibition e.g., via modif. of cardiolipin, cyto c release, caspase activation Maria Shoshan
Pouysségur et al., Nature review 2006 Higher intracellular pH in cancer cells - and lower extracellular pH NHE-1: Na+/H + exchanger-1 MCT1-4: monocarboxylate transp. CA IX: carbonic anhydrase AE: Cl-/HCO3- transporter Possible therapeutic targets! Cancer cells may use lactate to fuel Krebs/ox-phos Maria Shoshan
AKT HIF1a p53 AKT HIF1a GFR/NOX Ras Oncogenic signaling Metabolic alterations Redox events ROS, RNS pH Hypoxia Mitoch. functions Maria Shoshan
pyruvate Krebs cycle CO2 NADH, FADH2 e- H2O and ROS O2 Maria Shoshan