1. mTOR-mediated cancer drug resistance suppresses autophagy and generates a druggable metabolic vulnerability
- Author
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Gremke, Niklas, Polo, Pierfrancesco, Dort, Aaron, Schneikert, Jean, Elmshäuser, Sabrina, Brehm, Corinna, Klingmüller, Ursula, Schmitt, Anna, Reinhardt, Hans Christian, Timofeev, Oleg, Wanzel, Michael, and Stiewe, Thorsten
- Subjects
Male ,Lung Neoplasms ,Cell Survival ,Science ,Medizin ,Antineoplastic Agents ,Apoptosis ,Deoxyglucose ,Mechanistic Target of Rapamycin Complex 1 ,Article ,Mice ,Drug Therapy ,Cell Line, Tumor ,Autophagy ,Animals ,Humans ,lcsh:Science ,TOR Serine-Threonine Kinases ,Cancer metabolism ,Xenograft Model Antitumor Assays ,Cancer therapeutic resistance ,Drug Resistance, Neoplasm ,TOR signalling ,Female ,lcsh:Q ,biological phenomena, cell phenomena, and immunity ,Signal Transduction - Abstract
Cancer cells have a characteristic metabolism, mostly caused by alterations in signal transduction networks rather than mutations in metabolic enzymes. For metabolic drugs to be cancer-selective, signaling alterations need to be identified that confer a druggable vulnerability. Here, we demonstrate that many tumor cells with an acquired cancer drug resistance exhibit increased sensitivity to mechanistically distinct inhibitors of cancer metabolism. We demonstrate that this metabolic vulnerability is driven by mTORC1, which promotes resistance to chemotherapy and targeted cancer drugs, but simultaneously suppresses autophagy. We show that autophagy is essential for tumor cells to cope with therapeutic perturbation of metabolism and that mTORC1-mediated suppression of autophagy is required and sufficient for generating a metabolic vulnerability leading to energy crisis and apoptosis. Our study links mTOR-induced cancer drug resistance to autophagy defects as a cause of a metabolic liability and opens a therapeutic window for the treatment of otherwise therapy-refractory tumor patients., mTORC1 is a key mediator of drug resistance and also regulates autophagy. In this study, the authors demonstrate that cancer cells with acquired drug resistance exibit metabolic vulnerabilities mediated by high levels of mTORC1 and the consequent inhibition of autophagy.
- Published
- 2020