1. Targeting metabolic activity in high-risk neuroblastoma through Monocarboxylate Transporter 1 (MCT1) inhibition
- Author
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Jayne Murray, Laura D. Gamble, Michelle Haber, Claudia Flemming, Emanuele Valli, Denise M. T. Yu, Sophie Allan, Murray D. Norris, Aaminah Khan, Andrei L. Osterman, Georgina L. Eden, Jamie I. Fletcher, Rupinder Pandher, Kimberley M. Hanssen, Hayley Lam, and David Scott
- Subjects
Monocarboxylic Acid Transporters ,0301 basic medicine ,Cancer Research ,Vincristine ,Citric Acid Cycle ,Mice, Nude ,Antineoplastic Agents ,Nicotinamide adenine dinucleotide ,Article ,Neuroblastoma ,03 medical and health sciences ,chemistry.chemical_compound ,Drug Delivery Systems ,0302 clinical medicine ,Cell Line, Tumor ,Genetics ,medicine ,Animals ,Humans ,neoplasms ,Molecular Biology ,chemistry.chemical_classification ,Mice, Inbred BALB C ,Symporters ,biology ,medicine.disease ,Xenograft Model Antitumor Assays ,Neoplasm Proteins ,030104 developmental biology ,Enzyme ,Monocarboxylate transporter 1 ,chemistry ,Cell culture ,030220 oncology & carcinogenesis ,Cancer research ,biology.protein ,Female ,NAD+ kinase ,Intracellular ,medicine.drug - Abstract
Amplification of the MYCN oncogene occurs in approximately 25% of primary neuroblastomas and is the single most powerful biological marker of poor prognosis in this disease. MYCN transcriptionally regulates a range of biological processes important for cancer, including cell metabolism. The MYCN-regulated metabolic gene SLC16A1, encoding the lactate transporter monocarboxylate transporter 1 (MCT1), is a potential therapeutic target. Treatment of neuroblastoma cells with the MCT1 inhibitor SR13800 increased intracellular lactate levels, disrupted the nicotinamide adenine dinucleotide (NADH/NAD(+)) ratio and decreased intracellular glutathione levels. Metabolite tracing with 13C-glucose and 13C-glutamine following MCT1 inhibitor treatment revealed increased quantities of tricarboxylic acid (TCA) cycle intermediates and increased oxygen consumption rate. MCT1 inhibition was highly synergistic with vincristine under cell culture conditions, but this combination was ineffective against neuroblastoma xenografts in mice. Post-treatment xenograft tumors had increased expression of the MCT1 homolog MCT4/SLC16A, a known resistance factor to MCT1 inhibition. We found that MCT4 was negatively regulated by MYCN in luciferase reporter assays and its expression in neuroblastoma cells was increased under hypoxic conditions and following hypoxia-inducible factor (HIF1) induction, suggesting that MCT4 may contribute to resistance to MCT1 inhibitor treatment in hypoxic neuroblastoma tumors. Co-treatment of neuroblastoma cells with inhibitors of MCT1 and LDHA, the enzyme responsible for lactate production, resulted in a large increase in intracellular pyruvate and was highly synergistic in decreasing neuroblastoma cell viability. These results highlight the potential of targeting MCT1 in neuroblastoma in conjunction with strategies that involve disruption of pyruvate homeostasis and indicate possible resistance mechanisms.
- Published
- 2020
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