Science for Health
Oncogenic mutations can drive the dependency of tumors on specific nutrients, such as glucose and glutamine, as well as impose changes in the wiring of metabolic pathways. This phenomenon is often referred to as 'metabolic reprogramming'. One function of metabolic reprogramming in cancer is to provide biosynthetic building blocks (such as amino acids, lipids and nucleotides) to support the generation of daughter cells. (See Figure 1)
Metabolic reprogramming is, in part, dictated by expression of alternative enzyme isoforms with distinct regulatory properties, as illustrated with the glycolytic enzyme pyruvate kinase. Unlike the M1 isoform of pyruvate kinase (PKM1), which is found in most normal tissues, cancer cells selectively express the alternatively spliced isoform PKM2. We have recently shown that PKM2, but not PKM1, can be inhibited by oxidation. Under conditions of oxidative stress, which are often encountered during tumorigenesis, inhibition of PKM2 allows the utilization of glucose for the production of antioxidants, thereby promoting cancer cell survival (Figure 2). As oncogenic events can alter metabolism before uncontrolled tumor growth commences, our work suggests that, in addition to promoting proliferation, metabolic reprogramming can also support survival under stress during tumorigenesis.
We have also contributed to the development of small molecules that can activate specifically PKM2, but no other mammalian pyruvate kinase isoform, and have shown that these compounds sensitize cells to oxidant-induced death. Furthermore, we have demonstrated that PKM2 activators limit xenograft tumor growth by impeding the biosynthetic capacity of cancer cells (Anastasiou et al., under revision). Overall, our results provide evidence that isoform-specific targeting of metabolic enzymes is a feasible and effective strategy for limiting tumor growth.
Metabolic reactions are driven by enzymes that, in general, are considered amenable to targeting by small molecule compounds (“druggable”), a notion also supported by our past work. Indeed, some of the early cancer therapies were proven to target metabolic pathways. Yet rational design of therapeutic strategies that target tumor metabolism remains poorly developed. In part, this is because much of our current knowledge of metabolic networks is based on studies with animal organs, a favorite source of biomaterial in the days before cell culture became routine. As such, most charted metabolic pathways reflect the functional needs of terminally differentiated, rather than proliferating cells. Furthermore, whole organs comprise of several cell types each with distinct functions and metabolic characteristics.
Thus, better understanding of cancer metabolism necessitates studies in proliferating cells, within the natural context of the tumor microenvironment, and at the level of individual cells. With these in mind, our research comprises of three complementary directions:
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