The glycolytic shift in fumarate-hydratase-deficient kidney cancer lowers AMPK levels, increases anabolic propensities and lowers cellular iron levels
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Inactivation of the TCA cycle enzyme, fumarate hydratase (FH), drives a metabolic shift to aerobic glycolysis in FH-deficient kidney tumors and cell lines from patients with hereditary leiomyomatosis renal cell cancer (HLRCC), resulting in decreased levels of AMP-activated kinase (AMPK) and p53 tumor suppressor, and activation of the anabolic factors, acetyl-CoA carboxylase and ribosomal protein S6. Reduced AMPK levels lead to diminished expression of the DMT1 iron transporter, and the resulting cytosolic iron deficiency activates the iron regulatory proteins, IRP1 and IRP2, and increases expression of the hypoxia inducible factor HIF-1α, but not HIF-2α. Silencing of HIF-1α or activation of AMPK diminishes invasive activities, indicating that alterations of HIF-1α and AMPK contribute to the oncogenic growth of FH-deficient cells.
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Strong evidence implicates dysfunctional cell signaling stimulated by succinate and/or fumarate, which accumulate to high levels in SDH/FH-deficient tumors.
“Strong evidence implicates dysfunctional cell signaling stimulated by succinate and/or fumarate, which accumulate to high levels in the tumors.”
From Cellular Metabolism and Disease: What Do Metabolic Outliers Teach Us? (2012) · cites this paper as Tong et al., 2011
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- Authors
- Tong, W.-H., Sourbier, C., Kovtunovych, G., Jeong, S. Y., Vira, M., Ghosh, M., Romero, V. V., Sougrat, R., Vaulont, S., Viollet, B., Kim, Y.-S., Lee, S., Trepel, J., Srinivasan, R., Bratslavsky, G., Yang, Y., Linehan, W. M., & Rouault, T. A.
- Affiliations
- National Institutes of Health (US)
- National Cancer Institute (US)
- Albert Einstein College of Medicine (US)
- King Abdullah University of Science and Technology (SA)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Linehan, W. Marston
- Rouault, Tracey A.
- ORCID
- Venue
- Cancer Cell
- Publisher
- Elsevier BV
- Published
- 2011-09
- Volume
- 20
- Issue
- 3
- Pages
- 315-327
- ISSN
- 1535-6108 (ISSN-L)
- PMC
- PMC3174047
- OpenAlex
- W2003921338
- Cited by
- 212
- References
- 61
- Citations by year
- 2026: 2 · 2025: 12 · 2024: 13 · 2023: 11 · 2022: 22 · 2021: 11 · 2020: 15 · 2019: 20 · 2018: 10 · 2017: 12 · 2016: 18 · 2015: 20 · 2014: 10 · 2013: 20 · 2012: 16
- FWCI
- 5.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cancer Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- King Abdullah University of Science and Technology Repository (King Abdullah University of Science and Technology) (submittedVersion, cc-by-nc-nd)
- Funders
- National Cancer Institute
- National Institute of Child Health and Human Development
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Ferroptosis and cancer prognosis
- Keywords
- fumarate hydratase deficiency, aerobic glycolysis, AMPK, iron regulatory proteins, HIF-1α, acetyl-CoA carboxylase, ribosomal protein S6, p53, tumor invasion, renal cell carcinoma
- MeSH terms
- Iron Deficiencies, Endothelial PAS Domain-Containing Protein 1, Solute Carrier Family 11, Member 2, Acetyl-CoA Carboxylase, Acetyl Coenzyme A, Animals, Fumarate Hydratase, Glycolysis, Humans, Kidney Neoplasms, NADP, Neoplastic Syndromes, Hereditary, Ribose, Skin Neoplasms, Thenoyltrifluoroacetone, Uterine Neoplasms, Tumor Suppressor Protein p53, Leiomyomatosis, Cation Transport Proteins, Iron Regulatory Protein 1, Iron Regulatory Protein 2, Ribosomal Protein S6, Cell Line, Tumor, Mice, Basic Helix-Loop-Helix Proteins, Hypoxia-Inducible Factor 1, alpha Subunit, AMP-Activated Protein Kinases
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