Cited by 292Cancer, Hypoxia, and MetabolismMetabolism, Diabetes, and CancerPancreatic and Hepatic Oncology Research

Metabolic plasticity underpins innate and acquired resistance to LDHA inhibition

Boudreau, Aaron, Purkey, Hans E, Hitz, Anna, Robarge, Kirk, Peterson, David, Labadie, Sharada, Kwong, Mandy, Hong, Rebecca +27 more·2016·Nature Chemical Biology

Abstract

Metabolic reprogramming in tumors represents a potential therapeutic target. Herein we used shRNA depletion and a novel lactate dehydrogenase (LDHA) inhibitor, GNE-140, to probe the role of LDHA in tumor growth in vitro and in vivo. In MIA PaCa-2 human pancreatic cells, LDHA inhibition rapidly affected global metabolism, although cell death only occurred after 2 d of continuous LDHA inhibition. Pancreatic cell lines that utilize oxidative phosphorylation (OXPHOS) rather than glycolysis were inherently resistant to GNE-140, but could be resensitized to GNE-140 with the OXPHOS inhibitor phenformin. Acquired resistance to GNE-140 was driven by activation of the AMPK-mTOR-S6K signaling pathway, which led to increased OXPHOS, and inhibitors targeting this pathway could prevent resistance. Thus, combining an LDHA inhibitor with compounds targeting the mitochondrial or AMPK-S6K signaling axis may not only broaden the clinical utility of LDHA inhibitors beyond glycolytically dependent tumors but also reduce the emergence of resistance to LDHA inhibition.

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Crossref · 10.1038/nchembio.2143

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  • Mutant KRAS drives upregulated glycolysis, increasing lactate production and providing carbon inputs for synthesis of molecules required for proliferation.

    “Mutant KRAS drives upregulated glycolysis, not only increasing production of lactate, but also providing key carbon inputs for synthesis of molecules required for proliferation.”

    From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [195]

  • The non-oxidative pentose phosphate pathway enables nucleotide biosynthesis, and the hexosamine biosynthesis pathway generates GlcNAc for posttranslational modifications.

    “Examples include the non-oxidative pentose phosphate pathway, which enables nucleotide biosynthesis, and the hexosamine biosynthesis pathway, which generates GlcNAc required for posttranslational modifications64,195”

    From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [195]

  • Lactate produced by cancer cells in hypoxic regions can be used to fuel PDAC cells in well-oxygenated areas.

    “lactate produced by cancer cells in hypoxic regions can be used to fuel PDAC cells in well oxygenated areas195.”

    From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [195]

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Authors
Boudreau, A., Purkey, H. E., Hitz, A., Robarge, K., Peterson, D., Labadie, S., Kwong, M., Hong, R., Gao, M., Del Nagro, C., Pusapati, R., Ma, S., Salphati, L., Pang, J., Zhou, A., Lai, T., Li, Y., Chen, Z., Wei, B., Yen, I., Sideris, S., McCleland, M., Firestein, R., Corson, L., Vanderbilt, A., Williams, S., Daemen, A., Belvin, M., Eigenbrot, C., Jackson, P. K., Malek, S., Hatzivassiliou, G., Sampath, D., Evangelista, M., & O'Brien, T.
Affiliations
  • Genentech (US)
  • WuXi AppTec (China) (CN)
Corresponding author
Evangelista, Marie
Venue
Nature Chemical Biology
Published
2016-08-01
Volume
12
Issue
10
Pages
779-786
ISSN
  • 1552-4450 (ISSN-L)
  • 1552-4469
OpenAlex
W2488631284
Cited by
280
References
40
Citations by year
2026: 37 · 2025: 42 · 2024: 28 · 2023: 28 · 2022: 37 · 2021: 28 · 2020: 25 · 2019: 22 · 2018: 14 · 2017: 17 · 2016: 2
FWCI
7.78
Type
journal article
Language
en
Open access
closed
Locations
  • Nature Chemical Biology (publishedVersion)
  • PubMed (publishedVersion)
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 › Oncology › Pancreatic and Hepatic Oncology Research
Keywords
LDHA, pancreatic cancer, metabolic reprogramming, acquired drug resistance, oxidative phosphorylation, glycolysis, cancer metabolism, phenformin, MIA PaCa-2 cells, combination therapy
MeSH terms
Cell Plasticity, Dose-Response Relationship, Drug, Enzyme Inhibitors, Humans, L-Lactate Dehydrogenase, Models, Molecular, Pyridones, Structure-Activity Relationship, Thiophenes, Molecular Structure, Cell Death, Cell Line, Tumor, Cell Proliferation

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