Targeting cancer metabolism by simultaneously disrupting parallel nutrient access pathways
Open accessAbstract
Oncogenic mutations drive anabolic metabolism, creating a dependency on nutrient influx through transporters, receptors, and macropinocytosis. While sphingolipids suppress tumor growth by downregulating nutrient transporters, macropinocytosis and autophagy still provide cancer cells with fuel. Therapeutics that simultaneously disrupt these parallel nutrient access pathways have potential as powerful starvation agents. Here, we describe a water-soluble, orally bioavailable synthetic sphingolipid, SH-BC-893, that triggers nutrient transporter internalization and also blocks lysosome-dependent nutrient generation pathways. SH-BC-893 activated protein phosphatase 2A (PP2A), leading to mislocalization of the lipid kinase PIKfyve. The concomitant mislocalization of the PIKfyve product PI(3,5)P2 triggered cytosolic vacuolation and blocked lysosomal fusion reactions essential for LDL, autophagosome, and macropinosome degradation. By simultaneously limiting access to both extracellular and intracellular nutrients, SH-BC-893 selectively killed cells expressing an activated form of the anabolic oncogene Ras in vitro and in vivo. However, slower-growing, autochthonous PTEN-deficient prostate tumors that did not exhibit a classic Warburg phenotype were equally sensitive. Remarkably, normal proliferative tissues were unaffected by doses of SH-BC-893 that profoundly inhibited tumor growth. These studies demonstrate that simultaneously blocking parallel nutrient access pathways with sphingolipid-based drugs is broadly effective and cancer selective, suggesting a potential strategy for overcoming the resistance conferred by tumor heterogeneity.
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Simultaneous targeting of multiple metabolic pathways through inhibition of nutrient uptake triggered PP2A activation.
“it has been shown that simultaneous targeting of multiple metabolic pathways through inhibition of nutrient uptake triggered PP2A activation (Kim et al., 2016).”
From Combination of Hypoglycemia and Metformin Impairs Tumor Metabolic Plasticity and Growth by Modulating the PP2A-GSK3β-MCL-1 Axis (2019) · cites this paper as Kim et al., 2016
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Biocompatible Chemotherapy for Leukemia by Acid-Cleavable, PEGylated FTY720
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Pacritinib inhibits glucose consumption in squamous cell lung cancer cells by targeting FLT3
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- Authors
- Kim, S. M., Roy, S. G., Chen, B., Nguyen, T. M., McMonigle, R. J., McCracken, A. N., Zhang, Y., Kofuji, S., Hou, J., Selwan, E., Finicle, B. T., Nguyen, T. T., Ravi, A., Ramirez, M. U., Wiher, T., Guenther, G. G., Kono, M., Sasaki, A. T., Weisman, L. S., Potma, E. O., Tromberg, B. J., Edwards, R. A., Hanessian, S., & Edinger, A. L.
- Affiliations
- University of California, Irvine (US)
- Université de Montréal (CA)
- University of Michigan (US)
- University of Cincinnati (US)
- National Institute of Diabetes and Digestive and Kidney Diseases (US)
- ORCID
- Venue
- Journal of Clinical Investigation
- Published
- 2016-09-26
- Volume
- 126
- Issue
- 11
- Pages
- 4088-4102
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC5096903
- OpenAlex
- W2521870368
- Semantic Scholar
- 5cfe9d497b08c921e76b139bf2be343102174b8e
- Cited by
- 77
- References
- 62
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 4 · 2023: 11 · 2022: 6 · 2021: 12 · 2020: 4 · 2019: 11 · 2018: 14 · 2017: 6 · 2016: 1
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- American Cancer Society (W81XWH-15-1-0010, W81XWH-11-1-0535, RSG-11–111-01-CDD, R21 CA178230, R01 GM089919)
- William Lawrence and Blanche Hughes Foundation
- National Institutes of Health (RSG-11-111-01-CDD, W81XWH-11-1-0535, UL1TR001414, W81XWH-15-1-0010, W81XWH, UL1TR000153, TR000153)
- University of California, Irvine (RSG-11-111-01-CDD, T32 CA009054, R01 GM089919, CA-62203, W81XWH-11-1-0535, UL1 TR000153, R21 CA178230, W81XWH-15-1-0010)
- National Cancer Institute (R21CA178230, P30CA062203, T32CA009054)
- National Institute of General Medical Sciences (R01GM050403, R01GM089919)
- National Institute of Neurological Disorders and Stroke (R01NS064015, R01NS089815)
- National Institute of Biomedical Imaging and Bioengineering (P41EB015890)
- National Center for Advancing Translational Sciences
- Council on Research, Computing, and Libraries, University of California, Irvine
- Congressionally Directed Medical Research Programs (W81XWH-11-1-0535, R01 GM089919, R21 CA178230, W81XWH-15-1-0010, RSG-11-111-01-CDD)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › PI3K/AKT/mTOR signaling in cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sphingolipid Metabolism and Signaling
- Keywords
- cancer metabolism, nutrient transporters, macropinocytosis, autophagy, lysosome fusion, PIKfyve, PI(3,5)P2, protein phosphatase 2A, oncogenic Ras, tumor heterogeneity, starvation therapy
- MeSH terms
- Animals, Biological Transport, Active, Drug Screening Assays, Antitumor, Humans, Neoplasm Proteins, Neoplasms, Sphingolipids, Phosphatidylinositol Phosphates, Mice, Knockout, Phosphatidylinositol 3-Kinases, Enzyme Activators, Cell Line, Tumor, Mice, Protein Phosphatase 2
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