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Rewiring Lipid Metabolism by Targeting PCSK9 and HMGCR to Treat Liver Cancer
Abstract
Alterations in lipid handling are an important hallmark in cancer. Our aim here is to target key metabolic enzymes to reshape the oncogenic lipid metabolism triggering irreversible cell breakdown. We targeted the key metabolic player proprotein convertase subtilisin/kexin type 9 (PCSK9) using a pharmacological inhibitor (R-IMPP) alone or in combination with 3-hydroxy 3-methylglutaryl-Coenzyme A reductase (HMGCR) inhibitor, simvastatin. We assessed the effect of these treatments using 3 hepatoma cell lines, Huh6, Huh7 and HepG2 and a tumor xenograft in chicken choriorallantoic membrane (CAM) model. PCSK9 deficiency led to dose-dependent inhibition of cell proliferation in all cell lines and a decrease in cell migration. Co-treatment with simvastatin presented synergetic anti-proliferative effects. At the metabolic level, mitochondrial respiration assays as well as the assessment of glucose and glutamine consumption showed higher metabolic adaptability and surge in the absence of PCSK9. Enhanced lipid uptake and biogenesis led to excessive accumulation of intracellular lipid droplets as revealed by electron microscopy and metabolic tracing. Using xenograft experiments in CAM model, we further demonstrated the effect of anti-PCSK9 treatment in reducing tumor aggressiveness. Targeting PCSK9 alone or in combination with statins deserves to be considered as a new therapeutic option in liver cancer clinical applications.
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“in liver cancer and colorectal cancer, PCSK9 inhibitors suppress metabolism and growth of cancer cells, suggesting that PCSK9 is a therapeutic target for cancer treatment”
From ENO1–BACE2-mediated LDLR cleavage promotes liver cancer progression by remodelling cholesterol metabolism (2025) · cites this paper as Alannan et al., 2022
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Cited by
Sorted by citations
Targeting proprotein convertase subtilisin/kexin type 9 (PCSK9): From bench to bedside
Bao, X., Liang, Y., Chang, H., Cai, T., Feng, B., Gordon, K., Zhu, Y., Shi, H., He, Y., & Xie, L. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01690-3 · Cited by 187
Li, Z., Fan, K., Suo, C., Gu, X., Zhu, C., Wei, H., Chen, L., Gao, P., & Sun, L. (2025) · Journal of Molecular Cell Biology · doi:10.1093/jmcb/mjaf001 · Cited by 13
Effects of PCSK9 inhibitors on cancer, diabetes, and cardiovascular diseases
Nejabat, M., Hadizadeh, F., Almahmeed, W., & Sahebkar, A. (2025) · Drug Discovery Today · doi:10.1016/j.drudis.2025.104316 · Cited by 7
Metadata
- Authors
- Alannan, M., Trézéguet, V., Amoêdo, N. D., Rossignol, R., Mahfouf, W., Rezvani, H. R., Dittrich-Domergue, F., Moreau, P., Lacomme, S., Gontier, E., Grosset, C. F., Badran, B., Fayyad-Kazan, H., & Merched, A. J.
- Affiliations
- Bordeaux Institute of Oncology (BRIC), INSERM U1312, University of Bordeaux, F-33000 Bordeaux, France
- CELLOMET, Functional Genomics Center (CGFB), INSERM U1211, University of Bordeaux, F-33000 Bordeaux, France
- Laboratoire de Biogenèse Membranaire, Centre National de la Recherche Scientifique (CNRS), UMR 5200, University of Bordeaux, F-33140 Villenave d’Ornon, France
- CNRS, INSERM, Bordeaux Imaging Center (BIC), University of Bordeaux, UAR 3420, US 4, F-33000 Bordeaux, France
- Laboratory of Cancer Biology and Molecular Immunology, Faculty of Sciences I, Lebanese University, Hadath, Beirut, Lebanon
- ORCID
- Venue
- Cancers
- Publisher
- MDPI AG
- Published
- 2022-12-20
- Volume
- 15
- Issue
- 1
- Pages
- 3
- ISSN
- 2072-6694
- PMC
- PMC9817797
- Cited by
- 25
- References
- 0
- Language
- en
- Funders
- Cassandra contre les Leucémies et Cancers Pédiatriques (OPE-2018-0144, RE-2021-1AD-F, DBI20131228566, N°2020-012)
- les Récoltes de l’Espoir (OPE-2018-0144, RE-2021-1AD-F, DBI20131228566, N°2020-012)
- Fondation pour la Recherche Médicale (OPE-2018-0144, RE-2021-1AD-F, DBI20131228566, N°2020-012)
- PELICAN.resist project and the Région Nouvelle-Aquitaine (OPE-2018-0144, RE-2021-1AD-F, DBI20131228566, N°2020-012)
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