1. Targeting Mitochondrial Proline Dehydrogenase with a Suicide Inhibitor to Exploit Synthetic Lethal Interactions with p53 Upregulation and Glutaminase Inhibition
- Author
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Martin Borch Jensen, Byron Hann, Beatrice C Becker, Sophia Mahoney, Christopher C. Benz, Gary K. Scott, Scott D. Pegan, Bryan J. Cowen, Christina Yau, and Sana Khateeb
- Subjects
Models, Molecular ,Transcriptional Activation ,0301 basic medicine ,Cancer Research ,Article ,Mice ,Structure-Activity Relationship ,03 medical and health sciences ,0302 clinical medicine ,Proline dehydrogenase ,Glutaminase ,Downregulation and upregulation ,Cell Line, Tumor ,Mitochondrial unfolded protein response ,Proline Oxidase ,Animals ,Humans ,Inner mitochondrial membrane ,Gene knockdown ,Binding Sites ,Molecular Structure ,Chemistry ,Mitochondria ,Cell biology ,Enzyme Activation ,030104 developmental biology ,Oncology ,030220 oncology & carcinogenesis ,Cancer cell ,Unfolded Protein Response ,Unfolded protein response ,Tumor Suppressor Protein p53 ,Synthetic Lethal Mutations ,Protein Binding - Abstract
Proline dehydrogenase (PRODH) is a p53-inducible inner mitochondrial membrane flavoprotein linked to electron transport for anaplerotic glutamate and ATP production, most critical for cancer cell survival under microenvironmental stress conditions. Proposing that PRODH is a unique mitochondrial cancer target, we structurally model and compare its cancer cell activity and consequences upon exposure to either a reversible (S-5-oxo: S-5-oxo-2-tetrahydrofurancarboxylic acid) or irreversible (N-PPG: N-propargylglycine) PRODH inhibitor. Unlike 5-oxo, the suicide inhibitor N-PPG induces early and selective decay of PRODH protein without triggering mitochondrial destruction, consistent with N-PPG activation of the mitochondrial unfolded protein response. Fly and breast tumor (MCF7)-xenografted mouse studies indicate that N-PPG doses sufficient to phenocopy PRODH knockout and induce its decay can be safely and effectively administered in vivo. Among breast cancer cell lines and tumor samples, PRODH mRNA expression is subtype dependent and inversely correlated with glutaminase (GLS1) expression; combining inhibitors of PRODH (S-5-oxo and N-PPG) and GLS1 (CB-839) produces additive if not synergistic loss of cancer cell (ZR-75-1, MCF7, DU4475, and BT474) growth and viability. Although PRODH knockdown alone can induce cancer cell apoptosis, the anticancer potential of either reversible or irreversible PRODH inhibitors is strongly enhanced when p53 is simultaneously upregulated by an MDM2 antagonist (MI-63 and nutlin-3). However, maximum anticancer synergy is observed in vitro when the PRODH suicide inhibitor, N-PPG, is combined with both GLS1-inhibiting and a p53-upregulating MDM2 antagonist. These findings provide preclinical rationale for the development of N-PPG–like PRODH inhibitors as cancer therapeutics to exploit synthetic lethal interactions with p53 upregulation and GLS1 inhibition.
- Published
- 2019
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