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Evolution of cisplatin resistance through coordinated metabolic reprogramming of the cellular reductive state.


ABSTRACT:

Background

Cisplatin (CDDP) is a mainstay treatment for advanced head and neck squamous cell carcinomas (HNSCC) despite a high frequency of innate and acquired resistance. We hypothesised that tumours acquire CDDP resistance through an enhanced reductive state dependent on metabolic rewiring.

Methods

To validate this model and understand how an adaptive metabolic programme might be imprinted, we performed an integrated analysis of CDDP-resistant HNSCC clones from multiple genomic backgrounds by whole-exome sequencing, RNA-seq, mass spectrometry, steady state and flux metabolomics.

Results

Inactivating KEAP1 mutations or reductions in KEAP1 RNA correlated with Nrf2 activation in CDDP-resistant cells, which functionally contributed to resistance. Proteomics identified elevation of downstream Nrf2 targets and the enrichment of enzymes involved in generation of biomass and reducing equivalents, metabolism of glucose, glutathione, NAD(P), and oxoacids. This was accompanied by biochemical and metabolic evidence of an enhanced reductive state dependent on coordinated glucose and glutamine catabolism, associated with reduced energy production and proliferation, despite normal mitochondrial structure and function.

Conclusions

Our analysis identified coordinated metabolic changes associated with CDDP resistance that may provide new therapeutic avenues through targeting of these convergent pathways.

SUBMITTER: Yu W 

PROVIDER: S-EPMC10205814 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature

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Publications

Evolution of cisplatin resistance through coordinated metabolic reprogramming of the cellular reductive state.

Yu Wangie W   Chen Yunyun Y   Putluri Nagireddy N   Osman Abdullah A   Coarfa Cristian C   Putluri Vasanta V   Kamal Abu H M AHM   Asmussen Jennifer Kay JK   Katsonis Panagiotis P   Myers Jeffrey N JN   Lai Stephen Y SY   Lu Wuhao W   Stephan Clifford C CC   Powell Reid T RT   Johnson Faye M FM   Skinner Heath D HD   Kazi Jawad J   Ahmed Kazi Mokim KM   Hu Linghao L   Threet Addison A   Meyer Matthew D MD   Bankson James A JA   Wang Tony T   Davis Jack J   Parker Kirby R KR   Harris Madison A MA   Baek Mokryun L ML   Echeverria Gloria V GV   Qi Xiaoli X   Wang Jin J   Frederick Andy I AI   Walsh Alex J AJ   Lichtarge Olivier O   Frederick Mitchell J MJ   Sandulache Vlad C VC  

British journal of cancer 20230403 11


<h4>Background</h4>Cisplatin (CDDP) is a mainstay treatment for advanced head and neck squamous cell carcinomas (HNSCC) despite a high frequency of innate and acquired resistance. We hypothesised that tumours acquire CDDP resistance through an enhanced reductive state dependent on metabolic rewiring.<h4>Methods</h4>To validate this model and understand how an adaptive metabolic programme might be imprinted, we performed an integrated analysis of CDDP-resistant HNSCC clones from multiple genomic  ...[more]

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