Ether phospholipids metabolism is a latent vulnerability fo…

Ether phospholipids metabolism is required for mitochondrial ROS homeostasis in pancreatic cancer Ziheng Chen 1 , I-Lin Ho 1 , Jintan Liu 1 , Liang Yan 3 , Shujuan Chen 3 , Melinda Soeung 1 , Johnathan Rose 1 , Sanjana Srinivasan 1 , Andrea Viale 1 , Alessandro Carugo 2 , Giannicola Genovese 4 , Wantong Yao 5 , Ningping Feng 2 , Jason Gay 2 , Joseph Marszalek 2 , Haoqiang Ying 3 , Giulio Draetta 1,3 1 Department of Genomic Medicine, 2 Institute for Applied Cancer Science, 3 Department of Molecular and Cellular oncology, 4 Department of Genitourinary Medical Oncology, 5 Department of Translational Molecular Pathology , The University of Texas MD Anderson Cancer Center, University of Texas, 77030

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Result2: Mitochondrial ROS scavenging contributes to PDAC resistance

Background

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Targeting mitochondrial complexes is emerging as an effective chemotherapy strategy, prompting the urgency to better understand drug resistance to mitochondrial complex inhibitors. Here we report that intrinsic lipid metabolism contributes to resistance when targeting mitochondrial complex I in pancreatic ductal adenocarcinoma (PDAC). Our data indicates that induction of mitochondrial- and lipid- reactive oxidative species (ROS) is critical for complex I inhibition induced cell death. Lipidomic analysis revealed an abundance of ether-formed mono- unsaturated fatty acids (MUFAs), in cells resistant to complex I inhibition, is an essential fuel for ROS scavenging. Blocking ether-MUFAs by knocking out enzymes responsible for ether-formed phospholipids generation in peroxisome, sensitized resistant cells. Together, our findings uncovered a novel adaptive mechanism dependent on ether-lipids metabolism based on the peroxisome-mitochondria network that is responsible for PDAC resistance to OXPHOS inhibition, providing the rationale for combinatory strategies to target mitochondria in PDAC.

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(A) Lipidomics analysis showed more ether modified MUFAs in resistant lines than in sensitive lines. Mitochondrial ROS (B) and cell death (C) detection upon 3-days treatment of 10nM IACS-010759 in Ether generation deficiency by blocking GNPAT signaling. (D) Xenograft tumor growth of sgCTRL/sgGNPAT with or without 5mpk IACS-010759. Tumor volume was measured at the days indicated. (E) Cell death events in sgCTRL, sgGNPAT PDAC with ether- linked MUFA (C16-18:1 PC). *P<0.05, **P<0.01, ***P<0.001.

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Hypothesis model

Result 1: Sensitive & Resistant response to mitochondrial CI inhibitor in PDACs

Result3: Ether-lipid metabolism is crucial for PDAC resistance Sensitive and Resistant PATC lines were treated with 10nM IACS-10759 in 3 days. Mitochondrial ROS were detected by MitoSOX Dye. (C) H2O2 indicator showed ROS production with 10nM IACS-010759 in indicated time. Anti-TOMM2O reflected mitochondrial location. Scale bar, 10um. Mitochondrial-ROS inducer MitoPQ (C) and scavenger mitoQ(D) and SOD2 deficiency (E) affect PDAC resistance.

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Cartoon working model. Ether linked- MUFAs generated through peroxisome and mitochondria contribute to complex I inhibition by scavenging mitochondrial- and lipid-ROS.

References

Sensitive (A) and Resistant (B) PATC lines generated Xenograft tumors were treated with or without 5mpk IACS-010759 in 3 days. Tumor volume was measured at the days indicated. (C) IHC for apoptotic marker Caspase 3 in PATCs subcutaneous tumors with or without 5mpk IACS-010759 5mpk. H&E staining is shown. Scale bar, 50um.

1. Molina JR, Sun Y, et al. An inhibitor of oxidative phosphorylation exploits cancer vulnerability. NatMed . 2018 Jul; 24(7):1036-1046. 2. Farge T, Saland E, et al. Chemotherapy-Resistant Human Acute Myeloid Leukemia Cells Are Not Enriched for Leukemic Stem Cells but Require Oxidative Metabolism. Cancer Discov . 2017 Jul; 7(7):716-735. 3. Iwamoto H, Abe M, et al. Cancer Lipid Metabolism Confers Antiangiogenic Drug Resistance. CellMetab . 2018 Jul 3; 28(1):104-117.e5. 4. Elgendy M, Cirò M, et al. Combination of Hypoglycemia and Metformin Impairs Tumor Metabolic Plasticity and Growth by Modulating the PP2A-GSK3 β -MCL-1 Axis. Cancer Cell . 2019 May 13; 35(5):798-815.e5.

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