Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition

Abstract Liver‐X‐receptor (LXR) agonists are known to bear anti‐tumor activity. However, their efficacy is limited and additional insights regarding the underlying mechanism are necessary. By performing transcriptome analysis coupled with global polar metabolite screening, we show that LXR agonists,...

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Main Authors: Trang Thi Thu Nguyen, Chiaki Tsuge Ishida, Enyuan Shang, Chang Shu, Consuelo Torrini, Yiru Zhang, Elena Bianchetti, Maria J Sanchez‐Quintero, Giulio Kleiner, Catarina M Quinzii, Mike‐Andrew Westhoff, Georg Karpel‐Massler, Peter Canoll, Markus D Siegelin
Format: Article
Language:English
Published: Springer Nature 2019-10-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.201910769
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author Trang Thi Thu Nguyen
Chiaki Tsuge Ishida
Enyuan Shang
Chang Shu
Consuelo Torrini
Yiru Zhang
Elena Bianchetti
Maria J Sanchez‐Quintero
Giulio Kleiner
Catarina M Quinzii
Mike‐Andrew Westhoff
Georg Karpel‐Massler
Peter Canoll
Markus D Siegelin
author_facet Trang Thi Thu Nguyen
Chiaki Tsuge Ishida
Enyuan Shang
Chang Shu
Consuelo Torrini
Yiru Zhang
Elena Bianchetti
Maria J Sanchez‐Quintero
Giulio Kleiner
Catarina M Quinzii
Mike‐Andrew Westhoff
Georg Karpel‐Massler
Peter Canoll
Markus D Siegelin
author_sort Trang Thi Thu Nguyen
collection DOAJ
description Abstract Liver‐X‐receptor (LXR) agonists are known to bear anti‐tumor activity. However, their efficacy is limited and additional insights regarding the underlying mechanism are necessary. By performing transcriptome analysis coupled with global polar metabolite screening, we show that LXR agonists, LXR623 and GW3965, enhance synergistically the anti‐proliferative effect of BH3 mimetics in solid tumor malignancies, which is predominantly mediated by cell death with features of apoptosis and is rescued by exogenous cholesterol. Extracellular flux analysis and carbon tracing experiments (U‐13C‐glucose and U‐13C‐glutamine) reveal that within 5 h, activation of LXRβ results in reprogramming of tumor cell metabolism, leading to suppression of mitochondrial respiration, a phenomenon not observed in normal human astrocytes. LXR activation elicits a suppression of respiratory complexes at the protein level by reducing their stability. In turn, energy starvation drives an integrated stress response (ISR) that up‐regulates pro‐apoptotic Noxa in an ATF4‐dependent manner. Cholesterol and nucleotides rescue from the ISR elicited by LXR agonists and from cell death induced by LXR agonists and BH3 mimetics. In conventional and patient‐derived xenograft models of colon carcinoma, melanoma, and glioblastoma, the combination treatment of ABT263 and LXR agonists reduces tumor sizes significantly stronger than single treatments. Therefore, the combination treatment of LXR agonists and BH3 mimetics might be a viable efficacious treatment approach for solid malignancies.
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spelling doaj.art-34407949ed7c4e12861f0104f22e73682024-03-02T11:14:04ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842019-10-011110n/an/a10.15252/emmm.201910769Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibitionTrang Thi Thu Nguyen0Chiaki Tsuge Ishida1Enyuan Shang2Chang Shu3Consuelo Torrini4Yiru Zhang5Elena Bianchetti6Maria J Sanchez‐Quintero7Giulio Kleiner8Catarina M Quinzii9Mike‐Andrew Westhoff10Georg Karpel‐Massler11Peter Canoll12Markus D Siegelin13Department of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Biological Sciences Bronx Community College City University of New York Bronx NY USADepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Neurology Columbia University Medical Center New York NY USADepartment of Neurology Columbia University Medical Center New York NY USADepartment of Neurology Columbia University Medical Center New York NY USADepartment of Pediatrics and Adolescent Medicine Ulm University Medical Center Ulm GermanyDepartment of Neurosurgery Ulm University Medical Center Ulm GermanyDepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USADepartment of Pathology & Cell Biology Columbia University Medical Center New York NY USAAbstract Liver‐X‐receptor (LXR) agonists are known to bear anti‐tumor activity. However, their efficacy is limited and additional insights regarding the underlying mechanism are necessary. By performing transcriptome analysis coupled with global polar metabolite screening, we show that LXR agonists, LXR623 and GW3965, enhance synergistically the anti‐proliferative effect of BH3 mimetics in solid tumor malignancies, which is predominantly mediated by cell death with features of apoptosis and is rescued by exogenous cholesterol. Extracellular flux analysis and carbon tracing experiments (U‐13C‐glucose and U‐13C‐glutamine) reveal that within 5 h, activation of LXRβ results in reprogramming of tumor cell metabolism, leading to suppression of mitochondrial respiration, a phenomenon not observed in normal human astrocytes. LXR activation elicits a suppression of respiratory complexes at the protein level by reducing their stability. In turn, energy starvation drives an integrated stress response (ISR) that up‐regulates pro‐apoptotic Noxa in an ATF4‐dependent manner. Cholesterol and nucleotides rescue from the ISR elicited by LXR agonists and from cell death induced by LXR agonists and BH3 mimetics. In conventional and patient‐derived xenograft models of colon carcinoma, melanoma, and glioblastoma, the combination treatment of ABT263 and LXR agonists reduces tumor sizes significantly stronger than single treatments. Therefore, the combination treatment of LXR agonists and BH3 mimetics might be a viable efficacious treatment approach for solid malignancies.https://doi.org/10.15252/emmm.201910769BH3 mimeticscolon adenocarcinomaelectron transport chainglioblastomaLXR agonist
spellingShingle Trang Thi Thu Nguyen
Chiaki Tsuge Ishida
Enyuan Shang
Chang Shu
Consuelo Torrini
Yiru Zhang
Elena Bianchetti
Maria J Sanchez‐Quintero
Giulio Kleiner
Catarina M Quinzii
Mike‐Andrew Westhoff
Georg Karpel‐Massler
Peter Canoll
Markus D Siegelin
Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition
EMBO Molecular Medicine
BH3 mimetics
colon adenocarcinoma
electron transport chain
glioblastoma
LXR agonist
title Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition
title_full Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition
title_fullStr Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition
title_full_unstemmed Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition
title_short Activation of LXRβ inhibits tumor respiration and is synthetically lethal with Bcl‐xL inhibition
title_sort activation of lxrβ inhibits tumor respiration and is synthetically lethal with bcl xl inhibition
topic BH3 mimetics
colon adenocarcinoma
electron transport chain
glioblastoma
LXR agonist
url https://doi.org/10.15252/emmm.201910769
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