ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer

Imaging studies in animals and in humans have indicated that the oxygenation and nutritional status of solid tumors is dynamic. Furthermore, the extremely low level of glucose within tumors, while reflecting its rapid uptake and metabolism, also suggests that cancer cells must rely on other energy s...

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Main Authors: Sunghee Park, Ching-Yi Chang, Rachid Safi, Xiaojing Liu, Robert Baldi, Jeff S. Jasper, Grace R. Anderson, Tingyu Liu, Jeffrey C. Rathmell, Mark W. Dewhirst, Kris C. Wood, Jason W. Locasale, Donald P. McDonnell
Format: Article
Language:English
Published: Elsevier 2016-04-01
Series:Cell Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2211124716302820
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author Sunghee Park
Ching-Yi Chang
Rachid Safi
Xiaojing Liu
Robert Baldi
Jeff S. Jasper
Grace R. Anderson
Tingyu Liu
Jeffrey C. Rathmell
Mark W. Dewhirst
Kris C. Wood
Jason W. Locasale
Donald P. McDonnell
author_facet Sunghee Park
Ching-Yi Chang
Rachid Safi
Xiaojing Liu
Robert Baldi
Jeff S. Jasper
Grace R. Anderson
Tingyu Liu
Jeffrey C. Rathmell
Mark W. Dewhirst
Kris C. Wood
Jason W. Locasale
Donald P. McDonnell
author_sort Sunghee Park
collection DOAJ
description Imaging studies in animals and in humans have indicated that the oxygenation and nutritional status of solid tumors is dynamic. Furthermore, the extremely low level of glucose within tumors, while reflecting its rapid uptake and metabolism, also suggests that cancer cells must rely on other energy sources in some circumstances. Here, we find that some breast cancer cells can switch to utilizing lactate as a primary source of energy, allowing them to survive glucose deprivation for extended periods, and that this activity confers resistance to PI3K/mTOR inhibitors. The nuclear receptor, estrogen-related receptor alpha (ERRα), was shown to regulate the expression of genes required for lactate utilization, and isotopomer analysis revealed that genetic or pharmacological inhibition of ERRα activity compromised lactate oxidation. Importantly, ERRα antagonists increased the in vitro and in vivo efficacy of PI3K/mTOR inhibitors, highlighting the potential clinical utility of this drug combination.
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spelling doaj.art-8b3b7d737fc9404299f8033052271ea42022-12-22T00:31:41ZengElsevierCell Reports2211-12472016-04-0115232333510.1016/j.celrep.2016.03.026ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast CancerSunghee Park0Ching-Yi Chang1Rachid Safi2Xiaojing Liu3Robert Baldi4Jeff S. Jasper5Grace R. Anderson6Tingyu Liu7Jeffrey C. Rathmell8Mark W. Dewhirst9Kris C. Wood10Jason W. Locasale11Donald P. McDonnell12Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Radiation Oncology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USADepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710, USAImaging studies in animals and in humans have indicated that the oxygenation and nutritional status of solid tumors is dynamic. Furthermore, the extremely low level of glucose within tumors, while reflecting its rapid uptake and metabolism, also suggests that cancer cells must rely on other energy sources in some circumstances. Here, we find that some breast cancer cells can switch to utilizing lactate as a primary source of energy, allowing them to survive glucose deprivation for extended periods, and that this activity confers resistance to PI3K/mTOR inhibitors. The nuclear receptor, estrogen-related receptor alpha (ERRα), was shown to regulate the expression of genes required for lactate utilization, and isotopomer analysis revealed that genetic or pharmacological inhibition of ERRα activity compromised lactate oxidation. Importantly, ERRα antagonists increased the in vitro and in vivo efficacy of PI3K/mTOR inhibitors, highlighting the potential clinical utility of this drug combination.http://www.sciencedirect.com/science/article/pii/S2211124716302820
spellingShingle Sunghee Park
Ching-Yi Chang
Rachid Safi
Xiaojing Liu
Robert Baldi
Jeff S. Jasper
Grace R. Anderson
Tingyu Liu
Jeffrey C. Rathmell
Mark W. Dewhirst
Kris C. Wood
Jason W. Locasale
Donald P. McDonnell
ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer
Cell Reports
title ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer
title_full ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer
title_fullStr ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer
title_full_unstemmed ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer
title_short ERRα-Regulated Lactate Metabolism Contributes to Resistance to Targeted Therapies in Breast Cancer
title_sort errα regulated lactate metabolism contributes to resistance to targeted therapies in breast cancer
url http://www.sciencedirect.com/science/article/pii/S2211124716302820
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