PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis

Colorectal cancer (CRC) is a major cause of human death. Mortality is primarily due to metastatic organ colonization, with the liver being the main organ affected. We modeled metastatic CRC (mCRC) liver colonization using patient-derived primary and metastatic tumor xenografts (PDX). Such PDX modeli...

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Main Authors: Norihiro Yamaguchi, Ethan M Weinberg, Alexander Nguyen, Maria V Liberti, Hani Goodarzi, Yelena Y Janjigian, Philip B Paty, Leonard B Saltz, T Peter Kingham, Jia Min Loo, Elisa de Stanchina, Sohail F Tavazoie
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2019-12-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/52135
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author Norihiro Yamaguchi
Ethan M Weinberg
Alexander Nguyen
Maria V Liberti
Hani Goodarzi
Yelena Y Janjigian
Philip B Paty
Leonard B Saltz
T Peter Kingham
Jia Min Loo
Elisa de Stanchina
Sohail F Tavazoie
author_facet Norihiro Yamaguchi
Ethan M Weinberg
Alexander Nguyen
Maria V Liberti
Hani Goodarzi
Yelena Y Janjigian
Philip B Paty
Leonard B Saltz
T Peter Kingham
Jia Min Loo
Elisa de Stanchina
Sohail F Tavazoie
author_sort Norihiro Yamaguchi
collection DOAJ
description Colorectal cancer (CRC) is a major cause of human death. Mortality is primarily due to metastatic organ colonization, with the liver being the main organ affected. We modeled metastatic CRC (mCRC) liver colonization using patient-derived primary and metastatic tumor xenografts (PDX). Such PDX modeling predicted patient survival outcomes. In vivo selection of multiple PDXs for enhanced metastatic colonization capacity upregulated the gluconeogenic enzyme PCK1, which enhanced liver metastatic growth by driving pyrimidine nucleotide biosynthesis under hypoxia. Consistently, highly metastatic tumors upregulated multiple pyrimidine biosynthesis intermediary metabolites. Therapeutic inhibition of the pyrimidine biosynthetic enzyme DHODH with leflunomide substantially impaired CRC liver metastatic colonization and hypoxic growth. Our findings provide a potential mechanistic basis for the epidemiologic association of anti-gluconeogenic drugs with improved CRC metastasis outcomes, reveal the exploitation of a gluconeogenesis enzyme for pyrimidine biosynthesis under hypoxia, and implicate DHODH and PCK1 as metabolic therapeutic targets in CRC metastatic progression.
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spelling doaj.art-df6349d3163c42688775653c831ce8572022-12-22T02:01:55ZengeLife Sciences Publications LtdeLife2050-084X2019-12-01810.7554/eLife.52135PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesisNorihiro Yamaguchi0https://orcid.org/0000-0001-8023-9748Ethan M Weinberg1Alexander Nguyen2https://orcid.org/0000-0001-6578-3454Maria V Liberti3Hani Goodarzi4Yelena Y Janjigian5Philip B Paty6Leonard B Saltz7T Peter Kingham8Jia Min Loo9Elisa de Stanchina10Sohail F Tavazoie11https://orcid.org/0000-0002-4966-9018Laboratory of Systems Cancer Biology, The Rockefeller University, New York, United StatesLaboratory of Systems Cancer Biology, The Rockefeller University, New York, United StatesLaboratory of Systems Cancer Biology, The Rockefeller University, New York, United StatesLaboratory of Systems Cancer Biology, The Rockefeller University, New York, United StatesLaboratory of Systems Cancer Biology, The Rockefeller University, New York, United StatesGastrointestinal Oncology Service, Memorial Sloan-Kettering Cancer Center, New York, United StatesColorectal Service, Memorial Sloan-Kettering Cancer Center, New York, United StatesGastrointestinal Oncology Service, Memorial Sloan-Kettering Cancer Center, New York, United StatesHepatopancreatobiliary Service, Memorial Sloan-Kettering Cancer Center, New York, United StatesLaboratory of Systems Cancer Biology, The Rockefeller University, New York, United StatesAntitumor Assessment Core Facility, Memorial Sloan-Kettering Cancer Center, New York, United StatesLaboratory of Systems Cancer Biology, The Rockefeller University, New York, United States; Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, United StatesColorectal cancer (CRC) is a major cause of human death. Mortality is primarily due to metastatic organ colonization, with the liver being the main organ affected. We modeled metastatic CRC (mCRC) liver colonization using patient-derived primary and metastatic tumor xenografts (PDX). Such PDX modeling predicted patient survival outcomes. In vivo selection of multiple PDXs for enhanced metastatic colonization capacity upregulated the gluconeogenic enzyme PCK1, which enhanced liver metastatic growth by driving pyrimidine nucleotide biosynthesis under hypoxia. Consistently, highly metastatic tumors upregulated multiple pyrimidine biosynthesis intermediary metabolites. Therapeutic inhibition of the pyrimidine biosynthetic enzyme DHODH with leflunomide substantially impaired CRC liver metastatic colonization and hypoxic growth. Our findings provide a potential mechanistic basis for the epidemiologic association of anti-gluconeogenic drugs with improved CRC metastasis outcomes, reveal the exploitation of a gluconeogenesis enzyme for pyrimidine biosynthesis under hypoxia, and implicate DHODH and PCK1 as metabolic therapeutic targets in CRC metastatic progression.https://elifesciences.org/articles/52135mousecancer metabolismcancer metastasis
spellingShingle Norihiro Yamaguchi
Ethan M Weinberg
Alexander Nguyen
Maria V Liberti
Hani Goodarzi
Yelena Y Janjigian
Philip B Paty
Leonard B Saltz
T Peter Kingham
Jia Min Loo
Elisa de Stanchina
Sohail F Tavazoie
PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
eLife
mouse
cancer metabolism
cancer metastasis
title PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
title_full PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
title_fullStr PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
title_full_unstemmed PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
title_short PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
title_sort pck1 and dhodh drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis
topic mouse
cancer metabolism
cancer metastasis
url https://elifesciences.org/articles/52135
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