ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors

Abstract Background ATM is a multifunctional serine/threonine kinase that in addition to its well-established role in DNA repair mechanisms is involved in a number of signaling pathways including regulation of oxidative stress response and metabolic diversion of glucose through the pentose phosphate...

Full description

Bibliographic Details
Main Authors: Cristina Terlizzi, Viviana De Rosa, Francesca Iommelli, Antonio Pezone, Giovanna G. Altobelli, Maurizio Maddalena, Jelena Dimitrov, Caterina De Rosa, Carminia Maria Della Corte, Vittorio Enrico Avvedimento, Silvana Del Vecchio
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Cancer & Metabolism
Subjects:
Online Access:https://doi.org/10.1186/s40170-023-00320-4
_version_ 1827764248178065408
author Cristina Terlizzi
Viviana De Rosa
Francesca Iommelli
Antonio Pezone
Giovanna G. Altobelli
Maurizio Maddalena
Jelena Dimitrov
Caterina De Rosa
Carminia Maria Della Corte
Vittorio Enrico Avvedimento
Silvana Del Vecchio
author_facet Cristina Terlizzi
Viviana De Rosa
Francesca Iommelli
Antonio Pezone
Giovanna G. Altobelli
Maurizio Maddalena
Jelena Dimitrov
Caterina De Rosa
Carminia Maria Della Corte
Vittorio Enrico Avvedimento
Silvana Del Vecchio
author_sort Cristina Terlizzi
collection DOAJ
description Abstract Background ATM is a multifunctional serine/threonine kinase that in addition to its well-established role in DNA repair mechanisms is involved in a number of signaling pathways including regulation of oxidative stress response and metabolic diversion of glucose through the pentose phosphate pathway. Oncogene-driven tumorigenesis often implies the metabolic switch from oxidative phosphorylation to glycolysis which provides metabolic intermediates to sustain cell proliferation. The aim of our study is to elucidate the role of ATM in the regulation of glucose metabolism in oncogene-driven cancer cells and to test whether ATM may be a suitable target for anticancer therapy. Methods Two oncogene-driven NSCLC cell lines, namely H1975 and H1993 cells, were treated with ATM inhibitor, KU55933, alone or in combination with oncogene driver inhibitors, WZ4002 or crizotinib. Key glycolytic enzymes, mitochondrial complex subunits (OXPHOS), cyclin D1, and apoptotic markers were analyzed by Western blotting. Drug-induced toxicity was assessed by MTS assay using stand-alone or combined treatment with KU55933 and driver inhibitors. Glucose consumption, pyruvate, citrate, and succinate levels were also analyzed in response to KU55933 treatment. Both cell lines were transfected with ATM-targeted siRNA or non-targeting siRNA and then exposed to treatment with driver inhibitors. Results ATM inhibition deregulates and inhibits glucose metabolism by reducing HKII, p-PKM2Tyr105, p-PKM2Ser37, E1α subunit of pyruvate dehydrogenase complex, and all subunits of mitochondrial complexes except ATP synthase. Accordingly, glucose uptake and pyruvate concentrations were reduced in response to ATM inhibition, whereas citrate and succinate levels were increased in both cell lines indicating the supply of alternative metabolic substrates. Silencing of ATM resulted in similar changes in glycolytic cascade and OXPHOS levels. Furthermore, the driver inhibitors amplified the effects of ATM downregulation on glucose metabolism, and the combined treatment with ATM inhibitors enhanced the cytotoxic effect of driver inhibitors alone by increasing the apoptotic response. Conclusions Inhibition of ATM reduced both glycolytic enzymes and OXPHOS levels in oncogene-driven cancer cells and enhanced apoptosis induced by driver inhibitors thus highlighting the possibility to use ATM and the driver inhibitors in combined regimens of anticancer therapy in vivo.
first_indexed 2024-03-11T11:01:40Z
format Article
id doaj.art-e83d3991835d4c898a45587c3d859097
institution Directory Open Access Journal
issn 2049-3002
language English
last_indexed 2024-03-11T11:01:40Z
publishDate 2023-11-01
publisher BMC
record_format Article
series Cancer & Metabolism
spelling doaj.art-e83d3991835d4c898a45587c3d8590972023-11-12T12:27:46ZengBMCCancer & Metabolism2049-30022023-11-0111111110.1186/s40170-023-00320-4ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitorsCristina Terlizzi0Viviana De Rosa1Francesca Iommelli2Antonio Pezone3Giovanna G. Altobelli4Maurizio Maddalena5Jelena Dimitrov6Caterina De Rosa7Carminia Maria Della Corte8Vittorio Enrico Avvedimento9Silvana Del Vecchio10Department of Advanced Biomedical Sciences, University “Federico II”Institute of Biostructures and Bioimaging, National Research CouncilInstitute of Biostructures and Bioimaging, National Research CouncilDepartment of Biology, University “Federico II”Department of Advanced Biomedical Sciences, University “Federico II”Department of Advanced Biomedical Sciences, University “Federico II”Department of Advanced Biomedical Sciences, University “Federico II”Department of Precision Medicine, University of Campania Luigi VanvitelliDepartment of Precision Medicine, University of Campania Luigi VanvitelliDepartment of Molecular Medicine and Medical Biotechnology, University “Federico II”Department of Advanced Biomedical Sciences, University “Federico II”Abstract Background ATM is a multifunctional serine/threonine kinase that in addition to its well-established role in DNA repair mechanisms is involved in a number of signaling pathways including regulation of oxidative stress response and metabolic diversion of glucose through the pentose phosphate pathway. Oncogene-driven tumorigenesis often implies the metabolic switch from oxidative phosphorylation to glycolysis which provides metabolic intermediates to sustain cell proliferation. The aim of our study is to elucidate the role of ATM in the regulation of glucose metabolism in oncogene-driven cancer cells and to test whether ATM may be a suitable target for anticancer therapy. Methods Two oncogene-driven NSCLC cell lines, namely H1975 and H1993 cells, were treated with ATM inhibitor, KU55933, alone or in combination with oncogene driver inhibitors, WZ4002 or crizotinib. Key glycolytic enzymes, mitochondrial complex subunits (OXPHOS), cyclin D1, and apoptotic markers were analyzed by Western blotting. Drug-induced toxicity was assessed by MTS assay using stand-alone or combined treatment with KU55933 and driver inhibitors. Glucose consumption, pyruvate, citrate, and succinate levels were also analyzed in response to KU55933 treatment. Both cell lines were transfected with ATM-targeted siRNA or non-targeting siRNA and then exposed to treatment with driver inhibitors. Results ATM inhibition deregulates and inhibits glucose metabolism by reducing HKII, p-PKM2Tyr105, p-PKM2Ser37, E1α subunit of pyruvate dehydrogenase complex, and all subunits of mitochondrial complexes except ATP synthase. Accordingly, glucose uptake and pyruvate concentrations were reduced in response to ATM inhibition, whereas citrate and succinate levels were increased in both cell lines indicating the supply of alternative metabolic substrates. Silencing of ATM resulted in similar changes in glycolytic cascade and OXPHOS levels. Furthermore, the driver inhibitors amplified the effects of ATM downregulation on glucose metabolism, and the combined treatment with ATM inhibitors enhanced the cytotoxic effect of driver inhibitors alone by increasing the apoptotic response. Conclusions Inhibition of ATM reduced both glycolytic enzymes and OXPHOS levels in oncogene-driven cancer cells and enhanced apoptosis induced by driver inhibitors thus highlighting the possibility to use ATM and the driver inhibitors in combined regimens of anticancer therapy in vivo.https://doi.org/10.1186/s40170-023-00320-4ATMGlycolysisOXPHOSOncogene-driver inhibitorsAnticancer therapy
spellingShingle Cristina Terlizzi
Viviana De Rosa
Francesca Iommelli
Antonio Pezone
Giovanna G. Altobelli
Maurizio Maddalena
Jelena Dimitrov
Caterina De Rosa
Carminia Maria Della Corte
Vittorio Enrico Avvedimento
Silvana Del Vecchio
ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
Cancer & Metabolism
ATM
Glycolysis
OXPHOS
Oncogene-driver inhibitors
Anticancer therapy
title ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
title_full ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
title_fullStr ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
title_full_unstemmed ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
title_short ATM inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
title_sort atm inhibition blocks glucose metabolism and amplifies the sensitivity of resistant lung cancer cell lines to oncogene driver inhibitors
topic ATM
Glycolysis
OXPHOS
Oncogene-driver inhibitors
Anticancer therapy
url https://doi.org/10.1186/s40170-023-00320-4
work_keys_str_mv AT cristinaterlizzi atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT vivianaderosa atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT francescaiommelli atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT antoniopezone atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT giovannagaltobelli atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT mauriziomaddalena atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT jelenadimitrov atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT caterinaderosa atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT carminiamariadellacorte atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT vittorioenricoavvedimento atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors
AT silvanadelvecchio atminhibitionblocksglucosemetabolismandamplifiesthesensitivityofresistantlungcancercelllinestooncogenedriverinhibitors