LKB1 inactivation dictates therapeutic response of non-small cell lung cancer to the metabolism drug phenformin.

LKB1 inactivation dictates therapeutic response of non-small cell lung cancer to the metabolism drug phenformin.
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DOI:
10.1016/j.ccr.2012.12.008
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发表时间:
2013-02-11
期刊:
影响因子:
50.3
通讯作者:
Shaw RJ
Shaw RJ
中科院分区:
医学1区
文献类型:
--
作者:
Shackelford DB;Abt E;Gerken L;Vasquez DS;Seki A;Leblanc M;Wei L;Fishbein MC;Czernin J;Mischel PS;Shaw RJ

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LKB1(也称为STK11)肿瘤抑制因子在约20%的非小细胞肺癌(NSCLC)中发生突变失活。LKB1是激活能量感知激酶AMPK的主要上游激酶,使LKB1缺陷的细胞无法适当地感知代谢应激。我们测试了代谢药物在非小细胞肺癌中的治疗潜力,并发现phenformin(一种线粒体抑制剂和糖尿病治疗药物二甲双胍的类似物)可以选择性地诱导lkb1缺陷的非小细胞肺癌细胞凋亡。在Kras依赖的NSCLC小鼠模型中进行的治疗试验显示,Kras和Lkb1突变的肿瘤,而不是Kras和p53突变的肿瘤,对phenformin作为单一药物表现出选择性反应,从而延长了生存期。这项研究表明,苯双胍作为一种基于癌症代谢的治疗药物,可以选择性地靶向lkb1缺陷肿瘤。
The LKB1 (also called STK11) tumor suppressor is mutationally inactivated in ~20% of non-small cell lung cancers (NSCLC). LKB1 is the major upstream kinase activating the energy-sensing kinase AMPK, making LKB1-deficient cells unable to appropriately sense metabolic stress. We tested the therapeutic potential of metabolic drugs in NSCLC and identified phenformin, a mitochondrial inhibitor and analog of the diabetes therapeutic metformin, as selectively inducing apoptosis in LKB1-deficient NSCLC cells. Therapeutic trials in Kras-dependent mouse models of NSCLC revealed that tumors with Kras and Lkb1 mutations, but not those with Kras and p53 mutations showed selective response to phenformin as a single agent, resulting in prolonged survival. This study suggests phenformin as a cancer metabolism-based therapeutic to selectively target LKB1-deficient tumors.
AMP激活的蛋白激酶对ULK1(HATG1)的磷酸化将能量传感连接到线粒体。
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