Mitochondrial uncoupling reveals a novel therapeutic opportunity for p53-defective cancers.

Mitochondrial uncoupling reveals a novel therapeutic opportunity for p53-defective cancers.
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DOI:
10.1038/s41467-018-05805-1
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发表时间:
2018-09-26
影响因子:
16.6
通讯作者:
Cheok CF
Cheok CF
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Kumar R;Coronel L;Somalanka B;Raju A;Aning OA;An O;Ho YS;Chen S;Mak SY;Hor PY;Yang H;Lakshmanan M;Itoh H;Tan SY;Lim YK;Wong APC;Chew SH;Huynh TH;Goh BC;Lim CY;Tergaonkar V;Cheok CF

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There are considerable challenges in directly targeting the mutant p53 protein, given the large heterogeneity of p53 mutations in the clinic. An alternative approach is to exploit the altered fitness of cells imposed by loss-of-wild-type p53. Here we identify niclosamide through a HTS screen for compounds selectively killing p53-deficient cells. Niclosamide impairs the growth of p53-deficient cells and of p53 mutant patient-derived ovarian xenografts. Metabolome profiling reveals that niclosamide induces mitochondrial uncoupling, which renders mutant p53 cells susceptible to mitochondrial-dependent apoptosis through preferential accumulation of arachidonic acid (AA), and represents a first-in-class inhibitor of p53 mutant tumors. Wild-type p53 evades the cytotoxicity by promoting the transcriptional induction of two key lipid oxygenation genes, ALOX5 and ALOX12B, which catalyzes the dioxygenation and breakdown of AA. Therefore, we propose a new paradigm for targeting cancers defective in the p53 pathway, by exploiting their vulnerability to niclosamide-induced mitochondrial uncoupling. Several challenges are involved in direct targeting of mutant p53, while targeting altered fitness of cells with loss of wild type p53 is an alternative approach. Here they identify niclosamide to be selectively toxic to p53 deficient cells through a previously unknown mitochondrial uncoupling mechanism.
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