Tumors defective in homologous recombination rely on oxidative metabolism: Relevance to treatments with PARP inhibitors
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Published version
Author(s)
McNeish, Iain
Type
Journal Article
Abstract
Mitochondrial metabolism and the generation of reactive oxygen species (ROS) contribute to the acquisition of DNA mutations and genomic instability in cancer. How genomic instability influences the metabolic capacity of cancer cells is nevertheless poorly understood. Here, we show that homologous recombination‐defective (HRD) cancers rely on oxidative metabolism to supply NAD+ and ATP for poly(ADP‐ribose) polymerase (PARP)‐dependent DNA repair mechanisms. Studies in breast and ovarian cancer HRD models depict a metabolic shift that includes enhanced expression of the oxidative phosphorylation (OXPHOS) pathway and its key components and a decline in the glycolytic Warburg phenotype. Hence, HRD cells are more sensitive to metformin and NAD+ concentration changes. On the other hand, shifting from an OXPHOS to a highly glycolytic metabolism interferes with the sensitivity to PARP inhibitors (PARPi) in these HRD cells. This feature is associated with a weak response to PARP inhibition in patient‐derived xenografts, emerging as a new mechanism to determine PARPi sensitivity. This study shows a mechanistic link between two major cancer hallmarks, which in turn suggests novel possibilities for specifically treating HRD cancers with OXPHOS inhibitors.
Date Issued
2020-05-13
Date Acceptance
2020-04-09
Citation
EMBO Molecular Medicine, 2020, 12, pp.1-23
ISSN
1757-4676
Publisher
Wiley
Start Page
1
End Page
23
Journal / Book Title
EMBO Molecular Medicine
Volume
12
Copyright Statement
© 2020 The Authors. Published under the terms of the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/)
Sponsor
Imperial College Healthcare NHS Trust- BRC Funding
Ovarian Cancer Action
Identifier
https://www.embopress.org/doi/full/10.15252/emmm.201911217
Grant Number
RDB01
n/a
Subjects
BCRA
OXPHOS
PARP inhibitors
cancer metabolism
metformin
06 Biological Sciences
11 Medical and Health Sciences
Publication Status
Published
Article Number
e11217
Date Publish Online
2020-05-13