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Schwab, Annemarie ; Siddiqui, Mohammad Aarif ; Ramesh, Vignesh ; Gollavilli, Paradesi Naidu ; Turtos, Adriana Martinez ; Møller, Sarah Søgaard ; Pinna, Luisa ; Havelund, Jesper F ; Rømer, Anne Mette A ; Ersan, Pelin Gülizar ; Parma, Beatrice ; Marschall, Sabine ; Dettmer, Katja ; Alhusayan, Mohammed ; Bertoglio, Pietro ; Querzoli, Giulia ; Mielenz, Dirk ; Sahin, Ozgur ; Færgeman, Nils J ; Asangani, Irfan A ; Ceppi, Paolo

Polyol pathway-generated fructose is indispensable for growth and survival of non-small cell lung cancer

Schwab, Annemarie, Siddiqui, Mohammad Aarif, Ramesh, Vignesh, Gollavilli, Paradesi Naidu, Turtos, Adriana Martinez, Møller, Sarah Søgaard, Pinna, Luisa, Havelund, Jesper F, Rømer, Anne Mette A, Ersan, Pelin Gülizar, Parma, Beatrice, Marschall, Sabine, Dettmer, Katja , Alhusayan, Mohammed, Bertoglio, Pietro, Querzoli, Giulia, Mielenz, Dirk, Sahin, Ozgur, Færgeman, Nils J, Asangani, Irfan A and Ceppi, Paolo (2024) Polyol pathway-generated fructose is indispensable for growth and survival of non-small cell lung cancer. Cell death & differentiation 32, pp. 587-597.

Date of publication of this fulltext: 14 Apr 2025 06:40
Article
DOI to cite this document: 10.5283/epub.76561


Abstract

Despite recent treatment advances, non-small cell lung cancer (NSCLC) remains one of the leading causes of cancer-related deaths worldwide, and therefore it necessitates the exploration of new therapy options. One commonly shared feature of malignant cells is their ability to hijack metabolic pathways to confer survival or proliferation. In this study, we highlight the importance of the polyol ...

Despite recent treatment advances, non-small cell lung cancer (NSCLC) remains one of the leading causes of cancer-related deaths worldwide, and therefore it necessitates the exploration of new therapy options. One commonly shared feature of malignant cells is their ability to hijack metabolic pathways to confer survival or proliferation. In this study, we highlight the importance of the polyol pathway (PP) in NSCLC metabolism. This pathway is solely responsible for metabolizing glucose to fructose based on the enzymatic activity of aldose reductase (AKR1B1) and sorbitol dehydrogenase (SORD). Via genetic and pharmacological manipulations, we reveal that PP activity is indispensable for NSCLC growth and survival in vitro and in murine xenograft models. Mechanistically, PP deficiency provokes multifactorial deficits, ranging from energetic breakdown and DNA damage, that ultimately trigger the induction of apoptosis. At the molecular level, this process is driven by pro-apoptotic JNK signaling and concomitant upregulation of the transcription factors c-Jun and ATF3. Moreover, we show that fructose, the PP end-product, as well as other non-glycolytic hexoses confer survival to cancer cells and resistance against chemotherapy via sustained NF-κB activity as well as an oxidative switch in metabolism. Given the detrimental consequence of PP gene targeting on growth and survival, we propose PP pathway interference as a viable therapeutic approach against NSCLC.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleCell death & differentiation
Publisher:Springer Nature
Volume:32
Page Range:pp. 587-597
Date20 November 2024
InstitutionsMedicine > Institut für Funktionelle Genomik > Lehrstuhl für Funktionelle Genomik (Prof. Oefner)
Identification Number
ValueType
10.1038/s41418-024-01415-1DOI
39567724PubMed ID
Classification
NotationType
Carcinoma, Non-Small-Cell Lung/metabolismMESH
HumansMESH
Fructose/metabolismMESH
Lung Neoplasms/metabolismMESH
AnimalsMESH
MiceMESH
Polymers/metabolismMESH
Cell ProliferationMESH
Cell Line, TumorMESH
L-Iditol 2-Dehydrogenase/metabolismMESH
Cell SurvivalMESH
Aldehyde Reductase/metabolismMESH
ApoptosisMESH
Signal TransductionMESH
Mice, NudeMESH
KeywordsCancer metabolism; Non-small-cell lung cancer
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-765616
Item ID76561

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