Combined inhibition of glycolysis and AMPK induces synergistic breast cancer cell killing

Breast Cancer Res Treat. 2015 Jun;151(3):529-39. doi: 10.1007/s10549-015-3386-3. Epub 2015 May 15.

Abstract

Targeting glycolysis for cancer treatment has been investigated as a therapeutic method but has not offered a feasible chemotherapeutic strategy. Our aim was to examine whether AMP-activated protein kinase (AMPK), a conditional oncogene, rescues the energetic stress and cytotoxicity induced by 2-deoxyglucose (2-DG), a glycolytic inhibitor, and the related mechanisms. Luciferin/luciferase adenosine triphosphate (ATP) determination, Western analysis, qRT-PCR analyses, MTT growth assay, clonogenic assay, and statistical analysis were performed in this study. 2-DG decreased ATP levels and subsequently activated AMPK, which contribute to intracellular ATP recovery in MCF-7 cells thus exhibiting no apparent cytotoxicity. Compound C, an AMPK inhibitor, further potentiates 2-DG-induced decrease in ATP levels and inhibits their recovery. 2-DG, via AMPK activation, stimulated cAMP response element-binding protein (CREB) phosphorylation and activity and promoted nuclear peroxisome proliferator-activated receptor gamma coactivator-1-beta (PGC-1β) and estrogen-related receptor α (ERRα) protein expression, leading to augmented mitochondrial biogenesis and expression of fatty acid oxidation (FAO) genes including PPARα, MCAD, CPT1C, and ACO. This metabolic adaptation elicited by AMPK counteracts the ATP-depleting and cancer cell-killing effect of 2-DG. However, 2-DG in combination with AMPK antagonists or small interfering RNA caused a dramatic increase in cytotoxicity in MCF-7 but not in MCF-10A cells. Similarly, when combined with inhibition of CREB/PGC-1β/ERRα pathway, 2-DG saliently suppressed mitochondrial biogenesis and the expression of FAO genes, depleted ATP production, and enhanced cytotoxicity in cancer cells. Collectively, the combination of 2-DG and AMPK inhibition synergistically enhanced the cytotoxic potential in breast cancer cells with a relative nontoxicity to normal cells and may offer a promising, safe, and effective breast cancer therapeutic strategy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • AMP-Activated Protein Kinases / antagonists & inhibitors*
  • AMP-Activated Protein Kinases / metabolism
  • Adenosine Triphosphate / metabolism
  • Antineoplastic Agents / pharmacology*
  • Breast Neoplasms / metabolism*
  • Carrier Proteins / metabolism
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Cyclic AMP Response Element-Binding Protein / metabolism
  • Deoxyglucose / metabolism
  • Deoxyglucose / pharmacology
  • Dose-Response Relationship, Drug
  • ERRalpha Estrogen-Related Receptor
  • Female
  • Glycolysis / drug effects*
  • Humans
  • Intracellular Space / metabolism
  • MCF-7 Cells
  • Organelle Biogenesis
  • Phosphorylation
  • Protein Kinase Inhibitors / pharmacology*
  • RNA-Binding Proteins
  • Receptors, Estrogen / metabolism

Substances

  • Antineoplastic Agents
  • Carrier Proteins
  • Cyclic AMP Response Element-Binding Protein
  • PPARGC1B protein, human
  • Protein Kinase Inhibitors
  • RNA-Binding Proteins
  • Receptors, Estrogen
  • Adenosine Triphosphate
  • Deoxyglucose
  • AMP-Activated Protein Kinases