Targeting the pentose phosphate pathway increases reactive oxygen species and induces apoptosis in thyroid cancer cells

Mol Cell Endocrinol. 2020 Jan 1:499:110595. doi: 10.1016/j.mce.2019.110595. Epub 2019 Sep 26.

Abstract

The pentose phosphate pathway (PPP) plays an important role in the biosynthesis of ribonucleotide precursor and NADPH. Cancer cells frequently increase the flux of glucose into the PPP to support the anabolic demands and regulate oxidative stress. Consistently, metabolomic analyses indicate an upregulation of the PPP in thyroid cancer. In the present study, we found that the combination of glucose-6-phosphate dehydrogenase (G6PD) and transketolase inhibitors (6-aminonicotinamide and oxythiamine) exerted an additive or synergistic effect on cell growth inhibition in thyroid cancer cells. Targeting PPP significantly increased cellular reactive oxygen species (ROS) and induced endoplasmic reticulum (ER) stress and apoptosis. Suppressed cell viability could be partially rescued with treatment with the ROS scavenger or apoptosis inhibitor but not ER-stress inhibitor. Taken together, dual PPP blockade leads to pharmacologic additivity or synergism and causes ROS-mediated apoptosis in thyroid cancer cells.

Keywords: Apoptosis; Pentose phosphate pathway; Reactive oxygen species; Thyroid cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 6-Aminonicotinamide / pharmacology*
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Endoplasmic Reticulum Stress / drug effects
  • Gene Expression Regulation, Neoplastic / drug effects
  • Glucosephosphate Dehydrogenase
  • Humans
  • NADP / metabolism
  • Oxidative Stress / drug effects
  • Oxythiamine / pharmacology*
  • Pentose Phosphate Pathway / drug effects*
  • Reactive Oxygen Species / metabolism*
  • Thyroid Neoplasms / drug therapy
  • Thyroid Neoplasms / metabolism*

Substances

  • Reactive Oxygen Species
  • Oxythiamine
  • 6-Aminonicotinamide
  • NADP
  • Glucosephosphate Dehydrogenase