Pharmacological eEF2K activation promotes cell death and inhibits cancer progression

EMBO Rep. 2016 Oct;17(10):1471-1484. doi: 10.15252/embr.201642194. Epub 2016 Aug 29.

Abstract

Activation of the elongation factor 2 kinase (eEF2K) leads to the phosphorylation and inhibition of the elongation factor eEF2, reducing mRNA translation rates. Emerging evidence indicates that the regulation of factors involved in protein synthesis may be critical for controlling diverse biological processes including cancer progression. Here we show that inhibitors of the HIV aspartyl protease (HIV-PIs), nelfinavir in particular, trigger a robust activation of eEF2K leading to the phosphorylation of eEF2. Beyond its anti-viral effects, nelfinavir has antitumoral activity and promotes cell death. We show that nelfinavir-resistant cells specifically evade eEF2 inhibition. Decreased cell viability induced by nelfinavir is impaired in cells lacking eEF2K. Moreover, nelfinavir-mediated anti-tumoral activity is severely compromised in eEF2K-deficient engrafted tumors in vivo Our findings imply that exacerbated activation of eEF2K is detrimental for tumor survival and describe a mechanism explaining the anti-tumoral properties of HIV-PIs.

Keywords: HIV‐protease inhibitors; cancer; cell death; eEF2K; mRNA translation.

MeSH terms

  • AMP-Activated Protein Kinases / metabolism
  • Animals
  • Cell Death / drug effects
  • Cell Death / genetics
  • Cell Line
  • Cell Survival / drug effects
  • Cell Survival / genetics
  • Disease Models, Animal
  • Disease Progression
  • Dose-Response Relationship, Drug
  • Drug Resistance / genetics
  • Elongation Factor 2 Kinase / genetics
  • Elongation Factor 2 Kinase / metabolism*
  • Female
  • Gene Expression
  • Humans
  • Mechanistic Target of Rapamycin Complex 1
  • Mice
  • Mice, Knockout
  • Multiprotein Complexes / metabolism
  • Nelfinavir / chemistry
  • Nelfinavir / pharmacology
  • Neoplasms / genetics
  • Neoplasms / metabolism*
  • Neoplasms / pathology*
  • Peptide Elongation Factor 2 / metabolism
  • Phosphorylation
  • Protein Biosynthesis
  • TOR Serine-Threonine Kinases / metabolism
  • Tumor Burden

Substances

  • Multiprotein Complexes
  • Peptide Elongation Factor 2
  • Mechanistic Target of Rapamycin Complex 1
  • TOR Serine-Threonine Kinases
  • Eef2k protein, mouse
  • Elongation Factor 2 Kinase
  • AMP-Activated Protein Kinases
  • Nelfinavir