Branched-chain amino acid aminotransferase 2 regulates ferroptotic cell death in cancer cells

Cell Death Differ. 2021 Apr;28(4):1222-1236. doi: 10.1038/s41418-020-00644-4. Epub 2020 Oct 23.

Abstract

Ferroptosis, a form of iron-dependent cell death driven by cellular metabolism and iron-dependent lipid peroxidation, has been implicated as a tumor-suppressor function for cancer therapy. Recent advance revealed that the sensitivity to ferroptosis is tightly linked to numerous biological processes, including metabolism of amino acid and the biosynthesis of glutathione. Here, by using a high-throughput CRISPR/Cas9-based genetic screen in HepG2 hepatocellular carcinoma cells to search for metabolic proteins inhibiting ferroptosis, we identified a branched-chain amino acid aminotransferase 2 (BCAT2) as a novel suppressor of ferroptosis. Mechanistically, ferroptosis inducers (erastin, sorafenib, and sulfasalazine) activated AMPK/SREBP1 signaling pathway through iron-dependent ferritinophagy, which in turn inhibited BCAT2 transcription. We further confirmed that BCAT2 as the key enzyme mediating the metabolism of sulfur amino acid, regulated intracellular glutamate level, whose activation by ectopic expression specifically antagonize system Xc- inhibition and protected liver and pancreatic cancer cells from ferroptosis in vitro and in vivo. On the contrary, direct inhibition of BCAT2 by RNA interference, or indirect inhibition by blocking system Xc- activity, triggers ferroptosis. Finally, our results demonstrate the synergistic effect of sorafenib and sulfasalazine in downregulating BCAT2 expression and dictating ferroptotic death, where BCAT2 can also be used to predict the responsiveness of cancer cells to ferroptosis-inducing therapies. Collectively, these findings identify a novel role of BCAT2 in ferroptosis, suggesting a potential therapeutic strategy for overcoming sorafenib resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AMP-Activated Protein Kinases / metabolism
  • Animals
  • CRISPR-Cas Systems
  • Carcinoma, Hepatocellular / drug therapy
  • Carcinoma, Hepatocellular / genetics*
  • Carcinoma, Hepatocellular / metabolism
  • Female
  • Ferroptosis / drug effects*
  • Hep G2 Cells
  • Humans
  • Iron / metabolism
  • Lipid Peroxidation
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / genetics*
  • Liver Neoplasms / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Minor Histocompatibility Antigens / genetics*
  • Minor Histocompatibility Antigens / metabolism
  • Pregnancy Proteins / genetics*
  • Pregnancy Proteins / metabolism
  • Signal Transduction / drug effects
  • Sorafenib / pharmacology*
  • Transaminases / genetics*
  • Transaminases / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • Minor Histocompatibility Antigens
  • Pregnancy Proteins
  • Sorafenib
  • Iron
  • Transaminases
  • BCAT2 protein, human
  • AMP-Activated Protein Kinases