Mediation of PKM2-dependent glycolytic and non-glycolytic pathways by ENO2 in head and neck cancer development

J Exp Clin Cancer Res. 2023 Jan 2;42(1):1. doi: 10.1186/s13046-022-02574-0.

Abstract

Background: Enolase 2 (ENO2) is a crucial glycolytic enzyme in cancer metabolic process and acts as a "moonlighting" protein to play various functions in diverse cellular processes unrelated to glycolysis. ENO2 is highly expressed in head and neck squamous cell carcinoma (HNSCC) tissues relative to normal tissues; however, its impact and underlying regulatory mechanisms in HNSCC malignancy remain unclear.

Methods: Molecular alterations were examined by bioinformatics, qRT-PCR, western blotting, immunofluorescence, immunohistochemistry, immunoprecipitation, and ChIP-PCR assays. Metabolic changes were assessed by intracellular levels of ATP and glucose. Animal study was used to evaluate the therapeutic efficacy of the ENO inhibitor.

Results: ENO2 is required for HNSCC cell proliferation and glycolysis, which, surprisingly, is partially achieved by controlling PKM2 protein stability and its nuclear translocation. Mechanistically, loss of ENO2 expression promotes PKM2 protein degradation via the ubiquitin-proteasome pathway and prevents the switch of cytoplasmic PKM2 to the nucleus by inactivating AKT signaling, leading to a blockade in PKM2-mediated glycolytic flux and CCND1-associated cell cycle progression. In addition, treatment with the ENO inhibitor AP-III-a4 significantly induces HNSCC remission in a preclinical mouse model.

Conclusion: Our work elucidates the signaling basis underlying ENO2-dependent HNSCC development, providing evidence to establish a novel ENO2-targeted therapy for treating HNSCC.

Keywords: AP-III-a4; Cell cycle; ENO2; Glucose metabolism; HNSCC; PKM2.

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Glycolysis
  • Head and Neck Neoplasms* / genetics
  • Mice
  • Phosphopyruvate Hydratase* / genetics
  • Phosphopyruvate Hydratase* / metabolism
  • Pyruvate Kinase* / metabolism
  • Signal Transduction
  • Squamous Cell Carcinoma of Head and Neck / genetics

Substances

  • Phosphopyruvate Hydratase
  • Pkm protein, mouse
  • Pyruvate Kinase