AMPKα1 confers survival advantage of colorectal cancer cells under metabolic stress by promoting redox balance through the regulation of glutathione reductase phosphorylation

Oncogene. 2020 Jan;39(3):637-650. doi: 10.1038/s41388-019-1004-2. Epub 2019 Sep 17.

Abstract

Patients with stage II or III colorectal cancer (CRC) exhibit various clinical outcomes after radical treatments. The 5-year survival rate was between 50 and 87%. However, the underlying mechanisms of the variation remain unclear. Here we show that AMPKα1 is overexpressed in CRC patient specimens and the high expression is correlated with poor patient survival. We further reveal a previously unrecognized function of AMPKα1, which maintains high level of reduced glutathione to keep reduction-oxidation reaction (redox) homeostasis under stress conditions, thus promoting CRC cell survival under metabolic stress in vitro and enhancing tumorigenesis in vivo. Mechanistically, AMPKα1 regulate the glutathione reductase (GSR) phosphorylation possibly through residue Thr507 which enhances its activity. Suppression of AMPKα1 by using nano-sized polymeric vector induces a favorable therapeutic effect, especially when in combination with oxaliplatin. Our study uncovers a novel function of AMPKα1 in redox regulation and identifies a promising therapeutic strategy for treatment of CRC.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AMP-Activated Protein Kinases / genetics
  • AMP-Activated Protein Kinases / metabolism*
  • Aged
  • Animals
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carcinogenesis / pathology*
  • Cell Line, Tumor
  • Cell Survival
  • Colorectal Neoplasms / drug therapy
  • Colorectal Neoplasms / mortality
  • Colorectal Neoplasms / pathology*
  • Drug Synergism
  • Female
  • Gene Knockdown Techniques
  • Glutathione Reductase / metabolism*
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Mice
  • Middle Aged
  • Neoplasm Staging
  • Oxaliplatin / pharmacology
  • Oxaliplatin / therapeutic use
  • Oxidation-Reduction
  • Phosphorylation
  • RNA, Small Interfering / metabolism
  • Reactive Oxygen Species / metabolism
  • Stress, Physiological
  • Survival Rate
  • Threonine / metabolism
  • Xenograft Model Antitumor Assays

Substances

  • RNA, Small Interfering
  • Reactive Oxygen Species
  • Oxaliplatin
  • Threonine
  • Glutathione Reductase
  • AMP-Activated Protein Kinases
  • PRKAA1 protein, human