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Mutant Kras copy number defines metabolic reprogramming and therapeutic susceptibilities.


Type

Article

Change log

Authors

Kerr, Emma M 
Gaude, Edoardo 
Turrell, Frances K 
Martins, Carla P 

Abstract

The RAS/MAPK (mitogen-activated protein kinase) signalling pathway is frequently deregulated in non-small-cell lung cancer, often through KRAS activating mutations. A single endogenous mutant Kras allele is sufficient to promote lung tumour formation in mice but malignant progression requires additional genetic alterations. We recently showed that advanced lung tumours from Kras(G12D/+);p53-null mice frequently exhibit Kras(G12D) allelic enrichment (Kras(G12D)/Kras(wild-type) > 1) (ref. 7), implying that mutant Kras copy gains are positively selected during progression. Here we show, through a comprehensive analysis of mutant Kras homozygous and heterozygous mouse embryonic fibroblasts and lung cancer cells, that these genotypes are phenotypically distinct. In particular, Kras(G12D/G12D) cells exhibit a glycolytic switch coupled to increased channelling of glucose-derived metabolites into the tricarboxylic acid cycle and glutathione biosynthesis, resulting in enhanced glutathione-mediated detoxification. This metabolic rewiring is recapitulated in mutant KRAS homozygous non-small-cell lung cancer cells and in vivo, in spontaneous advanced murine lung tumours (which display a high frequency of Kras(G12D) copy gain), but not in the corresponding early tumours (Kras(G12D) heterozygous). Finally, we demonstrate that mutant Kras copy gain creates unique metabolic dependences that can be exploited to selectively target these aggressive mutant Kras tumours. Our data demonstrate that mutant Kras lung tumours are not a single disease but rather a heterogeneous group comprising two classes of tumours with distinct metabolic profiles, prognosis and therapeutic susceptibility, which can be discriminated on the basis of their relative mutant allelic content. We also provide the first, to our knowledge, in vivo evidence of metabolic rewiring during lung cancer malignant progression.

Description

Keywords

Alleles, Animals, Carcinoma, Non-Small-Cell Lung, Cell Line, Tumor, Cell Transformation, Neoplastic, Citric Acid Cycle, DNA Copy Number Variations, Disease Progression, Female, Fibroblasts, Genes, ras, Genotype, Glucose, Glutathione, Glycolysis, Lung Neoplasms, Male, Mice, Mutation, Oxidation-Reduction, Phenotype, Prognosis

Journal Title

Nature

Conference Name

Journal ISSN

0028-0836
1476-4687

Volume Title

531

Publisher

Springer Science and Business Media LLC
Sponsorship
Medical Research Council (MC_UU_12022/6)
Medical Research Council (MC_UU_12022/4)
MRC (unknown)
We thank T. Jacks (Kras^LSL-G12D), A. Berns (p53^Fx) and the NIH Mouse repository for mice. We also thank Sam Kleeman and Patricia Ogger for assistance with redox cell profiling and cell viability assays, respectively. We are very thankful to CRUK CI BRU staff for support with in vivo work and all the members of the Martins lab for critical comments and advice. This work was supported by the Medical Research Council.