alpha-Ketoglutarate attenuates Wnt signaling and drives differentiation in colorectal cancer

Genetic-driven deregulation of the Wnt pathway is crucial but not sufficient for colorectal cancer (CRC) tumorigenesis. Here, we show that environmental glutamine restriction further augments Wnt signaling in APC-mutant intestinal organoids to promote stemness, and leads to adenocarcinoma formation...

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Veröffentlicht in:Nature cancer 2020-03, Vol.1 (3), p.345-358
Hauptverfasser: Tran, Thai Q., Hanse, Eric A., Habowski, Amber N., Li, Haiqing, Gabra, Mari B. Ishak, Yang, Ying, Lowman, Xazmin H., Ooi, Amelia M., Liao, Shu Y., Edwards, Robert A., Waterman, Marian L., Kong, Mei
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container_end_page 358
container_issue 3
container_start_page 345
container_title Nature cancer
container_volume 1
creator Tran, Thai Q.
Hanse, Eric A.
Habowski, Amber N.
Li, Haiqing
Gabra, Mari B. Ishak
Yang, Ying
Lowman, Xazmin H.
Ooi, Amelia M.
Liao, Shu Y.
Edwards, Robert A.
Waterman, Marian L.
Kong, Mei
description Genetic-driven deregulation of the Wnt pathway is crucial but not sufficient for colorectal cancer (CRC) tumorigenesis. Here, we show that environmental glutamine restriction further augments Wnt signaling in APC-mutant intestinal organoids to promote stemness, and leads to adenocarcinoma formation in vivo via decreasing intracellular alpha-ketoglutarate (alpha KG) levels. alpha KG supplementation is sufficient to rescue low-glutamine-induced stemness and Wnt hyperactivation. Mechanistically, we found that alpha KG promotes hypomethylation of DNA and histone H3K4me3, leading to an upregulation of differentiation-associated genes and downregulation of Wnt target genes, respectively. Using organoids derived from patients with CRC and several in vivo CRC tumor models, we show that alpha KG supplementation suppresses Wnt signaling and promotes cellular differentiation, thereby significantly restricting tumor growth and extending survival. Together, our results reveal how the metabolic microenvironment impacts Wnt signaling and identify alpha KG as a potent antineoplastic metabolite for potential differentiation therapy for patients with CRC.
doi_str_mv 10.1038/s43018-020-0035-5
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subjects Colorectal Neoplasms - drug therapy
Glutamine
Humans
Ketoglutaric Acids - pharmacology
Life Sciences & Biomedicine
Oncology
Organoids
Science & Technology
Tumor Microenvironment
Wnt Signaling Pathway - genetics
title alpha-Ketoglutarate attenuates Wnt signaling and drives differentiation in colorectal cancer
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