Methylglyoxal Scavengers Resensitize KRAS-Mutated Colorectal Tumors to Cetuximab

  • J. Bellier
  • , M.J. Nokin
  • , M. Caprasse
  • , A. Tiamiou
  • , A. Blomme
  • , J.L. Scheijen
  • , B. Koopmansch
  • , G.M. MacKay
  • , B. Chiavarina
  • , B. Costanza
  • , G. Rademaker
  • , F. Durieux
  • , F. Agirman
  • , N. Maloujahmoum
  • , P.G. Cusumano
  • , P. Lovinfosse
  • , H.Y. Leung
  • , F. Lambert
  • , V. Bours
  • , C.G. Schalkwijk
  • R. Hustinx, O. Peulen, V. Castronovo, A. Bellahcene*
*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The use of cetuximab anti-epidermal growth factor receptor (anti-EGFR) antibodies has opened the era of targeted and personalized therapy in colorectal cancer (CRC). Poor response rates have been unequivocally shown in mutant KRAS and are even observed in a majority of wild-type KRAS tumors. Therefore, patient selection based on mutational profiling remains problematic. We previously identified methylglyoxal (MGO), a by-product of glycolysis, as a metabolite promoting tumor growth and metastasis. Mutant KRAS cells under MGO stress show AKT-dependent survival when compared with wild-type KRAS isogenic CRC cells. MGO induces AKT activation through phosphatidylinositol 3-kinase (PI3K)/mammalian target of rapamycin 2 (mTORC2) and Hsp27 regulation. Importantly, the sole induction of MGO stress in sensitive wild-type KRAS cells renders them resistant to cetuximab. MGO scavengers inhibit AKT and resensitize KRAS-mutated CRC cells to cetuximab in vivo. This study establishes a link between MGO and AKT activation and pinpoints this oncometabolite as a potential target to tackle EGFR-targeted therapy resistance in CRC.
Original languageEnglish
Pages (from-to)1400-1416.e6
Number of pages23
JournalCell Reports
Volume30
Issue number5
DOIs
Publication statusPublished - 4 Feb 2020

Keywords

  • akt
  • cancer cells
  • growth
  • heat-shock-protein
  • heat-shock-protein-27
  • hsp27
  • metabolism
  • ras
  • resistance
  • targeted therapies

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