한빛사논문
Harvard Medical School, Boston Children’s Hospital
Min-Sik Lee1,2,3, Courtney Dennis4, Insia Naqvi1,3, Lucas Dailey4, Alireza Lorzadeh5, George Ye5, Tamara Zaytouni1,2,3, Ashley Adler1,3, Daniel S. Hitchcock4, Lin Lin1, Megan T. Hoffman6,7, Aladdin M. Bhuiyan6,7,8, Jaimie L. Barth9, Miranda E. Machacek9,10, Mari Mino-Kenudson9,10, Stephanie K. Dougan6,7, Unmesh Jadhav5,11, Clary B. Clish4 & Nada Y. Kalaany1,2,3
1Division of Endocrinology, Boston Children’s Hospital, Boston, MA, USA.
2Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
3Broad Institute of MIT and Harvard, Cambridge, MA, USA.
4Metabolomics Platform, Broad Institute of MIT and Harvard, Cambridge, MA, USA.
5Department of Stem Cell Biology and Regenerative Medicine, Broad-CIRM Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
6Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA, USA.
7Department of Immunology, Harvard Medical School, Boston, MA, USA.
8Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
9Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
10Department of Pathology, Harvard Medical School, Boston, MA, USA.
11Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.
Corresponding author : Correspondence to Nada Y. Kalaany.
Abstract
There is a need to develop effective therapies for pancreatic ductal adenocarcinoma (PDA), a highly lethal malignancy with increasing incidence1 and poor prognosis2. Although targeting tumour metabolism has been the focus of intense investigation for more than a decade, tumour metabolic plasticity and high risk of toxicity have limited this anticancer strategy3,4. Here we use genetic and pharmacological approaches in human and mouse in vitro and in vivo models to show that PDA has a distinct dependence on de novo ornithine synthesis from glutamine. We find that this process, which is mediated through ornithine aminotransferase (OAT), supports polyamine synthesis and is required for tumour growth. This directional OAT activity is usually largely restricted to infancy and contrasts with the reliance of most adult normal tissues and other cancer types on arginine-derived ornithine for polyamine synthesis5,6. This dependency associates with arginine depletion in the PDA tumour microenvironment and is driven by mutant KRAS. Activated KRAS induces the expression of OAT and polyamine synthesis enzymes, leading to alterations in the transcriptome and open chromatin landscape in PDA tumour cells. The distinct dependence of PDA, but not normal tissue, on OAT-mediated de novo ornithine synthesis provides an attractive therapeutic window for treating patients with pancreatic cancer with minimal toxicity.
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