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2015 ; 112
(52
): E7276-85
Nephropedia Template TP
gab.com Text
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English Wikipedia
Antifungal drug itraconazole targets VDAC1 to modulate the AMPK/mTOR signaling
axis in endothelial cells
#MMPMID26655341
Head SA
; Shi W
; Zhao L
; Gorshkov K
; Pasunooti K
; Chen Y
; Deng Z
; Li RJ
; Shim JS
; Tan W
; Hartung T
; Zhang J
; Zhao Y
; Colombini M
; Liu JO
Proc Natl Acad Sci U S A
2015[Dec]; 112
(52
): E7276-85
PMID26655341
show ga
Itraconazole, a clinically used antifungal drug, was found to possess potent
antiangiogenic and anticancer activity that is unique among the azole
antifungals. Previous mechanistic studies have shown that itraconazole inhibits
the mechanistic target of rapamycin (mTOR) signaling pathway, which is known to
be a critical regulator of endothelial cell function and angiogenesis. However,
the molecular target of itraconazole that mediates this activity has remained
unknown. Here we identify the major target of itraconazole in endothelial cells
as the mitochondrial protein voltage-dependent anion channel 1 (VDAC1), which
regulates mitochondrial metabolism by controlling the passage of ions and small
metabolites through the outer mitochondrial membrane. VDAC1 knockdown profoundly
inhibits mTOR activity and cell proliferation in human umbilical vein cells
(HUVEC), uncovering a previously unknown connection between VDAC1 and mTOR.
Inhibition of VDAC1 by itraconazole disrupts mitochondrial metabolism, leading to
an increase in the cellular AMP:ATP ratio and activation of the AMP-activated
protein kinase (AMPK), an upstream regulator of mTOR. VDAC1-knockout cells are
resistant to AMPK activation and mTOR inhibition by itraconazole, demonstrating
that VDAC1 is the mediator of this activity. In addition, another known
VDAC-targeting compound, erastin, also activates AMPK and inhibits mTOR and
proliferation in HUVEC. VDAC1 thus represents a novel upstream regulator of mTOR
signaling in endothelial cells and a promising target for the development of
angiogenesis inhibitors.