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2016 ; 35
(34
): 4518-28
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Inhibition of cholesterol metabolism underlies synergy between mTOR pathway
inhibition and chloroquine in bladder cancer cells
#MMPMID26853465
King MA
; Ganley IG
; Flemington V
Oncogene
2016[Aug]; 35
(34
): 4518-28
PMID26853465
show ga
Mutations to fibroblast growth factor receptor 3 (FGFR3) and phosphatase and
tensin homologue (PTEN) signalling pathway components (for example, PTEN loss,
PIK3CA, AKT1, TSC1/2) are common in bladder cancer, yet small-molecule inhibitors
of these nodes (FGFR/PTENi) show only modest activity in preclinical models. As
activation of autophagy is proposed to promote survival under FGFR/PTENi, we have
investigated this relationship in a panel of 18 genetically diverse bladder cell
lines. We found that autophagy inhibition does not sensitise bladder cell lines
to FGFR/PTENi, but newly identify an autophagy-independent cell death synergy in
FGFR3-mutant cell lines between mTOR (mammalian target of rapamycin) pathway
inhibitors and chloroquine (CQ)-an anti-malarial drug used as a cancer therapy
adjuvant in over 30 clinical trials. The mechanism of synergy is consistent with
lysosomal cell death (LCD), including cathepsin-driven caspase activation, and
correlates with suppression of cSREBP1 and cholesterol biosynthesis in sensitive
cell lines. Remarkably, loss of viability can be rescued by saturating cellular
membranes with cholesterol or recapitulated by statin-mediated inhibition, or
small interfering RNA knockdown, of enzymes regulating cholesterol metabolism.
Modulation of CQ-induced cell death by atorvastatin and cholesterol is reproduced
across numerous cell lines, confirming a novel and fundamental role for
cholesterol biosynthesis in regulating LCD. Thus, we have catalogued the
molecular events underlying cell death induced by CQ in combination with an
anticancer therapeutic. Moreover, by revealing a hitherto unknown aspect of
lysosomal biology under stress, we propose that suppression of cholesterol
metabolism in cancer cells should elicit synergy with CQ and define a novel
approach to future cancer treatments.