Abstract

Recent work has shown that HER2/neu-positive breast cancer cells rely on a unique Warburg-like metabolism for survival and aggressive behavior. These cells are dependent on fatty acid (FA) synthesis, show markedly increased levels of stored fats and disruption of the synthetic process results in apoptosis. In this study, we used global metabolite profiling and a multi-omics network analysis approach to model the metabolic changes in this physiology under palmitate-supplemented growth conditions to gain insights into the molecular mechanism and its relevance to disease prevention and treatment. Computational analyses were used to define pathway enrichment based on the dataset of significantly altered metabolites and to integrate metabolomics and transcriptomics data in a multi-omics network analysis. Network-predicted changes and functional relationships were tested with cell assays in vitro. Palmitate-supplemented growth conditions induce distinct metabolic alterations. Growth of HER2-normal MCF7 cells is unaffected under these conditions whereas HER2/neu-positive cells display unchanged neutral lipid content, AMPK activation, inhibition of fatty acid synthesis and significantly altered glutamine, glucose and serine/glycine metabolism. The predominant upregulated lipid species is the novel bioactive lipid N-palmitoylglycine, which is non-toxic to these cells. Limiting the availability of glutamine significantly ameliorates the lipotoxic effects of palmitate, reduces CHOP and XBP1(s) induction and restores the expression levels of HER2 and HER3. The study shows that HER2/neu-positive breast cancer cells change their metabolic phenotype in the presence of palmitate. Palmitate induces AMPK activation and inhibition of fatty acid synthesis that feeds back into glycolysis as well as anaplerotic glutamine metabolism.

Highlights

  • Amplification of the ERBB2 (HER2) oncogene is one of the most clinically relevant genetic changes in breast cancer

  • Our previous studies have established that BT474, MDA-MB-361, SKBR3 (HER2 enriched; ER, HER2+) but not MCF-7 or human mammary epithelial cells exhibit this Warburg-like physiology which relies on active fatty acid synthesis for survival and aggressive behavior [6, 8,9,10, 14, 21]

  • Molecular profiling experiments from this work have shown that the MCF7 cell line (HER2-normal) and the SKBR3 cell line (HER2/neu-positive) are representative lines to investigate the differential effects of fatty acids as a model of increased dietary fat intake

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Summary

Introduction

Amplification of the ERBB2 (HER2) oncogene is one of the most clinically relevant genetic changes in breast cancer. Overexpression of HER2 alone has previously been shown to have pro-lipogenic effects, i.e. by increasing the expression of acetyl-CoA carboxylase alpha (ACACA/ ACC) and fatty acid synthase (FASN) at the translational level [7]. These pro-lipogenic alterations in HER2/ neu-positive breast cancer cells are congruent with the observation that these cells possess higher levels of stored triacylglycerides (TAGs) as well as higher levels of saturated fatty acids compared to other cell types [6, 8]. The genetic alterations in these cells allow for the constant production of fatty acids as a means to regenerate reducing equivalents for glycolysis through the concerted action of malic enzyme (ME1) and malate dehydrogenase (MDH1), while PBP, NRD1 and PPARγ orchestrate the sequestration of fatty acids in neutral lipids to avoid lipotoxicity [6, 8] [13]

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