Abstract

Nicotinamide adenine dinucleotide (NAD) is a cofactor involved in a wide range of cellular metabolic processes and is a key metabolite required for tumor growth. NAMPT, nicotinamide phosphoribosyltransferase, which converts nicotinamide (NAM) to nicotinamide mononucleotide (NMN), the immediate precursor of NAD, is an attractive therapeutic target as inhibition of NAMPT reduces cellular NAD levels and inhibits tumor growth in vivo. However, there is limited understanding of the metabolic response to NAD depletion across cancer cell lines and whether all cell lines respond in a uniform manner. To explore this we selected two non-small cell lung carcinoma cell lines that are sensitive to the NAMPT inhibitor GNE-617 (A549, NCI-H1334), one that shows intermediate sensitivity (NCI-H441), and one that is insensitive (LC-KJ). Even though NAD was reduced in all cell lines there was surprising heterogeneity in their metabolic response. Both sensitive cell lines reduced glycolysis and levels of di- and tri-nucleotides and modestly increased oxidative phosphorylation, but they differed in their ability to combat oxidative stress. H1334 cells activated the stress kinase AMPK, whereas A549 cells were unable to activate AMPK as they contain a mutation in LKB1, which prevents activation of AMPK. However, A549 cells increased utilization of the Pentose Phosphate pathway (PPP) and had lower reactive oxygen species (ROS) levels than H1334 cells, indicating that A549 cells are better able to modulate an increase in oxidative stress. Inherent resistance of LC-KJ cells is associated with higher baseline levels of NADPH and a delayed reduction of NAD upon NAMPT inhibition. Our data reveals that cell lines show heterogeneous response to NAD depletion and that the underlying molecular and genetic framework in cells can influence the metabolic response to NAMPT inhibition.

Highlights

  • Appropriate regulation of cellular metabolism is critical to sustain cell proliferation and involves a tremendous complexity that includes cross-talk across a variety of metabolicPLOS ONE | DOI:10.1371/journal.pone.0164166 October 6, 2016Nicotinamide adenine dinucleotide (NAD) Depletion Induces Variable Metabolic Response across Cell Lines

  • We show that the effects of NAD depletion are surprisingly divergent across non-small cell lung carcinoma (NSCLC) cell lines and we propose that some of these differences may be driven by genetic variability

  • Metabolic profiling was undertaken with two cell lines sensitive to NAMPT inhibition (H1334 and A549), one cell line that showed intermediate sensitivity (H441) and one cell line that was inherently insensitive in short term viability assays (LC-KJ)

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Summary

Introduction

Depletion of NAD in cells has been shown to block glycolysis, increase utilization of the pentose phosphate pathway (PPP) and increase glutaminogenesis [10, 11]. There is still a limited understanding of how metabolic effects vary across cell lines with varying sensitivities to NAMPT inhibitors. Our data demonstrate a surprising level of metabolic heterogeneity across cell lines in their responses to NAD depletion. Some of this heterogeneity is likely driven by the genetic profile of each cell line. This study has revealed that the metabolic response to loss of NAD varies greatly across cell lines, and provides insight on why some cell lines may be inherently less sensitivity to inhibition of NAMPT

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