Abstract

Partial suppression of mitochondrial oxidative phosphorylation and the concurrent activation of aerobic glycolysis is a hallmark of proliferating cancer cells. Overexpression of the ATPase inhibitory factor 1 (IF1), an in vivo inhibitor of the mitochondrial ATP synthase, is observed in most prevalent human carcinomas favoring metabolic rewiring to an enhanced glycolysis and cancer progression. Consistently, a high expression of IF1 in hepatocarcinomas and in carcinomas of the lung, bladder, and stomach and in gliomas is a biomarker of bad patient prognosis. In contrast to these findings, we have previously reported that a high expression level of IF1 in breast carcinomas is indicative of less chance to develop metastatic disease. This finding is especially relevant in the bad prognosis group of patients bearing triple-negative breast carcinomas. To investigate the molecular mechanisms that underlie the differential behavior of IF1 in breast cancer progression, we have developed the triple-negative BT549 breast cancer cell line that overexpresses IF1 stably. When compared to controls, IF1-cells partially shut down respiration and enhance aerobic glycolysis. Transcriptomic analysis suggested that migration and invasion were specifically inhibited in IF1-overexpressing breast cancer cells. Analysis of gene expression by qPCR and western blotting indicate that IF1 overexpression supports the maintenance of components of the extracellular matrix (ECM) and E-cadherin concurrently with the downregulation of components and signaling pathways involved in epithelial to mesenchymal transition. The overexpression of IF1 in breast cancer cells has no effect in the rates of cellular proliferation and in the cell death response to staurosporine and hydrogen peroxide. However, the overexpression of IF1 significantly diminishes the ability of the cells to grow in soft agar and to migrate and invade when compared to control cells. Overall, the results indicate that IF1 overexpression despite favoring a metabolic phenotype prone to cancer progression in the specific case of breast cancer cells also promotes the maintenance of the ECM impeding metastatic disease. These findings hence provide a mechanistic explanation to the better prognosis of breast cancer patients bearing tumors with high expression level of IF1.

Highlights

  • Partial suppression of ATP production by mitochondrial oxidative phosphorylation and the concurrent metabolic repro­gramming of the cell to an enhanced aerobic glycolysis is a hallmark feature of proliferating normal, cancer, and stem cells [1,2,3,4,5,6]

  • These findings suggest that high inhibitory factor 1 (IF1) levels in breast carcinomas in some way correlate with a decrease of metastasis despite supporting a pro-oncogenic metabolic phenotype [21, 22, 27]

  • We report that the overexpression of IF1 in human breast carcinomas, especially in the subgroup of triple-negative breast carcinomas predicts a lower risk for metastatic disease [21]

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Summary

Introduction

Partial suppression of ATP production by mitochondrial oxidative phosphorylation and the concurrent metabolic repro­gramming of the cell to an enhanced aerobic glycolysis is a hallmark feature of proliferating normal, cancer, and stem cells [1,2,3,4,5,6]. This switch in metabolic phenotype warranties that a fraction of the glucose carbon skeletons available rather than being oxidize to CO2 could supply the anabolic precursors and reducing power that are needed to sustain proliferation [7,8,9,10]. In sharp contrast to these findings, a high expression level of IF1 in breast carcinomas positively correlates with less chance to develop metastatic disease; in other words, it is a biomarker of good prognosis for breast cancer patients [21]

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