PO-032 Displacement of hexokinase 2 from mitochondria induces mitochondrial Ca2 +overload and caspase-independent cell death in cancer cells

Abstract

IntroductionHexokinase 2 (HK2) phosphorylates glucose for starting its utilisation in glycolysis and pentose phosphate pathway. In many cancer cell types these processes are enhanced and HK2 expression is strongly induced and mainly localised to the outer mitochondrial membrane, where it also exerts an anti-apoptotic activity. Genetic ablation in mouse highlights HK2 importance in tumour formation. Therefore, HK2 is a good target for antineoplastic strategies, but HK2 inhibitors can have important side effects as they affect glucose metabolism. Here we have developed an antineoplastic strategy based on HK2 detachment from mitochondria in order to induce tumour cell death without inhibiting hexokinase enzymatic activity.Material and methodsPeptide design and synthesis; hexokinase enzymatic activity assays. Measurements of mitochondrial membrane potential, intracellular Ca2+ levels, cell death and in vitro and in vivo tumorigenic assays on human and mouse cancer cell models (CT26 colon cancer cells, 4 T1 breast cancer cells, HeLa cervix carcinoma cells and primary human B-CLL cells).Results and discussionsWe have observed that in cancer cells HK2 locates at contact sites between mitochondria and endoplasmic reticulum called MAMs (mitochondria-associated membranes). We could selectively detach HK2 from MAMs by using a peptide that does not perturb hexokinase enzymatic activity. This treatment rapidly induces opening of the Inositol-3-Phospate-Receptor and the ensuing Ca2+ transfer from endoplasmic reticulum to mitochondria. As a consequence, a Ca2+ overload occurs in mitochondria, leading to permeability transition pore opening, mitochondrial membrane depolarization and apoptosis in a caspase-independent way. Peptide administration reduces allografic growth of breast and colon cancer cells without any noxious effect on healthy tissues, and elicits death of B-cell chronic lymphocytic leukaemia (B-CLL) cells freshly obtained by patients and in vivo.ConclusionWe have reported that HK2 locates in MAMs of cancer cells, where it acts as an important player in the control of their survival. Targeting HK2 with a peptide-based strategy constitutes a novel and promising anti-neoplastic approach.