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Tension in tumour cells keeps metabolism high

Tumours are often stiffer than normal tissues and show abnormally fast metabolism of glucose. It emerges that the link between these two traits involves tension in a network of protein filaments in cells.
Nadia M. E. Ayad is in the Department of Surgery and the Center for Bioengineering and Tissue Regeneration, University of California, San Francisco, San Francisco, California 94143, USA, and in the University of California, Berkeley–University of California, San Francisco, Graduate Program in Bioengineering.
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Valerie M. Weaver is in the Department of Surgery and the Center for Bioengineering and Tissue Regeneration, University of California, San Francisco, San Francisco, California 94143, USA.
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Tension in cells and tissues has crucial roles in an organism’s development and maintenance1. Tension-modulated processes such as cell growth, migration and differentiation have high energy demands, and so it is perhaps not surprising that cell tension also regulates cellular metabolism2 — but exactly how has been unclear. Writing in Nature, Park et al.3 describe a mechanism by which stiffness in the extracellular matrix (ECM) around cells promotes the reorganization of a filamentous cellular protein called actin to enhance glycolysis, a key metabolic pathway that generates energy from glucose. The authors also show how changes in this pathway can lead to elevated glucose metabolism in lung tumours4.

Cells sense changes in the ECM through transmembrane receptor proteins such as integrins1, which can trigger changes in the network of actin and myosin protein filaments, known as the cytoskeleton, that defines a cell’s shape. For instance, in response to a stiff ECM, integrins assemble into clumps called focal adhesions, around which scaffolding proteins such as α-actinin gather1. These proteins, in turn, facilitate the assembly of thick, cable-like, oriented arrays of actin–myosin filaments called stress fibres.

Park et al. set out to examine this process using cells from the lining of the human lung, which are exposed to mechanical changes during breathing. The authors found that, as expected, cells placed on soft substrates in a culture dish did not spread across the dish or assemble actin stress fibres. However, compared with cells placed on stiff substrates, these cells showed a downregulation of several molecules that was consistent with reduced glycolysis.

The enzyme phosphofructokinase (PFK) has a rate-limiting role in glycolysis. The researchers noted that levels of all isoforms of PFK were reduced when the cells were placed on soft substrates. But when PFK levels were increased in these cells, glycolysis was not restored to normal, arguing against the idea that mechanical cues regulate glycolysis by modulating PFK gene transcription.

Instead, Park et al. hypothesized that the loss of PFK on soft substrates was due to protein degradation. A major pathway for this involves enzymes called E3 ubiquitin ligases, which tag proteins with ubiquitin molecules, marking them out for destruction by a molecular machine called the proteasome. In agreement with their prediction, the authors found that, in cells on soft substrates, levels of the PFK isoform PFKP could be restored — and glycolysis enhanced — if they inhibited proteasome activity or mutated lysine amino-acid residues in PFK that are required for ubiquitination.

The group performed database searches to find the E3 ubiquitin ligase that mediates PFKP degradation, and identified TRIM21 as a possible candidate — this was confirmed by experiments in which the gene that encodes TRIM21 was mutated. Next, the authors manipulated levels of myosin or actin and found changes in TRIM21 positioning within the cell. They went on to demonstrate that TRIM21 associates with stress fibres. Their data further suggested that the actin in the cytoskeleton was sequestering TRIM21 and rendering it inactive (and thus maintaining PFKP activity) in response to stiffness outside the cell, promoting glycolysis (Fig. 1). The researchers confirmed this finding by increasing actin-bundle assembly using a mutant form of α-actinin and observing a subsequent increase in TRIM21 levels around actin.

Figure 1

Figure 1 | A force for change in normal, but not cancer, cells. Park et al.3 have uncovered a pathway by which tension in the extracellular matrix (ECM) around cells governs the rate of glucose metabolism (glycolysis). a, If normal lung cells are surrounded by a soft ECM, the filamentous form of the structural protein actin (f-actin) does not form bundles, and the protein TRIM21 is active. TRIM21 adds ubiquitin molecules (Ub) to the glycolytic enzyme phosphofructokinase (PFK), tagging it for degradation. This leads to low glycolysis rates. b, By contrast, normal lung cells surrounded by a stiff ECM assemble a thick bundle of stress fibres (made of actin and another protein, myosin), which trap TRIM21. These fibres also form in lung cells engineered to express cancer-promoting oncogenes, regardless of the stiffness of the ECM. Trapping of TRIM21 prevents the degradation of PFK, leading to high rates of glycolysis.

Together, Park and colleagues’ data add to a growing body of evidence demonstrating how the composition of and changes in the ECM can modulate glucose metabolism5,6. The data also offer a potential explanation for the aberrant glucose regulation reported in metabolically dysfunctional fatty breast tissue of people who are obese, in which the connective tissue, called the stroma, is often stiff7. Park and colleagues’ work is consistent with, and extends, another study that has linked cytoskeletal organization to glycolysis8, as well as work showing how the application of forces between cells can increase cellular metabolism9.

One of Park and co-workers’ most compelling observations is that tension-mediated sequestration of TRIM21 might explain why tumours exhibit abnormally high levels of glycolysis10. The group’s unbiased computational assessment showed high levels of PFKP in tissue from people who had lung cancer. The authors engineered their human lung cell line to express some of the cancer-promoting proteins that are frequently overexpressed in lung tumours. PFKP levels were consistently higher in these cells than in the normal lung cells, regardless of the substrate on which they were grown. By contrast, the enzyme’s levels were variable in healthy lung tissue, and the authors’ lung cell line showed varying PFKP levels in response to changes in substrate stiffness.

Tumours often undergo a desmoplastic response — an increase in production, remodelling and crosslinking of components in the ECM, causing a tissue-scarring process called fibrosis that stiffens the stroma. The desmoplastic response promotes tumour-cell growth, survival and invasion11. This might suggest that a stiff tumour ECM fosters tension-induced actin bundling, which acts to sequester TRIM21 and stabilize PFKP, thereby promoting unfettered glycolysis. If this hypothesis is correct, treatments that prevent fibrosis would be expected to normalize tumour-cell metabolism.

Unfortunately, such strategies have been disappointing clinically12. One explanation is that many tumour cells also show increased activity of the RhoGTPase and ROCK enzymes13,14, which promote actin-filament assembly, or overexpress oncogenes (which encode cancer-promoting proteins such as Ras and EGFR) that cause elevated actin–myosin tension13,14. The cells therefore probably form stress fibres regardless of ECM conditions. Indeed, when Park and colleagues grew lung cancer cells carrying oncogene mutations on soft substrates, they observed that the cells not only maintained prominent actin stress fibres, but also had reduced TRIM21 expression, elevated PFKP levels and high rates of glycolysis.

Finally, the authors showed that the abnormally high glycolysis in their tumour cells could be normalized simply by increasing TRIM21 gene expression. This finding argues that compounds that stimulate protein degradation, augment ligase activity or reduce actin-fibre assembly should similarly normalize tumour glycolysis and hence could be new antitumour therapies. Perhaps the same goal could be accomplished by reducing tumour-cell tension or treating patients with ROCK inhibitors that have already been developed for clinical use — at least in those tumours in which TRIM21 or similar E3 ligases are not mutated (mutations in several E3 ligases have been implicated in either tumour suppression or tumour progression15). Indeed, ROCK and EGFR inhibition can reverse the proliferative and invasive traits of 3D in vitro tumour structures called spheroids, and prevent the progression of various cancer types in animal models in vivo13,14,16.

Nature 578, 517-518 (2020)

doi: 10.1038/d41586-020-00314-y

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