Serine, glycine and other nonessential amino acids are critical for tumour progression, and strategies to limit their availability are emerging as potential therapies for cancer1,2,3. However, the molecular mechanisms driving this response remain unclear and the effects on lipid metabolism are relatively unexplored. Serine palmitoyltransferase (SPT) catalyses the de novo biosynthesis of sphingolipids but also produces noncanonical 1-deoxysphingolipids when using alanine as a substrate4,5. Deoxysphingolipids accumulate in the context of mutations in SPTLC1 or SPTLC26,7—or in conditions of low serine availability8,9—to drive neuropathy, and deoxysphinganine has previously been investigated as an anti-cancer agent10. Here we exploit amino acid metabolism and the promiscuity of SPT to modulate the endogenous synthesis of toxic deoxysphingolipids and slow tumour progression. Anchorage-independent growth reprogrammes a metabolic network involving serine, alanine and pyruvate that drives the endogenous synthesis and accumulation of deoxysphingolipids. Targeting the mitochondrial pyruvate carrier promotes alanine oxidation to mitigate deoxysphingolipid synthesis and improve spheroid growth, similar to phenotypes observed with the direct inhibition of SPT or ceramide synthesis. Restriction of dietary serine and glycine potently induces the accumulation of deoxysphingolipids while decreasing tumour growth in xenograft models in mice. Pharmacological inhibition of SPT rescues xenograft growth in mice fed diets restricted in serine and glycine, and the reduction of circulating serine by inhibition of phosphoglycerate dehydrogenase (PHGDH) leads to the accumulation of deoxysphingolipids and mitigates tumour growth. The promiscuity of SPT therefore links serine and mitochondrial alanine metabolism to membrane lipid diversity, which further sensitizes tumours to metabolic stress.
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We thank M. Gantner, M. Friedlander and all members of the laboratory of C.M.M. for support and helpful discussions; and N. Mainolfi, V. Suri, A. Friedman and M. Manfredi of Raze Therapeutics for providing PH-755. This work was supported by the NIH (R01CA188652 and R01CA234245 to C.M.M.; U54CA132379), a Camille and Henry Dreyfus Teacher-Scholar Award (to C.M.M.), the National Science Foundation (NSF) Faculty Early Career Development (CAREER) Program (1454425 to C.M.M.), the Helmsley Center for Genomic Medicine (to A.F.M.P) and funding from Ferring Foundation (to A.S.). This work was also supported by NIH grants to the Salk Institute Mass Spectrometry Core (P30CA014195, S10OD021815).
The authors declare no competing interests.
Peer review information Nature thanks Sarah-Maria Fendt and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.
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Extended data figures and tables
Extended Data Fig. 1 Mitochondrial pyruvate transport and amino acid metabolism influence spheroid growth.
a, HCT116 spheroid growth from 3-, 5- and 8-day cultures. Scale bars, 100 μm. b, Metabolite levels in HCT116 adherent and spheroid cultures (n = 3 culture wells each). c, Alanine levels in adherent and spheroid cultures (n = 3 culture wells each condition and cell line). d, Isotopic labelling (M2 citrate/M3 pyruvate) in HCT116 and MCF7 cells cultured with [U-13C6]glucose for 24 h (n = 3 culture wells each). e, Protein expression of phosphorylated PDH (pPDH), total PDH (tPDH) and β-actin in HCT116 cells. Each lane derived from a single culture well, processed in parallel, and used for quantification. For gel source data, see Supplementary Information. f, Citrate labelling in HCT116 cells cultured with [U-13C5]glutamine in HCT116 (n = 3 culture wells each condition). g, Metabolite levels upon UK5099 treatment in HCT116 spheroid cultures (n = 6 culture wells each). h, Abundances of alanine and serine in A549 spheroid cultures upon treatment with UK5099 (n = 3 culture wells each). i, Spheroid growth in cells upon UK5099 treatment (n = 3 culture wells each). j, k, Adherent growth of A549 (j) and HCT116 (k) cells upon treatment with UK5099 (n = 3 culture wells each). l, m, Adherent growth of A549 (l) and HCT116 (m) cells upon MPC1 or MPC2 knockdown compared to control (shNT) (n = 3 culture wells each). n, o, Isotopologue distributions of serine (n) and citrate (o) in HCT116 spheroid cultures traced with [U-13C6]glucose for 24 h (n = 3 culture wells each). p, Alanine abundances in HCT116 spheroids in the presence of 1 mM alanine and UK5099 (n = 3 culture wells each). q, r, Spheroid growth of HCT116 (q) and MCF7 (r) cells grown in the presence of UK5099 and alanine (n = 3 culture wells each condition). s, Cell number of adherent HCT116 cells in the presence of UK5099 and alanine (n = 3 culture wells each). t–v, Spheroid biomass in HCT116 (t), MCF7 (u) and A549 (v) cells grown in the presence or absence of 0.4 mM serine, 0.4 mM glycine, 1 mM alanine and 1 mM formate (n = 3 culture wells for each cell line and condition). Two-sided Student’s t-test (b–i, n, o), one-way ANOVA (t–v) or two-way ANOVA (j–m, p–s) was performed for each comparison, with no adjustment for multiple comparison. Similar results obtained in two (d, e, h, p, r), three (c, f, g, i, n, o, q), or four (b) independent experiments. Data are mean ± s.e.m. *P < 0.05, **P < 0.01, ***P < 0.0001.
Extended Data Fig. 2 1-Deoxysphingolipid synthesis and degradation influence spheroid growth in vitro.
a, Total (hydrolysed) sphinganine and deoxysphinganine (deoxySA) abundances in adherent and spheroid cultures of HCT116 cells (n = 3 culture wells each). b, Free deoxysphinganine abundances in HCT116 cultures in normal medium or medium without serine and glycine but containing 1 mM alanine (−SG+A) (n = 3 culture wells each). c, Deoxysphinganine/sphinganine (SA) molar ratio in HCT116 cells in cultures from (b) (n = 3 culture wells each). d, HCT116 spheroid growth in the presence or absence of 10 nM deoxysphinganine and treated with vehicle (DMSO) or UK5099 (n = 3 culture wells each). e, Adherent (n = 4 culture wells each) and spheroid (n = 3 culture wells each) biomass of HCT116 cells treated with vehicle or 50 nM sphingoid bases. SO, sphingosine; deoxySO, deoxysphingosine. f, Free deoxysphinganine, summed deoxyDHCER and summed deoxyCER in spheroid cultures from (e) (n = 3 culture wells each). g, Sphinganine and deoxysphinganine abundances in HCT116 spheroid cultures treated with vehicle or 10 nM myriocin (n = 3 culture wells each). h, Deoxysphinganine/ sphinganine molar ratio in HCT116 adherent and spheroid cultures treated with vehicle or 10 nM myriocin (n = 3 culture wells each). i, Free deoxysphinganine abundances in HCT116 spheroid cells in the presence or absence of 1 mM alanine and treated with vehicle or 10 nM myriocin (n = 3 culture wells each). j, Spheroid growth of cell lines cultured in the presence or absence of 1 mM alanine (red), 10 nM myriocin (blue) or both (red outline with checkered blue fill) (n = 3 culture wells each condition). k, A549 spheroid growth under 5 d of culture in myriocin or 10 μM fumonisin B1 (FuB1) (n = 3 culture wells each). l, m, HCT116 spheroid growth (l) and free deoxysphinganine (m) in the presence (+SG) or absence (−SG) of 0.4 mM serine and glycine and treated with DMSO, fenofibrate (FeF), 1 mM alanine or both (n = 3 culture wells for each condition). Two-sided Student’s t-test (a, g), two-way ANOVA (b–d, h, i, l, m) or one-way ANOVA (e, f, j, k) was performed for each comparison with no adjustment for multiple comparison. Similar results obtained in two (b–e) or three (a, g–i) independent experiments. Data are mean ± s.e.m. *P < 0.05, **P < 0.01, ***P < 0.0001, #P < 0.0001.
Extended Data Fig. 3 Dietary serine and glycine restriction alters tumour growth and ceramide metabolism.
a, HCT116 xenograft size in mice fed control (n = 16) or −SG (n = 15 day 21) diet. b, Plasma amino acids from mice fed control (n = 8) or −SG (n = 7) diet. c, d, Abundances of deoxyDHCER (c) and deoxyCER (d) in HCT116 xenograft tumours (n = 8 each diet). e, Abundances of total sphingolipid species in the livers from HCT116 tumour-bearing mice fed control or −SG diet (n = 8 each diet). DHCER, dihydroceramide. f–i, Abundances of DHCER (f), CER (g), sphingomyelins (h) and sphingosine-1-phosphate (S1P) (i) in HCT116 xenografts from mice fed control or −SG diet (n = 8 each diet). j, HT29 xenograft size in mice fed control (n = 16), −SG (n = 16) or −SG+A (n = 14) diets. k, Plasma amino acids in mice in j fed control (n = 8), −SG (n = 8) or −SG+A (n = 7) diets. l, Tumour amino acids from mice in j fed control (n = 7), −SG (n = 8) or −SG+A (n = 7). m, Deoxysphinganine and summed ceramide species in HT29 xenograft tumours from mice fed control (n = 16), −SG (n = 16) or −SG+A diets (n = 14). n, Abundances of lactosylceramides in HT29 xenograft tumours from mice fed control (n = 16), −SG (n = 16) or −SG+A diets (n = 14). o, Gpt1 and Gpt2 expression in liver tissue of mice fed control, −SG or −SG+A diets (n = 8 for each). p, Nucleotide phosphate abundances in HCT116 xenograft tumours from mice fed control, −SG or −SG+A diets (n = 8 for each). q, Reduced glutathione (GSH), oxidized glutathione (GSSG) and GSH/GSSG measurements of HCT116 xenograft tumours from mice fed control, −SG or −SG+A diets (n = 8 each). Two-sided Student’s t-test (b–i, p, q) or two-way ANOVA (a, j–o) was performed, with no adjustment for multiple comparison. Data are mean ± s.e.m. *P < 0.05, **P < 0.01, ***P < 0.0001 or #P < 0.0001.
a–d, Abundances of deoxyDHCER (a), deoxyCER (b), DHCER (c) and CER (d) in HCT116 xenograft tumours from mice fed an −SG diet and administered vehicle, 0.03 mg/kg myriocin or 0.3 mg/kg myriocin (n = 16 for each treatment). e–h, Abundances of deoxyDHCER (e), deoxyCER (f), DHCER (g) and CER (h) in livers from HCT116 xenograft-bearing mice fed an −SG diet and administered vehicle (n = 8 for e, f, h and n = 7 for g), 0.03 mg/kg myriocin (n = 8) or 0.3 mg/kg myriocin (n = 8). i, Weight loss in mice after tumour inoculation in mice administered vehicle (n = 7), 0.03 mg/kg myriocin (n = 8) or 0.3 mg/kg myriocin (n = 8). j, Schematic describing in vivo sphingolipid physiology under high- and low-dose myriocin treatments generated using BioRender. k, Fractional labelling of serine (1 − M0) from HCT116 spheroids cultured with [U-13C6]glucose for 24 h and treated with vehicle or 5 μM PH-755 (n = 3 culture wells for each). l, HCT116 spheroid growth in medium containing 0.4 mM or 1.0 mM serine and treated with vehicle or 5 μM PH-755 (n = 3 culture wells for each). m, Total deoxysphinganine abundances in HCT116 spheroids grown for 5 d in medium with 0.4 mM or 1 mM serine, and treated with vehicle or 5 μM PH-755 (n = 3 culture wells for each). n, Total deoxysphinganine abundances in A549, HCT116 and MCF7 spheroids treated with vehicle or 5 μM PH-755 (n = 3 culture wells each). o, Plasma serine, glycine and alanine in mice treated with vehicle or PH-755 (n = 7 each). Two-way ANOVA (a–h, k–n), one-way ANOVA (i), or two-sided Student’s t-test (o) was performed, with no adjustment for multiple comparison. Similar results were obtained in two independent experiments (k–n). Data are mean ± s.e.m. *P < 0.05, **P < 0.01, ***P < 0.0001 or #P < 0.0001.
Supplementary Figure 1. Raw gel data from Extended data Figure 1e depicting β-Actin, total PDH, and phosphorylated PDH in adherent and spheroid cultures of HCT116.
Supplementary Table 1. Composition of control and amino acid restricted diets.
Supplementary Table 2. Composition of 100X amino acid stock solution used to prepare tracer medium for in vitro studies.
Supplementary Table 3. Ion transitions, collision energies, and fragmentor voltages for LC-MS/MS analysis.
Supplementary Table 4. RT-PCR primer sequences used in these studies.
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Muthusamy, T., Cordes, T., Handzlik, M.K. et al. Serine restriction alters sphingolipid diversity to constrain tumour growth. Nature 586, 790–795 (2020). https://doi.org/10.1038/s41586-020-2609-x
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