Abstract
Cancer cells have high demands for non-essential amino acids (NEAAs), which are precursors for anabolic and antioxidant pathways that support cell survival and proliferation. It is well-established that cancer cells consume the NEAA cysteine, and that cysteine deprivation can induce cell death; however, the specific factors governing acute sensitivity to cysteine starvation are poorly characterized. Here, we show that that neither expression of enzymes for cysteine synthesis nor availability of the primary precursor methionine correlated with acute sensitivity to cysteine starvation. We observed a strong correlation between efflux of the methionine-derived metabolite methylthioadenosine (MTA) and sensitivity to cysteine starvation. MTA efflux results from genetic deletion of methylthioadenosine phosphorylase (MTAP), which is frequently deleted in cancers. We show that MTAP loss upregulates polyamine metabolism which, concurrently with cysteine withdrawal, promotes elevated reactive oxygen species and prevents cell survival. Our results reveal an unexplored metabolic weakness at the intersection of polyamine and cysteine metabolism.
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Acknowledgements
We wish to thank the staff of the Biological Services facility at the Cancer Research UK (CRUK) Beatson Institute, funded by CRUK (A18076 & A17196). We thank D. Tennant, S. Tardito, K. Ryan and A. Chalmers for assistance with biological resources. K.B. and D.A. are core funded by CRUK (A17196 & A29799). O.D.K.M., T.Z., C.B. and A.C.N. were funded by a Cancer Research UK Career Development Fellowship awarded to O.D.K.M. (C53309/A19702).
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T.Z. performed cell-culture experiments, mass spectrometry and data analysis. C.B. performed cell-culture experiments and analysis and live-cell imaging experiments, plus data analysis. A.C.N. performed cell-culture experiments, designed CRISPR constructs and generated CRISPR clones. A.H.U. performed cell culture, mass spectrometry and associated data analysis. D.A. performed and analysed data for in vivo experiments. K.B. contributed to designing, supervising and analysing in vivo work. O.D.K.M. performed cell-culture experiments, contributed to experimental design, data analysis and interpretation and wrote the manuscript. All authors contributed to finalizing the manuscript.
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O.D.K.M. contributed to CRUK Cancer Research Technology filing of UK Patent Application no. 1609441.9, relating to dietary modulation of amino acids, and is a co-founder and shareholder in Faeth Therapeutics. The other authors declare no competing interests.
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Extended data
Extended Data Fig. 1 Cellular response to cysteine starvation.
a, Cell lines were grown in complete medium, or matched medium lacking the stated nutrients for 24 h. MDA-MB-231 data is replicated from Fig. 1b for comparison with other cell lines. b, MDA-MB-231 cells were either grown in complete medium containing all amino acids (Ctr), or matched medium lacking cysteine, with (-Cys +GSH) or without (-Cys) glutathione 5 mM for the stated times. Metabolites were extracted and analysed by LCMS. c, Cell lines were grown with (Ctr) or without cysteine (-Cys) and Ferrostatin (+F) 1 μM for 24 h and 72 h. d, Colorectal (HCT116 & SW480) and breast (MDA-MB-231 & MDA-MB-468) cancer cells were either grown in complete medium containing all amino acids (Control), or matched medium lacking cysteine, with (-Cys +HC) or without (-Cys) homocysteine 0.8 mM for 24 h. Cell lysates were probed for transsulfuration pathway enzyme expression by western blot. e, Cells were either grown in complete medium containing all amino acids (+), or matched medium lacking cysteine (-) for 24 h. Cell lysates were probed for transsulfuration pathway enzyme expression by western blot. Western blots are representative of two independent experiments. Bands were quantified on a LiCor scanner, actin corrected band intensity (arbitrary units) are shown. Statistical comparisons in b were done by an ordinary one-way ANOVA with Sidak’s multiple comparison test. Other than western blots, all data are averages of n = 3 biological replicates, error bars are SD.
Extended Data Fig. 2 Rescue with cysteine precursors homocysteine and cystathionine.
a, MDA-MB-231 cells were grown in medium lacking cysteine (-Cys), supplemented either with vehicle (Veh), homocysteine 0.2 mM (HC) or cystathionine 0.2 mM (CTH) for the stated times. Metabolites were extracted and analysed by LCMS. b, MDA-MB-231 cells were grown in medium lacking cysteine, supplemented with vehicle (Veh), homocysteine (HC) 0.2 mM or 0.8 mM for 8 h. Metabolites were extracted and analysed by LCMS. Statistical comparisons were done by an ordinary one-way ANOVA with Sidak’s multiple comparison test. All data are averages of n = 3 biological replicates, error bars are SD.
Extended Data Fig. 3 Correlation between polyamine pathway activity and cysteine starvation sensitivity.
a, Cells were grown with (+) or without (-) cysteine for 24 h. Cell lysates were probed for MTAP expression by western blot and quantified with a LiCor scanner. b, Cells were grown with (+) or without (-) cysteine for 24 h. Cell lysates were probed for AMD1 and ODC1 enzyme expression by western blot and quantified with a LiCor scanner. Western blots are representative of two independent experiments. c, Pearson correlation coefficients (R2) for a range of biological parameters versus sensitivity of 11 cell lines to cysteine starvation are shown. P-value = two-sided Student’s t-distribution Metabolite levels are all intracellular, except for ‘Extracellular MTA’. Multiple parameters were assessed under fed (Ctr) and cysteine starved (-Cys) conditions. All metabolite levels are normalized to cell number. Protein expression was quantified by western blot using a LiCor scanner, and are all normalized to actin. Iron uptake was assessed by ICP-OES. Steady state ROS levels were detected by live cell imaging of CellROX stain, steady state lipid peroxidation levels were evaluated by immunocytochemistry staining for MDA (malonyldialdehyde), both quantified using an automated microscope. d, Cells were grown in complete medium (with 13C315N1-serine 0.4 mM substituted for serine) for 48 h. Metabolites were extracted and analysed by LCMS. e, Using peak area data shown in panel (d); GSH levels are shown as % of total GSH pool. In the top panel all isotopologues are shown, in the lower panel only cysteine derived isotopologues (m+4 and m+7) are shown. Supplementary data file contains analysis underlying correlation coefficients in (c). Other than western blots, all data are averages of n = 3 biological replicates, error bars are SD.
Extended Data Fig. 4 Impact of polyamines on ROS levels.
a, Cells were grown in complete (Ctr) or medium lacking cysteine (-Cys), with or without (Veh) CSE inhibitor beta-cyano-L-Alanine (0.5 mM and 1 mM) for 48 h. b, Cells were either grown in complete medium containing all amino acids (Control), or matched medium lacking cysteine (-Cysteine), with increasing amounts of MTA for 20 h and 72 h. c, Cells were grown in complete medium with vehicle or MTA 500 μM for 24 h. Metabolites were extracted and analysed by LCMS. d, Top panel: Cells were grown in complete medium containing either putrescine (+Putrescine), spermidine (+Spermidine) or spermine (+Spermine), all 20 μM or without (+Vehicle). Bottom panel: Cells were grown in medium without cysteine containing either putrescine (+Putrescine), spermidine (+Spermidine) or spermine (+Spermine), all 20 μM or without (+Vehicle). Reactive oxygen species (ROS) were detected in real time by an Operetta automated microscope in live cells treated with CellROX deep red. e, Cells were grown in complete medium with or without 0.1 mM MTOB for 16 h, then either grown in complete medium (Ctr), or matched medium lacking cysteine (-Cys) with or without 0.1 mM MTOB for 32 h. f, Cells were grown in complete medium with or without 0.1 mM MTOB for 5 h (with 13C515N1-methionine 0.2 mM substituted for methionine). All data are averages of n = 3 biological replicates, error bars are SD.
Extended Data Fig. 5 Labelling transsulfuration intermediates with 34S-methionine.
a, MDA-MB-231 cells were grown in complete medium (with 34S1-methionine 0.2 mM substituted for methionine) for 24 h and then treated with AMD1 inhibitor sardomozide 20 μM for 2 h, 4 h and 8 h. b, MDA-MB-231 cells and c, MIAPaCa-2 (right) were grown in complete medium with or without AMD1 inhibitor sardomozide 20 μM for 16 h (with 34S1-methionine 0.2 mM substituted for methionine). All data are averages of n = 3 biological replicates, error bars are SD.
Extended Data Fig. 6 Impact of polyamine pathway modulation on ROS levels.
a, Cells were grown in complete medium with or without PAOX inhibitor 10 μM, 40 μM or 80 μM for 16 h, then grown in complete medium (Ctr), or matched medium lacking cysteine with or without PAOX inhibitor 10 μM, 40 μM or 80 μM for 24 h. b, Cell lines were grown in complete medium with (+SMOXi) or without (+Vehicle) SMOX inhibitor MDL72527 50 μM, then grown in complete medium (Ctr) or matched medium lacking cysteine (-Cys) with or without 50 μM SMOX inhibitor. Reactive oxygen species (ROS) were detected in real time by an Operetta automated microscope in live cells treated with CellROX deep red. ROS staining intensity is shown for 16 h timepoint. c, MDA-MB-231 cells were grown in either complete medium (black bars) or medium lacking cysteine (orange bars) under either normoxia (Nor) or hypoxia (Hyp); 1% oxygen, for stated times. d, Cell lines were grown in complete medium (Ctr) or matched medium lacking cysteine (-Cys) with or without 20 μM AMD1 inhibitor. Reactive oxygen species (ROS) were detected in real time by an Operetta automated microscope in live cells treated with CellROX deep red. ROS staining intensity is shown for 16 h timepoint. e, Cell lines highly sensitive to cysteine starvation (MDA-MB-231, PANC-1, MIAPaCa-2) were grown in medium without cysteine containing increasing concentrations of Methionine (0 to 1 mM) for 20 h. f, g, Cell lines sensitive to cysteine starvation (MDA-MB-231, PANC-1, MIAPaCa-2) were grown in medium without cysteine containing increasing concentrations of Methionine (0 to 10 μM) for 17 h (f) and 41 h (g). h, Cell lines were grown in complete medium (Ctr) or matched medium lacking cysteine (-Cys) with or without methionine (Met) at the stated concentrations. Reactive oxygen species (ROS) were detected in real time by an Operetta automated microscope in live cells treated with CellROX deep red. ROS staining intensity is shown for 18 h timepoint. Statistical comparisons in b, c, d & h were done by an ordinary one-way ANOVA with Sidak’s multiple comparison test. All data are averages of n = 3 biological replicates, error bars are SD.
Extended Data Fig. 7 Impact of methionine restriction on polyamine and transsulfuration pathways.
a, PANC-1 cells were grown in medium lacking methionine supplemented with varying levels of 13C515N1-methionine for 5 h. Metabolites were extracted and analysed by LCMS. b, Levels of amino acids were assessed using LCMS data from the experiments shown in Fig. 5a and Extended Data Fig. 7a. Relative quantity (peak area, relative to 50uM condition) is shown for each amino acid. c, MIAPaCa-2 cells were cultured in either DMEM or RPMI for two weeks. Experiments were performed by growing cells either in complete medium (Ctr) or matched medium lacking cysteine (-Cys) for 32 h and 48 h. All data are averages of n = 3 biological replicates with error bars as SD.
Extended Data Fig. 8 Consequences of acute MTAP deletion in HCT116 cells.
a, MTAP positive (Parental/Par, NTC) and negative (M1, M2) HCT116 cells were grown in complete medium (with 13C515N1-methionine 0.2 mM substituted for methionine) for 30 h. Metabolites were extracted and analysed by LCMS. Data are averages of n = 3 biological replicates with error bars as SD. b, CD-1 Nude mice were injected with MTAP positive (NTC) and MTAP deleted (M2) HCT116 cells. Once measurable xenograft tumours had formed, mice were transferred to a diet & drinking water regime either containing all amino acids (Complete), or lacking cysteine and cystine, but containing all other amino acids (-Cys), data are averages, bars are SEM (NTC Control diet n = 8, NTC –Cys diet n = 7, MTAP-KO2 Control diet n = 9, MTAP-KO2 –Cys n = 10). c, Metabolites were extracted from xenograft tumours and serum and subjected to LCMS analysis for MTA levels, data are averages, bars are SD, unpaired Ttest, 2-tails, NTC n = 16, MTAP KO n = 19.
Extended Data Fig. 9 Consequences of acute MTAP restoration in HCT116 cells.
a, HCT116 cells in which MTAP had been deleted by CRISPR/Cas9 (M2), were either stably transfected with an empty vector (clones M2.EV1 & M2.EV2) or a plasmid for MTAP expression (clones M2.MX1 & M2.MX2). MTAP expression was validated by western blot. Western blot is representative of two independent experiments. Cells were grown in complete medium containing all amino acids (Ctr), or matched medium lacking cysteine (-Cys). After 20 h, cells were fixed, stained and counted. b, The stated HCT116 clones were grown in complete medium with or without the xCT inhibitor and ferroptosis inducer erastin 10 μM for 18 h. c, MTAP expressing (NTC & M2.MX2) and MTAP deleted (M2 & M2.EV1) HCT116 cells were grown in complete medium (with 13C515N1-methionine 0.2 mM substituted for methionine) for 30 h. Metabolites were extracted and analysed by LCMS. d, MTAP expressing (NTC & M2.MX2) and MTAP deleted (M2) HCT116 cells were seeded at a range of cell densities in complete medium in 24-well plates. After 24 h, cells were washed with PBS and medium was changed for medium lacking cysteine or complete medium containing all amino acids. After 20 h, cells were fixed, stained and counted. e, Glioblastoma (GBM) cell lines were grown in complete medium for 24 h. Cell lysates were probed for MTAP, AMD1 and Actin expression by western blot and quantified with a LiCor scanner. Western blot is representative of two independent experiments. f, GBM cell lines were grown in either complete medium (Ctr) or medium lacking cysteine (-Cys) for 48 h. g, The breast cancer cell lines MDA-MB-231 (highly sensitive) and MDA-MB-468 (resistant) were grown in either control (Ctr) or medium lacking cysteine (-Cys) for 48 or 72 h. Cells for this timepoint were fixed and counted, while other cells treated the same way were re-fed with complete medium for an additional 48 h (Ctr + 48 h, -Cys 48 h), before cells were counted. All data except western blots are averages of n = 3 biological replicates, error bars are SD.
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Zhang, T., Bauer, C., Newman, A.C. et al. Polyamine pathway activity promotes cysteine essentiality in cancer cells. Nat Metab 2, 1062–1076 (2020). https://doi.org/10.1038/s42255-020-0253-2
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DOI: https://doi.org/10.1038/s42255-020-0253-2
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