[en] L-Glutamine (Gln) functions physiologically to balance the carbon and nitrogen requirements of tissues. It has been proposed that in cancer cells undergoing aerobic glycolysis, accelerated anabolism is sustained by Gln-derived carbons, which replenish the tricarboxylic acid (TCA) cycle (anaplerosis). However, it is shown here that in glioblastoma (GBM) cells, almost half of the Gln-derived glutamate (Glu) is secreted and does not enter the TCA cycle, and that inhibiting glutaminolysis does not affect cell proliferation. Moreover, Gln-starved cells are not rescued by TCA cycle replenishment. Instead, the conversion of Glu to Gln by glutamine synthetase (GS; cataplerosis) confers Gln prototrophy, and fuels de novo purine biosynthesis. In both orthotopic GBM models and in patients, (13)C-glucose tracing showed that GS produces Gln from TCA-cycle-derived carbons. Finally, the Gln required for the growth of GBM tumours is contributed only marginally by the circulation, and is mainly either autonomously synthesized by GS-positive glioma cells, or supplied by astrocytes.
Disciplines :
Neurology
Author, co-author :
Tardito, Saverio; Cancer Metabolism Research Unit, Cancer Research UK, Beatson Institute, Switchback Road, Glasgow G61 1BD, UK
Oudin, Anaïs; NorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526 Luxembourg, Luxembourg
Ahmed, Shafiq U; Institute of Cancer Sciences, University of Glasgow, Glasgow G12 8QQ, UK
Fack, Fred; NorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526 Luxembourg, Luxembourg
Keunen, Olivier; NorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526 Luxembourg, Luxembourg
Zheng, Liang; Cancer Metabolism Research Unit, Cancer Research UK, Beatson Institute, Switchback Road, Glasgow G61 1BD, UK
Miletic, Hrvoje; Kristian Gerhard Jebsen Brain Tumour Research Center, Department of Biomedicine, University of Bergen, Bergen N-5009, Norway
Sakariassen, Per Øystein; Kristian Gerhard Jebsen Brain Tumour Research Center, Department of Biomedicine, University of Bergen, Bergen N-5009, Norway
Weinstock, Adam; The Blavatnik School of Computer Science, Tel Aviv University, Tel Aviv 69978, Israel
Wagner, Allon; The Blavatnik School of Computer Science, Tel Aviv University, Tel Aviv 69978, Israel
Lindsay, Susan L; Institute of Infection, Immunity and inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8TA, UK
Hock, Andreas K; Cancer Metabolism Research Unit, Cancer Research UK, Beatson Institute, Switchback Road, Glasgow G61 1BD, UK
Barnett, Susan C; Institute of Infection, Immunity and inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8TA, UK
Ruppin, Eytan; The Blavatnik School of Computer Science, Tel Aviv University, Tel Aviv 69978, Israel ; The Sackler School of Medicine, Tel Aviv University, Tel Aviv 69978, Israel
Mørkve, Svein Harald; Department of Neurosurgery, Haukeland University Hospital, Bergen N-5021, Norway
Lund-Johansen, Morten; Department of Neurosurgery, Haukeland University Hospital, Bergen N-5021, Norway ; Department of Clinical Medicine, University of Bergen, Bergen N-5020, Norway
Chalmers, Anthony J; Institute of Cancer Sciences, University of Glasgow, Glasgow G12 8QQ, UK
Bjerkvig, Rolf; NorLux Neuro-Oncology Laboratory, Department of Oncology, Luxembourg Institute of Health, L-1526 Luxembourg, Luxembourg ; Kristian Gerhard Jebsen Brain Tumour Research Center, Department of Biomedicine, University of Bergen, Bergen N-5009, Norway
NICLOU, Simone P. ; Kristian Gerhard Jebsen Brain Tumour Research Center, Department of Biomedicine, University of Bergen, Bergen N-5009, Norway
Gottlieb, Eyal; Cancer Metabolism Research Unit, Cancer Research UK, Beatson Institute, Switchback Road, Glasgow G61 1BD, UK
This study has been supported by Cancer Research UK. S.T. is a recipient of an AIRC/Marie Curie International Fellowship for Cancer Research. The human and animal metabolomic studies were supported by The Norwegian Cancer Society, The Norwegian Research Council, Helse Vest, Haukeland University Hospital and the K.G-Jebsen Foundation. We acknowledge A. Golebiewska, V. Baus-Talko, N. Van Den Broek, G. MacKay, C. Nixon and E. MacKenzie for excellent technical assistance and A. King for excellent editorial work.
Moreadith, R. W., & Lehninger, A. L. The pathways of glutamate and glutamine oxidation by tumor cell mitochondria. Role of mitochondrial NAD(P)C-dependent malic enzyme. J. Biol. Chem. 259, 6215-6221 (1984).
Yuneva, M. O., et al. The metabolic profile of tumors depends on both the responsible genetic lesion and tissue type. Cell Metab. 15, 157-170 (2012).
Wise, D. R., et al. Myc regulates a transcriptional program that stimulates mitochondrial glutaminolysis and leads to glutamine addiction. Proc. Natl Acad. Sci. USA. 105, 18782-18787 (2008).
DeBerardinis, R. J., et al. Beyond aerobic glycolysis: transformed cells can engage in glutamine metabolism that exceeds the requirement for protein and nucleotide synthesis. Proc. Natl Acad. Sci. USA. 104, 19345-19350 (2007).
Tardito, S., et al. L-Asparaginase and inhibitors of glutamine synthetase disclose glutamine addiction of-catenin-mutated human hepatocellular carcinoma cells. Curr. Cancer Drug Targets. 11, 929-943 (2011).
Son, J., et al. Glutamine supports pancreatic cancer growth through a KRAS-regulated metabolic pathway. Nature. 496, 101-105 (2013).
Gameiro, P. A., et al. In vivo HIF-mediated reductive carboxylation is regulated by citrate levels and sensitizes VHL-deficient cells to glutamine deprivation. Cell Metab. 17, 372-385 (2013).
Willems, L., et al. Inhibiting glutamine uptake represents an attractive new strategy for treating acute myeloid leukemia. Blood. 122, 3521-3532 (2013).
Chiu, M., et al. Glutamine depletion by crisantaspase hinders the growth of human hepatocellular carcinoma xenografts. Br. J. Cancer. 111, 1159-1167 (2014).
Wang, J. B., et al. Targeting mitochondrial glutaminase activity inhibits oncogenic transformation. Cancer Cell. 18, 207-219 (2010).
Suzuki, S., et al. Phosphate-Activated glutaminase (GLS2), a p53-inducible regulator of glutamine metabolism and reactive oxygen species. Proc. Natl Acad. Sci. USA. 107, 7461-7466 (2010).
Dal Bello, B., et al. Glutamine synthetase immunostaining correlates with pathologic features of hepatocellular carcinoma and better survival after radiofrequency thermal ablation. Clin. Cancer Res. 16, 2157-2166 (2010).
Krebs, H. A. Metabolism of amino-Acids: the synthesis of glutamine from glutamic acid and ammonia, and the enzymic hydrolysis of glutamine in animal tissues. Biochem. J. 29, 1951-1969 (1935).
van den Berg, C. J., & Garfinkel, D. A stimulation study of brain compartments. Metabolism of glutamate and related substances in mouse brain. Biochem. J. 123, 211-218 (1971).
Takano, T., et al. Glutamate release promotes growth of malignant gliomas. Nat. Med. 7, 1010-1015 (2001).
Scott, D. A., et al. Comparative metabolic flux profiling of melanoma cell lines: beyond the Warburg effect. J. Biol. Chem. 286, 42626-42634 (2011).
Metallo, C. M., et al. Reductive glutamine metabolism by IDH1 mediates lipogenesis under hypoxia. Nature. 481, 380-384 (2012).
Kamphorst, J. J., et al. Hypoxic and Ras-Transformed cells support growth by scavenging unsaturated fatty acids from lysophospholipids. Proc. Natl Acad. Sci. USA. 110, 8882-8887 (2013).
Fan, J., Kamphorst, J. J., Rabinowitz, J. D., & Shlomi, T. Fatty acid labeling from glutamine in hypoxia can be explained by isotope exchange without net reductive isocitrate dehydrogenase (IDH) flux. J. Biol. Chem. 288, 31363-31369 (2013).
Mullen, A. R., et al. Reductive carboxylation supports growth in tumour cells with defective mitochondria. Nature. 481, 385-388 (2012).
Lewerenz, J., et al. The cystine/glutamate antiporter system x(c)(-) in health and disease: from molecular mechanisms to novel therapeutic opportunities. Antioxid. Redox Signal. 18, 522-555 (2013).
Duarte, N. C., et al. Global reconstruction of the human metabolic network based on genomic and bibliomic data. Proc. Natl Acad. Sci. USA. 104, 1777-1782 (2007).
Gao, P., et al. c-Myc suppression of miR-23a/b enhances mitochondrial glutaminase expression and glutamine metabolism. Nature. 458, 762-765 (2009).
Yuneva, M., Zamboni, N., Oefner, P., Sachidanandam, R., & Lazebnik, Y. Deficiency in glutamine but not glucose induces MYC-dependent apoptosis in human cells. J. Cell Biol. 178, 93-105 (2007).
Bax, D. A., et al. Molecular and phenotypic characterisation of paediatric glioma cell lines as models for preclinical drug development. PLoS ONE. 4, e5209 (2009).
Filonov, G. S., et al. Bright and stable near-infrared fluorescent protein for in vivo imaging. Nat. Biotechnol. 29, 757-761 (2011).
Hock, A. K., et al. iRFP is a sensitive marker for cell number and tumor growth in high-Throughput systems. Cell Cycle. 13, 220-226 (2013).
Yin, Y., et al. Glutamine synthetase functions as a negative growth regulator in glioma. J. Neurooncol. 114, 59-69 (2013).
Reznik, E., Mehta, P., & Segre, D. Flux imbalance analysis and the sensitivity of cellular growth to changes in metabolite pools. PLoS Comput. Biol. 9, e1003195 (2013).
Calise, S. J., et al. Glutamine deprivation initiates reversible assembly of mammalian rods and rings. Cell. Mol. Life Sci. 71, 2963-2973 (2014).
Carruthers, R., et al. Abrogation of radioresistance in glioblastoma stem-like cells by inhibition of ATM kinase. Mol. Oncol. 9, 192-203 (2015).
Meyerand, M. E., Pipas, J. M., Mamourian, A., Tosteson, T. D., & Dunn, J. F. Classification of biopsy-confirmed brain tumors using single-voxel MR spectroscopy. AJNR Am. J. Neuroradiol. 20, 117-123 (1999).
Parmentier, J. H., et al. Glutaminase activity determines cytotoxicity of L-Asparaginases on most leukemia cell lines. Leuk. Res. 39, 757-762 (2015).
Had-Aissouni, L. Toward a new role for plasma membrane sodium-dependent glutamate transporters of astrocytes: maintenance of antioxidant defenses beyond extracellular glutamate clearance. Amino Acids. 42, 181-197 (2012).
Rosati, A., et al. Glutamine synthetase expression as a valuable marker of epilepsy and longer survival in newly diagnosed glioblastoma multiforme. Neuro-oncol. 15, 618-625 (2013).
Marin-Valencia, I., et al. Analysis of tumor metabolism reveals mitochondrial glucose oxidation in genetically diverse human glioblastomas in the mouse brain in vivo. Cell Metab. 15, 827-837 (2012).
Maher, E. A., et al. Metabolism of [U-13 C]glucose in human brain tumors in vivo. NMR Biomed. 25, 1234-1244 (2012).
Bagga, P., et al. Characterization of cerebral glutamine uptake from blood in the mouse brain: implications for metabolic modeling of 13C NMR data. J. Cereb. Blood Flow Metab. 34, 1666-1672 (2014).
Rosati, A., et al. Epilepsy in glioblastoma multiforme: correlation with glutamine synthetase levels. J. Neurooncol. 93, 319-324 (2009).
Noble, M., & Murray, K. Purified astrocytes promote the in vitro division of a bipotential glial progenitor cell. EMBO J. 3, 2243-2247 (1984).
Keunen, O., et al. Anti-VEGF treatment reduces blood supply and increases tumor cell invasion in glioblastoma. Proc. Natl Acad. Sci. USA. 108, 3749-3754 (2011).
Sanzey, M., et al. Comprehensive analysis of glycolytic enzymes as therapeutic targets in the treatment of glioblastoma. PLoS ONE. 10, e0123544 (2015).