DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer

Abstract Mitochondrial oxidative phosphorylation (OXPHOS) is a therapeutic vulnerability in glycolysis-deficient cancers. Here we show that inhibiting OXPHOS similarly suppresses the proliferation and tumorigenicity of glycolytically competent colorectal cancer (CRC) cells in vitro and in patient-de...

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Main Authors: Xiao Hong Zhao, Man Man Han, Qian Qian Yan, Yi Meng Yue, Kaihong Ye, Yuan Yuan Zhang, Liu Teng, Liang Xu, Xiao-Jing Shi, Ting La, Yu Chen Feng, Ran Xu, Vinod K. Narayana, David P. De Souza, Lake-Ee Quek, Jeff Holst, Tao Liu, Mark A. Baker, Rick F. Thorne, Xu Dong Zhang, Lei Jin
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07334-4
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author Xiao Hong Zhao
Man Man Han
Qian Qian Yan
Yi Meng Yue
Kaihong Ye
Yuan Yuan Zhang
Liu Teng
Liang Xu
Xiao-Jing Shi
Ting La
Yu Chen Feng
Ran Xu
Vinod K. Narayana
David P. De Souza
Lake-Ee Quek
Jeff Holst
Tao Liu
Mark A. Baker
Rick F. Thorne
Xu Dong Zhang
Lei Jin
author_facet Xiao Hong Zhao
Man Man Han
Qian Qian Yan
Yi Meng Yue
Kaihong Ye
Yuan Yuan Zhang
Liu Teng
Liang Xu
Xiao-Jing Shi
Ting La
Yu Chen Feng
Ran Xu
Vinod K. Narayana
David P. De Souza
Lake-Ee Quek
Jeff Holst
Tao Liu
Mark A. Baker
Rick F. Thorne
Xu Dong Zhang
Lei Jin
author_sort Xiao Hong Zhao
collection DOAJ
description Abstract Mitochondrial oxidative phosphorylation (OXPHOS) is a therapeutic vulnerability in glycolysis-deficient cancers. Here we show that inhibiting OXPHOS similarly suppresses the proliferation and tumorigenicity of glycolytically competent colorectal cancer (CRC) cells in vitro and in patient-derived CRC xenografts. While the increased glycolytic activity rapidly replenished the ATP pool, it did not restore the reduced production of aspartate upon OXPHOS inhibition. This shortage in aspartate, in turn, caused nucleotide deficiencies, leading to S phase cell cycle arrest, replication fork stalling, and enrichment of the p53 pathway, manifestations of replication stress. The addition of purine nucleobases adenine and guanine along with the pyrimidine nucleoside uridine restored replication fork progression and cell proliferation, whereas the supplementation of exogenous aspartate recovered the nucleotide pool, demonstrating a causal role of the aspartate shortage in OXPHOS inhibition-induced nucleotide deficiencies and consequently replication stress and reductions in proliferation. Moreover, we demonstrate that glutamic-oxaloacetic transaminase 1 (GOT1) is critical for maintaining the minimum aspartate pool when OXPHOS is inhibited, as knockdown of GOT1 further reduced aspartate levels and rendered CRC cells more sensitive to OXPHOS inhibition both in vitro and in vivo. These results propose GOT1 targeting as a potential avenue to sensitize cancer cells to OXPHOS inhibitors, thus lowering the necessary doses to efficiently inhibit cancer growth while alleviating their adverse effects.
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series Cell Death and Disease
spelling doaj-art-8ae02858c64a4b869bd91576f8d5b7fb2025-01-19T12:40:40ZengNature Publishing GroupCell Death and Disease2041-48892025-01-0116111210.1038/s41419-025-07334-4DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancerXiao Hong Zhao0Man Man Han1Qian Qian Yan2Yi Meng Yue3Kaihong Ye4Yuan Yuan Zhang5Liu Teng6Liang Xu7Xiao-Jing Shi8Ting La9Yu Chen Feng10Ran Xu11Vinod K. Narayana12David P. De Souza13Lake-Ee Quek14Jeff Holst15Tao Liu16Mark A. Baker17Rick F. Thorne18Xu Dong Zhang19Lei Jin20School of Biomedical Sciences and Pharmacy, The University of NewcastleTianjian Laboratory of Advanced Biomedical Sciences, Academy of Medical Sciences, Zhengzhou UniversityTianjian Laboratory of Advanced Biomedical Sciences, Academy of Medical Sciences, Zhengzhou UniversityTianjian Laboratory of Advanced Biomedical Sciences, Academy of Medical Sciences, Zhengzhou UniversitySchool of Biomedical Sciences and Pharmacy, The University of NewcastleSchool of Biomedical Sciences and Pharmacy, The University of NewcastleSchool of Biomedical Sciences and Pharmacy, The University of NewcastleSchool of Biomedical Sciences and Pharmacy, The University of NewcastleTianjian Laboratory of Advanced Biomedical Sciences, Academy of Medical Sciences, Zhengzhou UniversitySchool of Biomedical Sciences and Pharmacy, The University of NewcastleSchool of Medicine and Public Health, The University of NewcastleSchool of Medicine and Public Health, The University of NewcastleBio21 Institute and Department of Biochemistry and Molecular Biology, University of MelbourneBio21 Institute and Department of Biochemistry and Molecular Biology, University of MelbourneSchool of Mathematics and Statistics, The University of SydneySchool of Biomedical Sciences, University of New South WalesTianjian Laboratory of Advanced Biomedical Sciences, Academy of Medical Sciences, Zhengzhou UniversitySchool of Biomedical Sciences and Pharmacy, The University of NewcastleSchool of Biomedical Sciences and Pharmacy, The University of NewcastleSchool of Biomedical Sciences and Pharmacy, The University of NewcastleTianjian Laboratory of Advanced Biomedical Sciences, Academy of Medical Sciences, Zhengzhou UniversityAbstract Mitochondrial oxidative phosphorylation (OXPHOS) is a therapeutic vulnerability in glycolysis-deficient cancers. Here we show that inhibiting OXPHOS similarly suppresses the proliferation and tumorigenicity of glycolytically competent colorectal cancer (CRC) cells in vitro and in patient-derived CRC xenografts. While the increased glycolytic activity rapidly replenished the ATP pool, it did not restore the reduced production of aspartate upon OXPHOS inhibition. This shortage in aspartate, in turn, caused nucleotide deficiencies, leading to S phase cell cycle arrest, replication fork stalling, and enrichment of the p53 pathway, manifestations of replication stress. The addition of purine nucleobases adenine and guanine along with the pyrimidine nucleoside uridine restored replication fork progression and cell proliferation, whereas the supplementation of exogenous aspartate recovered the nucleotide pool, demonstrating a causal role of the aspartate shortage in OXPHOS inhibition-induced nucleotide deficiencies and consequently replication stress and reductions in proliferation. Moreover, we demonstrate that glutamic-oxaloacetic transaminase 1 (GOT1) is critical for maintaining the minimum aspartate pool when OXPHOS is inhibited, as knockdown of GOT1 further reduced aspartate levels and rendered CRC cells more sensitive to OXPHOS inhibition both in vitro and in vivo. These results propose GOT1 targeting as a potential avenue to sensitize cancer cells to OXPHOS inhibitors, thus lowering the necessary doses to efficiently inhibit cancer growth while alleviating their adverse effects.https://doi.org/10.1038/s41419-025-07334-4
spellingShingle Xiao Hong Zhao
Man Man Han
Qian Qian Yan
Yi Meng Yue
Kaihong Ye
Yuan Yuan Zhang
Liu Teng
Liang Xu
Xiao-Jing Shi
Ting La
Yu Chen Feng
Ran Xu
Vinod K. Narayana
David P. De Souza
Lake-Ee Quek
Jeff Holst
Tao Liu
Mark A. Baker
Rick F. Thorne
Xu Dong Zhang
Lei Jin
DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
Cell Death and Disease
title DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
title_full DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
title_fullStr DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
title_full_unstemmed DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
title_short DNA replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
title_sort dna replication stress underpins the vulnerability to oxidative phosphorylation inhibition in colorectal cancer
url https://doi.org/10.1038/s41419-025-07334-4
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