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Targeting SLC1a5‐mediated glutamine dependence in non‐small cell lung cancer
Authors:Megan D. Hoeksema  Jing Wang  Marie Jacobovitz  Xiangming Ji  Fredrick T. Harris  Bradford K. Harris  Kelli L. Boyd  Heidi Chen  Rosana Eisenberg  Pierre P. Massion
Affiliation:1. Thoracic Program, Vanderbilt‐Ingram Comprehensive Cancer Center and Division of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University, Nashville, TN;2. Department of Biomedical Informatics, Vanderbilt University, Nashville, TN;3. Department of Biochemistry and Cancer Biology, Meharry Medical College, Nashville, TN;4. Department of Pathology, Microbiology and Immunology, Vanderbilt University, Nashville, TN;5. Department of Biostatistics, Vanderbilt University, Nashville, TN;6. Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN
Abstract:We previously elucidated the pleotropic role of solute carrier family A1 member 5 (SLC1A5) as the primary transporter of glutamine (Gln), a modulator of cell growth and oxidative stress in non‐small cell lung cancer (NSCLC). The aim of our study was to evaluate SLC1A5 as a potential new therapeutic target and candidate biomarker predictive of survival and response to therapy. SLC1A5 targeting was examined in a panel of NSCLC and human bronchial cell lines by RNA interference and by a small molecular inhibitor, gamma‐l ‐glutamyl‐p‐nitroanilide (GPNA). The effects of targeting SLC1A5 on cell growth, Gln uptake, ATP level, autophagy and cell death were examined. Inactivation of SLC1A5 genetically or pharmacologically decreased Gln consumption, inhibited cell growth, induced autophagy and apoptosis in a subgroup of NSCLC cell lines that overexpress SLC1A5. Targeting SLC1A5 function decreased tumor growth in NSCLC xenografts. A multivariate Cox proportional hazards analysis indicates that patients with increased SLC1A5 mRNA expression have significantly shorter overall survival (p = 0.01, HR = 1.24, 95% CI: 1.05–1.46), adjusted for age, gender, smoking history and disease stage. In an immunohistochemistry study on 207 NSCLC patients, SLC1A5 protein expression remained highly significant prognostic value in both univariate (p < 0.0001, HR = 1.45, 95% CI: 1.15–1.50) and multivariate analyses (p = 0.04, HR = 1.22, 95% CI: 1.01–1.31). These results position SLC1A5 as a new candidate prognostic biomarker for selective targeting of Gln‐dependent NSCLC.
Keywords:lung cancer  glutamine transporters  biomarker
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