Inhibition of oxidative metabolism leads to p53 genetic inactivation and transformation in neural stem cells

Alterations of mitochondrial metabolism and genomic instability have been implicated in tumorigenesis in multiple tissues. High-grade glioma (HGG), one of the most lethal human neoplasms, displays genetic modifications of Krebs cycle components as well as electron transport chain (ETC) alterations. Furthermore, the p53 tumor suppressor, which has emerged as a key regulator of mitochondrial respiration at the expense of glycolysis, is genetically inactivated in a large proportion of HGG cases. Therefore, it is becoming evident that genetic modifications can affect cell metabolism in HGG; however, it is currently unclear whether mitochondrial metabolism alterations could vice versa promote genomic instability as a mechanism for neoplastic transformation. Here, we show that, in neural progenitor/stem cells (NPCs), which can act as HGG cell of origin, inhibition of mitochondrial metabolism leads to p53 genetic inactivation. Impairment of respiration via inhibition of complex I or decreased mitochondrial DNA copy number leads to p53 genetic loss and a glycolytic switch. p53 genetic inactivation in ETC-impaired neural stem cells is caused by increased reactive oxygen species and associated oxidative DNA damage. ETC-impaired cells display a marked growth advantage in the presence or absence of oncogenic RAS, and form undifferentiated tumors when transplanted into the mouse brain. Finally, p53 mutations correlated with alterations in ETC subunit composition and activity in primary glioma-initiating neural stem cells. Together, these findings provide previously unidentified insights into the relationship between mitochondria, genomic stability, and tumor suppressive control, with implications for our understanding of brain cancer pathogenesis.Alterations of mitochondrial metabolism are found in several cancers (1). This can occur through inactivation of components of the tricarboxylic acid (TCA) cycle and electron transport chain (ETC) (1–5). In particular, high-grade gliomas (HGGs) display mutations in the TCA enzymes isocitrate dehydrogenase IDH1 and IDH2 (5). Notably, gliomas also present mutations in mitochondrial DNA (mtDNA) and alterations of the ETC, but whether these are early or late events in cancer pathogenesis remains to be determined (6–14). Finally, p53, which has emerged as an important regulator of mitochondrial metabolism and cellular redox control (15–17), is often found mutated or functionally inactivated in HGG. Its inactivation in neural progenitor/stem cells (NPCs), which act as HGG cells of origin, contributes to gliomagenesis (18–22). In particular, deletion of a significant portion of the p53 DNA binding domain induces the accumulation of cooperative oncogenic events, thus leading to HGG (21). However, it remains to be determined whether p53 metabolic functions contribute to suppression of neoplastic transformation in the nervous system. Although these studies suggest an involvement of altered mitochondria metabolism in brain tumorigenesis, direct evidence of its role as a driver or contributing factor in pathogenesis of HGG and other human cancers is missing. More generally, the role of mitochondrial dysfunction in regulation of tumor suppressive control remains only partially investigated.Here, we studied the effect of oxidative metabolism inhibition in normal NPCs. Our findings show that inhibition of respiration via knockdown (KD) of the complex I subunit NDUFA10 or by reducing mtDNA copy number results in p53 genetic loss, via a mechanism involving generation of reactive oxygen species (ROS) and ROS-mediated oxidative damage. In turn, this causes a glycolytic switch, a marked growth advantage, and tumor formation upon transplantation in the mouse brain. Overall, this study reveals that, in NPCs, the relationship between p53 and mitochondrial metabolism is bidirectional, with p53 being activator of mitochondrial metabolism as well as target for genetic inactivation upon inhibition of respiratory chain activity.