A glutaminase isoform switch drives therapeutic resistance and disease progression of prostate cancer.

Journal Article (Journal Article)

Cellular metabolism in cancer is significantly altered to support the uncontrolled tumor growth. How metabolic alterations contribute to hormonal therapy resistance and disease progression in prostate cancer (PCa) remains poorly understood. Here we report a glutaminase isoform switch mechanism that mediates the initial therapeutic effect but eventual failure of hormonal therapy of PCa. Androgen deprivation therapy inhibits the expression of kidney-type glutaminase (KGA), a splicing isoform of glutaminase 1 (GLS1) up-regulated by androgen receptor (AR), to achieve therapeutic effect by suppressing glutaminolysis. Eventually the tumor cells switch to the expression of glutaminase C (GAC), an androgen-independent GLS1 isoform with more potent enzymatic activity, under the androgen-deprived condition. This switch leads to increased glutamine utilization, hyperproliferation, and aggressive behavior of tumor cells. Pharmacological inhibition or RNA interference of GAC shows better treatment effect for castration-resistant PCa than for hormone-sensitive PCa in vitro and in vivo. In summary, we have identified a metabolic function of AR action in PCa and discovered that the GLS1 isoform switch is one of the key mechanisms in therapeutic resistance and disease progression.

Full Text

Duke Authors

Cited Authors

  • Xu, L; Yin, Y; Li, Y; Chen, X; Chang, Y; Zhang, H; Liu, J; Beasley, J; McCaw, P; Zhang, H; Young, S; Groth, J; Wang, Q; Locasale, JW; Gao, X; Tang, DG; Dong, X; He, Y; George, D; Hu, H; Huang, J

Published Date

  • March 30, 2021

Published In

Volume / Issue

  • 118 / 13

PubMed ID

  • 33753479

Pubmed Central ID

  • 33753479

Electronic International Standard Serial Number (EISSN)

  • 1091-6490

Digital Object Identifier (DOI)

  • 10.1073/pnas.2012748118

Language

  • eng

Conference Location

  • United States