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Formate overflow drives toxic folate trapping in MTHFD1 inhibited cancer cells.


ABSTRACT: Cancer cells fuel their increased need for nucleotide supply by upregulating one-carbon (1C) metabolism, including the enzymes methylenetetrahydrofolate dehydrogenase-cyclohydrolase 1 and 2 (MTHFD1 and MTHFD2). TH9619 is a potent inhibitor of dehydrogenase and cyclohydrolase activities in both MTHFD1 and MTHFD2, and selectively kills cancer cells. Here, we reveal that, in cells, TH9619 targets nuclear MTHFD2 but does not inhibit mitochondrial MTHFD2. Hence, overflow of formate from mitochondria continues in the presence of TH9619. TH9619 inhibits the activity of MTHFD1 occurring downstream of mitochondrial formate release, leading to the accumulation of 10-formyl-tetrahydrofolate, which we term a 'folate trap'. This results in thymidylate depletion and death of MTHFD2-expressing cancer cells. This previously uncharacterized folate trapping mechanism is exacerbated by physiological hypoxanthine levels that block the de novo purine synthesis pathway, and additionally prevent 10-formyl-tetrahydrofolate consumption for purine synthesis. The folate trapping mechanism described here for TH9619 differs from other MTHFD1/2 inhibitors and antifolates. Thus, our findings uncover an approach to attack cancer and reveal a regulatory mechanism in 1C metabolism.

SUBMITTER: Green AC 

PROVIDER: S-EPMC10132981 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Formate overflow drives toxic folate trapping in MTHFD1 inhibited cancer cells.

Green Alanna C AC   Marttila Petra P   Kiweler Nicole N   Chalkiadaki Christina C   Wiita Elisée E   Cookson Victoria V   Lesur Antoine A   Eiden Kim K   Bernardin François F   Vallin Karl S A KSA   Borhade Sanjay S   Long Maeve M   Ghahe Elahe Kamali EK   Jiménez-Alonso Julio J JJ   Jemth Ann-Sofie AS   Loseva Olga O   Mortusewicz Oliver O   Meyers Marianne M   Viry Elodie E   Johansson Annika I AI   Hodek Ondřej O   Homan Evert E   Bonagas Nadilly N   Ramos Louise L   Sandberg Lars L   Frödin Morten M   Moussay Etienne E   Slipicevic Ana A   Letellier Elisabeth E   Paggetti Jérôme J   Sørensen Claus Storgaard CS   Helleday Thomas T   Henriksson Martin M   Meiser Johannes J  

Nature metabolism 20230403 4


Cancer cells fuel their increased need for nucleotide supply by upregulating one-carbon (1C) metabolism, including the enzymes methylenetetrahydrofolate dehydrogenase-cyclohydrolase 1 and 2 (MTHFD1 and MTHFD2). TH9619 is a potent inhibitor of dehydrogenase and cyclohydrolase activities in both MTHFD1 and MTHFD2, and selectively kills cancer cells. Here, we reveal that, in cells, TH9619 targets nuclear MTHFD2 but does not inhibit mitochondrial MTHFD2. Hence, overflow of formate from mitochondria  ...[more]

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