Article ; Online: FH Variant Pathogenicity Promotes Purine Salvage Pathway Dependence in Kidney Cancer.
2023 Volume 13, Issue 9, Page(s) 2072–2089
Abstract: Fumarate accumulation due to loss of fumarate hydratase (FH) drives cellular transformation. Germline FH alterations lead to hereditary leiomyomatosis and renal cell cancer (HLRCC) where patients are predisposed to an aggressive form of kidney cancer. ... ...
Abstract | Fumarate accumulation due to loss of fumarate hydratase (FH) drives cellular transformation. Germline FH alterations lead to hereditary leiomyomatosis and renal cell cancer (HLRCC) where patients are predisposed to an aggressive form of kidney cancer. There is an unmet need to classify FH variants by cancer-associated risk. We quantified catalytic efficiencies of 74 variants of uncertain significance. Over half were enzymatically inactive, which is strong evidence of pathogenicity. We next generated a panel of HLRCC cell lines expressing FH variants with a range of catalytic activities, then correlated fumarate levels with metabolic features. We found that fumarate accumulation blocks de novo purine biosynthesis, rendering FH-deficient cells reliant on purine salvage for proliferation. Genetic or pharmacologic inhibition of the purine salvage pathway reduced HLRCC tumor growth in vivo. These findings suggest the pathogenicity of patient-associated FH variants and reveal purine salvage as a targetable vulnerability in FH-deficient tumors. Significance: This study functionally characterizes patient-associated FH variants with unknown significance for pathogenicity. This study also reveals nucleotide salvage pathways as a targetable feature of FH-deficient cancers, which are shown to be sensitive to the purine salvage pathway inhibitor 6-mercaptopurine. This presents a new rapidly translatable treatment strategy for FH-deficient cancers. This article is featured in Selected Articles from This Issue, p. 1949. |
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MeSH term(s) | Humans ; Fumarate Hydratase/genetics ; Fumarate Hydratase/metabolism ; Virulence ; Carcinoma, Renal Cell/pathology ; Kidney Neoplasms/genetics ; Skin Neoplasms/genetics ; Purines |
Chemical Substances | Fumarate Hydratase (EC 4.2.1.2) ; Purines |
Language | English |
Publishing date | 2023-03-06 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2625242-9 |
ISSN | 2159-8290 ; 2159-8274 |
ISSN (online) | 2159-8290 |
ISSN | 2159-8274 |
DOI | 10.1158/2159-8290.CD-22-0874 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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