Inhibiting glutamine uptake represents an attractive new strategy for treating acute myeloid leukemia

Blood. 2013 Nov 14;122(20):3521-32. doi: 10.1182/blood-2013-03-493163. Epub 2013 Sep 6.

Abstract

Cancer cells require nutrients and energy to adapt to increased biosynthetic activity, and protein synthesis inhibition downstream of mammalian target of rapamycin complex 1 (mTORC1) has shown promise as a possible therapy for acute myeloid leukemia (AML). Glutamine contributes to leucine import into cells, which controls the amino acid/Rag/mTORC1 signaling pathway. We show in our current study that glutamine removal inhibits mTORC1 and induces apoptosis in AML cells. The knockdown of the SLC1A5 high-affinity transporter for glutamine induces apoptosis and inhibits tumor formation in a mouse AML xenotransplantation model. l-asparaginase (l-ase) is an anticancer agent also harboring glutaminase activity. We show that l-ases from both Escherichia coli and Erwinia chrysanthemi profoundly inhibit mTORC1 and protein synthesis and that this inhibition correlates with their glutaminase activity levels and produces a strong apoptotic response in primary AML cells. We further show that l-ases upregulate glutamine synthase (GS) expression in leukemic cells and that a GS knockdown enhances l-ase-induced apoptosis in some AML cells. Finally, we observe a strong autophagic process upon l-ase treatment. These results suggest that l-ase anticancer activity and glutamine uptake inhibition are promising new therapeutic strategies for AML.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Amino Acid Transport System ASC / antagonists & inhibitors
  • Amino Acid Transport System ASC / genetics
  • Animals
  • Apoptosis / drug effects
  • Asparaginase / isolation & purification
  • Asparaginase / pharmacology
  • Autophagy / drug effects
  • Bacterial Proteins / pharmacology
  • Biological Transport / drug effects
  • Cell Line, Tumor / drug effects
  • Cell Line, Tumor / metabolism
  • Dickeya chrysanthemi / enzymology
  • Drug Screening Assays, Antitumor
  • Escherichia coli Proteins / pharmacology
  • Female
  • Glutaminase / isolation & purification
  • Glutaminase / pharmacology
  • Glutamine / antagonists & inhibitors*
  • Glutamine / metabolism
  • Humans
  • Leukemia, Myeloid, Acute / drug therapy*
  • Leukemia, Myeloid, Acute / metabolism
  • Leukemia, Myeloid, Acute / pathology
  • Leukemia, Myelomonocytic, Acute / drug therapy
  • Leukemia, Myelomonocytic, Acute / metabolism
  • Male
  • Mechanistic Target of Rapamycin Complex 1
  • Mice
  • Mice, Nude
  • Middle Aged
  • Minor Histocompatibility Antigens
  • Multiprotein Complexes / antagonists & inhibitors
  • Protein Biosynthesis / drug effects
  • RNA Interference
  • RNA, Small Interfering / pharmacology
  • RNA, Small Interfering / therapeutic use
  • Signal Transduction / drug effects
  • TOR Serine-Threonine Kinases / antagonists & inhibitors
  • Xenograft Model Antitumor Assays
  • Young Adult

Substances

  • Amino Acid Transport System ASC
  • Bacterial Proteins
  • Escherichia coli Proteins
  • Minor Histocompatibility Antigens
  • Multiprotein Complexes
  • RNA, Small Interfering
  • SLC1A5 protein, human
  • Glutamine
  • Mechanistic Target of Rapamycin Complex 1
  • TOR Serine-Threonine Kinases
  • Asparaginase
  • Glutaminase