Mitochondrial uncoupling reveals a novel therapeutic opportunity for p53-defective cancers

Nat Commun. 2018 Sep 26;9(1):3931. doi: 10.1038/s41467-018-05805-1.

Abstract

There are considerable challenges in directly targeting the mutant p53 protein, given the large heterogeneity of p53 mutations in the clinic. An alternative approach is to exploit the altered fitness of cells imposed by loss-of-wild-type p53. Here we identify niclosamide through a HTS screen for compounds selectively killing p53-deficient cells. Niclosamide impairs the growth of p53-deficient cells and of p53 mutant patient-derived ovarian xenografts. Metabolome profiling reveals that niclosamide induces mitochondrial uncoupling, which renders mutant p53 cells susceptible to mitochondrial-dependent apoptosis through preferential accumulation of arachidonic acid (AA), and represents a first-in-class inhibitor of p53 mutant tumors. Wild-type p53 evades the cytotoxicity by promoting the transcriptional induction of two key lipid oxygenation genes, ALOX5 and ALOX12B, which catalyzes the dioxygenation and breakdown of AA. Therefore, we propose a new paradigm for targeting cancers defective in the p53 pathway, by exploiting their vulnerability to niclosamide-induced mitochondrial uncoupling.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apoptosis
  • Arachidonate 12-Lipoxygenase / metabolism
  • Arachidonate 5-Lipoxygenase / metabolism
  • Arachidonic Acid
  • Calcium / metabolism
  • Coculture Techniques
  • HCT116 Cells
  • Humans
  • Lipid Metabolism
  • Metabolome / drug effects
  • Mice
  • Mitochondria / drug effects*
  • Niclosamide / pharmacology
  • Niclosamide / therapeutic use*
  • Proton Ionophores / pharmacology
  • Proton Ionophores / therapeutic use*
  • Tumor Suppressor Protein p53 / deficiency*
  • Xenograft Model Antitumor Assays

Substances

  • Proton Ionophores
  • Tumor Suppressor Protein p53
  • Arachidonic Acid
  • Niclosamide
  • ALOX12B protein, human
  • Arachidonate 12-Lipoxygenase
  • Arachidonate 5-Lipoxygenase
  • ALOX5 protein, human
  • Calcium