Pharmacological blockade of ASCT2-dependent glutamine transport leads to antitumor efficacy in preclinical models

Nat Med. 2018 Feb;24(2):194-202. doi: 10.1038/nm.4464. Epub 2018 Jan 15.

Abstract

The unique metabolic demands of cancer cells underscore potentially fruitful opportunities for drug discovery in the era of precision medicine. However, therapeutic targeting of cancer metabolism has led to surprisingly few new drugs to date. The neutral amino acid glutamine serves as a key intermediate in numerous metabolic processes leveraged by cancer cells, including biosynthesis, cell signaling, and oxidative protection. Herein we report the preclinical development of V-9302, a competitive small molecule antagonist of transmembrane glutamine flux that selectively and potently targets the amino acid transporter ASCT2. Pharmacological blockade of ASCT2 with V-9302 resulted in attenuated cancer cell growth and proliferation, increased cell death, and increased oxidative stress, which collectively contributed to antitumor responses in vitro and in vivo. This is the first study, to our knowledge, to demonstrate the utility of a pharmacological inhibitor of glutamine transport in oncology, representing a new class of targeted therapy and laying a framework for paradigm-shifting therapies targeting cancer cell metabolism.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Transport System ASC / antagonists & inhibitors*
  • Amino Acid Transport System ASC / chemistry
  • Amino Acid Transport System ASC / genetics
  • Animals
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Computer Simulation
  • Disease Models, Animal
  • Glutamine / chemistry
  • Glutamine / genetics
  • Glutamine / metabolism*
  • HCT116 Cells
  • Humans
  • Mice
  • Minor Histocompatibility Antigens / chemistry
  • Minor Histocompatibility Antigens / genetics
  • Neoplasms / drug therapy*
  • Neoplasms / genetics
  • Neoplasms / metabolism
  • Neoplasms / pathology
  • Oxidative Stress / drug effects
  • Signal Transduction
  • Small Molecule Libraries / chemistry
  • Small Molecule Libraries / pharmacology*

Substances

  • Amino Acid Transport System ASC
  • Minor Histocompatibility Antigens
  • SLC1A5 protein, human
  • Small Molecule Libraries
  • Glutamine