PMID- 30841449 OWN - NLM STAT- MEDLINE DCOM- 20190621 LR - 20190621 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 111 DP - 2019 Mar TI - 6PGD inhibition sensitizes hepatocellular carcinoma to chemotherapy via AMPK activation and metabolic reprogramming. PG - 1353-1358 LID - S0753-3322(18)35443-X [pii] LID - 10.1016/j.biopha.2019.01.028 [doi] AB - Better understanding of the molecular mechanism involved in hepatocellular carcinoma (HCC) progression is essential for the development of therapeutic strategies to overcome chemoresistance in HCC patients. In this work, we show that 6-phosphogluconate dehydrogenase (6PGD), a key enzyme of the oxidative pentose phosphate pathway, is important for HCC growth and survival. Compared to normal liver tissues, we demonstrate that 6PGD expression is upregulated in HCC tissues. 6PGD overexpression increases 6PGD activity and promotes growth in normal liver cells. In contrast, targeting 6PGD using both genetic and pharmacological approaches inhibits HCC growth and survival. Combination of chemotherapeutic agents with 6PGD inhibition achieves greater efficacy in inhibiting HCC growth and survival than chemotherapeutic agent alone. We further show that inhibition of 6PGD activates AMP-activated protein kinase (AMPK) and acetyl-coenzyme A carboxylase 1 (ACC1), and decreases level of NADPH/NAD + and NADH in HCC, leading to SIRT1 activity reduction and oxidative stress. Conversely, AMPK depletion significantly abolishes the effects of physcion (a selective small-molecule 6PGD inhibitor) in decreasing NADPH/NAD + ratio, growth and survival, confirming the role of AMPK as the relevant upstream activator with 6PGD inhibition in HCC cells. Our work is the first to demonstrate the upregulation of 6PGD and its critical involvement in growth and survival in HCC. Our findings suggest 6PGD as a promising therapeutic target to overcome chemoresistance in HCC. CI - Copyright (c) 2019 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Chen, Hu AU - Chen H AD - Department of Hepatobiliary and Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. FAU - Wu, Dongde AU - Wu D AD - Department of Hepatobiliary and Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. FAU - Bao, Lequn AU - Bao L AD - Department of Hepatobiliary and Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. FAU - Yin, Tao AU - Yin T AD - Department of Hepatobiliary and Pancreatic Surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. FAU - Lei, Dansheng AU - Lei D AD - Department of Medical Laboratory, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. FAU - Yu, Jing AU - Yu J AD - Department of Medical Laboratory, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. FAU - Tong, Xianli AU - Tong X AD - Department of Medical Laboratory, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science Technology, Wuhan, China. Electronic address: jenny.tongtong@163.com. LA - eng PT - Journal Article DEP - 20190117 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Antineoplastic Agents) RN - 53-59-8 (NADP) RN - EC 1.1.1.43 (Phosphogluconate Dehydrogenase) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.5.1.- (Sirtuin 1) RN - EC 6.4.1.2 (Acetyl-CoA Carboxylase) SB - IM MH - AMP-Activated Protein Kinases/*metabolism MH - Acetyl-CoA Carboxylase/metabolism MH - Antineoplastic Agents/*pharmacology MH - Carcinoma, Hepatocellular/*drug therapy/*metabolism MH - Cell Line MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Hep G2 Cells MH - Humans MH - Liver Neoplasms/*drug therapy/*metabolism MH - NADP/metabolism MH - Oxidation-Reduction/drug effects MH - Oxidative Stress/drug effects MH - Pentose Phosphate Pathway/drug effects MH - Phosphogluconate Dehydrogenase/*antagonists & inhibitors MH - Sirtuin 1/metabolism MH - Up-Regulation/drug effects OTO - NOTNLM OT - 6PGD OT - AMPK OT - HCC chemoresistance OT - NADPH metabolism EDAT- 2019/03/08 06:00 MHDA- 2019/06/22 06:00 CRDT- 2019/03/08 06:00 PHST- 2018/08/06 00:00 [received] PHST- 2019/01/07 00:00 [revised] PHST- 2019/01/08 00:00 [accepted] PHST- 2019/03/08 06:00 [entrez] PHST- 2019/03/08 06:00 [pubmed] PHST- 2019/06/22 06:00 [medline] AID - S0753-3322(18)35443-X [pii] AID - 10.1016/j.biopha.2019.01.028 [doi] PST - ppublish SO - Biomed Pharmacother. 2019 Mar;111:1353-1358. doi: 10.1016/j.biopha.2019.01.028. Epub 2019 Jan 17.