PMID- 31596927 OWN - NLM STAT- MEDLINE DCOM- 20200127 LR - 20240421 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 60 IP - 13 DP - 2019 Oct 1 TI - Elevated Endogenous SDHA Drives Pathological Metabolism in Highly Metastatic Uveal Melanoma. PG - 4187-4195 LID - 10.1167/iovs.19-28082 [doi] AB - PURPOSE: Metastatic uveal melanoma (UM) has a very poor prognosis and no effective therapy. Despite remarkable advances in treatment of cutaneous melanoma, UM remains recalcitrant to chemotherapy, small-molecule kinase inhibitors, and immune-based therapy. METHODS: We assessed two sets of oxidative phosphorylation (OxPhos) genes within 9858 tumors across 31 cancer types. An OxPhos inhibitor was used to characterize differential metabolic programming of highly metastatic monosomy 3 (M3) UM. Seahorse analysis and global metabolomics profiling were done to identify metabolic vulnerabilities. Analyses of UM TCGA data set were performed to determine expressions of key OxPhos effectors in M3 and non-M3 UM. We used targeted knockdown of succinate dehydrogenase A (SDHA) to determine the role of SDHA in M3 UM in conferring resistance to OxPhos inhibition. RESULTS: We identified UM to have among the highest median OxPhos levels and showed that M3 UM exhibits a distinct metabolic profile. M3 UM shows markedly low succinate levels and has highly increased levels of SDHA, the enzyme that couples the tricarboxylic acid cycle with OxPhos by oxidizing (lowering) succinate. We showed that SDHA-high M3 UM have elevated expression of key OxPhos molecules, exhibit abundant mitochondrial reserve respiratory capacity, and are resistant to OxPhos antagonism, which can be reversed by SDHA knockdown. CONCLUSIONS: Our study has identified a critical metabolic program within poor prognostic M3 UM. In addition to the heightened mitochondrial functional capacity due to elevated SDHA, M3 UM SDHA-high mediate resistance to therapy that is reversible with targeted treatment. FAU - Chattopadhyay, Chandrani AU - Chattopadhyay C AD - Melanoma Medical Oncology, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Oba, Junna AU - Oba J AD - Melanoma Medical Oncology, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Roszik, Jason AU - Roszik J AD - Melanoma Medical Oncology, UT MD Anderson Cancer Center, Houston, Texas, United States. AD - Genomic Medicine, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Marszalek, Joseph R AU - Marszalek JR AD - Institute of Applied Cancer Science & Center for Co-Clinical Trials, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Chen, Ken AU - Chen K AD - Bioinformatics & Computational Biology, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Qi, Yuan AU - Qi Y AD - Bioinformatics & Computational Biology, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Eterovic, Karina AU - Eterovic K AD - Bioinformatics & Computational Biology, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Robertson, A Gordon AU - Robertson AG AD - Canada's Michael Smith Genome Sciences Centre, BC Cancer Agency, Vancouver, British Columbia, Canada. FAU - Burks, Jared K AU - Burks JK AD - Leukemia, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - McCannel, Tara A AU - McCannel TA AD - Stein Eye and Doheny Eye Institutes, University of California Los Angeles, Los Angeles, California, United States. FAU - Grimm, Elizabeth A AU - Grimm EA AD - Melanoma Medical Oncology, UT MD Anderson Cancer Center, Houston, Texas, United States. FAU - Woodman, Scott E AU - Woodman SE AD - Melanoma Medical Oncology, UT MD Anderson Cancer Center, Houston, Texas, United States. AD - Systems Biology, UT MD Anderson Cancer Center, Houston, Texas, United States. LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States GR - P50 CA093459/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (SDHD protein, human) RN - AB6MNQ6J6L (Succinic Acid) RN - EC 1.3.99.1 (Succinate Dehydrogenase) RN - Uveal melanoma SB - IM MH - Humans MH - Melanoma/*metabolism MH - Oxidative Phosphorylation MH - Succinate Dehydrogenase/metabolism/*physiology MH - Succinic Acid/metabolism MH - Tumor Cells, Cultured MH - Uveal Neoplasms/*metabolism PMC - PMC6785781 EDAT- 2019/10/10 06:00 MHDA- 2020/01/28 06:00 PMCR- 2019/10/01 CRDT- 2019/10/10 06:00 PHST- 2019/10/10 06:00 [entrez] PHST- 2019/10/10 06:00 [pubmed] PHST- 2020/01/28 06:00 [medline] PHST- 2019/10/01 00:00 [pmc-release] AID - 2753001 [pii] AID - IOVS-19-28082R1 [pii] AID - 10.1167/iovs.19-28082 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2019 Oct 1;60(13):4187-4195. doi: 10.1167/iovs.19-28082.