PMID- 32883024 OWN - NLM STAT- MEDLINE DCOM- 20210414 LR - 20210414 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 9 IP - 9 DP - 2020 Sep 1 TI - Targeting Oxidative Phosphorylation Reverses Drug Resistance in Cancer Cells by Blocking Autophagy Recycling. LID - 10.3390/cells9092013 [doi] LID - 2013 AB - The greatest challenge in cancer therapy is posed by drug-resistant recurrence following treatment. Anticancer chemotherapy is largely focused on targeting the rapid proliferation and biosynthesis of cancer cells. This strategy has the potential to trigger autophagy, enabling cancer cell survival through the recycling of molecules and energy essential for biosynthesis, leading to drug resistance. Autophagy recycling contributes amino acids and ATP to restore mTOR complex 1 (mTORC1) activity, which leads to cell survival. However, autophagy with mTORC1 activation can be stalled by reducing the ATP level. We have previously shown that cytosolic NADH production supported by aldehyde dehydrogenase (ALDH) is critical for supplying ATP through oxidative phosphorylation (OxPhos) in cancer cell mitochondria. Inhibitors of the mitochondrial complex I of the OxPhos electron transfer chain and ALDH significantly reduce the ATP level selectively in cancer cells, terminating autophagy triggered by anticancer drug treatment. With the aim of overcoming drug resistance, we investigated combining the inhibition of mitochondrial complex I, using phenformin, and ALDH, using gossypol, with anticancer drug treatment. Here, we show that OxPhos targeting combined with anticancer drugs acts synergistically to enhance the anticancer effect in mouse xenograft models of various cancers, which suggests a potential therapeutic approach for drug-resistant cancer. FAU - Lee, Jae-Seon AU - Lee JS AD - Division of Cancer Biology, Research Institute, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. AD - Department of Biochemistry, College of Life Science and Biotechnology, Yonsei University, Seoul 03722, Korea. FAU - Lee, Ho AU - Lee H AD - Department of System Cancer Science, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Jang, Hyonchol AU - Jang H AUID- ORCID: 0000-0003-1436-457X AD - Division of Cancer Biology, Research Institute, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Woo, Sang Myung AU - Woo SM AUID- ORCID: 0000-0003-3786-4403 AD - Center for Liver and Pancreatobiliary Cancer, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Park, Jong Bae AU - Park JB AD - Department of System Cancer Science, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Lee, Seon-Hyeong AU - Lee SH AD - Division of Cancer Biology, Research Institute, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Kang, Joon Hee AU - Kang JH AD - Division of Cancer Biology, Research Institute, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Kim, Hee Yeon AU - Kim HY AD - Division of Cancer Biology, Research Institute, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. FAU - Song, Jaewhan AU - Song J AD - Department of Biochemistry, College of Life Science and Biotechnology, Yonsei University, Seoul 03722, Korea. FAU - Kim, Soo-Youl AU - Kim SY AD - Division of Cancer Biology, Research Institute, National Cancer Center, Goyang, Gyeonggi-do 10408, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200901 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (Antineoplastic Agents) RN - DD5K7529CE (Phenformin) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase) RN - EC 7.1.1.2 (Electron Transport Complex I) RN - KAV15B369O (Gossypol) SB - IM MH - Aldehyde Dehydrogenase/antagonists & inhibitors MH - Animals MH - Antineoplastic Agents/pharmacology/*therapeutic use MH - Autophagy/*drug effects MH - Drug Resistance, Neoplasm/*drug effects MH - Drug Synergism MH - Electron Transport Complex I/antagonists & inhibitors MH - Gossypol/pharmacology/*therapeutic use MH - HT29 Cells MH - Humans MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Mitochondria/drug effects/metabolism MH - Neoplasms/*drug therapy/*metabolism/pathology MH - Oxidative Phosphorylation/*drug effects MH - Phenformin/pharmacology/*therapeutic use MH - Xenograft Model Antitumor Assays PMC - PMC7565066 OTO - NOTNLM OT - ATP production OT - aldehyde dehydrogenase OT - cancer metabolism OT - energy metabolism OT - oxidative phosphorylation (OxPhos) COIS- The authors declare no conflict of interest. EDAT- 2020/09/05 06:00 MHDA- 2021/04/15 06:00 PMCR- 2020/09/01 CRDT- 2020/09/05 06:00 PHST- 2020/08/10 00:00 [received] PHST- 2020/08/28 00:00 [revised] PHST- 2020/08/29 00:00 [accepted] PHST- 2020/09/05 06:00 [entrez] PHST- 2020/09/05 06:00 [pubmed] PHST- 2021/04/15 06:00 [medline] PHST- 2020/09/01 00:00 [pmc-release] AID - cells9092013 [pii] AID - cells-09-02013 [pii] AID - 10.3390/cells9092013 [doi] PST - epublish SO - Cells. 2020 Sep 1;9(9):2013. doi: 10.3390/cells9092013.