PMID- 35723497 OWN - NLM STAT- MEDLINE DCOM- 20220811 LR - 20230902 IS - 1098-2744 (Electronic) IS - 0899-1987 (Print) IS - 0899-1987 (Linking) VI - 61 IP - 9 DP - 2022 Sep TI - Targeting mitochondrial metabolism for metastatic cancer therapy. PG - 827-838 LID - 10.1002/mc.23436 [doi] AB - Primary tumors evolve metabolic mechanisms favoring glycolysis for adenosine triphosphate (ATP) generation and antioxidant defenses. In contrast, metastatic cells frequently depend on mitochondrial respiration and oxidative phosphorylation (OxPhos). This reliance of metastatic cells on OxPhos can be exploited using drugs that target mitochondrial metabolism. Therefore, therapeutic agents that act via diverse mechanisms, including the activation of signaling pathways that promote the production of reactive oxygen species (ROS) and/or a reduction in antioxidant defenses may elevate oxidative stress and inhibit tumor cell survival. In this review, we will provide (1) a mechanistic analysis of function-selective extracellular signal-regulated kinase-1/2 (ERK1/2) inhibitors that inhibit cancer cells through enhanced ROS, (2) a review of the role of mitochondrial ATP synthase in redox regulation and drug resistance, (3) a rationale for inhibiting ERK signaling and mitochondrial OxPhos toward the therapeutic goal of reducing tumor metastasis and treatment resistance. Recent reports from our laboratories using metastatic melanoma and breast cancer models have shown the preclinical efficacy of novel and rationally designed therapeutic agents that target ERK1/2 signaling and mitochondrial ATP synthase, which modulate ROS events that may prevent or treat metastatic cancer. These findings and those of others suggest that targeting a tumor's metabolic requirements and vulnerabilities may inhibit metastatic pathways and tumor growth. Approaches that exploit the ability of therapeutic agents to alter oxidative balance in tumor cells may be selective for cancer cells and may ultimately have an impact on clinical efficacy and safety. Elucidating the translational potential of metabolic targeting could lead to the discovery of new approaches for treatment of metastatic cancer. CI - (c) 2022 Wiley Periodicals LLC. FAU - Passaniti, Antonino AU - Passaniti A AD - The Veteran's Health Administration Research & Development Service (VAMHCS), VA Maryland Health Care System (VAMHCS), Baltimore VA Medical Center, Baltimore, Maryland, USA. AD - Department of Pathology and Department of Biochemistry & Molecular Biology, The Program in Molecular Medicine and the Marlene & Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, Maryland, USA. FAU - Kim, Myoung Sook AU - Kim MS AD - Department of Pathology and Department of Biochemistry & Molecular Biology, The Program in Molecular Medicine and the Marlene & Stewart Greenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, Maryland, USA. FAU - Polster, Brian M AU - Polster BM AD - Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland, USA. FAU - Shapiro, Paul AU - Shapiro P AD - Department of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, Maryland, USA. LA - eng GR - I01 BX004904/BX/BLRD VA/United States GR - R01 CA120215/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20220620 PL - United States TA - Mol Carcinog JT - Molecular carcinogenesis JID - 8811105 RN - 0 (Antioxidants) RN - 0 (Reactive Oxygen Species) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - EC 3.6.3.- (Mitochondrial Proton-Translocating ATPases) SB - IM MH - Adenosine Triphosphate/metabolism MH - Antioxidants MH - Humans MH - Mitochondria/metabolism MH - *Mitochondrial Proton-Translocating ATPases/metabolism MH - *Neoplasms/metabolism MH - Oxidative Phosphorylation MH - Reactive Oxygen Species/metabolism PMC - PMC9378505 MID - NIHMS1812984 OTO - NOTNLM OT - cancer metastasis OT - drug mechanisms OT - kinase signaling OT - mitochondria OT - reactive oxygen species OT - targeting OxPhos COIS- CONFLICTS OF INTERESTS The authors declare that there are no conflicts of interest. The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government. EDAT- 2022/06/21 06:00 MHDA- 2022/08/12 06:00 PMCR- 2023/09/01 CRDT- 2022/06/20 09:06 PHST- 2022/05/18 00:00 [revised] PHST- 2021/12/28 00:00 [received] PHST- 2022/05/27 00:00 [accepted] PHST- 2022/06/21 06:00 [pubmed] PHST- 2022/08/12 06:00 [medline] PHST- 2022/06/20 09:06 [entrez] PHST- 2023/09/01 00:00 [pmc-release] AID - 10.1002/mc.23436 [doi] PST - ppublish SO - Mol Carcinog. 2022 Sep;61(9):827-838. doi: 10.1002/mc.23436. Epub 2022 Jun 20.