PMID- 36388465 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230731 IS - 2767-9764 (Electronic) IS - 2767-9764 (Linking) VI - 2 IP - 10 DP - 2022 Oct 10 TI - Mitochondrial Matrix Protease ClpP Agonists Inhibit Cancer Stem Cell Function in Breast Cancer Cells by Disrupting Mitochondrial Homeostasis. PG - 1144-1161 LID - 10.1158/2767-9764.CRC-22-0142 [doi] AB - Mitochondria are multifaceted organelles which are important for bioenergetics, biosynthesis and signaling in metazoans. Mitochondrial functions are frequently altered in cancer to promote both the energy and the necessary metabolic intermediates for biosynthesis required for tumor growth. Cancer stem cells (CSCs) contribute to chemotherapy resistance, relapse, and metastasis. Recent studies have shown that while non-stem, bulk cancer cells utilize glycolysis, breast CSCs are more dependent on oxidative phosphorylation (OxPhos) and therefore targeting mitochondria may inhibit CSC function. We previously reported that small molecule ONC201, which is an agonist for the mitochondrial caseinolytic protease (ClpP), induces mitochondrial dysfunction in breast cancer cells. In this study, we report that ClpP agonists inhibit breast cancer cell proliferation and CSC function in vitro and in vivo. Mechanistically, we found that OxPhos inhibition downregulates multiple pathways required for CSC function, such as the mevalonate pathway, YAP, Myc, and the HIF pathway. ClpP agonists showed significantly greater inhibitory effect on CSC functions compared with other mitochondria-targeting drugs. Further studies showed that ClpP agonists deplete NAD(P)+ and NAD(P)H, induce redox imbalance, dysregulate one-carbon metabolism and proline biosynthesis. Downregulation of these pathways by ClpP agonists further contribute to the inhibition of CSC function. In conclusion, ClpP agonists inhibit breast CSC functions by disrupting mitochondrial homeostasis in breast cancer cells and inhibiting multiple pathways critical to CSC function. SIGNIFICANCE: ClpP agonists disrupt mitochondrial homeostasis by activating mitochondrial matrix protease ClpP. We report that ClpP agonists inhibit cell growth and cancer stem cell functions in breast cancer models by modulating multiple metabolic pathways essential to cancer stem cell function. FAU - Greer, Yoshimi Endo AU - Greer YE AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. FAU - Hernandez, Lidia AU - Hernandez L AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. FAU - Fennell, Emily M J AU - Fennell EMJ AD - Department of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC. FAU - Kundu, Manjari AU - Kundu M AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. FAU - Voeller, Donna AU - Voeller D AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. FAU - Chari, Raj AU - Chari R AD - Genome Modification Core, Frederick National Laboratory for Cancer Research, NCI, NIH, Frederick, MD. FAU - Gilbert, Samuel F AU - Gilbert SF AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. FAU - Gilbert, Thomas S K AU - Gilbert TSK AD - Department of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC. FAU - Ratnayake, Shashikala AU - Ratnayake S AD - Center for Biomedical Informatics and Information Technology, National Cancer Institute, Rockville, MD. FAU - Tang, Binwu AU - Tang B AD - Laboratory of Cancer Biology and Genetics, NCI, NIH. FAU - Hafner, Markus AU - Hafner M AD - RNA Molecular Biology Group, Laboratory of Muscle Stem Cells and Gene Regulation, NIAMS, NIH, Bethesda, MD. FAU - Chen, Qingrong AU - Chen Q AD - Center for Biomedical Informatics and Information Technology, National Cancer Institute, Rockville, MD. FAU - Meerzaman, Daoud AU - Meerzaman D AD - Center for Biomedical Informatics and Information Technology, National Cancer Institute, Rockville, MD. FAU - Iwanowicz, Edwin AU - Iwanowicz E AD - Madera Therapeutics, LLC, Cary, NC. FAU - Annunziata, Christina M AU - Annunziata CM AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. FAU - Graves, Lee M AU - Graves LM AD - Department of Pharmacology, University of North Carolina School of Medicine, Chapel Hill, NC. FAU - Lipkowitz, Stanley AU - Lipkowitz S AD - Women's Malignancies Branch, NCI, NIH, Bethesda, MD. LA - eng GR - R01 GM138520/GM/NIGMS NIH HHS/United States GR - ZIA SC007263/ImNIH/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PL - United States TA - Cancer Res Commun JT - Cancer research communications JID - 9918281580506676 RN - EC 3.4.- (Peptide Hydrolases) RN - 0U46U6E8UK (NAD) RN - EC 3.4.- (Endopeptidases) RN - EC 3.4.21.92 (ClpP protein, human) RN - EC 3.4.21.92 (Endopeptidase Clp) MH - Humans MH - Female MH - *Breast Neoplasms/drug therapy MH - Peptide Hydrolases/metabolism MH - NAD/metabolism MH - Neoplasm Recurrence, Local/metabolism MH - Mitochondria MH - Homeostasis MH - Endopeptidases/metabolism MH - Neoplastic Stem Cells MH - Endopeptidase Clp/metabolism PMC - PMC9645232 MID - NIHMS1836599 COIS- Conflict of interest disclosure EJI has a financial interest in Madera Therapeutics. The other authors declare no potential conflicts of interest. EDAT- 2022/11/18 06:00 MHDA- 2022/11/18 06:01 PMCR- 2022/10/10 CRDT- 2022/11/17 12:13 PHST- 2022/11/17 12:13 [entrez] PHST- 2022/11/18 06:00 [pubmed] PHST- 2022/11/18 06:01 [medline] PHST- 2022/10/10 00:00 [pmc-release] AID - CRC-22-0142 [pii] AID - 10.1158/2767-9764.CRC-22-0142 [doi] PST - ppublish SO - Cancer Res Commun. 2022 Oct 10;2(10):1144-1161. doi: 10.1158/2767-9764.CRC-22-0142.