PMID- 37378696 OWN - NLM STAT- MEDLINE DCOM- 20230724 LR - 20230724 IS - 1573-7217 (Electronic) IS - 0167-6806 (Linking) VI - 201 IP - 2 DP - 2023 Sep TI - HSD17B4 methylation enhances glucose dependence of BT-474 breast cancer cells and increases lapatinib sensitivity. PG - 317-328 LID - 10.1007/s10549-023-07013-y [doi] AB - PURPOSE: HER2-positive breast cancer has a high chance of achieving pathological complete response when HSD17B4, responsible for peroxisomal beta-oxidation of very long-chain fatty acids (VLCFA) and estradiol, is methylation-silenced. Here, we aimed to identify the underlying molecular mechanism. METHODS: Using a HER2-positive breast cancer cell line, BT-474, control and knock-out (KO) clones were obtained. Metabolic characteristics were analyzed using a Seahorse Flux analyzer. RESULTS: HSD17B4 KO suppressed cellular proliferation, and enhanced sensitivity to lapatinib approximately tenfold. The KO led to accumulation of VLCFA and a decrease of polyunsaturated fatty acids (PUFAs), such as docosahexaenoic acid (DHA) and arachidonic acid. HSD17B4 KO increased Akt phosphorylation, possibly via decreased DHA, and genes involved in oxidative phosphorylation (OxPhos) and electron transport chain (ETC) were upregulated. Increased mitochondrial ATP production in the KO cells was confirmed by extracellular flux analyzer. Increased OxPhos led to severe dependence of the KO cells on pyruvate from glycolysis. Suppression of glycolysis by lapatinib led to severe delayed suppression of OxPhos in KO cells. CONCLUSION: HSD17B4 KO in BT-474 cells caused a decrease of PUFAs, increased Akt phosphorylation, enhanced glucose dependence of OxPhos, and increased sensitivity to inhibition of HER2, upstream of Akt. This mechanism may be applicable to other HER2-positive glucose-dependent breast cancer cells with HSD17B4 silencing. CI - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. FAU - Arai, Nobuaki AU - Arai N AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. AD - Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan. FAU - Hattori, Naoko AU - Hattori N AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. AD - Department of Epigenomics, Institute for Advanced Life Sciences, Hoshi University, Tokyo, Japan. FAU - Yamashita, Satoshi AU - Yamashita S AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. FAU - Liu, Yu-Yu AU - Liu YY AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. AD - Department of Epigenomics, Institute for Advanced Life Sciences, Hoshi University, Tokyo, Japan. FAU - Ebata, Takahiro AU - Ebata T AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. AD - Department of Epigenomics, Institute for Advanced Life Sciences, Hoshi University, Tokyo, Japan. FAU - Takeuchi, Chihiro AU - Takeuchi C AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. AD - Department of Epigenomics, Institute for Advanced Life Sciences, Hoshi University, Tokyo, Japan. FAU - Takeshima, Hideyuki AU - Takeshima H AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. AD - Department of Epigenomics, Institute for Advanced Life Sciences, Hoshi University, Tokyo, Japan. FAU - Fujii, Satoshi AU - Fujii S AD - Department of Molecular Pathology, Yokohama City University Graduate School of Medicine, Kanagawa, Japan. FAU - Kondo, Haruhiko AU - Kondo H AD - Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan. FAU - Mukai, Hirofumi AU - Mukai H AD - Department of Medical Oncology, National Cancer Center Hospital East, Chiba, Japan. FAU - Ushijima, Toshikazu AU - Ushijima T AUID- ORCID: 0000-0003-3405-7817 AD - Division of Epigenomics, National Cancer Center Research Institute, Tokyo, Japan. tushijima142@hoshi.ac.jp. AD - Department of Epigenomics, Institute for Advanced Life Sciences, Hoshi University, Tokyo, Japan. tushijima142@hoshi.ac.jp. LA - eng GR - JP19ck0106466/Japan Agency for Medical Research and Development/ GR - JP23ck0106832/Japan Agency for Medical Research and Development/ PT - Journal Article DEP - 20230628 PL - Netherlands TA - Breast Cancer Res Treat JT - Breast cancer research and treatment JID - 8111104 RN - 0VUA21238F (Lapatinib) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - IY9XDZ35W2 (Glucose) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 4.2.1.119 (HSD17B4 protein, human) RN - EC 4.2.1.107 (Peroxisomal Multifunctional Protein-2) SB - IM MH - Humans MH - Female MH - Lapatinib/pharmacology MH - *Breast Neoplasms/drug therapy/genetics/metabolism MH - Methylation MH - Proto-Oncogene Proteins c-akt/genetics/metabolism MH - Glucose MH - Cell Line, Tumor MH - Receptor, ErbB-2/genetics/metabolism MH - Peroxisomal Multifunctional Protein-2/genetics/metabolism OTO - NOTNLM OT - DNA methylation OT - Epigenetics OT - HER2-positive breast cancer OT - Metabolic vulnerability OT - Neoadjuvant chemotherapy EDAT- 2023/06/28 13:08 MHDA- 2023/07/24 06:42 CRDT- 2023/06/28 11:04 PHST- 2023/04/07 00:00 [received] PHST- 2023/06/16 00:00 [accepted] PHST- 2023/07/24 06:42 [medline] PHST- 2023/06/28 13:08 [pubmed] PHST- 2023/06/28 11:04 [entrez] AID - 10.1007/s10549-023-07013-y [pii] AID - 10.1007/s10549-023-07013-y [doi] PST - ppublish SO - Breast Cancer Res Treat. 2023 Sep;201(2):317-328. doi: 10.1007/s10549-023-07013-y. Epub 2023 Jun 28.