iScience (Feb 2023)

Exploiting metabolic vulnerabilities after anti-VEGF antibody therapy in ovarian cancer

  • Deanna Glassman,
  • Mark S. Kim,
  • Meredith Spradlin,
  • Sunil Badal,
  • Mana Taki,
  • Pratip Bhattacharya,
  • Prasanta Dutta,
  • Charles V. Kingsley,
  • Katherine I. Foster,
  • Olamide Animasahun,
  • Jin Heon Jeon,
  • Abhinav Achreja,
  • Anusha Jayaraman,
  • Praveen Kumar,
  • Minal Nenwani,
  • Fulei Wuchu,
  • Emine Bayraktar,
  • Yutuan Wu,
  • Elaine Stur,
  • Lingegowda Mangala,
  • Sanghoon Lee,
  • Timothy A. Yap,
  • Shannon N. Westin,
  • Livia S. Eberlin,
  • Deepak Nagrath,
  • Anil K. Sood

Journal volume & issue
Vol. 26, no. 2
p. 106020

Abstract

Read online

Summary: Despite modest clinical improvement with anti-vascular endothelial growth factor antibody (AVA) therapy in ovarian cancer, adaptive resistance is ubiquitous and additional options are limited. A dependence on glutamine metabolism, via the enzyme glutaminase (GLS), is a known mechanism of adaptive resistance and we aimed to investigate the utility of a GLS inhibitor (GLSi). Our in vitro findings demonstrated increased glutamine abundance and a significant cytotoxic effect in AVA-resistant tumors when GLSi was administered in combination with bevacizumab. In vivo, GLSi led to a reduction in tumor growth as monotherapy and when combined with AVA. Furthermore, GLSi initiated after the emergence of resistance to AVA therapy resulted in a decreased metabolic conversion of pyruvate to lactate as assessed by hyperpolarized magnetic resonance spectroscopy and demonstrated robust antitumor effects with a survival advantage. Given the increasing population of patients receiving AVA therapy, these findings justify further development of GLSi in AVA resistance.

Keywords