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Glycogen synthase 1 targeting reveals a metabolic vulnerability in triple-negative breast cancer

Abstract:
BACKGROUND: Hypoxia-induced glycogen turnover is implicated in cancer proliferation and therapy resistance. Triple-negative breast cancers (TNBCs), characterized by a hypoxic tumor microenvironment, respond poorly to therapy. We studied the expression of glycogen synthase 1 (GYS1), the key regulator of glycogenesis, and other glycogen-related enzymes in primary tumors of patients with breast cancer and evaluated the impact of GYS1 downregulation in preclinical models. METHODS: mRNA expression of GYS1 and other glycogen-related enzymes in primary breast tumors and the correlation with patient survival were studied in the METABRIC dataset (n = 1904). Immunohistochemical staining of GYS1 and glycogen was performed on a tissue microarray of primary breast cancers (n = 337). In four breast cancer cell lines and a mouse xenograft model of triple-negative breast cancer, GYS1 was downregulated using small-interfering or stably expressed short-hairpin RNAs to study the effect of downregulation on breast cancer cell proliferation, glycogen content and sensitivity to various metabolically targeted drugs. RESULTS: High GYS1 mRNA expression was associated with poor patient overall survival (HR 1.20, P = 0.009), especially in the TNBC subgroup (HR 1.52, P = 0.014). Immunohistochemical GYS1 expression in primary breast tumors was highest in TNBCs (median H-score 80, IQR 53-121) and other Ki67-high tumors (median H-score 85, IQR 57-124) (P < 0.0001). Knockdown of GYS1 impaired proliferation of breast cancer cells, depleted glycogen stores and delayed growth of MDA-MB-231 xenografts. Knockdown of GYS1 made breast cancer cells more vulnerable to inhibition of mitochondrial proteostasis. CONCLUSIONS: Our findings highlight GYS1 as potential therapeutic target in breast cancer, especially in TNBC and other highly proliferative subsets.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1186/s13046-023-02715-z
Publication website:
https://pure.rug.nl/ws/files/777983926/s13046-023-02800-3.pdf

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Role:
Author
ORCID:
0000-0001-5965-711X
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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0001-5850-5907
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Institution:
University of Oxford
Role:
Author
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Role:
Author
ORCID:
0000-0002-2613-1506
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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0002-0945-5496


Publisher:
BioMed Central
Journal:
Journal of Experimental & Clinical Cancer Research More from this journal
Volume:
42
Issue:
1
Pages:
143-143
Publication date:
2023-06-06
DOI:
EISSN:
1756-9966
ISSN:
1756-9966


Language:
English
Keywords:
Pubs id:
1364891
Local pid:
pubs:1364891
Source identifiers:
W4379535363
Deposit date:
2026-05-01
ARK identifier:
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