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DNA repair deficiency sensitizes lung cancer cells to NAD+ biosynthesis blockade

Abstract:
Synthetic lethality is an efficient mechanism-based approach to selectively target DNA repair defects. Excision repair cross-complementation group 1 (ERCC1) deficiency is frequently found in non-small-cell lung cancer (NSCLC), making this DNA repair protein an attractive target for exploiting synthetic lethal approaches in the disease. Using unbiased proteomic and metabolic high-throughput profiling on a unique in-house-generated isogenic model of ERCC1 deficiency, we found marked metabolic rewiring of ERCC1-deficient populations, including decreased levels of the metabolite NAD+ and reduced expression of the rate-limiting NAD+ biosynthetic enzyme nicotinamide phosphoribosyltransferase (NAMPT). We also found reduced NAMPT expression in NSCLC samples with low levels of ERCC1. These metabolic alterations were a primary effect of ERCC1 deficiency, and caused selective exquisite sensitivity to small-molecule NAMPT inhibitors, both in vitro - ERCC1-deficient cells being approximately 1,000 times more sensitive than ERCC1-WT cells - and in vivo. Using transmission electronic microscopy and functional metabolic studies, we found that ERCC1-deficient cells harbor mitochondrial defects. We propose a model where NAD+ acts as a regulator of ERCC1-deficient NSCLC cell fitness. These findings open therapeutic opportunities that exploit a yet-undescribed nuclear-mitochondrial synthetic lethal relationship in NSCLC models, and highlight the potential for targeting DNA repair/metabolic crosstalks for cancer therapy
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1172/jci90277

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Role:
Author
ORCID:
0000-0002-5910-7799
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Role:
Author
ORCID:
0009-0000-4782-6430
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Role:
Author
ORCID:
0000-0001-5417-3060
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Role:
Author
ORCID:
0000-0001-7492-0879


Publisher:
American Society for Clinical Investigation
Journal:
The Journal of Clinical Investigation More from this journal
Volume:
128
Issue:
4
Pages:
1671-1687
Publication date:
2018-02-15
DOI:
EISSN:
1558-8238
ISSN:
0021-9738


Language:
English
Keywords:
Pubs id:
2371252
Local pid:
pubs:2371252
Source identifiers:
W2786211248
Deposit date:
2026-02-13
ARK identifier:
This ORA record was generated from metadata provided by an external service. It has not been edited by the ORA Team.

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