Journal article
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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(Preview, Version of record, pdf, 11.8MB, Terms of use)
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- Publisher copy:
- 10.1172/jci90277
Authors
- 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:
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1558-8238
- ISSN:
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0021-9738
- Language:
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English
- Keywords:
- Pubs id:
-
2371252
- Local pid:
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pubs:2371252
- Source identifiers:
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W2786211248
- Deposit date:
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2026-02-13
- ARK identifier:
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- Copyright date:
- 2018
- Licence:
- Other
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