An improved understanding of the biochemical alterations that accompany tumor progression and metastasis is necessary to inform the next generation of diagnostic tools and targeted therapies. Metabolic reprogramming is known to occur during the epithelial-mesenchymal transition (EMT), a process that promotes metastasis. Here, we identify metabolic enzymes involved in extracellular Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:
African-American (AA) men have a 60% higher incidence of prostate cancer compared to European-American (EA) men and tend to have a more aggressive clinical outcome. An understanding of the altered biological responses and the factors that lead to health disparity in prostate cancer development and progression is unclear. Metabolism defines the physiological state of the cell and metabolic reprogramming is a hallmark of cancer. Thus, studying the metabolic landscape will be critical for understanding the biological changes that might contribute to this disparity. Analysis of 190 metabolites across prostate cancer/benign adjacent tissue pairs from ancestry typed AA and EA men performed in our laboratory, revealed altered levels of nucleosides adenosine and inosine. High inosine to adenosine ratio is observed in AA men compared to EA men. In line with this finding, the enzyme adenosine deaminase (ADA), which converts adenosine to inosine was found elevated in AA men, potentially explaining the high inosine to adenosine ratio in AA PCa. The consequences of the accumulation of these metabolites on AA PCa progression are unknown. The current study will address the knowledge gap on the consequences of elevated ADA activity in AA PCa and attempt to dissect its role in effecting an aggressive phenotype in PCa. To determine the role of elevated ADA in PCa, it was overexpressed in ancestry-typed AA (MDA-PCa-2A) and EA PCa(LNCaP) cell lines (termed ADA OE). Phenotypic examination of these cells revealed increased ADA enzyme activity decreases the cell-ECM adhesion. This adhesion decrease is facilitated by a decrease in cell adhesion protein integrin β1 (ITGB1). Elevated ADA enzyme activity decreases cAMP which mediates this adhesion decrease by disrupting the Epac-Rap1 pathway. It is postulated that high inosine upon ADA OE activates adenosine receptors A1 and A3, which causes this decrease in cAMP levels. These molecular findings suggest that ADA-mediated adhesion decrease could facilitate metastatic dissemination from the primary tumor. From a translational viewpoint, ADA enzyme activity could serve as a biomarker for metastatic prostate cancer. Therefore, we further look to analyze the inosine to adenosine levels (ADA enzyme activity) in patient samples and correlate with various clinical outcomes in PCa. Our initial analysis reveals high inosine to adenosine ratio in biopsy positive patient samples compared to biopsy negative samples. Our next steps of analysis include correlating the enzyme activity with (i) Biochemical Recurrence (ii) Time to attaining castration resistance in castration sensitive patients (iii) Time to metastasis (iv) Response to Androgen deprivation in patients after BCr. Based on our current findings, we expect inosine to adenosine ratio in plasma or urine to serve as a predictive marker for PCa incidence or progression in AA men. In addition, we expect ADA to serve as a potential therapeutic target for AA PCa. Citation Format: Christy Charles, Jie Gohlke, Stacy Lloyd, Uttam Rasaily, James Henderson, Balasubramanyam Karanam, Brian Simons, Nora Navone, Rick Kittles, Stefan Ambs, George Michailidis, Nagireddy Putluri, Arun Sreekumar. Metabolic re-wiring in African-American prostate cancer: A role of adenosine-inosine axis [abstract]. In: Proceedings of the AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2020 Oct 2-4. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(12 Suppl):Abstract nr PR17.
Introduction: Prostate cancer (PCa) prevalence and mortality are remarkably higher in African-American (AA)men compared to European-American (EA) men. In addition to known differences in socioeconomic status and access to health care, there is increasing evidence to suggest biological differences between AA and EA PCa. Our lab has pioneered the understanding of reprogrammed metabolism, a hallmark of tumor progression, in AA and EA PCa. Analysis of a compendium of 190 metabolites in ancestry verified, pathologically confirmed AA and EA PCa tissues followed by validation of key pathway components in plasma and urine revealed high inosine to adenosine ratio in AA PCa compared to EA PCa. Consistent with this, the enzyme adenosine deaminase (ADA), which converts adenosine to inosine was also found to be elevated in AA PCa. The current study will address the role of adenosine-inosine axis in AA PCa progression and attempt to delineate its significance in the clinical setting. Methods: Analysis of metabolites in tissues, plasma and urine was done using LC/MS. Tissue microarray analysis (TMA) was done to check the expression of ADA in tissues and correlate it to clinical outcomes. To determine the function of ADA in PCa progression, the gene was overexpressed in MDA-PCa-2A (AA) and LNCaP (EA) cells using lentiviral transduction (termed ADA OE). In vitro invasion was assessed using Boyden chamber assay and in vivo tumorigenic properties were examined in nude mice. Molecular studies were performed using qPCR, ELISA and western blotting. Results: Overexpression of the enzyme ADA in PCa cells confers an anchorage-independent growth phenotype (a.k.a. Anoikis Resistance) associated with a reduction in Integrin β1 (ITGB1) levels. Anoikis resistance is a key prerequisite for metastasis and a hallmark of circulating tumor cells (CTCs). ADA OE AA cells exhibited higher invasive potential compared to the EA cells. Molecular analysis revealed downregulation E-cadherin (epithelial marker) and Bim (pro-apoptotic marker), and upregulation of XIAP (anti-apoptotic marker), all of which support anoikis resistance phenotype in these cells. ADA OE cells had reduced cAMP levels, and addition of external cAMP resulted in reversal of anoikis resistance, increased cell adhesion and rescued ITGB1 levels. Mechanistically, it is postulated that high inosine upon ADA OE activates adenosine receptors A1 and A3, which causes a decrease in cAMP levels. Decreased cAMP affects the Epac-Rap1 signaling, a key regulator of integrin-mediated adhesion. Concomitantly, ADA OE cells also showed a decrease in Rap1 levels. Conclusion: Elevated inosine to adenosine ratio associated with increased expression of ADA is a metabolic hallmark in AA PCa, associated with anoikis resistance and possibly increased CTCs. Our findings also strongly support the potential of using inosine to adenosine ratio in plasma or urine as a predictive marker for PCa incidence or progression in AA men. In addition, ADA could serve as a potential therapeutic target for AA PCa. Citation Format: Christy Charles, Jie Gohlke, Stacy Lloyd, James Henderson, Balasubramaniam Karanam, Nora Navone, Rick Kittles, Stefan Ambs, George Michailidis, Nagireddy Putluri, Arun Sreekumar. Metabolic rewiring in African-American prostate cancer: A role for adenosine-inosine axis in tumor progression [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr A095.
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