Volume 147, Issue 1 pp. 139-151
Cancer Therapy and Prevention

Benserazide is a novel inhibitor targeting PKM2 for melanoma treatment

Youyou Zhou

Youyou Zhou

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Zunnan Huang

Zunnan Huang

Key Laboratory for Medical Molecular Diagnostics of Guangdong Province, Dongguan Scientific Research Center, Guangdong Medical University, Dongguan, Guangdong, China

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Juan Su

Juan Su

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Jie Li

Jie Li

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Shuang Zhao

Shuang Zhao

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Lisha Wu

Lisha Wu

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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JiangLing Zhang

JiangLing Zhang

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Yijing He

Yijing He

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

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Guigui Zhang

Guigui Zhang

Key Laboratory for Medical Molecular Diagnostics of Guangdong Province, Dongguan Scientific Research Center, Guangdong Medical University, Dongguan, Guangdong, China

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Juan Tao

Juan Tao

Department of Dermatology, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Jianda Zhou

Jianda Zhou

Department of Plastic Surgery of Third Xiangya Hospital, Central South University, Changsha, China

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Xiang Chen

Corresponding Author

Xiang Chen

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

Correspondence to: Cong Peng, E-mail: [email protected] or Xiang Chen, E-mail: [email protected]Search for more papers by this author
Cong Peng

Corresponding Author

Cong Peng

The Department of Dermatology, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, China

Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, Hunan, China

Correspondence to: Cong Peng, E-mail: [email protected] or Xiang Chen, E-mail: [email protected]Search for more papers by this author
First published: 25 October 2019
Citations: 55
Conflict of interest: The authors declare no conflict of interest.
Y.Z. and Z.H. contributed equally to this work

Abstract

The M2 splice isoform of pyruvate kinase (PKM2) is a key enzyme for generating pyruvate and ATP in the glycolytic pathway, whereas the role of PKM2 in tumorigenesis remains a subject of debate. In our study, we found PKM2 is highly expressed in melanoma patients and the malignance is positively correlated with high PKM2 activity and glycolytic capability in melanoma cells. Suppression of PKM2 expression by knocking down markedly attenuated malignant phenotype both in vitro and in vivo, and restoration of PKM2 expression in PKM2 depleted cells could rescue melanoma cells proliferation, invasion and metastasis. With the data indicating PKM2 as a potential therapeutic target, we performed screening for PKM2 inhibitors and identified benserazide (Ben), a drug currently in clinical use. We demonstrated that Ben directly binds to and blocks PKM2 enzyme activity, leading to inhibition of aerobic glycolysis concurrent up-regulation of OXPHOS. Of note, despite PKM2 is very similar to PKM1, Ben does not affect PKM1 enzyme activity. We showed that Ben significantly inhibits cell proliferation, colony formation, invasion and migration in vitro and in vivo. The specificity of Ben was demonstrated by the findings that, suppression of PKM2 expression diminishes the efficacy of Ben in inhibition of melanoma cell growth; ectopic PKM2 expression in normal cells sensitizes cells to Ben treatment. Interestingly, PKM2 activity and aerobic glycolysis are upregulated in BRAFi-resistant melanoma cells. As a result, BRAFi-resistant cells exhibit heightened sensitivity to suppression of PKM2 expression or treatment with Ben both in vitro and in vivo.

Abstract

What's new?

Cancer cells fuel their rapid growth by shifting energy metabolism pathways to aerobic glycolysis, thereby enabling accelerated production of ATP, the energy currency of cells. The pyruvate kinase isoform M2 (PKM2) plays a critical role in catalyzing pyruvate and ATP generation in the final step of glycolysis. This study shows that PKM2 is highly expressed in melanoma and that its activity is correlated with melanoma cell invasion and migration. PKM2 activity was successfully inhibited by the decarboxylase inhibitor benserazide, both in vitro and in vivo. In the process of blocking glycolysis, benserazide also facilitated a return to normal energy metabolism.

Data availability

Individual data will be made available upon reasonable request.

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