Elevated Endogenous SDHA Drives Pathological Metabolism in Highly Metastatic Uveal Melanoma

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Elevated Endogenous SDHA Drives Pathological Metabolism in Highly Metastatic Uveal Melanoma Biochemistry and Molecular Biology Elevated Endogenous SDHA Drives Pathological Metabolism in Highly Metastatic Uveal Melanoma Chandrani Chattopadhyay,1 Junna Oba,1 Jason Roszik,1,2 Joseph R. Marszalek,3 Ken Chen,4 Yuan Qi,4 Karina Eterovic,4 A. Gordon Robertson,5 Jared K. Burks,6 Tara A. McCannel,7 Elizabeth A. Grimm,1 and Scott E. Woodman1,8 1Melanoma Medical Oncology, UT MD Anderson Cancer Center, Houston, Texas, United States 2Genomic Medicine, UT MD Anderson Cancer Center, Houston, Texas, United States 3Institute of Applied Cancer Science & Center for Co-Clinical Trials, UT MD Anderson Cancer Center, Houston, Texas, United States 4Bioinformatics & Computational Biology, UT MD Anderson Cancer Center, Houston, Texas, United States 5Canada’s Michael Smith Genome Sciences Centre, BC Cancer Agency, Vancouver, British Columbia, Canada 6Leukemia, UT MD Anderson Cancer Center, Houston, Texas, United States 7Stein Eye and Doheny Eye Institutes, University of California Los Angeles, Los Angeles, California, United States 8Systems Biology, UT MD Anderson Cancer Center, Houston, Texas, United States Correspondence: Scott E. Woodman, PURPOSE. Metastatic uveal melanoma (UM) has a very poor prognosis and no effective therapy. The University of Texas MD Ander- Despite remarkable advances in treatment of cutaneous melanoma, UM remains recalcitrant son Cancer Center, 7455 Fannin to chemotherapy, small-molecule kinase inhibitors, and immune-based therapy. Street, Houston, TX 77054, USA; [email protected]. METHODS. We assessed two sets of oxidative phosphorylation (OxPhos) genes within 9858 Chandrani Chattopadhyay, The Uni- tumors across 31 cancer types. An OxPhos inhibitor was used to characterize differential versity of Texas MD Anderson Can- metabolic programming of highly metastatic monosomy 3 (M3) UM. Seahorse analysis and cer Center, 1515 Holcombe global metabolomics profiling were done to identify metabolic vulnerabilities. Analyses of UM Boulevard, Houston, TX 77025, USA; TCGA data set were performed to determine expressions of key OxPhos effectors in M3 and [email protected] non-M3 UM. We used targeted knockdown of succinate dehydrogenase A (SDHA) to JO and JR contributed equally to the determine the role of SDHA in M3 UM in conferring resistance to OxPhos inhibition. work presented here and should therefore be regarded as equivalent RESULTS. We identified UM to have among the highest median OxPhos levels and showed that authors. M3 UM exhibits a distinct metabolic profile. M3 UM shows markedly low succinate levels and has highly increased levels of SDHA, the enzyme that couples the tricarboxylic acid cycle with Submitted: July 26, 2019 OxPhos by oxidizing (lowering) succinate. We showed that SDHA-high M3 UM have elevated Accepted: September 1, 2019 expression of key OxPhos molecules, exhibit abundant mitochondrial reserve respiratory Citation: Chattopadhyay C, Oba J, capacity, and are resistant to OxPhos antagonism, which can be reversed by SDHA Roszik J, et al. Elevated endogenous knockdown. SDHA drives pathological metabolism in highly metastatic uveal melanoma. CONCLUSIONS. Our study has identified a critical metabolic program within poor prognostic Invest Ophthalmol Vis Sci. M3 UM. In addition to the heightened mitochondrial functional capacity due to elevated 2019;60:4187–4195. https://doi.org/ SDHA, M3 UM SDHA-high mediate resistance to therapy that is reversible with targeted 10.1167/iovs.19-28082 treatment. Keywords: uveal melanoma, SDHA, OxPhos, mitochondrial metabolism, monosomy 3 veal melanoma (UM), which arises from melanocytes in the mitochondria.6 The enzyme succinate dehydrogenase A U uveal tract, is the most common intraocular cancer of the (SDHA), a component of Complex II of the electron transport adult eye.1 Although primary disease in the eye can be chain (ETC), is a fundamental link between the TCA cycle and effectively treated, half of UM patients develop distant OxPhos. As part of the TCA cycle, SDHA oxidizes succinate, metastatic disease, often to the liver, with a median survival 2,3 which reduces FAD to FADH2, liberating two electrons. As a of less than 12 months. The loss of one copy of component of the ETC, SDHA ensures that these electrons are chromosome 3 (Chr3) in a primary UM tumor, referred to as shuttled through Ubiquinone to Cytochrome C (CYC1), monosomy 3 (M3), is associated with metastasis and poor facilitating OxPhos. Recent studies show that SDHA is a major prognosis.4 More than 90% of metastatic UM is M3. In source of OxPhos reserve respiratory capacity to support cell contrast,primaryUMwithanormalcomplementoftwo 7 copies of Chr3, referred to as disomy 3 (D3), rarely survival in noncancer cells. Loss-of-function mutations in metastasizes. In some cases, the single Chr3 in M3 UM SDHA, or other alterations in Complex II, result in elevated undergoes a duplication, termed isodisomy 3 (iD3). Dysregu- succinate, which serves as an oncometabolite. Thus, SDHA lated mitochondrial metabolism is a hallmark of cancer.5 plays a fundamental role in normal and cancer-related Specifically, cancer cells show remarkable metabolic repro- metabolism. In this study, we explored the metabolic features gramming through alterations in the tricarboxylic acid (TCA) that underlie metastasis-prone UMs and identified critical cycle and/or oxidative phosphorylation (OxPhos) within features that may serve as precise therapeutic targets for UM. Copyright 2019 The Authors iovs.arvojournals.org j ISSN: 1552-5783 4187 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Downloaded from iovs.arvojournals.org on 09/25/2021 High SDHA in Metastatic UM Drives Pathological Metabolism IOVS j October 2019 j Vol. 60 j No. 13 j 4188 MATERIALS AND METHODS enrichment assessed by quantitative PCR (qPCR) using specific primers designed by Roche Nimblegen. The cutoff Reagents for OxPhos Inhibition, Mito Stress Test, for the enrichment was a minimum 50-fold. Captured libraries and Antibodies were sequenced on a HiSeq 4000 (Illumina Inc., San Diego, CA, USA) on a version 3 TruSeq paired-end flowcell at a IACS-010759, a small-molecule inhibitor of Complex I of cluster density of between 700 and 1000 K clusters/mm2.The OxPhos, was a generous gift of the Institute of Applied Cancer resulting BCL files were converted into ‘‘.fastq.gz’’ files and 8 Science (IACS) at UT MD Anderson Cancer Center. The SDHA individual libraries within the samples were demultiplexed, antibody was obtained from ABCAM (#ab14715; Abcam, allowing no mismatches, using CASAVA 1.8.2. The captured Cambridge, MA, USA). The Mito Stress Kit was obtained from sequencing data was aligned17 to human reference assembly Agilent Technologies (Seahorse XF Cell Mito Stress Test Kit, GRCh37 (ftp://ftp-trace.ncbi.nih.gov/1000genomes/ftp/tech #103015–100; Agilent, Santa Clara, CA, USA). nical/reference/phase2_reference_assembly_sequence/hs3 7d5.fa.gz) using BWA (version 0.6.2) and duplicated reads Cell Lines removed using Picard (version 1.80). In preliminary data analysis we called single nucleotide variants and small indels Cell line 39 (official name: Mel20–06–039, RRID: using an in-house developed analysis pipeline, which CVCL_8473),9,10 70 (official name: Mel20–07–070, 9,10 classifies variants into three categories: somatic, germline, RRID:CVCL_8475), and 196 (official name Mel20–09–196, and loss-of-heterozygosity, based on variant allele frequencies. RRID:CVCL_D715)10 were obtained from Dr. Tara A. McCan- 11 We compared these variants with dbSNP 138, COSMIC 70, nel. Cell line OMM-1 (RRID:CVCL_6939), Mel202 and TCGA databases, and annotated them using the VEP (RRID:CVCL_C301),11 92–1 (RRID:CVCL_8607),11 and 11 (version 2.7), Annovar (version 2014–07–14), and CanDrA Mel270 (RRID:CVCL_C302) were kindly provided by Drs. (version 1.1) programs. Specific copy number alterations and Martine Jager and Bruce Ksander. Cell line MP41 (RRID: 12 B allele frequency (BAF) were analyzed using Nexus Copy CVCL_4D12) and MP46 (RRID:CVCL_4D13) were generous Number Discovery Version 9.0 (BioDiscovery, Inc., El gifts from Dr. Laurence Desjardins. Additional UM cell line Segundo, CA, USA). Previously aligned BAM files of tumor information is provided in the references.13–16 samples (from the targeted sequencing pipeline) were loaded asinput,andpseudo-matchedpairedanalyseswerecarried Cell Culture out using a nontumor sequencing database from IPCT that UM cells were cultured in RPMI media with 10% FBS, contained data from more than 5000 normal samples. For glutamine, penicillin-streptomycin and insulin supplement, copy number analysis, log2-ratio cutoffs of 0.18 and 0.6 were under ambient oxygen at 378C. Hypoxic culture conditions used for amplified and highly amplified status, and À0.18 and À1.0 were used for deletion and homozygous-deletion status, (1% O2) were enforced when required in the MCO-170M IncuSafe Multigas Incubator (Panasonic, Kadoma, Japan). respectively. For BAF analysis, only SNP loci in the general Treatment with IACS-010759 was done in normal culture population were used. Reads with alignment quality score media. less than 30, and loci with sequencing quality score less than 20 or read depth less than 20, were filtered out. For each locus, the number of alleles with largest count was divided by Cell Line Validation the total count of all alleles, then subtracted from 1 to obtain Cell lines were validated by short random repeat (STR) DNA BAF. fingerprinting techniques and mutational analysis, by the MDACC Cancer Center Support Grant
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