Abstract
1,2-Dimethylhydrazine (DMH) is a plant toxicant that enters the food web through the diet. It is biotransformed into azoxymethane, a colon carcinogen, during the first hepatic passage. In mice, this study assessed the role of glutamate dehydrogenase (GDH), a key glutaminolysis enzyme in DMH-induced colorectal cancer (CRC). Colon samples were taken from mice given 6 or 15 weekly doses of 20 mg/kg DMH and serially sacrificed. Repeated DMH doses induced early aberrant crypt foci that evolved into irreversible adenocarcinomas over 24 weeks, along with an increase in GDH and lactate dehydrogenase activities (+ 122%, + 238%, P < 0.001), indicating a switch to aerobic glycolysis and glutaminolysis. Transcriptional downregulation of the endogenous GDH inhibitor, sirtuin4, and two redox regulators, mitochondrial sestrin2 and nuclear factor (erythroid derivative 2)-like 2 (− 26% and − 22%, P < 0, 05; and − 30%, P < 0.01), exacerbated mitochondrial stress by boosting mitochondrial superoxide dismutase activity (+ 240% (P < 0.001) while depressing catalase activity and GSH levels (− 57% and − 60%, P < 0.001). In vitro, allosteric GDH inhibition by 50 µM epigallocatechin gallate decreased human carcinoma (HCT-116) cells’ viability, clonogenicity, and migration (− 43% and − 57%, P < 0.001, 41%, P < 0.05), while stimulating ROS release (+ 57%, P < 0.001). Dimethylfumarate (DMF), a linear electrophile and mitochondrial fumarate analog, rebalanced ROS levels (− 34%, P < 0.05) and improved GDH activity, cell viability, and tumorogenic capacity (+ 20%, 20%, P < 0.001; and 33%, P < 0.05). Thus, the pathological remodeling of colon mucosa is supported by metabolic reprogramming bypassing uncoupled mitochondria. DMF highlights the critical role of electrophile response elements in modulating redox mithormesis and redox homeostasis during CRC.
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Introduction
The burst in aerobic glycolysis (Warburg effect) at the expense of mitochondrial activity is a biochemical hallmark of colorectal cancer (CRC) (Crabtree 1929; Warburg 1956; Hirayama et al. 2009; Ortmayr et al. 2009; Avolio et al. 2020). This metabolic remodeling is triggered by serial mutations and epigenetic changes such as CpG islands, microsatellite, and chromosome instability (Ogino et al. 2009; Femia et al. 2010; Sung et al. 2021).
Increased glucose uptake and consumption provides 2-carbon backbones (Acetyl-CoA) and energy (ATP, PEP, NAD(P)H) for anabolic pathways of fast-growing cells. In addition, NADPH derived from the pentose phosphate pathway and the 1- and 5-carbon backbones of the folate cycle are engaged in GSH replenishment, antioxidant shuttles, and de novo synthesis of fatty acids and nucleotides (DeBerardinis and Chandel 2016; Stincone et al. 2016). The oncogenic lactate dehydrogenase A (LDHA) reduces pyruvate into lactate, the end product of aerobic glycolysis (Baryła et al. 2022). It is actively secreted via the proton-dependent monocarboxylic transporter4 (MCT4) and promotes angiogenesis and metastasis by activating pro-inflammatory stromal cells and upregulating the bioenergetic sensor, hypoxia-inducible factor (HIF)-1α (Pollard et al. 2005; Whitaker-Menezes et al. 2011).
The crosstalk between HIF-1α and Myc upregulates glucose transporters (GLUT1/4), LDHA, and key aerobic glycolysis kinases (hexokinase2, phosfructokinase1, pyruvate kinase M2), while blocking mitochondrial pyruvate dehydrogenase kinase1 (Wise et al. 2008; Satoh et al. 2017; Belisario et al. 2020). This leads to mitochondria uncoupling and a bioenergetic shift to aerobic glycolysis (Gaude et al. 2018).
Addiction to glutaminolysis is the second metabolic switch supporting rapid proliferation (Tardito et al. 2015; Spinelli et al. 2017). It involves the glutaminase/glutamate dehydrogenase (GDH) tandem, which catalyzes the deamination of glutamine to glutamate. The latter is incorporated into GSH or further hydrolyzed into ammonia and α-ketoglutarate (α-KG) (Kovacevic 1971; Gaude et al. 2018). The human NAD(P)H-dependent GDH1 bound to the outer mitochondrial membrane catalyzes the anaplerotic insertion of glutamine into the TCA cycle via α-KG and the concomitant reduction of NAD(P)+ to NAD(P)H/H+ (Harris et al. 2015; Jin et al. 2015).
GDH is downregulated by Sirt4, a tumor-suppressive gene coding sirtuin4 (Sirt4) which is stably repressed during CRC. The mitochondrial NAD+-dependent Sirt4 inhibits the β-oxidation and pyruvate dehydrogenase activity and thus NADH/H+ and FADH2 formation for the respiratory chain (RC) (Mathias et al. 2014; Sun et al. 2018).
Uncoupled mitochondria reduced oxygen to superoxide anion (mtO2.−), readily dismutated into the stable pro-oxidant hydrogen peroxide (H2O2) by mitochondrial (MnSOD, SOD2) superoxide dismutase (Weinhouse 1956; Brand 2010; Woo et al. 2012). The subsequent crosstalk between mtO2.−, H2O2, carbonate anion (CO2−), and nitric oxide (NO) generates mixed mitochondrial reactive (oxygen and nitrogen) species (mtROS).
Sestrins (Sesn1,2,3) are ubiquitous metabolic and oxidative stress-inducible proteins (Pasha et al. 2017). Sesn2, a globin-like α-helical protein, is involved in the adaptive unfolding protein (UPR) response to endoplasmic reticulum (ER) stress. Sesn2 can restore mithormesis and metabolic homeostasis through PERK-/TFc/EBPβ signaling (Cullinan et al. 2003; Walter and Ron 2011; Park et al. 2014; Ro et al. 2016).
Nuclear factor (erythroid-derived 2)-like 2 (Nrf2), a redox regulator transcription factor downstream of sesn2, is tightly anchored by low and high-affinity bonds of the DLG and ETGE domains to its endogenous inhibitor, Kelch-like ECH-associated protein 1 (Keap-1) (Hayes and Dinkova-Kostova 2014; Pasha et al. 2017). The conformational change of keap1 induced by the adduction/oxidation of specific thiol-cysteines releases a stabilized Nrf2. Its scaffolding with regulatory factors on the electrophile and antioxidant response elements (Ep/ARE) of DNA triggers adaptive responses to metabolic and oxidative stresses (Aggarwal et al. 2019; Wang et al. 2021).
This study investigated the role of mitochondrial stress and glutamate dehydrogenase activity in the oncological metabolic remodeling of the colon mucosa in vivo using a mouse model of long-term DMH-induced CRC and in vitro with human adenocarcinoma (HCT-116) cells.
Materials and methods
Materials
1,2-Dimethylhydrazine dihydrochloride (DMH) was purchased from Fluka (Buchs, Switzerland). Dimethlyfumarate (DMF) was from Alfa Aesar (Karlsruhe, Germany). 2-Aminobicyclo-(2,2,1)-heptane-2-carboxylic acid (BCH), epigallocatechin-3-gallate (EGCG), fetal bovine serum (FBS), penicillin, streptomycin, and N-acetylcysteine (NAC) were from Sigma–Aldrich (St. Louis, USA). All other reagents are of analytical grade.
Ethics statement
All the in vivo experiments were carried out in agreement with the Ethics Committee for Animal Welfare of the University of Science and Technology Houari Boumediene (Algiers) [Algerian Law 12–235/2012; Executive Decree No. 10–90] and in accordance with the European Directive 2010/63/EU for ethics in animal experimentation.
In vivo study
Modeling colon carcinogenesis and histopathological analysis
Eight-week-old female NMRI mice (25–30 g) were acclimatized in standard cages under controlled light and temperature, with free access to food and water (animal facility of the Faculty of Biological Sciences, USTHB, Algiers, Algeria).
Colon carcinogenesis was induced in mice (n = 20) by 20 mg/kg 1,2-dimethylhydrazine (DMH) injected subcutaneously once a week for 6 or 15 weeks. Control mice (n = 10) were weekly administrated with 0.9% NaCl. Mice were sacrificed 6 (DMH6), 15 (DMH15), and 24 (DMH24) weeks post-CRC induction. Colon biopsies were collected and assessed for weight and length and macroscopic changes (Fig. 1A). Thin colon sections stained with hematoxylin and eosin (H&E) were scored for the multiplicity of aberrant crypt foci (ACF) and polyps and for histopathological changes (ACF, polyps, adenocarcinomas multiplicity, inflammatory cells infiltrate, crypt abscesses, depletion of goblet cells) (Bounaama et al. 2012; Kanehara et al. 2019).
Immuno-histochemical evaluation of epithelial-to-mesenchymal transition
Thin colons sections were labeled with primary antibodies for E-cadherin (E-Cad, 1:100; Dako, Santa Clara, CA, USA) and α-smooth muscle actin (α-SMA, 1:100; Dako, Santa Clara, CA, USA) overnight at 4 °C. After application of secondary biotinylated antibodies and streptavidin-peroxidase reagent for 30 min at room temperature, the labeled sections were developed using diaminobenzidine (Dako). Immuno-labeled sections were then counterstained with Mayer’s hematoxylin and assessed for molecular alterations by light microscopy.
Reverse transcription-quantitative PCR of antioxidant genes
Total RNA was extracted from DMH24 colon biopsies with the Qiagen RNeasy Mini Kit (Carnaxide, Portugal). RNA purity and concentration were checked using a Synergy HT spectrophotometer (BioTek Instruments, VT, USA). Reverse transcription-quantitative PCR (RT-qPCR) was performed using the XpertcDNA Synthesis Mastermix kit (GRISP, Porto, Portugal), containing 1 μg of total RNA as template and designed primer sequences, and evaluated with Beacon Designer™ 7 software (PREMIER Biosoft, CA, USA). Primer specificity was assessed by NCBI BLAST analysis. Primers sequences were Glud1, forward (F) (5′-ATCCCGGACTTCAGATCCCC-3′), and reverse (R) (5′-CAACATGAAAAAGGG CTTGGG-3′), Nrf2, F (5′ CGAGATATACGCAGG AGA GG TAAG A-3′), R (5′-GCT CGACAATGTTCTCCAGCTT-3′), Sesn2, F (5′-TAGCCT GCA GC CTCACCTAT-3′), R (5′-TAT CTGATGCCAAAGACGCA-3′), Sirt4, F (5′-GAGC AT TC TT ACTAGGGATTCCA-3’), R (5′-AAC GGCTAAACAGTCGGG TT-3), Smad2, F (5′-AAG CCATCACCACTCAGAATT G-3′), R (5′-CAC TGATCTACCGTATTTGCT GT-3′), Smad3, F (5′-AGGGGCTCC CTCACGTTA TC-3′), R (5′-CAT GGCCCGTAATTCATG GTG-3′).
RT-qPCR amplifications were performed in duplicate containing 0.25 μM of each primer, 5 μl of 2X iTaq™ Universal SYBR Green Supermix, with or without (negative controls) 1 μl of template cDNA. RT-qPCR was started in a CFX384 Touch™ Real-Time PCR Detection System (Bio-Rad) (95 °C, 3 min), followed by 40 cycles of denaturation (95 °C, 10 s) and annealing (60 °C, 30 s). Melting curves of RT-qPCR amplicons were generated with temperatures ranging from 55 to 95 °C, 10 s (0.5 °C increments). β-actin and GAPDH genes were used for the normalization of quantitative RT-qPCR.
Following RT-qPCR, the dissociation curve was verified by the presence of a single peak with an observed Tm consistent with the amplicon length. Standard dilutions of cDNA were used to check the relative efficiency and quality of primers. The melting curve data were analyzed with the CFX Manager™ 2.0 (Bio-Rad, Amadora). RT-qPCR were run for 40 cycles, and all detected genes had Ct values below 30. Ct values from duplicate measurements were averaged, and relative expression levels were determined by the 2−ΔΔCt method (Pfaffl 2001).
In vitro study
Glutamate dehydrogenase implication in HCT-116 cells’ migration and invasion
HCT-116 cells’ viability assay
Human colorectal carcinoma (HCT-116) cells (American Type Culture Collection, ATCC) were grown in RPMI-1640 medium containing 10% FBS, 100 U/ml penicillin, and 100 μg/ml streptomycin, 5% CO2 at 37 °C. Cell viability was assessed with the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) tetrazolium reduction assay (Denizot and Lang 1986). Briefly, HCT-116 cells (7.5 × 103 cells/well) were incubated for 24 h and 48 h in 100 µl of fresh medium containing the appropriate drugs (2-aminobicyclo-(2,2,1)-heptane-2-carboxylic acid (BCH) (Zaleski et al. 1986), an activator of glutamate dehydrogenase (GDH, EC: 1.4.1.3), epigallocatechin-3-gallate (EGCG), an allosteric inhibitor of GDH (Liao et al. 1995), dimethylfumarate (DMF), a cell-permeable form of fumarate, N-acetylcysteine (NAC), a standard antioxidant, or their respective solvents. Formazan crystals formed after 3 h incubation of HCT-116 cells in 0.5 mg/ml MTT were dissolved in DMSO. Absorbance was measured at 570 nm using an automated microplate reader (Sinergy HT, BioTek). Results were expressed as the relative percentage of control.
Wound healing assay
HCT-116 cells were seeded in a 24-well plate (1.5 × 105 cells/well) and allowed to attach overnight in 5% CO2 at 37 °C. Single scratches were made across the confluent cell monolayer (Liang et al. 2007). After washing, attached cells were treated with appropriate drugs or the respective solvents. Images of the cells’ migration front were taken at 0 h and 24 h with a Lionheart FX automated microscope (BioTek) and analyzed using Gen5 3.0 software (BioTek).
Clonogenic assay
HCT-116 cells were seeded in a 12-well plate (500 cells/well) and allowed to attach for 24 h. They were cultured for 7 additional days in a medium containing the appropriate drugs or solvents, renewed every 72 h. On day 7, the newly formed colonies were fixed with 4% paraformaldehyde for 10 min, stained with 0.5% (v/v) crystal violet, and counted on representative images taken with a digital camera using ImageJ software (NIH, Bethesda, MD). Results were expressed as a percentage of the respective controls.
Biochemical analyses
Redox status assessment
The level of cellular hydrogen peroxide (H2O2) released by growing HCT-116 cells was measured with the 2′,7′-dichlorodihydrofluorescein diacetate (H2-DCFDA) fluorescence kit (Sigma Aldrich). HCT-116 cells (7.5 × 103 cells/well) were seeded in a 96-well plate and treated for 24 h with appropriate drugs. The level of oxidized DCFDA was measured according to the manufacturer’s instructions using a microplate reader (Sinergy HT).
Colon supernatants were assayed for antioxidant capacity. Manganese superoxide dismutase (MnSOD) was measured by the rate of pyrogallol oxidation (10 mM in 50 mM Tris buffer pH 8.2, 5 mM KCN) at 420 nm for 3 min (Marklund and Marklund 1974). Catalase (CAT) activity was quantified by the rate of H2O2 consumption (10 mM in 50 mM phosphate buffer pH 7) at 240 nm for 1 min (Aebi 1984).
The level of reduced glutathione (GSH) was measured in colon supernatants and cancer HCT-116 cells at 405 nm by Ellman’s reagent (DTNB, 10 mM in 0.2 mM phosphate buffer pH 8) (Ellman 1959).
Determination of lactate dehydrogenase and glutamate dehydrogenase activities
Colon tissues were homogenized at low speed in ice-cold mitochondria isolation buffer pH 7.2 (200 mM mannitol, 50 mM sucrose, 5 mM 3-morpholino-1-propane sulfonic acid, 5 mM KH2PO4, 1 mM EDTA, and 0.1% BSA) and centrifuged at 1000 × g, 20 min at 4 °C. Supernatants containing mitochondria were centrifuged at 12,000 × g, 20 min at 4 °C (Holmuhamedov et al. 1998). Lactate dehydrogenase (LDH) activity was assayed in the mitochondria-free supernatant by monitoring the rate of NADH oxidation with an LDH estimation kit (Spinreact, Bio Elite).
Glutamate dehydrogenase (GDH) activity was assayed with a GDH assay kit (Sigma Aldrich, St. Louis, USA) by monitoring the rate of NAD+ reduction in mitochondria fraction and in HCT-116 cells’ homogenates using a non-denaturing cell lysis buffer (25 mM Tris–HCl pH 7.4, 100 mM NaCl, and 1% Nonidet P-40) and a precellys homogenizer.
Statistical analysis
Graphs and statistical analysis were performed using GraphPad Prism 8 software. Data were tested for normality by the Shapiro–Wilk test. Values are presented as mean ± SD. P value < 0.05 was considered statistically significant (*P < 0.05; **P < 0.05; ***P < 0.05). The statistical differences between the two groups were determined by Student’s t-test. One-way ANOVA, followed by Tukey’s post hoc, was applied for multiple comparisons.
Results
Long-term DMH triggers the multistep process of colon carcinogenesis in mice
Low-grade dysplastic areas represent early oncological changes in DMH-treated mice. They gradually evolved into highly invasive adenocarcinomas (ADC) (Fig. 1B-D).
They were characterized by increased histopathological scores (+ 38%, P < 0.05), multiplicity (+ 73%, P < 0.05), and tumor size (+ 130%, P < 0.01) (Fig. 2).
Colon epithelial-to-mesenchymal transition is independent of Smad2/3 transcription factors
Long-term DMH resulted in a sustained colon epithelial-to-mesenchymal transition (EMT) as indicated by the threefold (P < 0.05) decrease in E-cadherin expression (E-Cad, epithelial phenotype), compared with a twofold (P < 0.001) increase in that of α-smooth muscle actin (α-SMA, mesenchymal phenotype) (Fig. 3A).
Additionally, reduced mRNA levels of Smad2 (− 36%, P < 0.05) and Smad3 (− 34%, P > 0.05) suggested that DMH-induced EMT occurred independently of TGF-β-SMAD2/3 pathway (Fig. 3B, C).
DMH sustains redox imbalance by downregulating Sesn2 and Nrf2
DMH depressed redox regulators as evidenced by reduced Sens2 and Nrf2 mRNA levels (− 22%, P < 0.05 and − 30%, P < 0.01, respectively) in DMH 24 colon biopsies (Fig. 4A, B).
Downstream, the antioxidant capacity is drastically altered. The decrease in GSH levels (− 60%, P < 0.001) and catalase activity (− 57%, P < 0.001) associated with a burst in MnSOD matrix activity (+ 240%, P < 0.001) resulted in persistent mitochondrial stress (Fig. 4C−E).
DMH sustains glutamate dehydrogenase and lactate dehydrogenase activities
GDH activity, an index of glutaminolysis, increased time dependently, reaching + 122% (P < 0.001) increase in DMH24 colon biopsies. Similarly, lactate dehydrogenase (LDH) activity assessed as a marker of aerobic glycolysis reached + 238% (P < 0.001) compared to control (Fig. 5A, B).
DMH sustains GDH activity through sirtuin4 downregulation
Next, we examined the expression of Sirt4 and Glud1 genes encoding Sirt4 (endogenous GDH inhibitor) and GDH in DMH24 colon biopsies. Sirt4 mRNA levels were reduced (− 26%, P < 0.05), while those of Glud1 mRNA increased (+ 18%, P > 0.05), suggesting sustained GDH activity in CCR progression (Fig. 5C, D).
GDH contributes to the survival, migration, and invasion of HCT-116 CRC cells
The role of GDH in CRC progression was explored pharmacologically using HCT-116 cells. Epigallocatechin gallate (EGCG), a green tea-derived polyphenol and allosteric inhibitor of GDH activity (Liao et al. 1995), reduced HCT-116 cell viability in a time and concentration-dependent manner. The 50% inhibitory concentration (IC50) was reached with approximately 50 µM EGCG at 24 h (− 43%, P < 0.001) (Fig. 6).
GDH inhibition by 50 µM of EGCG also reduced cell migration (− 41%, P < 0.05) and the number of newly formed colonies (− 57%, P < 0.001).
The GDH activator, 2-aminobicyclo-(2,2,1)-heptane-2-carboxylic acid (Zaleski et al. 1986), restored in stride HCT-116 cells’ GDH activity, viability, ability to form colonies, and migrate close to control level (P < 0.01) (Fig. 7), suggesting a crucial involvement of GDH in the metastatic phenotype of HCT-116 cells.
DMF facilitates the tumorigenic capacity of GDH
To assess which GDH by-products contribute to its oncogenic capacity, HCT-116 cells were treated with EGCG alone or in the presence of NH4Cl or dimethylfumarate (DMF).
NH4Cl and DMF alone did not alter cell viability, wound healing, or colony formation (Data not shown). DMF can restore cell viability and colony formation, previously inhibited by 50 µM EGCG (+ 20%, P < 0.001; and + 33%, P < 0.05, respectively), without improving wound healing. However, NH4Cl slightly restored cell viability (+ 9%, P < 0.05) (Fig. 8).
Effect of 0.5 mM NH4Cl or 10 µM dimethylfumarate (DMF) on 50 µM EGCG-treated HCT-116 cells’ cell viability (A), colony formation (B), and wound healing assay (C). Results are expressed as a percentage of the respective control. Data were presented as mean ± SD of three independent experiments with *P < 0.05, ***P < 0.001 vs. control. #P < 0.05, ##P < 0.01, and ###P < 0.001 vs. EGCG; NS: non-significant. Statistical differences between different conditions were evaluated using one-way ANOVA, followed by Tukey’s post hoc test (GraphPad Prism 8).
DMF rebalances redox status in HCT-116 cells
To gain further insights into the oncogenic capacity of GDH, we assessed its involvement in ROS production by HCT-116 cancer cells. ROS levels increased in the presence of EGCG (+ 57%, P < 0.001), an effect reversed by DMF (− 34%, P < 0.05), similar to N-acetylcysteine, a standard antioxidant (NAC, − 40%, P < 0.01). Interestingly, DMF increased GSH levels (1.34-fold, P < 0.05) and MnSOD activity (P > 0.05) without improving catalase activity (Fig. 9A−D).
Discussion
This study examined the relationship between the pathological remodeling of colon mucosa and GDH activity in a mice model of 1,2-dimethyhydrazine (DMH)-induced adenocarcinomas.
The early-onset ACF differentiated into irreversible adenocarcinomas by 15 weekly doses of colon carcinogen (Fig. 1), indicating that long-term DMH closely mimics the ACF-adenocarcinomas sequence occurring in human CRC (Herron and Shank 1981; Bird and Good 2000; Femia et al. 2010). However, azoxymethane-induced sporadic colon cancer in mice shows some differences in the genetic background compared to human CRC (Perse and Cerar 2011; Pan et al. 2017).
DMH is a secondary metabolite, a toxic contaminant of the seed starch of Japanese Salco palm (Cycas revoluta Thunb., Cycadaceae). During the first hepatic passage, DMH is biotransformed into azoxymethane (AOM) by the superoxide-generating CYP2E1, which is transported as AOM-β-glucuronide (Cycasin) via the bile to the intestine.
Colonic β-glucuronidase releases the carcinogenic aglycone which is sequentially degraded into the alkylated derivatives methyldiazonium, methylcarbabonium, and methyl cation by CYP2E1 and gut microbiota enzymes (Fig. 10).
These free radicals can alkylate and oxidize proteins and DNA (Matsumoto and Higa 1966; Nagasawa et al. 1972; Fiala 1975; Cavanna et al. 1979). The subsequent epigenetic changes and oncogenic activation trigger sporadic colon cancer in humans and adenomas in various target organs in animal models (Sohn et al. 2001; Femia et al. 2010).
In addition, DMH, by disrupting tight junctions, enhances the permeability of colonic epithelium to gut microbiota, which sustains intestinal oxidative inflammation (Bekusova et al. 2018).
1,2-Dimethylhydrazine (DMH) is a naturally occurring plant secondary metabolite accumulated in the seed starch of Japanese Salco palm (Cycas revoluta Thunb., Cycadaceae). DMH is toxic to animals and humans upon chronic exposure. DMH is sequentially bioactivated into azoxymethane (AOM) and various alkylated methyldiazonium, methylcarbabonium, and methyl cation by the phase I hepatic superoxide-generating cytochrome CYP2E1 and gut microbiota enzymes.
Repeated doses of DMH induced a long-lasting epithelial-to-mesenchymal transition (EMT), glutamate dehydrogenase (GDH, glutaminolysis) and lactate dehydrogenase (LDH, Warburg effect, aerobic glycolysis) activation, and mitochondrial uncoupling supporting the progression of early aberrant crypt foci to invasive adenocarcinomas.
The parallel between drastic LDH activity and the severity of colonic lesions (Figs. 1, 2, and 5) highlights the critical role of aerobic glycolysis in experimental carcinogenesis and in CRC patients (Hirayama et al. 2009; Hanna et al. 2014; Grazziano et al. 2017; Mishra and Banerjee 2019).
By accelerating the uptake and metabolism of glucose up to 100-fold, aerobic glycolysis straightens ATP formation relative to mitochondrial oxidative phosphorylation [4 ATP plus 2 NADH (basal glycolysis) vs. 38 ATP (OxPhos)], thereby limiting high-dose mtROS discharge and mitochondrial stress (Warburg 1956; Wise et al. 2008; Woo et al. 2012; Leone et al. 2017).
The antioxidant and uncoupling protein2 (UCP2) is a protonophore channel crossing the inner mitochondrial membrane. UCP2 is overexpressed in various cancers and functionally engaged in adaptation to mitochondrial nitro-oxidative stress (Weinhouse 1956; Orrenius et al. 2007; Li et al. 2013; Avolio et al. 2020). UCP2 blocks both β-oxidation and the TCA cycle, generating substrates for the respiratory chain (RC), thereby bypassing uncoupled mitochondria (Vozza et al. 2014; Brandi et al. 2016; Aguilar et al. 2019).
As a thermogenin, UCP2 allows the re-entry of protons ejected through the redox loops of RC. The parallel flow back of electrons at respirasomes I and III induces the monoelectronic reduction of oxygen to superoxide anion, which in turn sustains UCP2 activation (Porporato et al. 2014; Gaude et al. 2018). This collapses the mitochondrial pH gradient and electrochemical potential (mt∆pH/∆ψ, Michaelis proton power) necessary for ATP synthesis (Weinhouse 1956). Succinate dehydrogenase (SDH, respirasome II) is a critical redox checkpoint linking the TCA cycle to the coenzyme Q shuttle. Its uncoupling prevents FAD reduction to FADH2 and exacerbates ROS superoxide formation.
Otherwise, the active oxidative metabolism of glutamine through transforming growth factor β (TGFβ)-Smad pathway supports EMT and cancer progression. In contrast, the antitumoral effect of TGF-β relies on inducing cell cycle arrest and apoptosis (Valcourt et al. 2006).
Long-term DMH lowers Smad2 and/or Smad3 transcripts in DMH24 biopsies with a mesenchymal phenotype (Fig. 3B, C). Loss of Smad2 and/or Smad3 expression has been reported in 10% of metastatic CRC patients (Sung et al. 2021). DMH-carcinogenesis reproduces this poor prognosis, and the spontaneous development of deadly adenocarcinomas is related to Smad3 loss (Zhu et al. 1998). The sixfold increase in α-SMA expression at the expense of E-cadherin in DMH24 colon biopsies (Fig. 3A) refers to long-lasting EMT of malignant mucosal glands (Aspuria et al. 2014; Colvin et al. 2016; Daniel et al. 2021).
Oncogenic mutations of fumarate hydratase (FH), succinate (SDH), and isocitrate (IDH) of the TCA cycle generate analogs of α-KG, fumarate, succinate, and D-2-hydroxyglutarate (D(R)-2HG and L(S)-2HG) that cause epigenomic and transcriptional remodeling (Pollard et al. 2005; Xiao et al. 2012; Baryła et al. 2022). These mitochondrial oncometabolites and GDH have been implicated in EMT (Aspuria et al. 2014; Colvin et al. 2016; Brabletz et al. 2021; Jia et al. 2021).
The 1.6-fold increase in Glut1/Sirt4 ratio and a twofold increase in GDH activity suggest that its reactivation following Sirt4 slowdown can sustain the pathological remodeling of colon mucosa (Fig. 5) (Haigis et al. 2006; Mathias et al. 2014; Miyo et al. 2015; Sun et al. 2018). By replenishing the NADPH pool, GDH is critically involved in redox shuttles evolving between cytosol, peroxisomes, mitochondria, and nucleus (Spinelli et al. 2017; Gaude et al. 2018). GDH has been suggested as a prognostic marker for CRC metastasis (Jin et al. 2015).
In vitro, pharmacological modulation of GDH activity by EGCG, BCH, and DMF demonstrated its functional role in carcinoma-derived HCT116 cells’ invasiveness by modulating their ability to migrate and form colonies (Figs. 6, 7, and 8).
DMH-induced colon mucosa remodeling is associated with GSH depletion and with an
8.3-fold increase in MnSOD/catalase ratio. Chronic H2O2 levels (mtROS) rely on a burst of MnSOD activity, leading to oxidative paracrine changes to mitochondria and uncoupling. The tandem catalase and MnSOD can adjust ROS levels for CRC progression (Sarsour et al. 2014; Zelko et al. 2022).
Besides, high levels of volatile oxidized lipids such as 4-hydroxy-2-nonenal (4-HNE) and malondialdehyde (MDA) alter proteins and DNA through covalent adduction (Fig. 3) (Ayala et al. 2014).
Low ROS flow promotes cell survival and proliferation through oncogenic PI3K1A/Akt-PKB/PKB/mTORC2 and ERK1/2 pathways and evades apoptosis through resistance to TRAIL-mediated cell death pathways (Steelman et al. 2008). Two cellular lipid phosphatase and tensin homolog isoforms coexist in the nucleus (PTEN-β) and/or mitochondria (PTEN-Long, PTEN-L, mtPTEN). Succinylation by the onco fumarate or the H2O2-dependent oxidation of the redox-sensitive Cys71 and Cys124 ties an intramolecular thiol bond in the active site of PTEN, locking down both PI3K antagonist activity of the tumor suppressor PTEN and p53-dependent cell cycle arrest and reactivating carcinogenesis.
Upstream, H2O2 oxidation of thioredoxin-1 resulted in an intermolecular disulfur bond between
Trx-1-Cys32-122Cys-PTEN, which triggers the tumor-suppressive pathway (Lee et al. 2002; Zhang et al. 2020).
Sen2 can buffer electrophilic and oxidant stresses through activation of nuclear electrophilic and/or antioxidant responses (E/ARE), leading to de novo synthesis of phase II enzymes, NADPH, and GSH (Cullinan et al. 2003; Park et al. 2014; Ro et al. 2016).
Dimethylfumarate (DMF), a permeable form of fumarate, is a US Food and Drug Administration (FDA)-approved drug for relapsing multiple sclerosis (Altmeyer et al. 1994; Arnold et al. 2014). DMF and its metabolites monomethylfumarate (MMF) and monoethylfumarate (MEF) are hydrophilic linear electrophiles, which inhibit oxidative inflammation by blocking NF-ĸB and NLRP3 inflammasome-dependent pro-inflammatory cytokines. Their α, β-unsaturated carbonyl common backbone can adduct to and inactivate Keap-1 by succinylation at Cys151, Cys277, or Cys288, each carrying selective pharmacological sensing. Succinylated or ROS-oxidized Keap-1 undergoes a conformational change, releasing a stable functional Nrf2 (Ashrafian et al. 2012; Scannevin et al. 2012). The blockade of Nrf2 and Sen2 transcripts further confirms chronic oxidative stress in DMH24 colon biopsies (Fig. 4).
DMF, a mitochondrial fumarate analog, rescued HCT-116 cells from allosteric blockade induced by EGCG, thus restoring GDH-dependent NADPH(H+) and GSH recycling through redox shuttles and HCT-116 cells’ proliferation and oncogenicity (Figs. 6, 7, and 8). The oncometabolite fumarate can bind to and activate glutathione peroxidase 1 (GPx1), which increases GSH consumption, through GSH recycling by glutathione reductase or by promoting Nrf2 activation by succinylation and blockade of Keap-1 (Satoh and Lipton 2007; Saito et al. 2016; Sciacovelli and Frezza 2017).
Conclusion
Long-term DMH through its alkylated endometabolites (1) differentiates preneoplastic ACF into invasive adenocarcinomas supported by a long-lasting EMT of malignant mucous glands, (2) induces metabolic reprogramming switching bioenergetic supply to aerobic glycolysis and glutaminolysis, (3) drives subtle transcriptional downregulation of redox sensors Sesn2 and Nrf2, which boosts MnSOD activity and generates mitochondrial stress, and (4) blocks Sirt4, thus reactivating oncogenic GDH activity and its critical antioxidant effect. Ex vivo, the pharmacological modulation of HCT-166 cells by DMF, a mitochondrial fumarate analog and Ep/ARE inducer, could reactivate the oncogenic activity of GDH and its antioxidant capacity. Fumarate has been suggested as a signaling molecule for survival pathways. DMF highlights the oncogenic role of GDH and the critical role of electrophilic and antioxidant response elements in modulating mithormesis and redox homeostasis during CRC progression.
Together, our results suggest long-term DMH as a translational model for the multistep process of human CRC.
Data availability
All histological, immunochemical, biochemical, and RT-PCR data are available upon request from the first author.
Abbreviations
- AOM:
-
Azoxymethane
- BCH:
-
2-Aminobicyclo-(2,2,1)-heptane-2-carboxylic acid
- DMF:
-
Dimethylfumarate
- DMH:
-
1,2-Dimethylhydrazine
- E-Cad:
-
E-cadherin
- EGCG:
-
Epigallocatechin gallate
- Ep/ARE:
-
Electrophile/antioxidants response elements
- GDH:
-
Glutamate dehydrogenase
- GSH:
-
Reduced glutathione
- GLUT:
-
Glucose transporter
- MDZ:
-
Methyldiazonium
- MAM:
-
Methylcarbabonium
- CH3+ :
-
Methyl cation
- MnSOD:
-
Manganese superoxide dismutase
- mtROS:
-
Mitochondrial reactive oxygen species
- mtO2 − :
-
Mitochondrial superoxide anion
- NAC:
-
N-acetylcysteine
- Nrf2:
-
Nuclear factor (erythroid-derived 2)-like 2
- PTEN:
-
Phosphatase and tensin homolog
- ROS:
-
Reactive oxygen species
- Sesn2:
-
Sestrin2
- Sirt4:
-
Sirtuin4
- α-SMA:
-
α-Smooth muscle actin
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Acknowledgements
We acknowledge all the staff of the Laboratory of Pharmacology (University of Porto, Portugal) for their valuable scientific contribution to this study.
This study was supported in part by the “Direction Générale de la Recherche Scientifique et du Development Technique (DG-RSDT),” Algiers, Algeria.
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BD, JG, and BA designed the research. AB contributed to the experimental tumorigenesis protocol. BA, DS, and CQ conducted experiments. SYD made the histological and immunohistological evaluations. BD, JG, and BA analyzed data and wrote the manuscript. BD revised the manuscript.
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All the in vivo experiments were carried out in agreement with the Ethics Committee for Animal Welfare of the University of Science and Technology Houari Boumediene (Algiers) [Algerian Law 12–235/2012; Executive Decree No. 10–90] and in accordance with the European Directive 2010/63/EU for ethics in animal experimentation.
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Highlights
• 1,2-Dimethylhydrazine (DMH) depresses Sesn2 and Nrf2 and redox homeostasis.
• Long-term DMH supports glutamate dehydrogenase (GDH) activity by blocking sirtuin4.
• the burst in matrix superoxide dismutase activity induced mitochondrial stress.
• Dimethylfumarate (DMF) rescued GDH activity inhibited by epigallocatechin gallate.
• DMF triggers GDH-mediated cancer cell's viability, motility and clogenicity.
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Allal, BE., Bounaama, A., Silva, D. et al. Long-term 1,2-dimethylhydrazine triggers pathological remodeling of colon mucosa through repression of sestrin2, nuclear factor (erythroid-derived 2)-like 2, and sirtuin4 stimulating mitochondrial stress and metabolic reprogramming. Naunyn-Schmiedeberg's Arch Pharmacol 396, 1291–1307 (2023). https://doi.org/10.1007/s00210-023-02403-x
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DOI: https://doi.org/10.1007/s00210-023-02403-x