
Radiotherapy (RT) constitutes an important part of breast cancer treatment. However, triple negative breast cancers (TNBC) exhibit remarkable resistance to most therapies, including RT. Developing new ways to radiosensitize TNBC cells could result in improved patient outcomes. The M2 isoform of pyruvate kinase (PK-M2) is believed to be responsible for the re-wiring of cancer cell metabolism after oxidative stress. The aim of the study was to determine the effect of ionizing radiation (IR) on PK-M2-mediated metabolic changes in TNBC cells, and their survival. In addition, we determine the effect of PK-M2 activators on breast cancer stem cells, a radioresistant subpopulation of breast cancer stem cells.Glucose uptake, lactate production, and glutamine consumption were assessed. The cellular localization of PK-M2 was evaluated by western blot and confocal microscopy. The small molecule activator of PK-M2, TEPP46, was used to promote its pyruvate kinase function. Finally, effects on cancer stem cell were evaluated via sphere forming capacity.Exposure of TNBC cells to IR increased their glucose uptake and lactate production. As expected, PK-M2 expression levels also increased, especially in the nucleus, although overall pyruvate kinase activity was decreased. PK-M2 nuclear localization was shown to be associated with breast cancer stem cells, and activation of PK-M2 by TEPP46 depleted this population.Radiotherapy can induce metabolic changes in TNBC cells, and these changes seem to be mediated, at least in part by PK-M2. Importantly, our results show that activators of PK-M2 can deplete breast cancer stem cells in vitro. This study supports the idea of combining PK-M2 activators with radiation to enhance the effect of radiotherapy in resistant cancers, such as TNBC.
Ionizing, Women's Health (rcdc), Radiation Oncology (rcdc), Ionizing (mesh), Triple Negative Breast Neoplasms, Breast cancer, Radiation, Ionizing, 1103 Clinical Sciences (for), 32 Biomedical and Clinical Sciences (for-2020), Cell Nucleus (mesh), Pyruvate kinase, Cancer, Cancer (rcdc), Humans (mesh), Membrane Proteins (mesh), Tumor, Radiation, Neoplastic Stem Cells (mesh), 1112 Oncology and Carcinogenesis (for), Lactic Acid (mesh), Up-Regulation, Radiation therapy, Gene Expression Regulation, Neoplastic, Breast Cancer (rcdc), Neoplastic Stem Cells, Stem Cell Research - Nonembryonic - Non-Human, Stem Cell Research - Nonembryonic - Non-Human (rcdc), Female, Tumor (mesh), Thyroid Hormone-Binding Proteins, Thyroid Hormones, Oncology and Carcinogenesis, Clinical Sciences, 610, Triple Negative Breast Neoplasms (mesh), Cell Line, Thyroid Hormone-Binding Proteins (mesh), Cell Line, Tumor, Breast Cancer, 3211 Oncology and carcinogenesis (for-2020), Humans, Oncology & Carcinogenesis, Lactic Acid, Up-Regulation (mesh), Cell Nucleus, Neoplastic, Carrier Proteins (mesh), Neoplastic (mesh), Biomedical and Clinical Sciences, Thyroid Hormones (mesh), Membrane Proteins, Cancer (hrcs-hc), 3202 Clinical sciences (for-2020), Stem Cell Research, Stem Cell Research (rcdc), Glucose (mesh), 3211 Oncology and Carcinogenesis (for-2020), Metabolism, Glucose, Gene Expression Regulation, Oncology & Carcinogenesis (science-metrix), Female (mesh), Radiation Oncology, Women's Health, Carrier Proteins
Ionizing, Women's Health (rcdc), Radiation Oncology (rcdc), Ionizing (mesh), Triple Negative Breast Neoplasms, Breast cancer, Radiation, Ionizing, 1103 Clinical Sciences (for), 32 Biomedical and Clinical Sciences (for-2020), Cell Nucleus (mesh), Pyruvate kinase, Cancer, Cancer (rcdc), Humans (mesh), Membrane Proteins (mesh), Tumor, Radiation, Neoplastic Stem Cells (mesh), 1112 Oncology and Carcinogenesis (for), Lactic Acid (mesh), Up-Regulation, Radiation therapy, Gene Expression Regulation, Neoplastic, Breast Cancer (rcdc), Neoplastic Stem Cells, Stem Cell Research - Nonembryonic - Non-Human, Stem Cell Research - Nonembryonic - Non-Human (rcdc), Female, Tumor (mesh), Thyroid Hormone-Binding Proteins, Thyroid Hormones, Oncology and Carcinogenesis, Clinical Sciences, 610, Triple Negative Breast Neoplasms (mesh), Cell Line, Thyroid Hormone-Binding Proteins (mesh), Cell Line, Tumor, Breast Cancer, 3211 Oncology and carcinogenesis (for-2020), Humans, Oncology & Carcinogenesis, Lactic Acid, Up-Regulation (mesh), Cell Nucleus, Neoplastic, Carrier Proteins (mesh), Neoplastic (mesh), Biomedical and Clinical Sciences, Thyroid Hormones (mesh), Membrane Proteins, Cancer (hrcs-hc), 3202 Clinical sciences (for-2020), Stem Cell Research, Stem Cell Research (rcdc), Glucose (mesh), 3211 Oncology and Carcinogenesis (for-2020), Metabolism, Glucose, Gene Expression Regulation, Oncology & Carcinogenesis (science-metrix), Female (mesh), Radiation Oncology, Women's Health, Carrier Proteins
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| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
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