[HTML][HTML] The tumor suppressor folliculin regulates AMPK-dependent metabolic transformation

M Yan, MC Gingras, EA Dunlop… - The Journal of …, 2014 - Am Soc Clin Investig
M Yan, MC Gingras, EA Dunlop, Y Nouët, F Dupuy, Z Jalali, E Possik, BJ Coull, D Kharitidi…
The Journal of clinical investigation, 2014Am Soc Clin Investig
The Warburg effect is a tumorigenic metabolic adaptation process characterized by
augmented aerobic glycolysis, which enhances cellular bioenergetics. In normal cells,
energy homeostasis is controlled by AMPK; however, its role in cancer is not understood, as
both AMPK-dependent tumor-promoting and-inhibiting functions were reported. Upon stress,
energy levels are maintained by increased mitochondrial biogenesis and glycolysis,
controlled by transcriptional coactivator PGC-1α and HIF, respectively. In normoxia, AMPK …
The Warburg effect is a tumorigenic metabolic adaptation process characterized by augmented aerobic glycolysis, which enhances cellular bioenergetics. In normal cells, energy homeostasis is controlled by AMPK; however, its role in cancer is not understood, as both AMPK-dependent tumor-promoting and -inhibiting functions were reported. Upon stress, energy levels are maintained by increased mitochondrial biogenesis and glycolysis, controlled by transcriptional coactivator PGC-1α and HIF, respectively. In normoxia, AMPK induces PGC-1α, but how HIF is activated is unclear. Germline mutations in the gene encoding the tumor suppressor folliculin (FLCN) lead to Birt-Hogg-Dubé (BHD) syndrome, which is associated with an increased cancer risk. FLCN was identified as an AMPK binding partner, and we evaluated its role with respect to AMPK-dependent energy functions. We revealed that loss of FLCN constitutively activates AMPK, resulting in PGC-1α–mediated mitochondrial biogenesis and increased ROS production. ROS induced HIF transcriptional activity and drove Warburg metabolic reprogramming, coupling AMPK-dependent mitochondrial biogenesis to HIF-dependent metabolic changes. This reprogramming stimulated cellular bioenergetics and conferred a HIF-dependent tumorigenic advantage in FLCN-negative cancer cells. Moreover, this pathway is conserved in a BHD-derived tumor. These results indicate that FLCN inhibits tumorigenesis by preventing AMPK-dependent HIF activation and the subsequent Warburg metabolic transformation.
The Journal of Clinical Investigation