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Publication : Dichotomous role of the human mitochondrial Na(+)/Ca2(+)/Li(+) exchanger NCLX in colorectal cancer growth and metastasis.

First Author  Pathak T Year  2020
Journal  Elife Volume  9
PubMed ID  32914752 Mgi Jnum  J:355245
Mgi Id  MGI:6477052 Doi  10.7554/eLife.59686
Citation  Pathak T, et al. (2020) Dichotomous role of the human mitochondrial Na(+)/Ca2(+)/Li(+) exchanger NCLX in colorectal cancer growth and metastasis. Elife 9
abstractText  Despite the established role of mitochondria in cancer, the mechanisms by which mitochondrial Ca(2+) (mtCa(2+)) regulates tumorigenesis remain incompletely understood. The crucial role of mtCa(2+) in tumorigenesis is highlighted by altered expression of proteins mediating mtCa(2+) uptake and extrusion in cancer. Here, we demonstrate decreased expression of the mitochondrial Na(+)/Ca(2+)/Li(+) exchanger NCLX (SLC8B1) in human colorectal tumors and its association with advanced-stage disease in patients. Downregulation of NCLX causes mtCa(2+) overload, mitochondrial depolarization, decreased expression of cell-cycle genes and reduced tumor size in xenograft and spontaneous colorectal cancer mouse models. Concomitantly, NCLX downregulation drives metastatic spread, chemoresistance, and expression of epithelial-to-mesenchymal, hypoxia, and stem cell pathways. Mechanistically, mtCa(2+) overload leads to increased mitochondrial reactive oxygen species, which activate HIF1alpha signaling supporting metastasis of NCLX-null tumor cells. Thus, loss of NCLX is a novel driver of metastasis, indicating that regulation of mtCa(2+) is a novel therapeutic approach in metastatic colorectal cancer.
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