Glutamic-pyruvic transaminase 1 deficiency-mediated metabolic reprogramming facilitates colorectal adenoma-carcinoma progression

Sci Transl Med. 2025 Jan;17(779):eadp9805. doi: 10.1126/scitranslmed.adp9805. Epub 2025 Jan 1.

Abstract

The tumorigenesis of colorectal cancer (CRC) often follows the normal-adenoma-carcinoma (N-A-C) sequence. However, the molecular mechanisms underlying colorectal adenoma carcinogenesis remain largely unknown. Here, we analyzed transcriptomic profile changes in normal, advanced adenoma, and carcinoma tissues from patients with CRC, revealing that glutamic-pyruvic transaminase 1 (GPT1) in colorectal tissues was down-regulated during the N-A-C process and correlated with poor CRC prognosis. Mechanistically, GPT1 was transcriptionally activated by Krüppel-like factor 4 (KLF4). GPT1 reprogrammed metabolism and suppressed CRC tumorigenesis in cells and mouse models not only through enzyme-dependent α-ketoglutarate (α-KG) production and WNT signaling inhibition but also through enzyme-independent disruption of the folate cycle through binding with methylenetetrahydrofolate dehydrogenase 1-like (MTHFD1L). Furthermore, we identified poliumoside as a GPT1 activator that restrained CRC progression in cells, patient-derived CRC organoids, and patient-derived xenograft (PDX) models of CRC. Our study uncovers a role for GPT1 in CRC tumorigenesis and shows that poliumoside is a potential drug for the prevention and treatment of CRC.

MeSH terms

  • Adenoma* / genetics
  • Adenoma* / metabolism
  • Adenoma* / pathology
  • Animals
  • Carcinogenesis / genetics
  • Carcinogenesis / metabolism
  • Carcinogenesis / pathology
  • Cell Line, Tumor
  • Colorectal Neoplasms* / genetics
  • Colorectal Neoplasms* / metabolism
  • Colorectal Neoplasms* / pathology
  • Disease Progression*
  • Gene Expression Regulation, Neoplastic
  • Glutamate Dehydrogenase
  • Humans
  • Ketoglutaric Acids / metabolism
  • Kruppel-Like Factor 4*
  • Kruppel-Like Transcription Factors / metabolism
  • Metabolic Reprogramming
  • Mice
  • Transaminases / genetics
  • Transaminases / metabolism
  • Wnt Signaling Pathway

Substances

  • KLF4 protein, human
  • Kruppel-Like Factor 4
  • Klf4 protein, mouse
  • Ketoglutaric Acids
  • GLUD1 protein, human
  • Transaminases
  • Kruppel-Like Transcription Factors
  • Glutamate Dehydrogenase