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Purine and pyrimidine biosynthesis pathways. The inset provides a legend of nucleotide metabolism genes with direct MYC binding found by ChIP-PET in P493-6 model [33]. doi:10.1371/journal.pone.0002722.g001

Purine and pyrimidine biosynthesis pathways. The inset provides a legend of nucleotide metabolism genes with direct MYC binding found by ChIP-PET in P493-6 model [33]. doi:10.1371/journal.pone.0002722.g001

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The c-Myc transcription factor is a master regulator and integrates cell proliferation, cell growth and metabolism through activating thousands of target genes. Our identification of direct c-Myc target genes by chromatin immunoprecipitation (ChIP) coupled with pair-end ditag sequencing analysis (ChIP-PET) revealed that nucleotide metabolic genes a...

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... cells express high levels of Myc in the absence of tetracycline with a Burkitt's lymphoma-like cytologic morphology. Within the purine and pyrimidine de novo synthesis pathway, 11 genes were bound directly by Myc in the ChIP-PET study ( Figure 1). Genes encoding almost every step involved in the purine and pyrimidine de novo synthesis pathway are up-regulated after MYC induction in the P493-6 system as determined by 5 microarray experiments on biological duplicates or triplicates. ...
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... sought to study the expression of PPAT, PAICS, IMPDH1, IMPDH2 and DHODH in these livers. We were interested in PPAT and PAICS because they share a bi-directional promoter and are both key enzymes in purine synthesis (Figure 1). For IMPDH and DHODH, there are clinically available small molecules that could specifically inhibit their function separately. ...
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... imide treatment alone (Table 1 and supplemental Figures S1 and S2) [35]. Hence, the noise imparted by cycloheximide alone profoundly limits the use of this system to identify direct target genes in the nucleotide biosynthesis pathway. ...

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... Kou et al. showed that Gln was significantly more consumed by breast cancer cells, whereas Glu and Pro were most released into the media by breast cancer cells [33]. It is known that Gln performs several functions in tumor cells: Gln is an intermediate metabolite for the synthesis of nucleotides and non-essential amino acids and allows for the uptake of other essential amino acids, while Gln is removed from the cell in exchange for the uptake of another amino acid; Gln plays a role in the regeneration of intermediate metabolites of the tricarboxylic acid cycle [34], and it is also important for the synthesis of glutathione [35]. Glutaminase, an enzyme that converts Gln to Glu, is overexpressed in breast cancer, especially in TNBC tumors compared to HER2 and luminal subtypes [36]. ...
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... Small cell carcinoma, which has a high mitotic count, has a very poor prognosis (2-year survival rate of approximately 8%) (Nicholson et al. 2016). Both glucose and nitrogen metabolism are altered during the malignant progression of carcinoma (Kodama et al. 2020;Zhang et al. 2017), and elevated levels of c-Myc induce the expression of enzymes, such as phosphoribosyl pyrophosphate aminotransferase (PPAT), which is involved in nucleotide biosynthetic pathways (Cunningham et al. 2014;Liu et al. 2008). The fate of glutamine nitrogen is steered from the anaplerotic pathway to the tricarboxylic acid cycle in the mitochondria to enhance nucleotide biosynthesis (Kodama et al. 2020). ...
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... Taken together, our study revealed that the Wnt/β-catenin signalling pathway may be a master regulator of purine metabolic reprogramming in oxaliplatin resistance. However, c-Myc also serves as an oncogene that directly induces enhanced expression of target enzymes involved in the metabolism of a variety of enzymes, including IMPDH2 [43]. Thus, the mechanism underlying the interaction between c-Myc and the Wnt/β-catenin pathway and IMPDH2 in CRC oxaliplatin resistance remains to be assessed in our future research. ...
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... PPP-related enzymes, including transketolase (TKT) and G6PD, are overexpressed in several malignancies like breast, lung, ovarian, and colorectal cancer, wherein they are known to promote the development of chemoresistance [51]. Another way in which Akt signaling controls nucleotide synthesis is the regulation of Myc activity, as Myc increases the expression of metabolite precursors and many enzymes involved in purine and pyrimidine synthesis [52]. The activation of mTOR downstream branch of PI3K/Akt signaling regulates nucleotide synthesis de novo on both the transcriptional and posttranslational levels. ...
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Simple Summary The PI3K/Akt/mTOR pathway plays a crucial role in cancer, including leukemia. Abnormalities in this pathway drive carcinogenesis by inducing uncontrolled growth, increased survival, and treatment resistance. The abovementioned pathway is also disrupted in various types of leukemia, which makes it a potential therapeutic target for this disease. Current treatment approaches for leukemia are limited and fraught with numerous side effects. This review article aims to summarize recent research data on inhibitors of the PI3K/Akt/mTOR pathway. Inhibition of this pathway may potentially provide improved treatment outcomes for leukemia. Abstract Blood malignancies remain a therapeutic challenge despite the development of numerous treatment strategies. The phosphatidylinositol-3 kinase (PI3K)/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) signaling pathway plays a central role in regulating many cellular functions, including cell cycle, proliferation, quiescence, and longevity. Therefore, dysregulation of this pathway is a characteristic feature of carcinogenesis. Increased activation of PI3K/Akt/mTOR signaling enhances proliferation, growth, and resistance to chemo- and immunotherapy in cancer cells. Overactivation of the pathway has been found in various types of cancer, including acute and chronic leukemia. Inhibitors of the PI3K/Akt/mTOR pathway have been used in leukemia treatment since 2014, and some of them have improved treatment outcomes in clinical trials. Recently, new inhibitors of PI3K/Akt/mTOR signaling have been developed and tested both in preclinical and clinical models. In this review, we outline the role of the PI3K/Akt/mTOR signaling pathway in blood malignancies’ cells and gather information on the inhibitors of this pathway that might provide a novel therapeutic opportunity against leukemia.
... Loss or inhibition of MYC leads to exaggerated reliance on FAO as an energy source in several cell and tissue models (Graves et al., 2012;Zirath et al., 2013;Edmunds et al., 2014;2016). Finally, one canonical target of MYC is nucleotide metabolism, and MYC directly binds the regulatory regions of many genes encoding enzymes involved in purine and pyrimidine nucleotide biosynthesis (Liu et al., 2008). Moreover, MYC upregulates pathways such as de novo serine synthesis and one-carbon metabolism that support nucleotide biosynthesis (Sun et al., 2015). ...
... Most transcriptional programs driven by mt-ISR have been attributed to the transcription factor ATF4 (Quirós et al., 2017). However, very similar changes occur upon upregulation of MYC (Liu et al., 2008;Sun et al., 2015), which frequently accompanies mt-ISR (Table 2). Moreover, these two transcription factors share a high proportion of overlapping DNA-binding sites (Tameire et al., 2019). ...
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... These results are in line with those of a previous study that used EBNA2 that was C-terminally fused to an estrogen receptor; EBNA2 ablation by 4-hydrohytamoxifen depletion decreased IMPDH2 gene expression in LCLs (24). EBNA2 induces the MYC gene (41), which is a transcriptional activator of IMPDH2 (25,42). The expression levels of IMPDH2 in primary lymphocytes and lymphomas are strongly correlated with those of MYC but not EBNA2 ( Fig. 2L; Fig. S2D). ...
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... The Ras/Raf/MAPK pathway regulates many other pathways, such as the phosphatidylinositol kinase (PI3K-Akt-mTOR) pathway (reviewed by 23,24 , and induces phosphorylation and stabilization of the transcription factor Myc. The final targets of these pathways, including Myc, are connected to energy production (glycolysis and glutaminolysis), anabolic reactions 25 , the expression of glycolytic enzymes, activation of reductive carboxylation of α-ketoglutarate, and the production of citrate for fatty acid synthesis and lipogenesis (reviewed in 23,24,26 . ...
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... Different transcription factors can produce nucleotides at the level of gene expression [24]. For instance, the transcription factor c-Myc controls nucleotide production by increasing the expression of many nucleotides [25,26]. Thymidylate synthase (TS), IMPDH1, and IMPDH2, and other nucleotide biosynthesis enzymes can be expressed more frequently when lncRNA upregulated c-Myc [27,28]. ...
... Transcription factors tightly regulate nucleotide metabolic pathways. The most researched is the transcription factor c-Myc, which binds to numerous significant genes in the nucleotide metabolic pathway and directly controls key metabolic enzymes, including CAD and IMPDH [25,31]. We have used bioinformatics to predict 10 transcription factors, including c-Myc, that function as UCA1 to regulate IMPDH1 and IMPDH2, since the involvement of other transcription factors in nucleotide metabolism has received less attention. ...
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... In addition, scMSGL detected relationships between OTX2 and metabolic genes PAICS and PPAT in Group 3 tumors. These genes related to the human purine biosynthesis pathways have been previously reported to be induced by MYC [53]. This confirms that OTX2 is functionally cooperating with MYC to regulate gene expression in medulloblastoma [52,54]. ...
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... Although the precise intracellular concentrations of (d)NTPs vary widely based on cell type, cellular context and culture conditions, a review of over 600 published values estimates that cancer cells have, on average, 6-11-fold greater dNTP and 1.25-5-fold greater NTP concentrations than non-malignant proliferating cells 22 . Numerous well-known oncogenes have been shown to enforce hyperactive (d)NTP synthesis; for example, mutant KRAS 8,25 , PI3K 26 and MYC 27,28 , which are all frequent drivers of human cancer, promote the activity and expression of key de novo pathway enzymes and indirectly support de novo pathway flux by increasing cellular uptake of glucose and other nutrients to provide the required ATP, ribose and amino acids. Conversely, loss-of-function mutations or silencing of nucleotide catabolism enzymes, such as SAM domain and HD domain-containing 1 (SAMDH1), which converts dNTPs to deoxynucleosides, have been reported to increase nucleotide pools by preventing nucleotide degradation 29,30 . ...
... As mentioned above, flux through the pyrimidine de novo pathway is increased downstream of various oncogenic signalling pathways 8,18,26,28 . Downstream of PI3K or MAPK pathway activation, CAD activity is accelerated by its phosphorylation by S6K (on Ser1869) 23 or ERK (on Thr456) 138 , respectively. ...
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Metabolic alterations are a key hallmark of cancer cells, and the augmented synthesis and use of nucleotide triphosphates is a critical and universal metabolic dependency of cancer cells across different cancer types and genetic backgrounds. Many of the aggressive behaviours of cancer cells, including uncontrolled proliferation, chemotherapy resistance, immune evasion and metastasis, rely heavily on augmented nucleotide metabolism. Furthermore, most of the known oncogenic drivers upregulate nucleotide biosynthetic capacity, suggesting that this phenotype is a prerequisite for cancer initiation and progression. Despite the wealth of data demonstrating the efficacy of nucleotide synthesis inhibitors in preclinical cancer models and the well-established clinical use of these drugs in certain cancer settings, the full potential of these agents remains unrealized. In this Review, we discuss recent studies that have generated mechanistic insights into the diverse biological roles of hyperactive cancer cell nucleotide metabolism. We explore opportunities for combination therapies that are highlighted by these recent advances and detail key questions that remain to be answered, with the goal of informing urgently warranted future studies.