FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction

Abstract Colorectal cancer (CRC) is the most common gastrointestinal malignancy, and 5-Fluorouracil (5-FU) is the principal chemotherapeutic drug used for its treatment. However, 5-FU resistance remains a significant challenge. Under stress conditions, tumor metabolic reprogramming influences 5-FU r...

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Main Authors: Zhukai Chen, Jiacheng Xu, Kang Fang, Hanyu Jiang, Zhuyun Leng, Hao Wu, Zehua Zhang, Zeyu Wang, Zhaoxing Li, Mingchuang Sun, Ziying Zhao, Anqi Feng, Shihan Zhang, Yuan Chu, Lechi Ye, Meidong Xu, Lingnan He, Tao Chen
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cell Communication and Signaling
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Online Access:https://doi.org/10.1186/s12964-024-02016-8
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author Zhukai Chen
Jiacheng Xu
Kang Fang
Hanyu Jiang
Zhuyun Leng
Hao Wu
Zehua Zhang
Zeyu Wang
Zhaoxing Li
Mingchuang Sun
Ziying Zhao
Anqi Feng
Shihan Zhang
Yuan Chu
Lechi Ye
Meidong Xu
Lingnan He
Tao Chen
author_facet Zhukai Chen
Jiacheng Xu
Kang Fang
Hanyu Jiang
Zhuyun Leng
Hao Wu
Zehua Zhang
Zeyu Wang
Zhaoxing Li
Mingchuang Sun
Ziying Zhao
Anqi Feng
Shihan Zhang
Yuan Chu
Lechi Ye
Meidong Xu
Lingnan He
Tao Chen
author_sort Zhukai Chen
collection DOAJ
description Abstract Colorectal cancer (CRC) is the most common gastrointestinal malignancy, and 5-Fluorouracil (5-FU) is the principal chemotherapeutic drug used for its treatment. However, 5-FU resistance remains a significant challenge. Under stress conditions, tumor metabolic reprogramming influences 5-FU resistance. Serine metabolism plasticity is one of the crucial metabolic pathways influencing 5-FU resistance in CRC. However, the mechanisms by which CRC modulates serine metabolic reprogramming under serine-deprived conditions remain unknown. We found that exogenous serine deprivation enhanced the expression of serine synthesis pathway (SSP) genes, which in turn supported CRC cell growth and 5-FU resistance. Serine deprivation activate the ERK1/2-p-ELK1 signaling axis, leading to upregulated FOXC1 expression in CRC cells. Elevated FOXC1 emerged as a critical element, promoting the transcription of serine metabolism enzymes PHGDH, PSAT1, and PSPH, which in turn facilitated serine production, supporting CRC growth. Furthermore, through serine metabolism, FOXC1 influenced purine metabolism and DNA damage repair, thereby increasing 5-FU resistance. Consequently, combining dietary serine restriction with targeted therapy against the ERK1/2-pELK1-FOXC1 axis could be a highly effective strategy for treating CRC, enhancing the efficacy of 5-FU.
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institution Kabale University
issn 1478-811X
language English
publishDate 2025-01-01
publisher BMC
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series Cell Communication and Signaling
spelling doaj-art-c141348309314b6d8e753bbef390cd532025-01-12T12:32:54ZengBMCCell Communication and Signaling1478-811X2025-01-0123112010.1186/s12964-024-02016-8FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restrictionZhukai Chen0Jiacheng Xu1Kang Fang2Hanyu Jiang3Zhuyun Leng4Hao Wu5Zehua Zhang6Zeyu Wang7Zhaoxing Li8Mingchuang Sun9Ziying Zhao10Anqi Feng11Shihan Zhang12Yuan Chu13Lechi Ye14Meidong Xu15Lingnan He16Tao Chen17Endoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityDepartment of Colorectal Surgery, Zhongshan Hospital, Fudan UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityEndoscopy Center, Department of Gastroenterology, Shanghai East Hospital, School of Medicine, Tongji UniversityAbstract Colorectal cancer (CRC) is the most common gastrointestinal malignancy, and 5-Fluorouracil (5-FU) is the principal chemotherapeutic drug used for its treatment. However, 5-FU resistance remains a significant challenge. Under stress conditions, tumor metabolic reprogramming influences 5-FU resistance. Serine metabolism plasticity is one of the crucial metabolic pathways influencing 5-FU resistance in CRC. However, the mechanisms by which CRC modulates serine metabolic reprogramming under serine-deprived conditions remain unknown. We found that exogenous serine deprivation enhanced the expression of serine synthesis pathway (SSP) genes, which in turn supported CRC cell growth and 5-FU resistance. Serine deprivation activate the ERK1/2-p-ELK1 signaling axis, leading to upregulated FOXC1 expression in CRC cells. Elevated FOXC1 emerged as a critical element, promoting the transcription of serine metabolism enzymes PHGDH, PSAT1, and PSPH, which in turn facilitated serine production, supporting CRC growth. Furthermore, through serine metabolism, FOXC1 influenced purine metabolism and DNA damage repair, thereby increasing 5-FU resistance. Consequently, combining dietary serine restriction with targeted therapy against the ERK1/2-pELK1-FOXC1 axis could be a highly effective strategy for treating CRC, enhancing the efficacy of 5-FU.https://doi.org/10.1186/s12964-024-02016-8Colorectal cancer5-Fluorouracil resistanceDe novo serine synthesisFOXC1Metabolic reprogramming
spellingShingle Zhukai Chen
Jiacheng Xu
Kang Fang
Hanyu Jiang
Zhuyun Leng
Hao Wu
Zehua Zhang
Zeyu Wang
Zhaoxing Li
Mingchuang Sun
Ziying Zhao
Anqi Feng
Shihan Zhang
Yuan Chu
Lechi Ye
Meidong Xu
Lingnan He
Tao Chen
FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction
Cell Communication and Signaling
Colorectal cancer
5-Fluorouracil resistance
De novo serine synthesis
FOXC1
Metabolic reprogramming
title FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction
title_full FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction
title_fullStr FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction
title_full_unstemmed FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction
title_short FOXC1-mediated serine metabolism reprogramming enhances colorectal cancer growth and 5-FU resistance under serine restriction
title_sort foxc1 mediated serine metabolism reprogramming enhances colorectal cancer growth and 5 fu resistance under serine restriction
topic Colorectal cancer
5-Fluorouracil resistance
De novo serine synthesis
FOXC1
Metabolic reprogramming
url https://doi.org/10.1186/s12964-024-02016-8
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