RT Journal Article SR Electronic T1 Synthetic essentiality of metabolic regulator PDHK1 in PTEN-deficient cells and cancers JF bioRxiv FD Cold Spring Harbor Laboratory SP 441295 DO 10.1101/441295 A1 Nilanjana Chatterjee A1 Evangelos Pazarentzos A1 Gorjan Hrustanovic A1 Luping Lin A1 Erik Verschueren A1 Jeffrey R. Johnson A1 Matan Hofree A1 Jenny J. Yan A1 Victor Olivas A1 Billy W. Newton A1 John V. Dollen A1 Charles H. Earnshaw A1 Jennifer Flanagan A1 Elton Chan A1 Saurabh Asthana A1 Trey Ideker A1 Wei Wu A1 Manasi K. Mayekar A1 Junji Suzuki A1 Ben Barad A1 Yuriy Kirichok A1 James Fraser A1 William A. Weiss A1 Nevan J. Krogan A1 Asmin Tulpule A1 Amit J. Sabnis A1 Trever G. Bivona YR 2018 UL http://biorxiv.org/content/early/2018/10/11/441295.abstract AB PTEN is a tumor suppressor that is often inactivated in cancer and possesses both lipid and protein phosphatase activities. We report the metabolic regulator PDHK1 (pyruvate dehydrogenase kinase1) is a synthetic-essential gene in PTEN-deficient cancer and normal cells. The predominant mechanism of PDHK1 regulation and dependency is the PTEN protein phosphatase dephosphorylates NFκ;B activating protein (NKAP) and limits NFκB activation to suppress expression of PDHK1, a NFκB target gene. Loss of the PTEN protein phosphatase upregulates PDHK1 to drive aerobic glycolysis and induce PDHK1 cellular dependence. PTEN-deficient human tumors harbor increased PDHK1, which is a biomarker of decreased patient survival, establishing clinical relevance. This study uncovers a PTEN-regulated signaling pathway and reveals PDHK1 as a potential target in PTEN-deficient cancers.SIGNIFICANCE The tumor suppressor PTEN is widely inactivated in cancers and tumor syndromes. PTEN antagonizes PI3K/AKT signaling via its lipid phosphatase activity. The modest success of PI3K/AKT inhibition in PTEN-deficient cancer patients provides rationale for identifying other vulnerabilities in PTEN-deficient cancers to improve clinical outcomes. We show that PTEN-deficient cells are uniquely sensitive to PDHK1 inhibition. PTEN and PDHK1 co-suppression reduced colony formation and induced cell death in vitro and tumor regression in vivo. PDHK1 levels were high in PTEN-deficient patient tumors and associated with inferior patient survival, establishing clinical relevance. Our study identifies a PTEN-regulated signaling pathway linking the PTEN protein phosphatase to the metabolic regulator PDHK1 and provides a mechanistic basis for PDHK1 targeting in PTEN-deficient cancers.