RT Journal Article SR Electronic T1 Heterogeneity in PHGDH protein expression potentiates cancer cell dissemination and metastasis JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.01.24.427949 DO 10.1101/2021.01.24.427949 A1 Matteo Rossi A1 Ginevra Doglioni A1 Laura Bornes A1 Dorien Broekaert A1 Mélanie Planque A1 Juan Fernández-García A1 Gianmarco Rinaldi A1 Joke Van Elsen A1 David Nittner A1 Cristina Jauset A1 Francesca Rizzollo A1 Carla Riera Domingo A1 Martin F Orth A1 Lacey E Dobrolecki A1 Thomas Van Brussel A1 Shao Thing Teoh A1 Arin B Aurora A1 Guy Eelen A1 Panagiotis Karras A1 Karl Sotlar A1 Harald Bartsch A1 Jean-Christophe Marine A1 Peter Carmeliet A1 Sean J Morrison A1 Michael T Lewis A1 Gregory J Hannon A1 Massimiliano Mazzone A1 Diether Lambrechts A1 Jacco van Rheenen A1 Thomas G P Grünewald A1 Sophia Y Lunt A1 Sarah-Maria Fendt YR 2021 UL http://biorxiv.org/content/early/2021/01/26/2021.01.24.427949.abstract AB Cancer metastasis requires the transient activation of cellular programs enabling dissemination and seeding in distant organs. Genetic, transcriptional and translational intra-tumor heterogeneity contributes to this dynamic process. Beyond this, metabolic intra-tumor heterogeneity has also been observed, yet its role for cancer progression remains largely elusive. Here, we discovered that intra-tumor heterogeneity in phosphoglycerate dehydrogenase (PHGDH) protein expression drives breast cancer cell dissemination and metastasis formation. Specifically, we observed intra-tumor heterogeneous PHGDH expression in primary breast tumors, with low PHGDH expression being indicative of metastasis in patients. In mice, Phgdh protein, but not mRNA, expression is low in circulating tumor cells and early metastatic lesions, leading to increased dissemination and metastasis formation. Mechanistically, low PHGDH protein expression induces an imbalance in glycolysis that can activate sialic acid synthesis. Consequently, cancer cells undergo a partial EMT and show increased p38 as well as SRC phosphorylation, which activate cellular programs of dissemination. In turn, inhibition of sialic acid synthesis through knock-out of cytidine monophosphate N-acetylneuraminic acid synthetase (CMAS) counteracts the increased cancer cell dissemination and metastasis induced by low PHGDH expression. In conclusion, we find that heterogeneity in PHGDH protein expression promotes cancer cell dissemination and metastasis formation.Competing Interest StatementS-MF has received funding from Bayer AG, Merck and Black Belt Therapeutics and has consulted for Fund +. All other authors declare no competing interests.