RT Journal Article SR Electronic T1 Autophagic signaling promotes systems-wide remodeling in skeletal muscle upon oncometabolic stress JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.10.13.338202 DO 10.1101/2020.10.13.338202 A1 Anja Karlstaedt A1 Heidi Vitrac A1 Rebecca L. Salazar A1 Benjamin D. Gould A1 Daniel Soetkamp A1 Weston Spivia A1 Koen Raedschelders A1 An Q. Dinh A1 Anna G. Guzman A1 Lin Tan A1 Stavros Azinas A1 David J.R. Taylor A1 Walter Schiffer A1 Daniel McNavish A1 Helen B. Burks A1 Roberta A. Gottlieb A1 Philip L. Lorenzi A1 Blake M. Hanson A1 Jennifer E. Van Eyk A1 Heinrich Taegtmeyer YR 2021 UL http://biorxiv.org/content/early/2021/07/19/2020.10.13.338202.abstract AB About 20-30% of cancer-associated deaths are due to complications from cachexia which is characterized by skeletal muscle atrophy. Metabolic reprogramming in cancer cells causes body-wide metabolic and proteomic remodeling, which remain poorly understood. Here, we present evidence that the oncometabolite D-2-hydroxylgutarate (D2-HG) impairs NAD+ redox homeostasis in skeletal myotubes, causing atrophy via deacetylation of LC3-II by the nuclear deacetylase Sirt1. Overexpression of p300 or silencing of Sirt1 abrogate its interaction with LC3, and subsequently reduced levels of LC3 lipidation. Using RNA-sequencing and mass spectrometry-based metabolomics and proteomics, we demonstrate that prolonged treatment with the oncometabolite D2-HG in mice promotes cachexia in vivo and increases the abundance of proteins and metabolites, which are involved in energy substrate metabolism, chromatin acetylation and autophagy regulation. We further show that D2-HG promotes a sex-dependent adaptation in skeletal muscle using network modeling and machine learning algorithms. Our multi-omics approach exposes new metabolic vulnerabilities in response to D2-HG in skeletal muscle and provides a conceptual framework for identifying therapeutic targets in cachexia.Competing Interest StatementThe authors have declared no competing interest.