A Glutaminase Isoform Switch Drives Therapeutic Resistance and Disease Progression of Prostate Cancer

Cellular metabolism in cancer is significantly altered to support the uncontrolled tumor growth. How metabolic alterations contribute to the hormonal therapy resistance and disease progression of prostate cancer (PCa) remains poorly understood. Here we report a glutaminase isoform switch mechanism that mediates the initial therapeutic effect but eventual failure of hormonal therapy of PCa. Androgen deprivation therapy inhibits the expression of kidney-type glutaminase (KGA), a splicing isoform of glutaminase 1 (GLS1) upregulated by androgen receptor (AR), to achieve therapeutic effect by suppressing glutaminolysis. Eventually the tumor cells switch to the expression of glutaminase C (GAC), a shorter splicing isoform of GLS1that is upregulated by MYC (c-MYC and N-Myc) with more potent in glutaminolysis, under the androgen-deprived condition. This switch leads to increased glutamine utilization, hyper-proliferation and aggressive behavior of tumor cells. Pharmacological inhibition or RNA interference of GLS1 isoforms differentially suppresses the growth of hormone sensitive prostate cancer and castration resistant prostate cancer in vitro and in vivo. Therefore, we have identified a metabolic function of AR action in PCa and discovered that the GLS1 isoform switch is a key mechanism in therapeutic resistance and disease progression.