TY - JOUR TI - Altered mitochondria functionality defines a metastatic cell state in lung cancer and creates an exploitable vulnerability AU - Chuang, Chen-Hua AU - Dorsch, Madeleine AU - Dujardin, Philip AU - Silas, Sukrit AU - Ueffing, Kristina AU - Hölken, Johanna M. AU - Yang, Dian AU - Winslow, Monte M. AU - Grüner, Barbara M. T2 - Cancer Research AB - Lung cancer is a prevalent and lethal cancer type that leads to more deaths than the next four major cancer types combined. Metastatic cancer spread is responsible for most cancer deaths but the cellular changes that enable cancer cells to leave the primary tumor and establish inoperable and lethal metastases remain poorly understood. To uncover genes that are specifically required to sustain metastasis survival or growth, we performed a genome-scale pooled lentiviral-shRNA library screen in cells that represent non-metastatic and metastatic states of lung adenocarcinoma. Mitochondrial ribosome and mitochondria-associated genes were identified as top gene sets associated with metastasis-specific lethality. Metastasis-derived cell lines in vitro and metastases analyzed ex vivo from an autochthonous lung cancer mouse model had lower mitochondrial membrane potential and reduced mitochondrial functionality than non-metastatic primary tumors. Electron microscopy of metastases uncovered irregular mitochondria with bridging and loss of normal membrane structure. Consistent with these findings, compounds that inhibit mitochondrial translation or replication had a greater effect on the growth of metastasis-derived cells. Finally, mice with established tumors developed fewer metastases upon treatment with phenformin in vivo. These results suggest that the metastatic cell state in lung adenocarcinoma is associated with a specifically altered mitochondrial functionality that can be therapeutically exploited. DA - 2020/01/01/ PY - 2020 DO - 10.1158/0008-5472.CAN-20-1865 DP - cancerres.aacrjournals.org J2 - Cancer Res LA - en SN - 0008-5472, 1538-7445 UR - https://cancerres.aacrjournals.org/content/early/2020/11/25/0008-5472.CAN-20-1865 Y2 - 2020/11/26/19:46:16 ER -