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Title: Antifungal drug itraconazole targets VDAC1 to modulate the AMPK/mTOR signaling axis in endothelial cells
Authors: Head, Sarah A.
Shi, Wei
Zhao, Liang
Gorshkov, Kirill
Pasunooti, Kalyan
Chen, Yue
Deng, Zhiyou
Li, Ruo-jing
Shim, Joong Sup
Tan, Wenzhi
Hartung, Thomas
Zhang, Jin
Zhao, Yingming
Colombini, Marco
Liu, Jun O.
Keywords: Mitochondria
Issue Date: 2015
Source: Head, S. A., Shi, W., Zhao, L., Gorshkov, K., Pasunooti, K., Chen, Y., et al. (2015). Antifungal drug itraconazole targets VDAC1 to modulate the AMPK/mTOR signaling axis in endothelial cells. Proceedings of the National Academy of Sciences, 112(52), E7276-E7285.
Series/Report no.: Proceedings of the National Academy of Sciences of the United States of America
Abstract: Itraconazole, a clinically used antifungal drug, was found to possess potent antiangiogenic and anticancer activity that is unique among the azole antifungals. Previous mechanistic studies have shown that itraconazole inhibits the mechanistic target of rapamycin (mTOR) signaling pathway, which is known to be a critical regulator of endothelial cell function and angiogenesis. However, the molecular target of itraconazole that mediates this activity has remained unknown. Here we identify the major target of itraconazole in endothelial cells as the mitochondrial protein voltage-dependent anion channel 1 (VDAC1), which regulates mitochondrial metabolism by controlling the passage of ions and small metabolites through the outer mitochondrial membrane. VDAC1 knockdown profoundly inhibits mTOR activity and cell proliferation in human umbilical vein cells (HUVEC), uncovering a previously unknown connection between VDAC1 and mTOR. Inhibition of VDAC1 by itraconazole disrupts mitochondrial metabolism, leading to an increase in the cellular AMP:ATP ratio and activation of the AMP-activated protein kinase (AMPK), an upstream regulator of mTOR. VDAC1-knockout cells are resistant to AMPK activation and mTOR inhibition by itraconazole, demonstrating that VDAC1 is the mediator of this activity. In addition, another known VDAC-targeting compound, erastin, also activates AMPK and inhibits mTOR and proliferation in HUVEC. VDAC1 thus represents a novel upstream regulator of mTOR signaling in endothelial cells and a promising target for the development of angiogenesis inhibitors.
ISSN: 1091-6490
DOI: 10.1073/pnas.1512867112
Rights: © 2015 The Author(s) (Published by National Academy of Sciences).
Fulltext Permission: none
Fulltext Availability: No Fulltext
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