Int J Surg. 2025 Dec 16.
Yang Xie,
Lu Han,
Yiyi Jin,
Jun Li,
Qing Tao,
Yonghui Wu,
Zide Liu,
Chaotao Tang,
Xingxing He,
Youxiang Chen,
Chunyan Zeng.
BACKGROUND: Glutamine and glutamate metabolism play crucial roles in the development of various tumors, yet their specific involvement in colorectal cancer (CRC) remains poorly understood.
PURPOSE: This study aimed investigate the roles of glutamine and glutamate metabolism in CRC progression and to elucidate themolecular mechanisms by which their key regulatory enzyme, GLS1, contributes to CRC development.
METHODS: Blood samples from healthy controls and individuals with colorectal polyp (CRP), colorectal adenoma (CRA), early-stage CRC (ECRC), and advanced CRC (ACRC) were analyzed using liquid chromatography‒mass spectrometry and gas chromatography‒mass spectrometry to quantify metabolite levels. Bioinformatic analyses and molecular experiments were performed to examine GLS1 expression and function in CRC. GLS1 expression was manipulated using siRNAs and lentiviral vectors for knockdown and overexpression, respectively. Functional assays, including CCK-8, Transwell, and colony formation assays, were used to assess the effects of GLS1 on CRC cell proliferation, migration, and invasion. Rescue experiments with rapamycin (autophagy activator) and LY294002 (PI3K inhibitor) were conducted to explore underlying mechanisms. An in vivo tumorigenesis model in nude mice was also established.
RESULTS: Patients with ACRC exhibited significantly reduced circulating glutamine levels compared with healthy controls, whereas glutamate levels were elevated across all disease stages (CRP, CRA, ECRC, and ACRC). Circulating glutamine was associated with both CRC diagnosis and prognosis. GLS1 was upregulated in CRC tissues and cell lines and correlated with poor clinical outcomes. Glutamine deprivation and GLS1 knockdown suppressed CRC cell proliferation, migration, and invasion, while GLS1 overexpression enhanced these malignant phenotypes. Bioinformatic analysis revealed that GLS1 activates the PI3K signaling pathway in CRC, which was confirmed by Western blotting following GLS1 knockdown and overexpression. Additionally, glutamine deprivation and GLS1 knockdown induced autophagy in CRC cells, whereas GLS1 overexpression inhibited autophagy, as further evidenced by transmission electron microscopy. Rescue experiments demonstrated that LY294002 and rapamycin reversed the effects of GLS1 on CRC cell proliferation, migration, and invasion . In vivo, GLS1 overexpression promoted tumor growth in nude mice, which was attenuated by LY294002 and rapamycin treatment.
CONCLUSION: Glutamine and glutamate show promise as diagnostic and prognostic biomarkers for CRC. GLS1 plays a critical role in CRC progression by activating the PI3K-AKT signaling pathway and modulating autophagy. These findings provide new insights into glutamine metabolism in CRC and highlight GLS1 as a potential therapeutic target.
Keywords: GLS1; PI3K-AKT; autophagy; colorectal cancer; glutamine