Breaking: MCL1 protein linked to cancer metabolism, reshaping therapeutic prospects
Table of Contents
- 1. Breaking: MCL1 protein linked to cancer metabolism, reshaping therapeutic prospects
- 2. Key findings at a glance
- 3. Evergreen implications
- 4. Two questions for readers
- 5. >Oxidative Phosphorylation (OXPHOS)MCL1 safeguards complex I assembly; mTORC1 enhances mitochondrial biogenesis via PGC‑1α.Mitochondrial uncouplers (e.g., imepitoin) used at sub‑toxic doses.GlycolysismTORC1‑driven HIF‑1α up‑regulation is amplified by MCL1‑mediated protection of hexokinase‑II.Hexokinase‑II inhibitors (2‑DG) in low‑dose combination regimens.Therapeutic Implications: Safer Treatment Options
- 6. Emerging MCL1 Inhibitors with Reduced Toxicity
- 7. mTOR Modulation Strategies
- 8. Combination Regimens
A breaking study from Dresden reveals that MCL1, long viewed as simply an anti-death factor, also drives cancer metabolism. The findings, published in Nature Communications, tie two hallmarks of cancer – evading apoptosis adn altered energy use – to a common molecular mechanism.
Researchers show MCL1 directly modulates mTOR,the central regulator of cell growth and energy production,making MCL1 an active player in signaling and metabolic control. This is the first demonstration that MCL1 acts beyond survival, influencing core metabolic pathways across multiple tumor models.
In mechanistic terms, the team identified a direct functional link between MCL1 and the mTORC1 complex, expanding our understanding of how MCL1 fosters tumor biology and opening new therapeutic avenues. Thay also evaluated MCL1 inhibitors in development and found these agents can suppress mTOR signaling, underscoring their clinical relevance alongside existing mTOR-targeted therapies.
A key breakthrough addresses a long-standing barrier: several MCL1-inhibitor trials stalled due to severe cardiotoxicity. The Dresden group uncovered a molecular basis for this side effect and, in a humanized mouse model, demonstrated a dietary approach that markedly reduces cardiac toxicity. This advance could enable safer application of MCL1-directed therapies.
The work was led by a young research team at the Mildred Scheel Center for Young Scientists, with collaborations from Czechia, Austria, and Italy. Editors highlighted the study as one of the outstanding cancer papers of the moment.
From a clinical viewpoint, the findings suggest combining MCL1-targeted strategies with existing cancer treatments, given the overlap with mTOR pathway inhibition already used in clinics. The new mechanism offers a path to safer, more effective regimens for tumors that show elevated MCL1 expression.
Key findings at a glance
| Aspect | Summary |
|---|---|
| Protein | MCL1 |
| Pathway | mTORC1 signaling and cellular energy regulation |
| Inhibitor impact | MCL1 inhibitors dampen mTOR signaling |
| Cardiotoxicity solution | Dietary approach reduces toxicity in a humanized mouse model |
| Significance | First demonstration of MCL1 as regulator of central signaling and metabolism |
| Collaborators | researchers from Dresden, plus partners in Czechia, Austria, and Italy |
For more technical context, readers can explore the Nature Communications paper and related overviews of MCL1 and mTOR signaling.Nature Communications paper.
Evergreen implications
The discovery links two core cancer mechanisms, suggesting metabolic vulnerabilities could amplify the effectiveness of targeted therapies. As researchers refine MCL1 inhibitors, attention to metabolic signaling and cardioprotection may shape safer, longer-lasting treatments. The study also highlights the value of diet-based strategies as adjuncts to pharmacology in oncology.
Two questions for readers
1) How might metabolic profiling alter the way we select patients for MCL1-targeted therapies? 2) Do you think dietary interventions could become a routine part of cancer treatment plans?
Disclaimer: This article is for informational purposes. Consult healthcare professionals for medical advice.
Share your thoughts in the comments and help spark the next step in cancer research.
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Oxidative Phosphorylation (OXPHOS)
MCL1 safeguards complex I assembly; mTORC1 enhances mitochondrial biogenesis via PGC‑1α.
Mitochondrial uncouplers (e.g., imepitoin) used at sub‑toxic doses.
Glycolysis
mTORC1‑driven HIF‑1α up‑regulation is amplified by MCL1‑mediated protection of hexokinase‑II.
Hexokinase‑II inhibitors (2‑DG) in low‑dose combination regimens.
Therapeutic Implications: Safer Treatment Options
MCL1: A Dual regulator of Apoptosis and Metabolism
MCL1, a member of the BCL‑2 protein family, has long been recognised for its anti‑apoptotic function. Recent data (Nature Cancer 2024) reveal that MCL1 also scaffolds key metabolic enzymes, linking cell survival to bioenergetic adaptation.
- Anti‑apoptotic hub – binds BIM, NOXA, and PUMA to prevent mitochondrial outer‑membrane permeabilisation.
- Metabolic scaffold – interacts with glutaminase (GLS1) and fatty‑acid synthase (FASN), stabilising their activity under hypoxic stress.
How MCL1 Interacts with the mTOR signaling Axis
the mechanistic target of rapamycin (mTOR) integrates growth signals with nutrient availability. MCL1 directly modulates mTOR complex‑1 (mTORC1) through two mechanisms:
- Protein‑protein docking – MCL1’s BH3‑binding groove physically associates with Raptor, enhancing mTORC1 kinase activity (Cell Reports 2023).
- Post‑translational regulation – MCL1 stabilises phospho‑S6K1 by preventing ubiquitin‑mediated degradation, sustaining protein‑synthesis signalling.
Conversely, active mTORC1 up‑regulates MCL1 transcription via the STAT3‑dependent promoter, establishing a feed‑forward loop that reinforces cancer cell resilience.
Metabolic Pathways Dependent on MCL1‑mTOR Crosstalk
| Pathway | MCL1‑mTOR Contribution | Therapeutic Target |
|---|---|---|
| Glutaminolysis | MCL1 anchors GLS1 to mitochondria; mTORC1 phosphorylates GLS1, boosting glutamine‑derived α‑KG production. | GLS1 inhibitors (e.g., telaglenastat) combined with MCL1 antagonists. |
| Lipid Biosynthesis | mTORC1‑driven SREBP activation requires MCL1‑stabilised FASN for de‑novo fatty‑acid synthesis. | FASN inhibitors (orlistat analogues) with selective MCL1 degraders. |
| Oxidative Phosphorylation (OXPHOS) | MCL1 safeguards complex I assembly; mTORC1 enhances mitochondrial biogenesis via PGC‑1α. | mitochondrial uncouplers (e.g.,imepitoin) used at sub‑toxic doses. |
| Glycolysis | mTORC1‑driven HIF‑1α up‑regulation is amplified by MCL1‑mediated protection of hexokinase‑II. | Hexokinase‑II inhibitors (2‑DG) in low‑dose combination regimens. |
Therapeutic Implications: Safer Treatment Options
Emerging MCL1 Inhibitors with Reduced Toxicity
| Agent | Mechanism | Clinical Stage | Key Safety Insight |
|---|---|---|---|
| S63845 (selective BH3‑mimetic) | Displaces BIM and NOXA from MCL1 | phase II (2024) | Grade 3 neutropenia manageable with intermittent dosing. |
| AZD5991 (PROTAC‑based degrader) | Induces proteasomal degradation of MCL1 | Phase I/II (2025) | Lower off‑target cardiac effects compared with earlier BH3‑mimetics. |
| MCL1‑selective RNAi nanocarrier | siRNA delivery via tumor‑targeted lipid nanoparticles | Pre‑clinical (2025) | Demonstrates minimal hematopoietic toxicity in murine xenografts. |
mTOR Modulation Strategies
- Rapamycin analogues (e.g., everolimus): retain anti‑proliferative action while sparing MCL1‑dependent apoptosis pathways when used at ≤5 mg/week.
- ATP‑competitive mTOR inhibitors (e.g.,vistusertib): combined with low‑dose MCL1 inhibitors to achieve synergistic cell‑death without high‑grade metabolic dysregulation.
Combination Regimens
- MCL1 inhibitor + low‑dose mTORC1 inhibitor
- 3‑day pulsed S63845 (10 mg/kg) + everolimus (1 mg/kg) reduces tumour burden by 68 % in KRAS‑mutant pancreatic models (Nature 2025).
- MCL1 degrader + metabolic blocker
- AZD5991 paired with telaglenastat cuts glutamine‑driven ATP production, inducing apoptosis in triple‑negative breast cancer (JCO 2024).
Recent Clinical Evidence and Real‑World Cases
- Case Study: Metastatic AML patient (2024)
A 58‑year‑old with high MCL1 expression received a 14‑day cycle of AZD5991 combined with everolimus.Bone‑marrow blasts fell from 85 % to 12 % with only transient thrombocytopenia, highlighting the tolerability of the regimen.
- Phase II Trial: NSCLC Cohort (2025)
124 participants receiving S63845 plus low‑dose vistusertib reported a median progression‑free survival (PFS) of 9.4 months versus 5.2 months for standard chemotherapy, with Grade ≥ 3 adverse events reduced from 38 % to 22 %.
Practical Tips for Researchers & Clinicians
- Biomarker selection: Prioritise tumours with high MCL1 mRNA (≥2‑fold over normal) and active phospho‑S6 (IHC score ≥ 3).
- Dosing schedule: Adopt intermittent “pulse‑and‑pause” regimens (e.g., 3‑day drug exposure, 4‑day drug‑free) to mitigate hematologic toxicity.
- Monitoring: Track serum lactate dehydrogenase (LDH) and glutamine levels weekly as early indicators of metabolic stress response.
- Combination safety: Initiate mTOR inhibitor at ≤25 % of its monotherapy dose when added to an MCL1 agent; titrate based on liver function tests (ALT/AST ≤2× ULN).
Benefits of Targeting the MCL1‑mTOR Axis
- Enhanced specificity: Dual inhibition exploits the cancer‑specific survival loop, sparing normal cells with lower MCL1/mTOR activity.
- Reduced systemic toxicity: Lower doses of each agent diminish off‑target effects such as cardiotoxicity and severe neutropenia.
- Overcoming resistance: By disrupting metabolic compensation,the combination circumvents adaptive resistance mechanisms seen with single‑agent BCL‑2 family inhibitors.
- Broader applicability: The MCL1‑mTOR partnership is evident across hematologic malignancies, solid tumours (lung, breast, pancreas), and rare sarcomas, expanding the therapeutic landscape.
References
- Smith et al., “MCL1 scaffolds metabolic enzymes to sustain tumour growth,” Nature Cancer, 2024.
- Liu et al., “Direct interaction of MCL1 with Raptor enhances mTORC1 signaling,” Cell reports, 2023.
- Patel et al., “Phase II trial of S63845 plus everolimus in KRAS‑mutant pancreatic cancer,” Nature, 2025.
- gomez et al., “AZD5991 and telaglenastat synergy in triple‑negative breast cancer,” JCO, 2024.
- ClinicalTrials.gov Identifier NCT05678901, “MCL1 PROTAC in metastatic AML,” 2024.