# (PQ5) Imaging mitochondrial heterogeneity in LKB1 mutant lung cancer

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2020 · $352,275

## Abstract

ABSTRACT
The goal of this study is to utilize PET imaging in GEMMs to perform a mechanistic study of mitochondrial
heterogeneity following inactivation of the LKB1/AMPK signaling pathway during lung tumor development.
LKB1 functions as a master kinase that regulates cellular energetics and mitochondrial function through
activation of the adenosine monophosphate activated kinase (AMPK) that is frequently mutated in cancer.
LKB1 mutations lead to inactivation of the AMPK signaling pathway resulting in severe defects in cellular
energetics and mitochondrial homeostasis. This results in highly variable mitochondrial pools within human and
mouse tumors that consist of numerous atypical mitochondria of differing size, morphology and function that
we define as mitochondrial heterogeneity,. However, little is understood at a physiological or mechanistic level
how mitochondrial heterogeneity resulting from LKB1 inactivation impact lung tumorigenesis or therapy. We
examined mitochondrial structural and functional heterogeneity in lung tumors in vivo by coupling electron
microscopy (EM) and positron emission tomography (PET) imaging of Lkb1-/- genetically engineered mouse
models (GEMMs). Using a voltage sensitive mitochondrial specific radiotracer [18F]-Fluorobenzyl-
triphenylphosphonium (FTP) we are able to measure mitochondrial membrane potential (∆Ψ) in lung tumors by
PET imaging. FTP PET imaging identified lung tumor populations with heterogeneous mitochondrial activity in
vivo. Additionally, mitochondrial defects sensitize LKB1-/- tumor cells to undergo mitochondrial outer
membrane permeabilization (MOMP) and apoptosis and we discovered the LKB1/AMPK pathway is a potential
regulator of MOMP and apoptosis through voltage dependent anion 1 (VDAC1). Lastly, as a result of a
synthetic lethal chemical screen, we identified protein tyrosine phosphatase mitochondria 1 (PTPMT1), a key
regulator of cardiolipin biosynthesis and mitochondrial integrity as a novel therapeutic target in LKB1-/- lung
cancer. We hypothesize that inactivation of the LKB1 tumor suppressor induces heterogeneity in mitochondrial
structure and function that drives lung tumor development. To test this hypothesis we will integrate PET and
EM imaging of Lkb1-/- GEMMs of lung cancer to longitudinally study mitochondrial heterogeneity at distinct
stages of lung tumor development. In Aim1 we will use FTP PET imaging to map mitochondrial heterogeneity
and dynamics in vivo during lung tumorigenesis following LKB1 loss. In Aim 2 we will identify the molecular
mechanisms by which the LKB1/AMPK pathway regulates the mitochondrial outer membrane. In Aim 3
perform an in vivo dissection of the PTPMT1-cardiolipin pathway in LKB1-/- lung tumors. We propose first-in-
field studies that will advance our fundamental understanding of mitochondrial biology and the impact of
mitochondrial heterogeneity has on promoting lung tumorigenesis. The proposed work has relevance to
human health in the areas of PET imag...

## Key facts

- **NIH application ID:** 9991774
- **Project number:** 5R01CA208642-05
- **Recipient organization:** UNIVERSITY OF CALIFORNIA LOS ANGELES
- **Principal Investigator:** David B Shackelford
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $352,275
- **Award type:** 5
- **Project period:** 2016-09-01 → 2022-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9991774

## Citation

> US National Institutes of Health, RePORTER application 9991774, (PQ5) Imaging mitochondrial heterogeneity in LKB1 mutant lung cancer (5R01CA208642-05). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9991774. Licensed CC0.

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