MYC overrides HIF-1α to regulate proliferating primary cell metabolism in hypoxia

  1. Courtney A Copeland
  2. Benjamin A Olenchock
  3. David Ziehr
  4. Sarah McGarrity
  5. Kevin Leahy
  6. Jamey D Young
  7. Joseph Loscalzo
  8. William M Oldham  Is a corresponding author
  1. Department of Medicine, Brigham and Women’s Hospital, United States
  2. Department of Medicine, Harvard Medical School, United States
  3. Department of Medicine, Massachusetts General Hospital, United States
  4. Center for Systems Biology, School of Health Sciences, University of Iceland, Iceland
  5. Departments of Chemical & Biomolecular Engineering and Molecular Physiology & Biophysics, Vanderbilt University, United States
13 figures, 4 tables and 1 additional file

Figures

Figure 1 with 4 supplements
Effects of 0.5% oxygen on extracellular metabolite fluxes in lung fibroblasts.

(A) Lung fibroblasts (LFs) were cultured in 21% or 0.5% oxygen beginning 24 hr prior to time 0. Samples were collected every 24 hr for 72 hr. (B) Growth curves of LFs in each experimental condition …

Figure 1—figure supplement 1
Supporting data for extracellular flux calculations.

(A) Cell viability as assessed by live/dead cell staining with acridine orange plus propidium iodide did not differ between 21% and 0.5% oxygen culture conditions (n=3 technical replicates). (B) …

Figure 1—figure supplement 2
Quantifying lactate efflux generated by [U-13C6]-glucose.

Cells were cultured in MCDB131 supplemented with 8 mM [U-13C6]-glucose. Conditioned medium was collected, spiked with [D8]-ᴅʟ-valine internal standard, and analyzed by LC-MS. (A) A standard curve …

Figure 1—figure supplement 3
Effects of 0.2% oxygen on extracellular metabolite fluxes in lung fibroblasts.

(A) Lung fibroblasts (LFs) were cultured in 21% or 0.2% oxygen beginning 24 hr prior to time 0. Samples were collected every 24 hr for 72 hr. (B) Growth curves of LFs in each experimental condition …

Figure 1—figure supplement 4
Effects of 0.5% oxygen on extracellular metabolite fluxes in pulmonary artery smooth muscle cells.

(A) Pulmonary artery smooth muscle cells (PASMCs) were cultured in 21% or 0.5% oxygen beginning 24 hr prior to time 0. Samples were collected every 24 hr for 72 hr. (B) Growth curves of LFs in each …

Effects of pharmacologic prolyl hydroxylase inhibition on extracellular metabolite fluxes in lung fibroblasts.

(A) Lung fibroblasts (LFs) were treated with the prolyl hydroxlyase inhibitor molidustat (BAY, 10 μM) or DMSO beginning 24 hr prior to time 0. Samples were collected every 24 hr for 72 hr. (B) …

Cell growth rates following substrate deprivation.

(A, B) Lung fibroblasts (n=8 biological replicates) (A) and pulmonary artery smooth muscle cells (n=4 biological replicates) (B) were cultured in MCDB131 medium lacking either glucose (-GLC) or …

Figure 4 with 2 supplements
Stable isotope labeling of lung fibroblasts following hypoxic and pharmacologic PHD inhibition.

(A) Mass isotopomer distribution (MID) of pyruvate (PYR) following 72 hr labeling with [U-13C6]-glucose (GLC). (B) MID of citrate after 72 hr labeling with [U-13C6]-GLC (C) MID of citrate after 72 …

Figure 4—figure supplement 1
Mass isotopomer distributions after 72 hr of labeling in lung fibroblasts.

Lung fibroblasts (LFs) were labeled with the indicated tracers and intracellular metabolites were analyzed by LC-MS after 72 hr. Mass isotopomer distributions were adjusted for natural abundance. …

Figure 4—figure supplement 2
Mass isotopomer distributions after 36 hr of labeling in pulmonary artery smooth muscle cells.

Pulmonary artery smooth muscle cells (PASMCs) were labeled with the indicated tracers and intracellular metabolites were analyzed by LC-MS after 36 hr. Mass isotopomer distributions were adjusted …

Figure 5 with 5 supplements
Metabolic flux analysis of lung fibroblasts following hypoxic and pharmacologic PHD inhibition.

(A) Ratio of modeled metabolic fluxes in 0.5% oxygen compared to 21% oxygen. Fluxes with non-overlapping confidence intervals are highlighted with arrows colored according to the magnitude of the …

Figure 5—figure supplement 1
Isotope incorporation over the labeling time course.

LFs were cultured in 21% or 0.5% oxygen and labeled with the indicated tracers. Intracellular metabolites were analyzed by LC-MS (FBP, fructose-bisphosphate; PYR, pyruvate; CIT, citrate; MAL, …

Figure 5—figure supplement 2
Isotopically non-stationary metabolic flux analysis of cell metabolism in 21% oxygen.

(A) Metabolic flux model of LF metabolism in 21% oxygen. Arrows are colored by log10(flux). (B) Metabolic flux model of PASMC metabolism in 21% oxygen as in (A).

Figure 5—figure supplement 3
Comparison of lung fibroblast and pulmonary artery smooth muscle cell metabolic fluxes.

Ratio of metabolic fluxes in PASMCs compared to LFs. Fluxes with non-overlapping confidence intervals are highlighted with arrows colored according to the magnitude of the change. Arrow thickness …

Figure 5—figure supplement 4
Comparison of pulmonary artery smooth muscle cell metabolic fluxes in 21% and 0.5% oxygen.

Ratio of modeled metabolic fluxes in 0.5% oxygen compared to 21% oxygen. Fluxes with non-overlapping confidence intervals are highlighted with arrows colored according to the magnitude of the fold …

Figure 5—figure supplement 5
Growth rate adjusted changes in hypoxic lung fibroblast metabolism.

LF fluxes were normalized to cell growth rate. Graph depicts the ratio of normalized metabolic fluxes in LFs cultured in 0.5% oxygen compared to 21% oxygen control. Fluxes with non-overlapping …

Hypoxia increases reductive carboxylation in pulmonary artery smooth muscle cells.

(A) Reductive carboxylation describes the converstion of α-ketoglutarate (AKG) to isocitrate by reverse flux through isocitrate dehydrogenase (IDH) (blue arrow). This yields M+5 citrate. (B) …

PHD inhibition increases lactate uptake and oxidation.

(A) Exchange flux estimates for lactate import presented as in (A). (C) Mass isotopomer distributions of lactate (LAC), fructose-bisphosphate (FBP), pyruvate (PYR), citrate (CIT), α-ketoglutarate …

Figure 8 with 1 supplement
Hypoxia prevents BAY-stimulated increases in glycolysis.

(A) LFs were cultured in standard growth medium and treated with molidustat (BAY, 10 μM) or vehicle (DMSO, 0.1%) in 21% or 0.5% oxygen conditions for 72 hr. Growth rates were determined by linear …

Figure 8—figure supplement 1
Hypoxia attenuates siPHD2-stimulated increases in glycolysis.

LFs were treated with siRNA to knock down PHD2 expression. (A) Cell growth was not impacted by siPHD2 treatment. (B) Representative immunoblot of LF cell lysates at 72 hr demonstrating substantial …

Figure 9 with 2 supplements
Metabolomic analysis of molidustat treatment in normoxia and hypoxia.

(A) Principal component analysis of intracellular metabolites following 72 hr of treatment suggests a dominant effect of hypoxia over pharmacologic PHD inhibition on the metabolome (n=7). (B) …

Figure 9—figure supplement 1
Metabolomic profiling of hypoxia and BAY treated lung fibroblasts.

(A) Volcano plot of differentially regulated metabolites following 0.5% oxygen culture. (B) Volcano plot of differentially regulated metabolites by BAY treatment in 21% oxygen. (C) Venn diagram …

Figure 9—figure supplement 2
Changes in NAD(H) and NADP(H) following hypoxia and BAY treamtent.

(A) NAD+, (B) NADH, and (C) NADH/NAD+ from LFs cultured for 72 hr in 0.5% oxygen ±BAY (n=5).(D) NADP+, (E) NADPH, and (F) NADPH/NADP+ from LFs cultured for 72 hr in 0.5% oxygen ±BAY (n=4). Data are …

Figure 10 with 2 supplements
Transcriptomic analysis of molidustat treatment in normoxia and hypoxia.

(A) Principal component analysis of transcriptional changes in lung fibroblasts following 72 hr of treatment with 0.5% oxygen or molidustat (BAY), separately or together (n=4). (B) Volcano plot …

Figure 10—figure supplement 1
Transcriptomic profiling of hypoxia and BAY-treated lung fibroblasts.

(A) Volcano plot of differentially expressed genes following 0.5% oxygen culture. (B) Volcano plot of differentially expressed genes following BAY treatment. (C) Venn diagram illustrating the number …

Figure 10—figure supplement 2
CDKN1A expression in BAY- and siPHD2-treated cells.

(A) Normalized mRNA counts from RNA-seq analysis of LFs treated with hypoxia ±BAY (n=4). (B) Relative CDKN1A expression by RT-qPCR in siPHD2-treated in normoxia and hypoxia (n=4). Data are mean ± …

Figure 11 with 2 supplements
MYC regulates HIF-dependent glycolytic flux.

(A) Representative immunoblot of MYC protein expression in lung fibroblasts (LFs) following 72 hr of treatment with 0.5% oxygen or molidustat BAY, (B). (B) Quantification of band densities from (A). …

Figure 11—figure supplement 1
Effects of hypoxia on MYC protein in siPHD2-treated cells.

(A) Representative immunoblot of MYC protein levels in LFs treated with siPHD2 (P) or siCTL (C) and exposed to 0.5% oxygen for 72 hr. (B) Quantification of MYC band densities as in (A). Data are …

Figure 11—figure supplement 2
Effects of MYC on HIF stabilization and target gene exprssion.

(A) Representative immunoblot of HIF-1α and LDHA protein levels in LFs treated with siMYC (M) or siCTL (C) and exposed to 0.5% oxygen for 72 hr. (B) Quantification of HIF-1α band densities as in (A).…

Total DNA as a surrogate for cell count.

(A) Standard curve of lung fibroblast (LF) cell count v. total DNA by PicoGreen measurement used to interpolate cell numbers from DNA measurements. Data are mean ± SEM of three biological …

Author response image 1

Tables

Table 1
LF fluxes in 21% and 0.5% oxygen.
TypePathwayIDReaction21% *0.5%Ratio
FluxLBUBFluxLBUB
NETTransportGLUTGLC.x → GLC5.14E+025.11E+025.21E+024.41E+024.26E+024.58E+020.86
PYRRPYR.x → PYR.c7.56E+017.31E+017.96E+016.21E+015.83E+016.60E+010.82
MCTLAC ↔ LAC.x9.99E+029.98E+021.02E+038.91E+028.62E+029.25E+020.89
ALARALA → ALA.x2.25E+001.95E+002.49E+005.84E-011.10E-031.16E+000.26
GLNRGLN.x → GLN4.15E+014.06E+014.16E+011.43E+011.26E+011.94E+010.34
GLURGLU ↔ GLU.x1.62E+011.58E+011.68E+017.55E+006.88E+008.15E+000.47
ASPRASP → ASP.x2.57E+002.53E+002.68E+001.08E+004.17E-011.69E+000.42
SERRSER.x → SER1.42E+011.35E+011.49E+015.49E+004.99E+006.06E+000.39
CYSRCYX.x → CYS +CYS4.41E+004.23E+004.58E+001.65E+001.32E+002.08E+000.37
GLYRGLY → GLY.x2.05E+001.90E+002.15E+002.60E-012.00E-024.92E-010.13
GlycolysisHKGLC → G6P5.14E+025.11E+025.21E+024.41E+024.26E+024.58E+020.86
PGIG6P ↔ F6P5.11E+024.99E+025.24E+024.23E+024.04E+024.40E+020.83
PFKF6P → FBP5.09E+025.00E+025.12E+024.32E+024.17E+024.49E+020.85
ALDOFBP ↔ DHAP +GAP5.09E+025.00E+025.12E+024.32E+024.17E+024.49E+020.85
TPIDHAP ↔ GAP5.08E+025.06E+025.08E+024.31E+024.15E+024.48E+020.85
GAPDHGAP ↔ 3 PG1.02E+039.96E+021.04E+038.69E+028.35E+029.03E+020.85
ENO3 PG → PEP1.01E+039.99E+021.03E+038.68E+028.36E+029.00E+020.86
PKPEP → PYR.c1.04E+039.95E+021.04E+038.78E+028.36E+029.21E+020.84
LDHPYR.c ↔ LAC9.99E+029.98E+021.02E+038.91E+028.62E+029.25E+020.89
GPT1PYR.c ↔ ALA1.19E+019.12E+001.19E+015.55E+00–9.08E+026.13E+000.47
GPT2PYR.m ↔ ALA–2.58E+00–4.56E+002.87E+00–2.40E-03–3.22E+019.11E+02
Pentose phosphate pathwayG6PDG6P → P5P+CO21.26E-070.00E+003.91E-011.62E+014.41E+002.89E+01128571428.57
TK1P5P+P5 P ↔ S7P+GAP–9.11E-01–9.29E-01–8.30E-014.76E+00–1.22E-019.62E+00–5.23
TAS7P+GAP ↔ F6P+E4 P–9.11E-01–9.29E-01–8.30E-014.76E+00–1.22E-019.62E+00–5.23
TK2P5P+E4 P ↔ F6P+GAP–9.11E-01–9.29E-01–8.30E-014.76E+00–1.22E-019.62E+00–5.23
AnaplerosisPYRTPYR.c → PYR.m1.16E+021.16E+021.19E+024.42E+013.82E+019.58E+02
PCPYR.m+CO2 → OAC1.88E+011.74E+011.91E+011.37E+019.82E+002.69E+01
PEPCKOAC → PEP +CO22.56E+011.58E+012.57E+019.66E+000.00E+002.60E+01
ME2MAL → PYR.m +CO22.05E+009.51E-022.68E+001.00E-070.00E+002.25E+01
ME1MAL → PYR.c +CO22.78E-020.00E+002.63E+018.71E-050.00E+002.52E+01
FAOFAO → AcCoA.m1.00E-070.00E+002.13E+006.58E-060.00E+007.73E-01
GLDHGLU ↔ AKG1.71E+011.56E+011.84E+019.11E-01–6.16E-017.27E+000.05
GLSGLN ↔ GLU3.78E+013.60E+013.86E+011.17E+011.01E+011.70E+010.31
Tricarboxylic acid cyclePDHPYR.m → AcCoA.m +CO21.02E+028.76E+011.15E+023.05E+012.86E+015.24E+010.3
CSAcCoA.m+OAC → CIT1.02E+028.30E+011.11E+023.05E+012.88E+015.09E+010.3
IDHCIT ↔ AKG +CO22.49E+012.42E+012.53E+011.01E+018.75E+001.41E+010.41
OGDHAKG → SUC +CO24.19E+014.01E+014.25E+011.10E+017.87E+002.02E+010.26
SDHSUC ↔ FUM4.19E+014.01E+014.25E+011.10E+017.87E+002.02E+010.26
FHFUM ↔ MAL4.19E+014.01E+014.25E+011.10E+017.87E+002.02E+010.26
MDHMAL ↔ OAC1.17E+021.08E+021.24E+023.14E+012.62E+015.70E+010.27
GOTOAC ↔ ASP8.11E+008.06E+008.23E+004.98E+004.32E+005.64E+000.61
Amino acid metabolismPST3 PG → SER1.95E+001.63E+002.00E+002.42E-011.34E-013.57E+01
SHTSER ↔ GLY +MEETHF6.38E+006.22E+006.43E+003.91E+003.71E+004.10E+000.61
CYSTSER ↔ CYS–7.12E+00–7.19E+00–6.81E+00–2.10E+00–2.97E+00–1.44E+000.3
SDSER → PYR.c1.17E+011.04E+011.20E+012.82E-010.00E+001.47E+000.02
GLYSCO2 +MEETHF → GLY3.39E+003.35E+003.49E+001.80E+001.66E+001.93E+000.53
BiomassBIOMASS1216*AcCoA.c+295.6
*ALA
+232.4*ASP +114.7*CO2
+71.43*CYS +57.14*DHAP
+142.4*G6P+158.6
*GLN
+190.1*GLU +324.2*GLY
+125.6*MEETHF
+114.7*P5P+217.2*SER
→ biomass
2.38E-022.34E-022.39E-021.68E-021.61E-021.75E-020.71
ACLCIT → AcCoA.c +MAL7.74E+016.29E+011.04E+022.04E+011.95E+013.71E+010.26
LIPSAcCoA.c → lipid4.84E+014.55E+014.84E+011.00E-070.00E+001.68E+010
MixingcPYR0*PYR.c → PYR.ms1.00E+008.47E-011.00E+001.42E-010.00E+001.00E+00
mPYR0*PYR.m → PYR.ms1.00E-070.00E+001.53E-018.58E-010.00E+001.00E+00
sPYRPYR.ms → PYR.fix1.00E+001.00E+001.00E+001.00E+001.00E+001.00E+00
EXCHTransportMCTLAC ↔ LAC.x1.00E-070.00E+001.05E-011.52E+031.35E+032.41E+0315200000000
GLURGLU ↔ GLU.x5.10E+004.77E+005.23E+001.54E+001.11E+002.54E+000.3
GlycolysisPGIG6P ↔ F6P2.78E+051.77E+05Inf2.46E+050.00E+00Inf
ALDOFBP ↔ DHAP +GAP1.43E+021.43E+021.43E+023.20E+022.79E+023.60E+022.24
TPIDHAP ↔ GAP4.33E+034.33E+031.09E+041.70E+031.06E+033.06E+030.39
GAPDHGAP ↔ 3 PG4.42E+024.72E+004.50E+021.00E-070.00E+002.39E+02
LDHPYR.c ↔ LAC1.63E+031.62E+031.80E+034.80E+000.00E+003.51E+020
GPT1PYR.c ↔ ALA1.00E-070.00E+002.61E-018.32E+020.00E+009.06E+02
GPT2PYR.m ↔ ALA4.21E-040.00E+002.92E+001.28E-040.00E+00
Pentose phosphate pathwayTK1P5P+P5 P ↔ S7P+GAP9.97E+046.27E+03Inf1.47E+026.67E+012.60E+020
TAS7P+GAP ↔ F6P+E4 P5.93E+005.79E+006.97E+002.35E-040.00E+007.54E+00
TK2P5P+E4 P ↔ F6P+GAP1.00E+07-InfInf9.05E+004.10E+001.43E+01
AnaplerosisGLDHGLU ↔ AKG1.52E+031.52E+037.13E+033.78E+021.93E+021.94E+03
GLSGLN ↔ GLU3.99E-010.00E+008.04E-011.00E-070.00E+003.84E-01
Tricarboxylic acid cycleIDHCIT ↔ AKG +CO24.55E+004.03E+005.19E+002.52E+001.80E+004.50E+00
SDHSUC ↔ FUM1.22E+03Inf7.60E+012.57E+01Inf
FHFUM ↔ MAL3.66E+051.95E+05Inf5.05E+053.06E+02Inf
MDHMAL ↔ OAC1.11E+037.88E+022.38E+031.33E+027.22E+013.25E+020.12
GOTOAC ↔ ASP1.00E+07-InfInf4.42E+010.00E+00Inf
Amino acid metabolismSHTSER ↔ GLY +MEETHF5.10E+008.92E-015.25E+006.07E-070.00E+003.32E+02
CYSTSER ↔ CYS1.52E-050.00E+002.55E-041.46E-020.00E+00Inf
  1. *

    SSR 391.7 [311.2‐416.6] (95% CI, 362 DOF).

  2. SSR 334.3 [311.2‐416.6] (95% CI, 362 DOF).

Table 2
LF fluxes following DMSO and BAY treatment.
TypePathwayIDReactionDMSO*BAYRatio
FluxLBUBFluxLBUB
NETTransportGLUTGLC.x → GLC6.12E+026.12E+026.12E+028.80E+028.80E+028.80E+021.44
PYRRPYR.x → PYR.c9.98E+019.95E+011.01E+026.06E+016.06E+016.06E+010.61
MCTLAC ↔ LAC.x8.19E+028.17E+028.20E+021.33E+031.33E+031.33E+031.62
ALARALA → ALA.x2.67E+002.36E+003.29E+005.98E+005.88E+006.24E+002.24
GLNRGLN.x → GLN3.78E+013.77E+013.79E+012.06E+012.06E+012.06E+010.54
GLURGLU ↔ GLU.x1.61E+011.56E+011.62E+011.68E+011.68E+011.68E+011.05
ASPRASP → ASP.x2.36E+002.32E+002.49E+001.80E+001.80E+001.81E+000.76
SERRSER.x → SER1.03E+011.03E+011.06E+012.50E+002.50E+002.50E+000.24
CYSRCYX.x → CYS+CYS2.79E+002.79E+002.95E+003.07E-013.06E-013.07E-010.11
GLYRGLY → GLY.x2.52E+002.30E+002.73E+005.52E-014.30E-017.45E-010.22
GlycolysisHKGLC → G6P6.12E+026.12E+026.12E+028.80E+028.80E+028.80E+021.44
PGIG6P ↔ F6P6.09E+026.08E+026.09E+028.42E+028.42E+028.42E+021.38
PFKF6P → FBP6.07E+026.07E+026.07E+028.65E+028.65E+028.65E+021.43
ALDOFBP ↔ DHAP+GAP6.07E+026.07E+026.07E+028.65E+028.65E+028.65E+021.43
TPIDHAP ↔ GAP6.06E+026.06E+026.06E+028.65E+028.65E+028.65E+021.43
GAPDHGAP ↔ 3PG1.21E+031.21E+031.21E+031.74E+031.74E+031.74E+031.44
ENO3PG → PEP1.21E+031.21E+031.21E+031.57E+031.57E+031.57E+031.3
PKPEP → PYR.c1.23E+031.19E+031.23E+031.65E+031.65E+031.65E+031.34
LDHPYR.c ↔ LAC8.19E+028.17E+028.20E+021.33E+031.33E+031.33E+031.62
GPT1PYR.c ↔ ALA9.62E+009.44E+009.62E+009.36E+009.32E+009.42E+000.97
GPT2PYR.m ↔ ALA1.14E-012.28E-07–1.22E-056.41E-04
Pentose phosphate pathwayG6PDG6P → P5P+CO22.02E-020.00E+001.08E+003.64E+013.64E+013.64E+011801.98
TK1P5P+P5P ↔ S7P+GAP–9.06E-01–9.28E-01–9.06E-011.17E+011.17E+011.17E+01–12.89
TAS7P+GAP ↔ F6P+E4P–9.06E-01–9.28E-01–9.06E-011.17E+011.17E+011.17E+01–12.89
TK2P5P+E4P ↔ F6P+GAP–9.06E-01–9.28E-01–9.06E-011.17E+011.17E+011.17E+01–12.89
AnaplerosisPYRTPYR.c → PYR.m4.99E+024.97E+024.99E+025.50E+025.50E+025.50E+021.1
PCPYR.m+CO2 → OAC2.11E+012.07E+012.17E+019.05E+019.05E+019.05E+014.28
PEPCKOAC → PEP+CO21.36E+011.36E+011.37E+018.58E+018.58E+018.58E+016.31
ME2MAL → PYR.m+CO21.30E+011.28E+011.37E+011.00E-070.00E+009.49E-060
ME1MAL → PYR.c+CO23.20E-030.00E+001.73E+001.00E-070.00E+002.15E-05
FAOFAO → AcCoA.m1.00E-070.00E+003.48E+001.09E-048.34E-064.14E-02
GLDHGLU ↔ AKG1.33E+011.31E+011.35E+01–2.46E-01–2.47E-01–2.46E-01–0.02
GLSGLN ↔ GLU3.40E+013.35E+013.42E+011.88E+011.88E+011.88E+010.55
Tricarboxylic acid cyclePDHPYR.m → AcCoA.m+CO24.90E+024.90E+024.92E+024.60E+024.60E+024.60E+020.94
CSAcCoA.m+OAC → CIT4.90E+024.84E+024.91E+024.60E+024.60E+024.60E+020.94
IDHCIT ↔ AKG+CO22.70E+012.70E+012.76E+011.45E+011.45E+011.45E+010.54
OGDHAKG → SUC+CO24.03E+013.99E+014.04E+011.43E+011.43E+011.43E+010.35
SDHSUC ↔ FUM4.03E+013.99E+014.04E+011.43E+011.43E+011.43E+010.35
FHFUM ↔ MAL4.03E+013.99E+014.04E+011.43E+011.43E+011.43E+010.35
MDHMAL ↔ OAC4.91E+024.91E+024.92E+024.60E+024.60E+024.60E+020.94
GOTOAC ↔ ASP7.91E+007.76E+007.98E+004.46E+004.46E+004.46E+000.56
Amino acid metabolismPST3PG → SER4.03E-013.74E-015.04E-011.73E+021.73E+021.73E+02429.83
SHTSER ↔ GLY+MEETHF6.63E+006.59E+006.65E+002.85E+002.79E+002.93E+000.43
CYSTSER ↔ CYS–3.88E+00–3.91E+00–3.87E+002.03E-012.02E-012.03E-01–0.05
SDSER → PYR.c2.80E+002.80E+002.80E+001.70E+021.70E+021.70E+0260.81
GLYSCO2+MEETHF → GLY3.63E+003.50E+003.65E+001.41E+001.30E+001.46E+000.39
BiomassBIOMASS1216*AcCoA.c+295.6
*ALA +232.4*ASP+114.7*CO2+71.43*CYS+57.14*DHAP+142.4*G6P+
158.6*GLN+190.1*GLU +324.2*GLY+125.6*MEETHF+114.7*P5P+217.2
*SER → biomass
2.39E-022.39E-022.50E-021.14E-021.14E-021.14E-020.48
ACLCIT → AcCoA.c+MAL4.63E+024.63E+024.66E+024.45E+024.45E+024.45E+020.96
LIPSAcCoA.c → lipid4.34E+024.29E+024.34E+024.32E+024.32E+024.32E+02
MixingcPYR0*PYR.c → PYR.ms1.00E+009.99E-011.00E+001.00E-070.00E+001.00E+00
mPYR0*PYR.m → PYR.ms1.00E-070.00E+009.83E-041.00E+000.00E+001.00E+00
sPYRPYR.ms → PYR.fix1.00E+001.00E+001.00E+001.00E+001.00E+001.00E+00
EXCHTransportMCTLAC ↔ LAC.x6.24E-040.00E+003.56E+007.11E+027.11E+027.11E+021139423.08
GLURGLU ↔ GLU.x5.06E+004.82E+005.75E+003.48E+003.48E+003.48E+000.69
GlycolysisPGIG6P ↔ F6P1.40E+061.39E+06Inf4.31E+064.31E+064.31E+06
ALDOFBP ↔ DHAP+GAP2.38E+022.38E+022.38E+021.02E+031.02E+031.02E+034.28
TPIDHAP ↔ GAP9.99E+06Inf7.57E+037.57E+037.57E+03
GAPDHGAP ↔ 3PG5.81E+025.81E+027.25E+021.09E+021.07E+021.09E+020.19
LDHPYR.c ↔ LAC2.65E+032.58E+032.65E+034.92E+014.91E+014.94E+010.02
GPT1PYR.c ↔ ALA1.00E-070.00E+005.60E-022.45E+032.45E+032.45E+0324500000000
GPT2PYR.m ↔ ALA1.00E-070.00E+005.65E-021.00E-070.00E+001.20E-05
Pentose phosphate pathwayTK1P5P+P5P ↔ S7P+GAP1.28E+069.01E+03Inf1.00E+07-InfInf
TAS7P+GAP ↔ F6P+E4P8.89E+008.88E+009.53E+005.10E+015.10E+015.10E+015.74
TK2P5P+E4P ↔ F6P+GAP6.93E+005.12E+006.98E+001.00E-070.00E+001.56E-040
AnaplerosisGLDHGLU ↔ AKG5.63E+034.43E+035.66E+031.42E+031.42E+031.42E+030.25
GLSGLN ↔ GLU1.27E+001.20E+001.50E+005.52E-015.51E-015.55E-010.43
Tricarboxylic acid cycleIDHCIT ↔ AKG+CO23.36E+003.24E+003.92E+004.66E+004.66E+004.66E+001.39
SDHSUC ↔ FUM4.30E+024.30E+021.46E+061.04E+041.04E+041.04E+04
FHFUM ↔ MAL7.29E+06-InfInf4.56E+064.56E+064.56E+06
MDHMAL ↔ OAC5.49E+025.47E+025.49E+021.00E-070.00E+006.30E-030
GOTOAC ↔ ASP1.04E+021.04E+021.04E+024.76E+054.76E+054.76E+054576.92
Amino acid metabolismSHTSER ↔ GLY+MEETHF1.39E+001.37E+001.41E+001.86E+031.86E+031.86E+031338.13
CYSTSER ↔ CYS1.25E-070.00E+004.22E-021.33E-011.33E-011.33E-011064000
  1. *

    SSR 393.5 [311.2–416.6] (95% CI, 362 DOF).

  2. SSR 392.4 [308.4–413.4] (95% CI, 359 DOF).

Table 3
PASMC fluxes in 21% and 0.5% oxygen.
TypePathwayIDReaction21%*0.5%Ratio
FluxLBUBFluxLBUB
NETTransportGLUTGLC.x → GLC4.28E+024.28E+024.28E+023.65E+023.65E+023.65E+020.85
PYRRPYR.x → PYR.c1.04E+021.02E+021.09E+024.53E+014.31E+014.57E+010.44
MCTLAC ↔ LAC.x8.01E+028.01E+028.04E+026.49E+026.49E+026.49E+020.81
ALARALA → ALA.x1.43E+011.43E+011.46E+017.83E+007.83E+008.24E+000.55
GLNRGLN.x → GLN7.73E+017.53E+017.73E+011.77E+021.77E+021.77E+022.29
GLURGLU ↔ GLU.x2.53E+012.52E+012.54E+011.19E+011.19E+011.22E+010.47
ASPRASP → ASP.x7.01E+006.99E+007.02E+006.92E+006.84E+007.00E+00
SERRSER.x → SER2.54E+002.48E+002.55E+002.57E+002.55E+002.57E+001.01
CYSRCYX.x → CYS +CYS6.39E+006.34E+006.45E+003.75E+003.75E+003.75E+000.59
GLYRGLY → GLY.x3.66E-013.03E-014.19E-014.06E-013.86E-014.25E-01
GlycolysisHKGLC → G6P4.28E+024.28E+024.28E+023.65E+023.65E+023.65E+020.85
PGIG6P ↔ F6P4.06E+024.06E+024.07E+023.62E+023.62E+023.63E+020.89
PFKF6P → FBP4.17E+024.17E+024.18E+023.61E+023.60E+023.61E+020.87
ALDOFBP ↔ DHAP +GAP4.17E+024.17E+024.18E+023.61E+023.60E+023.61E+020.87
TPIDHAP ↔ GAP4.16E+024.16E+024.16E+023.60E+023.60E+023.60E+020.87
GAPDHGAP ↔ 3 PG8.39E+028.39E+028.41E+027.21E+027.21E+027.21E+020.86
ENO3 PG → PEP8.36E+028.35E+028.53E+027.20E+027.20E+027.20E+020.86
PKPEP → PYR.c9.31E+029.30E+029.31E+029.24E+029.24E+029.24E+020.99
LDHPYR.c ↔ LAC8.01E+028.01E+028.04E+026.49E+026.49E+026.49E+020.81
GPT1PYR.c ↔ ALA1.64E+021.62E+021.92E+02–1.36E+01–1.39E+01–1.35E+01–0.08
GPT2PYR.m ↔ ALA–1.43E+02–1.43E+02–1.42E+022.62E+012.51E+012.65E+01–0.18
Pentose phosphate pathwayG6PDG6P → P5P+CO21.89E+011.57E+011.93E+011.16E-070.00E+001.10E-030
TK1P5P+P5 P ↔ S7P+GAP5.46E+004.44E+005.96E+00–6.15E-01–6.15E-01–5.77E-01–0.11
TAS7P+GAP ↔ F6P+E4 P5.46E+004.44E+005.96E+00–6.15E-01–6.15E-01–5.77E-01–0.11
TK2P5P+E4 P ↔ F6P+GAP5.46E+004.44E+005.96E+00–6.15E-01–6.15E-01–5.77E-01–0.11
AnaplerosisPYRTPYR.c → PYR.m7.60E+017.59E+017.66E+013.36E+023.36E+023.36E+024.42
PCPYR.m+CO2 → OAC6.30E+016.29E+016.59E+012.37E+022.36E+022.37E+023.76
PEPCKOAC → PEP +CO29.51E+019.51E+019.53E+012.03E+022.03E+022.04E+022.14
ME2MAL → PYR.m +CO21.20E-030.00E+005.20E-031.82E+021.81E+021.82E+02151517.08
ME1MAL → PYR.c +CO23.29E-050.00E+001.15E+005.91E-050.00E+008.06E-02
FAOFAO → AcCoA.m1.00E-070.00E+001.32E-021.15E-040.00E+001.56E-01
GLDHGLU ↔ AKG4.43E+014.42E+014.45E+011.59E+021.59E+021.59E+023.6
GLSGLN ↔ GLU7.38E+017.36E+017.38E+011.74E+021.74E+021.74E+022.36
Tricarboxylic acid cyclePDHPYR.m → AcCoA.m +CO21.56E+021.48E+021.66E+022.55E+022.55E+022.55E+021.63
CSAcCoA.m+OAC → CIT1.56E+021.56E+021.58E+022.55E+022.55E+022.55E+021.63
IDHCIT ↔ AKG +CO22.11E+012.10E+012.11E+012.16E+012.16E+012.16E+011.03
OGDHAKG → SUC +CO26.54E+016.51E+016.59E+011.81E+021.80E+021.81E+022.77
SDHSUC ↔ FUM6.54E+016.51E+016.59E+011.81E+021.80E+021.81E+022.77
FHFUM ↔ MAL6.54E+016.51E+016.59E+011.81E+021.80E+021.81E+022.77
MDHMAL ↔ OAC2.01E+022.01E+022.01E+022.32E+022.32E+022.33E+021.16
GOTOAC ↔ ASP1.22E+011.17E+011.24E+011.07E+011.06E+011.07E+010.87
Amino acid metabolismPST3 PG → SER2.69E+002.57E+002.80E+007.12E-017.01E-017.21E-010.26
SHTSER ↔ GLY +MEETHF5.19E+005.15E+005.20E+003.82E+003.81E+003.86E+000.74
CYSTSER ↔ CYS–1.12E+01–1.17E+01–1.11E+01–6.35E+00–6.35E+00–6.35E+000.57
SDSER → PYR.c6.39E+006.23E+006.44E+002.33E+002.33E+002.33E+000.36
GLYSCO2 +MEETHF → GLY2.39E+002.36E+002.42E+001.80E+001.79E+001.81E+000.75
BiomassBIOMASS978*AcCoA.c+237.8*
ALA +187*ASP +92.3*
CO2 +57.46*CYS
+45.97*DHAP +114.5*G6P+127.6*
GLN +153*GLU +260.8*GLY +101.1*MEETHF
+92.3*P5P+174.8*
SER → biomass
2.77E-022.70E-022.79E-022.00E-022.00E-022.00E-020.72
ACLCIT → AcCoA.c +MAL1.35E+021.34E+021.38E+022.33E+022.33E+022.33E+021.72
LIPSAcCoA.c → lipid1.08E+029.99E+011.08E+022.14E+022.14E+022.14E+021.98
MixingcPYR0*PYR.c → PYR.ms5.77E-015.64E-015.92E-011.00E+009.96E-011.00E+001.73
mPYR0*PYR.m → PYR.ms4.23E-014.08E-014.36E-011.00E-070.00E+004.40E-030
sPYRPYR.ms → PYR.fix1.00E+001.00E+001.00E+001.00E+001.00E+001.00E+00
EXCHTransportMCTLAC ↔ LAC.x1.00E-070.00E+001.36E+021.64E+031.63E+031.65E+0316400000000
GLURGLU ↔ GLU.x1.00E-070.00E+002.27E-025.69E-050.00E+001.71E-02
GlycolysisPGIG6P ↔ F6P4.88E+064.88E+06Inf9.92E+069.85E+04Inf
ALDOFBP ↔ DHAP +GAP2.89E+022.80E+022.89E+022.57E+022.56E+022.57E+020.89
TPIDHAP ↔ GAP9.86E+06-InfInf1.65E+031.63E+031.68E+03
GAPDHGAP ↔ 3 PG1.12E+030.00E+005.88E+051.00E-070.00E+002.27E-01
LDHPYR.c ↔ LAC1.47E+031.39E+031.47E+034.49E+024.49E+024.49E+020.31
GPT1PYR.c ↔ ALA2.74E+022.73E+022.77E+021.00E-070.00E+004.28E-020
GPT2PYR.m ↔ ALA1.38E+021.38E+021.49E+029.64E+010.00E+001.01E+020.7
Pentose phosphate pathwayTK1P5P+P5 P ↔ S7P+GAP7.99E+027.97E+028.08E+023.54E+013.54E+013.55E+010.04
TAS7P+GAP ↔ F6P+E4 P1.53E-010.00E+005.82E-012.55E+002.54E+002.57E+0016.67
TK2P5P+E4 P ↔ F6P+GAP3.33E+002.62E+003.35E+001.29E+011.29E+011.29E+013.88
AnaplerosisGLDHGLU ↔ AKG5.36E+025.34E+028.37E+021.23E+031.23E+031.23E+032.29
GLSGLN ↔ GLU3.20E-010.00E+002.74E+001.12E+001.07E+001.74E+00
Tricarboxylic acid cycleIDHCIT ↔ AKG +CO21.04E+011.02E+011.04E+016.30E+016.30E+016.31E+016.09
SDHSUC ↔ FUM2.78E-010.00E+00Inf3.34E+063.34E+063.34E+06
FHFUM ↔ MAL1.03E-040.00E+001.58E+012.18E+022.18E+022.18E+022114238.83
MDHMAL ↔ OAC1.01E+038.27E+021.01E+033.67E+033.67E+033.69E+033.63
GOTOAC ↔ ASP2.27E+022.27E+022.47E+021.54E+011.54E+011.55E+010.07
Amino acid metabolismSHTSER ↔ GLY +MEETHF3.55E+003.52E+003.59E+001.60E-011.36E-011.70E-010.05
CYSTSER ↔ CYS1.04E+031.03E+031.04E+032.00E-030.00E+002.00E-030
  1. *

    SSR 575.6 [499.1–630.6] (95% CI, 563 DOF).

  2. SSR 521.3 [482.2–611.6] (95% CI, 545 DOF).

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Antibodyanti-HIF-1α (Mouse monoclonal)BD Biosciences6109581:1000
Antibodyanti-c-MYC (Rabbit monoclonal)Cell Signaling TechnologiesD84C121:1000
Antibodyanti-LDHA (Rabbit polyclonal)Cell Signaling Technologies20121:1000
AntibodyHRP-anti-Rabbit IgG (Goat polyclonal)Cell Signaling Technologies70741:5000
AntibodyHRP-anti-Mouse IgG (Goat polyclonal)Cell Signaling Technologies70761:5000
Transfected construct (human)MYCVector Biolabs1285adenovirus to express MYC
Transfected construct (human)YFPOldham et al., 2015adenovirus control to express YFP
Chemical compound, drug[1,2–13 C2]-glucoseCambridge Isotope LabsCLM-504-PK
Chemical compound, drug[U-13C6]-glucoseCambridge Isotope LabsCLM-1396-PK
Chemical compound, drug[U-13C5]-glutamineCambridge Isotope LabsCLM-1822-H-PK
Chemical compound, drug[U-13C3]-lactateSigma485926
Chemical compound, drugBAYCayman15297Molidustat (BAY-85–3934); 10 μM in DMSO
Commercial assay or kitGlucose colorimetric assay kitCayman10009582
Commercial assay or kitʟ-Lactate assay kitCayman700510
Commercial assay or kitPyruvate assay kitCayman700470
Commercial assay or kitNADP/NADPH-Glo AssayPromegaG9081
Cell line (human)LFsLonzaCC-2512Normal human lung fibroblasts
Cell line (human)PASMCsLonzaCC-2581Pulmonary artery smooth muscle cells
Sequence-based reagentACTBLife TechnologiesHs03023943_g1qPCR probe
Sequence-based reagentGLUT1Life TechnologiesHs00892681_m1qPCR probe
Sequence-based reagentLDHALife TechnologiesHs00855332_g1qPCR probe
Sequence-based reagentCDKN1ALife TechnologiesHs00355782_m1qPCR probe
Transfected construct (human)siMYCDharmaconL-003282-02-0005ON-TARGETplus siRNA
Transfected construct (human)siPHD2DharmaconL-004276-00-0005ON-TARGETplus siRNA
Transfected construct (human)siCTLDharmaconD-001810-10-05ON-TARGETplus non-targeting control pool

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