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BCAT1-dependent HIF-1α stabilization is a targetable metabolic vulnerability in hepatocellular carcinoma

  • Misty Shuo Zhang*
  • , Kenneth Kin-Leung Kwan
  • , Aki Pui-Wah Tse
  • , Gengchao Wang
  • , Larry Lai Wei
  • , Kejie Sun
  • , Noreen Nog-Qin Chui
  • , Derek Lee
  • , Macus Hao-Ran Bao
  • , Xiaoxuan Pang
  • , Zhenqi Wu
  • , Yanyan Chen
  • , Yangyang Wang
  • , Zifan Yang
  • , Xue Jiang
  • , Qidong Li
  • , Yan Zhang
  • , Yajie Zhong
  • , Jacinth Wing-Sum Cheu
  • , Yiling Chen
  • Weixing Li, Chun-Ming Wong, Jianing Wang, Zongwei Cai, Qi Zhang, Tingbo Liang, Irene Oi-Lin Ng, Adonia E. Papathanassiu, Carmen Chak-Lui Wong*
*Corresponding author for this work

Research output: Contribution to journalJournal articlepeer-review

Abstract

Hypoxia is a common characteristic of solid tumors, especially in hepatocellular carcinoma (HCC). Hypoxia-inducible factors (HIFs), particularly HIF-1α, mediate metabolic adaptation, which is crucial for survival of hypoxic cells. Branched-chain amino transferase 1 (BCAT1) catalyzes the reversible transamination reaction between branched-chain amino acids (BCAAs) and branched-chain keto acids (BCKAs), involving the inter-conversion of α-ketoglutarate (α-KG) and glutamate. We investigate and delineate the mechanisms by which BCAT1 consumes α-KG and stabilizes HIF-1α, suppressing α-KG-dependent oxygen dehydrogenase, prolyl hydroxylase-domain protein (PHD), inducing HIF-1α-mediated metabolic reprogramming and promoting hypoxic survival of HCC. We evaluate the potency of a BCAT1 inhibitor, ERG245, as a single or combination treatment with tyrosine kinase inhibitor (TKI) in vivo. We further validate the over-expression and correlation of BCAT1 and HIF-1α downstream metabolic genes in HCC clinical samples. Our results indicate that BCAT1 benefits HCC growth through HIF-1α-induced metabolic reprogramming. Targeting BCAT1 will provide an effective therapeutic strategy for HCC patients.
Original languageEnglish
Article number102784
Number of pages27
JournalCell Reports Medicine
Volume7
Issue number5
Early online date29 Apr 2026
DOIs
Publication statusPublished - 19 May 2026

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

User-Defined Keywords

  • EGR245
  • branched-chain amino transferase 1
  • hepatocellular carcinoma
  • hypoxia
  • hypoxia-inducible factor
  • metabolic reprogramming
  • prolyl hydroxylase-domain protein
  • α-ketoglutarate

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