Cellular Genome-scale Metabolic Modeling Identifies New Potential Drug Targets Against Hepatocellular Carcinoma

Hepatocellular carcinoma is the third leading cause of cancer related mortality worldwide. Often this hepatic cancer is associated with fatty liver disease and insulin resistance with genetic predisposition are its major driver. Genome-scale metabolic modeling (GEM) is a promising approach to understand cancer metabolism and to identify new drug targets. Here, we used TRFBA-CORE, an algorithm generating a model using key growth-correlated reactions. Specifically, we generated a HepG2 cell-specific GEM by integrating this cell line transcriptomic data with a generic human metabolic model to predict potential drug targets for hepatocellular carcinoma (HCC). A total of 108 essential genes for growth were predicted by TRFBA-CORE. These genes were enriched for metabolic pathways involved in cholesterol, sterols and steroids biosynthesis. Furthermore, we silenced a predicted essential gene, 11-beta dehydrogenase hydroxysteroid type 2 (HSD11B2), in HepG2 cells resulting in a reduction in cell viability. To further identify novel potential drug targets in HCC, we examined the effect of 9 drugs targeting the essential genes, and observed that most drugs inhibited the growth of HepG2 cells. Interestingly, some of these drugs in this model performed better than Sorafenib, the first line therapeutic against HCC.