Cancer cells exhibit an aberrant metabolism that facilitates more efficient
production of biomass and hence tumor growth and progression. However, the genetic
cues modulating this metabolic switch remain largely undetermined. We identified a
metabolic function for the promyelocytic leukemia (PML) gene,
uncovering an unexpected role for this bona fide tumor suppressor in breast cancer
cell survival. We found that PML acted as both a negative regulator
of PPARγ coactivator 1A (PGC1A) acetylation and a potent activator of
PPAR signaling and fatty acid oxidation. We further showed that PML
promoted ATP production and inhibited anoikis. Importantly, PML
expression allowed luminal filling in 3D basement membrane breast culture models, an
effect that was reverted by the pharmacological inhibition of fatty acid oxidation.
Additionally, immunohistochemical analysis of breast cancer biopsies revealed that
PML was overexpressed in a subset of breast cancers and enriched in triple-negative
cases. Indeed, PML expression in breast cancer correlated strikingly
with reduced time to recurrence, a gene signature of poor prognosis, and activated
PPAR signaling. These findings have important therapeutic implications, as
PML and its key role in fatty acid oxidation metabolism are
amenable to pharmacological suppression, a potential future mode of cancer prevention
and treatment.