GTP cyclohydrolase functions as an oncogene in breast cancer and binds vimentin to
induce epithelial-to-mesenchymal transition independently of its enzyme activity,
which confers targetable vulnerabilities for developing breast cancer treatment strategies.
GTP cyclohydrolase (GCH1) is the rate-limiting enzyme for tetrahydrobiopterin (BH4)
biosynthesis. The catalysis of BH4 biosynthesis is tightly regulated for physiological
neurotransmission, inflammation, and vascular tone. Paradoxically, BH4 has emerged
as an oncometabolite regulating tumor growth, but the effects on tumor development
remain controversial. Here, we found that GCH1 potentiated the growth of triple-negative
breast cancer (TNBC) and HER2+ breast cancer and transformed nontumor breast epithelial
cells. Independent of BH4 production, GCH1 protein induced epithelial-to-mesenchymal
transition by binding to vimentin (Vim), which was mediated by HSP90. Conversely,
GCH1 ablation impaired tumor growth, suppressed Vim in TNBC, and inhibited EGFR/ERK
signaling while activating the p53 pathway in estrogen receptor-positive tumor cells.
GCH1 deficiency increases tumor cell sensitivity to HSP90 inhibition and endocrine
treatments. In addition, high GCH1 correlated with poor breast cancer survival. Together,
this study reveals an enzyme-independent oncogenic role of GCH1, presenting it as
a potential target for therapeutic development.Significance: GTP cyclohydrolase functions
as an oncogene in breast cancer and binds vimentin to induce epithelial-to-mesenchymal
transition independently of its enzyme activity, which confers targetable vulnerabilities
for developing breast cancer treatment strategies.