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Macropinocytosis is an endocytic process dedicated to the bulk uptake of extracellular material followed by the formation of macropinosomes, either recycled to the plasma membrane or fusing with lysosomes to degrade the internalized cargo1,2. Although cargo uptake is non-selective, macropinocytosis is a multi-step process, tightly regulated by Rab GTPases and membrane phospholipids3,4. Notably, cancer cells employ macropinocytosis to internalize extracellular nutrients, including proteins, polysaccharides and lipids. Macropinocytosis in cancer cells is activated by oncogenes downstream of Ras or v-Src as a mechanism to support their proliferation, especially under nutrient stress conditions5,6. Therefore, macropinocytosis represents a new therapeutic approach for targeting cancer cells by disrupting nutrient uptake pathways7,8.
In Tuberous Sclerosis Complex (TSC) and Lymphangioleiomyomatosis (LAM), loss of function mutations in TSC1 or TSC2 leads to hyperactivation of the mammalian/mechanistic target of rapamycin complex 1 (mTORC1)9. Aberrant mTORC1 activation is known to drive extensive metabolic reprogramming, including glucose and glutamine uptake and utilization, enhanced nucleic acid synthesis, lipid synthesis and autophagy10,11. To compensate for these increased anabolic demands, mTORC1-hyperactive cells increase the uptake of exogenous nutrients via macropinocytosis and enhance lysosomal degradation of internalized cargo12. In recent work, we identified ritanserin, an inhibitor of diacylglycerol kinase alpha (DGKA) as an agent that selectively inhibits the proliferation of TSC2-deficient cells13. DGKA is a lipid kinase that metabolizes diacylglycerol to phosphatidic acid (PA)14. PA is a crucial second messenger molecule that also plays a vital role in maintaining cell membrane homeostasis. Surprisingly, ritanserin strongly inhibits macropinocytosis by reprogramming phospholipid metabolism in TSC2-deficient cells. Therefore, targeting the nutrient uptake pathway of macropinocytosis in TSC2-deficient cells may provide novel therapeutic approaches in TSC and LAM.
Quantification of macropinocytic uptake in vitro and in vivo can provide crucial insights into macropinosome formation regulation and accelerate discovery of molecular mechanisms while identifying novel therapeutic approaches2,6. To date, multiple methodologies have been developed that adequately quantify macropinocytic uptake of fluorescent dextran both in vitro and in vivo2,15. Here we describe a flow cytometry-based approach to directly assess the amount of internalized dextran and albumin in mTORC1-hyperactive cells (Figure 1). This method can be utilized to analyze multiple experimental conditions in parallel and complements existing image-based approaches.

Figure 1. Workflow for the assessment of macropinocytosis in mammalian cells. Cells are seeded in six-well plates and subsequently treated with compounds of interest. Fluorescent dextran or BSA are added for 60 min, and the uptake is inhibited by washing with ice-cold PBS. Cells are fixed using paraformaldehyde, and fluorescence intensity is quantified by flow cytometry. Cells are gated, and data are analyzed with the appropriate software. Please click here to view a larger version of this figure.