Cancer cells exhibit mitochondrial
cholesterol (mt-
cholesterol) accumulation, which contributes to cell death resistance by antagonizing mitochondrial outer membrane (MOM) permeabilization. Hepatocellular mt-
cholesterol loading, however, promotes
steatohepatitis, an advanced stage of chronic
liver disease that precedes
hepatocellular carcinoma (HCC), by depleting mitochondrial GSH (mGSH) due to a
cholesterol-mediated impairment in mGSH transport. Whether and how HCC cells overcome the restriction of mGSH transport imposed by mt-
cholesterol loading to support mGSH uptake remains unknown. Although the transport of mGSH is not fully understood, SLC25A10 (
dicarboxylate carrier,
DIC) and SLC25A11 (
2-oxoglutarate carrier, OGC) have been involved in mGSH transport, and therefore we examined their expression and role in HCC. Unexpectedly, HCC cells and liver explants from patients with HCC exhibit divergent expression of these
mitochondrial carriers, with selective OGC upregulation, which contributes to mGSH maintenance. OGC but not
DIC downregulation by
siRNA depleted mGSH levels and sensitized HCC cells to
hypoxia-induced ROS generation and cell death as well as impaired cell growth in three-dimensional multicellular HCC spheroids, effects that were reversible upon mGSH replenishment by GSH ethyl
ester, a membrane permeable GSH precursor. We also show that OGC regulates mitochondrial respiration and glycolysis. Moreover, OGC silencing promoted
hypoxia-induced
cardiolipin peroxidation, which reversed the inhibition of
cholesterol on the permeabilization of MOM-like
liposomes induced by Bax or Bak. Genetic OGC knockdown reduced the ability of
tumor-initiating stem-like cells to induce
liver cancer. These findings underscore the selective overexpression of OGC as an adaptive mechanism of HCC to provide adequate mGSH levels in the face of mt-
cholesterol loading and suggest that OGC may be a novel therapeutic target for HCC treatment.