RT Journal Article SR Electronic T1 FKBP4 regulates 5-fluorouracil sensitivity in colon cancer by controlling mitochondrial respiration JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202201413 DO 10.26508/lsa.202201413 VO 5 IS 11 A1 Zhenyu Zhu A1 Qingsheng Hou A1 Bishi Wang A1 Changhao Li A1 Luguang Liu A1 Weipeng Gong A1 Jie Chai A1 Hongliang Guo A1 Yanhan Jia YR 2022 UL https://www.life-science-alliance.org/content/5/11/e202201413.abstract AB Mitochondrial respiration and metabolism play a key role in the pathogenesis and progression of colon adenocarcinoma (COAD). Here, we report a functional pool of FKBP4, a co-chaperone protein, in the mitochondrial intermembrane space (IMS) of colon cancer cells. We found that IMS-localized FKBP4 is essential for the maintenance of mitochondrial respiration, thus contributing to the sensitivity of COAD cells to 5-fluorouracil (5-FU). Mechanistically, FKBP4 interacts with COA6 and controls the assembly of the mitochondrial COA6/SCO1/SCO2 complex, thereby governing COA6-regulated biogenesis and activity of mitochondrial cytochrome c oxidase (complex IV). Thus, our data reveal IMS-localized FKBP4 as a novel regulator of 5-FU sensitivity in COAD, linking mitochondrial respiration to 5-FU sensitivity in COAD.