多模态成像评估肿瘤模型中对二氯乙酸治疗的代谢反应。
Multi-modality imaging to assess metabolic response to dichloroacetate treatment in tumor models.
作者信息
Neveu Marie-Aline, De Preter Géraldine, Joudiou Nicolas, Bol Anne, Brender Jeffery R, Saito Keita, Kishimoto Shun, Grégoire Vincent, Jordan Bénédicte F, Krishna Murali C, Feron Olivier, Gallez Bernard
机构信息
Biomedical Magnetic Resonance Research Group, Louvain Drug Research Institute, Université catholique de Louvain, Brussels, Belgium.
Radiation Oncology Department & Center for Molecular Imaging, Radiotherapy & Oncology, Institute of Experimental and Clinical Research, Université catholique de Louvain, Brussels, Belgium.
出版信息
Oncotarget. 2016 Dec 6;7(49):81741-81749. doi: 10.18632/oncotarget.13176.
Reverting glycolytic metabolism is an attractive strategy for cancer therapy as upregulated glycolysis is a hallmark in various cancers. Dichloroacetate (DCA), long used to treat lactic acidosis in various pathologies, has emerged as a promising anti-cancer drug. By inhibiting the pyruvate dehydrogenase kinase, DCA reactivates the mitochondrial function and decreases the glycolytic flux in tumor cells resulting in cell cycle arrest and apoptosis. We recently documented that DCA was able to induce a metabolic switch preferentially in glycolytic cancer cells, leading to a more oxidative phenotype and decreasing proliferation, while oxidative cells remained less sensitive to DCA treatment. To evaluate the relevance of this observation in vivo, the aim of the present study was to characterize the effect of DCA in glycolytic MDA-MB-231 tumors and in oxidative SiHa tumors using advanced pharmacodynamic metabolic biomarkers. Oxygen consumption, studied by 17O magnetic resonance spectroscopy, glucose uptake, evaluated by 18F-FDG PET and pyruvate transformation into lactate, measured using hyperpolarized 13C-magnetic resonance spectroscopy, were monitored before and 24 hours after DCA treatment in tumor bearing mice. In both tumor models, no clear metabolic shift was observed. Surprisingly, all these imaging parameters concur to the conclusion that both glycolytic tumors and oxidative tumors presented a similar response to DCA. These results highlight a major discordance in metabolic cancer cell bioenergetics between in vitro and in vivo setups, indicating critical role of the local microenvironment in tumor metabolic behaviors.
逆转糖酵解代谢是一种有吸引力的癌症治疗策略,因为糖酵解上调是各种癌症的一个标志。二氯乙酸(DCA)长期以来用于治疗各种病症中的乳酸酸中毒,已成为一种有前景的抗癌药物。通过抑制丙酮酸脱氢酶激酶,DCA可重新激活线粒体功能并降低肿瘤细胞中的糖酵解通量,从而导致细胞周期停滞和凋亡。我们最近记录到,DCA能够优先在糖酵解癌细胞中诱导代谢转换,导致更具氧化表型并减少增殖,而氧化型细胞对DCA治疗仍不太敏感。为了评估这一观察结果在体内的相关性,本研究的目的是使用先进的药效代谢生物标志物来表征DCA对糖酵解的MDA-MB-231肿瘤和氧化型SiHa肿瘤的影响。在荷瘤小鼠中,在DCA治疗前和治疗后24小时监测通过17O磁共振波谱研究的氧消耗、通过18F-FDG PET评估的葡萄糖摄取以及使用超极化13C磁共振波谱测量的丙酮酸向乳酸的转化。在两种肿瘤模型中,均未观察到明显的代谢转变。令人惊讶的是,所有这些成像参数都得出这样的结论,即糖酵解肿瘤和氧化型肿瘤对DCA呈现出相似的反应。这些结果突出了体外和体内实验设置在代谢癌细胞生物能量学方面的重大差异,表明局部微环境在肿瘤代谢行为中的关键作用。