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柠檬酸盐通过抑制糖酵解、三羧酸循环和 IGF-1R 通路抑制多种模型中的肿瘤生长。

Citrate Suppresses Tumor Growth in Multiple Models through Inhibition of Glycolysis, the Tricarboxylic Acid Cycle and the IGF-1R Pathway.

机构信息

Divisions of Interdisciplinary Medicine and Biotechnology, Hematology-Oncology and Nephrology, Department of Medicine and the Cancer Research Institute, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02215, USA.

Department of Pathology, Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02215, USA.

出版信息

Sci Rep. 2017 Jul 3;7(1):4537. doi: 10.1038/s41598-017-04626-4.

Abstract

In this study we have tested the efficacy of citrate therapy in various cancer models. We found that citrate administration inhibited A549 lung cancer growth and additional benefit accrued in combination with cisplatin. Interestingly, citrate regressed Ras-driven lung tumors. Further studies indicated that citrate induced tumor cell differentiation. Additionally, citrate treated tumor samples showed significantly higher infiltrating T-cells and increased blood levels of numerous cytokines. Moreover, we found that citrate inhibited IGF-1R phosphorylation. In vitro studies suggested that citrate treatment inhibited AKT phosphorylation, activated PTEN and increased expression of p-eIF2a. We also found that p-eIF2a was decreased when PTEN was depleted. These data suggest that citrate acts on the IGF-1R-AKT-PTEN-eIF2a pathway. Additionally, metabolic profiling suggested that both glycolysis and the tricarboxylic acid cycle were suppressed in a similar manner in vitro in tumor cells and in vivo but only in tumor tissue. We reproduced many of these observations in an inducible Her2/Neu-driven breast cancer model and in syngeneic pancreatic tumor (Pan02) xenografts. Our data suggests that citrate can inhibit tumor growth in diverse tumor types and via multiple mechanisms. Dietary supplementation with citrate may be beneficial as a cancer therapy.

摘要

在这项研究中,我们测试了柠檬酸盐治疗在各种癌症模型中的疗效。我们发现柠檬酸盐的给药抑制了 A549 肺癌的生长,并与顺铂联合使用时获益更多。有趣的是,柠檬酸盐使 Ras 驱动的肺肿瘤消退。进一步的研究表明,柠檬酸盐诱导肿瘤细胞分化。此外,用柠檬酸盐处理的肿瘤样本显示出明显更高浸润的 T 细胞和许多细胞因子的血液水平增加。此外,我们发现柠檬酸盐抑制 IGF-1R 磷酸化。体外研究表明,柠檬酸盐处理抑制 AKT 磷酸化,激活 PTEN 并增加 p-eIF2a 的表达。我们还发现当耗尽 PTEN 时,p-eIF2a 减少。这些数据表明,柠檬酸盐作用于 IGF-1R-AKT-PTEN-eIF2a 通路。此外,代谢谱分析表明,在体外肿瘤细胞中和体内肿瘤组织中,糖酵解和三羧酸循环均以相似的方式被抑制,但仅在肿瘤组织中。我们在可诱导的 Her2/Neu 驱动的乳腺癌模型和同种异体胰腺肿瘤 (Pan02) 异种移植中重现了许多这些观察结果。我们的数据表明,柠檬酸盐可以通过多种机制抑制多种肿瘤类型的肿瘤生长。柠檬酸的饮食补充可能有益于癌症治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8875/5495754/280bb99f5a49/41598_2017_4626_Fig1_HTML.jpg

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