Silver Daniel J, Roversi Gustavo A, Bithi Nazmin, Wang Sabrina Z, Troike Katie M, Neumann Chase Ka, Ahuja Grace K, Reizes Ofer, Brown J Mark, Hine Christopher, Lathia Justin D
Department of Cardiovascular and Metabolic Sciences, Cleveland Clinic Lerner Research Institute, Cleveland, United States of America.
Medical Scientist Training Program, Case Western Reserve University, Cleveland, United States of America.
J Clin Invest. 2021 Jul 13;131(17). doi: 10.1172/JCI138276.
Glioblastoma (GBM) remains among the deadliest of human malignancies, and the emergence of the cancer stem cell (CSC) phenotype represents a major challenge to durable treatment response. Because the environmental and lifestyle factors that impact CSC populations are not clear, we sought to understand the consequences of diet on CSC enrichment. We evaluated disease progression in mice fed an obesity-inducing high-fat diet (HFD) versus a low-fat, control diet. HFD resulted in hyper-aggressive disease accompanied by CSC enrichment and shortened survival. HFD drove intracerebral accumulation of saturated fats, which inhibited the production of the cysteine metabolite and gasotransmitter, hydrogen sulfide (H2S). H2S functions principally through protein S-sulfhydration and regulates multiple programs including bioenergetics and metabolism. Inhibition of H2S increased proliferation and chemotherapy resistance, whereas treatment with H2S donors led to death of cultured GBM cells and stasis of GBM tumors in vivo. Syngeneic GBM models and GBM patient specimens present an overall reduction in protein S-sulfhydration, primarily associated with proteins regulating cellular metabolism. These findings provide clear evidence that diet modifiable H2S signaling serves to suppress GBM by restricting metabolic fitness, while its loss triggers CSC enrichment and disease acceleration. Interventions augmenting H2S bioavailability concurrent with GBM standard of care may improve outcomes for GBM patients.
胶质母细胞瘤(GBM)仍然是人类最致命的恶性肿瘤之一,癌症干细胞(CSC)表型的出现对持久的治疗反应构成了重大挑战。由于影响CSC群体的环境和生活方式因素尚不清楚,我们试图了解饮食对CSC富集的影响。我们评估了喂食致肥胖高脂肪饮食(HFD)与低脂对照饮食的小鼠的疾病进展情况。HFD导致疾病高度侵袭性,伴有CSC富集和生存期缩短。HFD促使饱和脂肪在脑内蓄积,抑制了半胱氨酸代谢产物和气体信号分子硫化氢(H2S)的产生。H2S主要通过蛋白质S-硫氢化作用发挥功能,并调节包括生物能量学和代谢在内的多个程序。抑制H2S会增加细胞增殖和化疗耐药性,而用H2S供体进行治疗会导致培养的GBM细胞死亡以及体内GBM肿瘤停滞。同基因GBM模型和GBM患者标本显示蛋白质S-硫氢化作用总体减少,主要与调节细胞代谢的蛋白质有关。这些发现提供了明确的证据,即饮食可调节的H2S信号通过限制代谢适应性来抑制GBM,而其缺失会触发CSC富集和疾病加速。在GBM标准治疗的同时增加H2S生物利用度的干预措施可能会改善GBM患者的预后。