Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nature. 2021 Nov;599(7884):302-307. doi: 10.1038/s41586-021-04049-2. Epub 2021 Oct 20.
Dietary interventions can change metabolite levels in the tumour microenvironment, which might then affect cancer cell metabolism to alter tumour growth. Although caloric restriction (CR) and a ketogenic diet (KD) are often thought to limit tumour progression by lowering blood glucose and insulin levels, we found that only CR inhibits the growth of select tumour allografts in mice, suggesting that other mechanisms contribute to tumour growth inhibition. A change in nutrient availability observed with CR, but not with KD, is lower lipid levels in the plasma and tumours. Upregulation of stearoyl-CoA desaturase (SCD), which synthesises monounsaturated fatty acids, is required for cancer cells to proliferate in a lipid-depleted environment, and CR also impairs tumour SCD activity to cause an imbalance between unsaturated and saturated fatty acids to slow tumour growth. Enforcing cancer cell SCD expression or raising circulating lipid levels through a higher-fat CR diet confers resistance to the effects of CR. By contrast, although KD also impairs tumour SCD activity, KD-driven increases in lipid availability maintain the unsaturated to saturated fatty acid ratios in tumours, and changing the KD fat composition to increase tumour saturated fatty acid levels cooperates with decreased tumour SCD activity to slow tumour growth. These data suggest that diet-induced mismatches between tumour fatty acid desaturation activity and the availability of specific fatty acid species determine whether low glycaemic diets impair tumour growth.
饮食干预可以改变肿瘤微环境中的代谢物水平,进而影响癌细胞代谢,从而改变肿瘤生长。尽管热量限制(CR)和生酮饮食(KD)通常被认为通过降低血糖和胰岛素水平来限制肿瘤进展,但我们发现只有 CR 能抑制小鼠中特定肿瘤同种异体移植物的生长,这表明其他机制也有助于抑制肿瘤生长。CR 观察到的营养供应变化,而 KD 则没有,即血浆和肿瘤中的脂质水平降低。硬脂酰辅酶 A 去饱和酶(SCD)的上调是癌细胞在脂质缺乏环境中增殖所必需的,CR 还会损害肿瘤 SCD 活性,导致不饱和和饱和脂肪酸之间的不平衡,从而减缓肿瘤生长。通过高脂肪 CR 饮食强制表达癌细胞 SCD 或提高循环脂质水平会赋予癌细胞对 CR 作用的抗性。相比之下,尽管 KD 也会损害肿瘤 SCD 活性,但 KD 驱动的脂质可用性增加会维持肿瘤中不饱和与饱和脂肪酸的比例,并且将 KD 脂肪成分改变为增加肿瘤饱和脂肪酸水平与降低肿瘤 SCD 活性协同作用,从而减缓肿瘤生长。这些数据表明,饮食诱导的肿瘤脂肪酸去饱和活性与特定脂肪酸种类的可用性之间的不匹配决定了低糖血症饮食是否会损害肿瘤生长。
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