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      Branched-chain amino acids sustain pancreatic cancer growth by regulating lipid metabolism

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          Abstract

          Branched-chain amino acid (BCAA) catabolism and high levels of enzymes in the BCAA metabolic pathway have recently been shown to be associated with cancer growth and survival. However, the precise roles of BCAA metabolism in cancer growth and survival remain largely unclear. Here, we found that BCAA metabolism has an important role in human pancreatic ductal adenocarcinoma (PDAC) growth by regulating lipogenesis. Compared with nontransformed human pancreatic ductal (HPDE) cells, PDAC cells exhibited significantly elevated BCAA uptake through solute carrier transporters, which were highly upregulated in pancreatic tumor tissues compared with normal tissues. Branched-chain amino-acid transaminase 2 (BCAT2) knockdown markedly impaired PDAC cell proliferation, but not HPDE cell proliferation, without significant alterations in glutamate or reactive oxygen species levels. Furthermore, PDAC cell proliferation, but not HPDE cell proliferation, was substantially inhibited upon knockdown of branched-chain α-keto acid dehydrogenase a (BCKDHA). Interestingly, BCKDHA knockdown had no significant effect on mitochondrial metabolism; that is, neither the level of tricarboxylic acid cycle intermediates nor the oxygen consumption rate was affected. However, BCKDHA knockdown significantly inhibited fatty-acid synthesis, indicating that PDAC cells may utilize BCAAs as a carbon source for fatty-acid biosynthesis. Overall, our findings show that the BCAA metabolic pathway may provide a novel therapeutic target for pancreatic cancer.

          Pancreatic cancer: targeting a link between amino acids and lipids

          Essential nutrient molecules called branched-chain amino acids (BCAAs) sustain pancreatic cancer by supporting the formation of fatty ‘lipid’ compounds, offering possible new approaches for treatment. Jaekyoung Son and colleagues at the University of Ulsan College of Medicine in Seoul, South Korea, explored the role of BCAAs in the most common form of pancreatic cancer, pancreatic ductal adenocarcinoma. Effective treatments are urgently required as the disease is generally diagnosed too late for surgery, the most effective treatment, to be successful. The researchers found that human cancer cells exploit increased uptake of BCAAs as a source of carbon to build lipids. Disabling the genes for enzymes that convert BCAAs into lipids significantly and selectively reduced cancer cell growth. Drugs that interfere with key points in the over-active uptake of BCAA and conversion to lipids could be developed into new therapies.

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          Most cited references23

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          Oncogenic Kras Maintains Pancreatic Tumors through Regulation of Anabolic Glucose Metabolism

          Tumor maintenance relies on continued activity of driver oncogenes, although their rate-limiting role is highly context dependent. Oncogenic Kras mutation is the signature event in pancreatic ductal adenocarcinoma (PDAC), serving a critical role in tumor initiation. Here, an inducible Kras(G12D)-driven PDAC mouse model establishes that advanced PDAC remains strictly dependent on Kras(G12D) expression. Transcriptome and metabolomic analyses indicate that Kras(G12D) serves a vital role in controlling tumor metabolism through stimulation of glucose uptake and channeling of glucose intermediates into the hexosamine biosynthesis and pentose phosphate pathways (PPP). These studies also reveal that oncogenic Kras promotes ribose biogenesis. Unlike canonical models, we demonstrate that Kras(G12D) drives glycolysis intermediates into the nonoxidative PPP, thereby decoupling ribose biogenesis from NADP/NADPH-mediated redox control. Together, this work provides in vivo mechanistic insights into how oncogenic Kras promotes metabolic reprogramming in native tumors and illuminates potential metabolic targets that can be exploited for therapeutic benefit in PDAC. Copyright © 2012 Elsevier Inc. All rights reserved.
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            Lipogenesis and lipolysis: the pathways exploited by the cancer cells to acquire fatty acids.

            One of the most important metabolic hallmarks of cancer cells is enhanced lipogenesis. Depending on the tumor type, tumor cells synthesize up to 95% of saturated and mono-unsaturated fatty acids (FA) de novo in spite of sufficient dietary lipid supply. This lipogenic conversion starts early when cells become cancerous and further expands as the tumor cells become more malignant. It is suggested that activation of FA synthesis is required for carcinogenesis and for tumor cell survival. These observations suggest that the enzymes involved in FA synthesis would be rational therapeutic targets for cancer treatment. However, several recent reports have shown that the anti-tumor effects, following inhibition of endogenous FA synthesis in cancer cell lines may be obviated by adding exogenous FAs. Additionally, high intake of dietary fat is reported to be a potential risk factor for development and poor prognosis for certain cancers. Recently it was reported that breast and liposarcoma tumors are equipped for both de novo fatty acid synthesis pathway as well as LPL-mediated extracellular lipolysis. These observations indicate that lipolytically acquired FAs may provide an additional source of FAs for cancer. This review focuses on our current understanding of lipogenic and lipolytic pathways in cancer cell progression. Copyright © 2013 Elsevier Ltd. All rights reserved.
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              ATP-citrate lyase: a key player in cancer metabolism.

              ATP-citrate lyase (ACLY) is a cytosolic enzyme that catalyzes the generation of acetyl CoA from citrate. Acetyl CoA is a vital building block for the endogenous biosynthesis of fatty acids and cholesterol and is involved in isoprenoid-based protein modifications. Acetyl CoA is also required for acetylation reactions that modify proteins, such as histone acetylation. ACLY is upregulated or activated in several types of cancers, and its inhibition is known to induce proliferation arrest in cancer cells both in vitro and in vivo. The present review highlights current knowledge about the role of ACLY in cancer cells, with special reference to the different pathways that are linked by ACLY. ©2012 AACR.
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                Author and article information

                Contributors
                +82-2-3010-4184 , jaekson@amc.seoul.kr
                Journal
                Exp Mol Med
                Exp. Mol. Med
                Experimental & Molecular Medicine
                Nature Publishing Group UK (London )
                1226-3613
                2092-6413
                29 November 2019
                29 November 2019
                November 2019
                : 51
                : 11
                : 146
                Affiliations
                [1 ]ISNI 0000 0004 0533 4667, GRID grid.267370.7, Department of Biomedical Sciences, Asan Medical Center, AMIST, , University of Ulsan College of Medicine, ; Seoul, 05505 South Korea
                [2 ]ISNI 0000 0004 0533 4667, GRID grid.267370.7, Department of Biochemistry and Molecular Biology, Asan Medical Center, , University of Ulsan College of Medicine, ; Seoul, 05505 South Korea
                Article
                350
                10.1038/s12276-019-0350-z
                6884453
                31784505
                bfb0a0fc-eba4-4f3e-ada1-1d8287f6b9a3
                © The Author(s) 2019

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

                History
                : 10 June 2019
                : 30 September 2019
                : 11 October 2019
                Categories
                Article
                Custom metadata
                © The Author(s) 2019

                Molecular medicine
                cancer,cell growth
                Molecular medicine
                cancer, cell growth

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