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BCAA metabolism in pancreatic cancer affects lipid balance by regulating fatty acid import into mitochondria. 胰腺癌中的 BCAA 代谢通过调节脂肪酸输入线粒体而影响脂质平衡。
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-03-26 DOI: 10.1186/s40170-024-00335-5
Klára Gotvaldová, Jitka Špačková, Jiří Novotný, Kamila Baslarová, Petr Ježek, Lenka Rossmeislová, Jan Gojda, Katarína Smolková

Background: Pancreatic ductal adenocarcinoma (PDAC) has been associated with the host dysmetabolism of branched-chain amino acids (BCAAs), however, the implications for the role of BCAA metabolism in PDAC development or progression are not clear. The mitochondrial catabolism of valine, leucine, and isoleucine is a multistep process leading to the production of short-chain R-CoA species. They can be subsequently exported from mitochondria as short-chain carnitines (SC-CARs), utilized in anabolic pathways, or released from the cells.

Methods: We examined the specificities of BCAA catabolism and cellular adaptation strategies to BCAA starvation in PDAC cells in vitro. We used metabolomics and lipidomics to quantify major metabolic changes in response to BCAA withdrawal. Using confocal microscopy and flow cytometry we quantified the fluorescence of BODIPY probe and the level of lipid droplets (LDs). We used BODIPY-conjugated palmitate to evaluate transport of fatty acids (FAs) into mitochondria. Also, we have developed a protocol for quantification of SC-CARs, BCAA-derived metabolites.

Results: Using metabolic profiling, we found that BCAA starvation leads to massive triglyceride (TG) synthesis and LD accumulation. This was associated with the suppression of activated FA transport into the mitochondrial matrix. The suppression of FA import into mitochondria was rescued with the inhibitor of the acetyl-CoA carboxylase (ACC) and the activator of AMP kinase (AMPK), which both regulate carnitine palmitoyltransferase 1A (CPT1) activation status.

Conclusions: Our data suggest that BCAA catabolism is required for the import of long chain carnitines (LC-CARs) into mitochondria, whereas the disruption of this link results in the redirection of activated FAs into TG synthesis and its deposition into LDs. We propose that this mechanism protects cells against mitochondrial overload with LC-CARs and it might be part of the universal reaction to amino acid perturbations during cancer growth, regulating FA handling and storage.

背景:胰腺导管腺癌(PDAC)与宿主支链氨基酸(BCAA)代谢紊乱有关,但BCAA代谢在PDAC发展或恶化中的作用尚不清楚。缬氨酸、亮氨酸和异亮氨酸的线粒体分解是一个多步骤过程,会产生短链 R-CoA 物种。它们随后可作为短链肉碱(SC-CARs)从线粒体中排出,在合成代谢途径中被利用,或从细胞中释放出来:我们在体外研究了 PDAC 细胞中 BCAA 分解代谢的特异性以及细胞对 BCAA 饥饿的适应策略。我们利用代谢组学和脂质组学量化了BCAA停用时的主要代谢变化。我们使用共聚焦显微镜和流式细胞仪量化了 BODIPY 探针的荧光和脂滴(LD)的水平。我们使用 BODIPY 共轭棕榈酸酯来评估脂肪酸 (FA) 进入线粒体的运输情况。此外,我们还开发了一种用于量化 SC-CAR(BCAA 衍生代谢物)的方案:通过代谢分析,我们发现BCAA饥饿会导致大量甘油三酯(TG)合成和低密度脂蛋白积累。这与抑制活化的脂肪酸转运到线粒体基质有关。乙酰-CoA羧化酶(ACC)抑制剂和AMP激酶(AMPK)激活剂(两者都能调节肉碱棕榈酰基转移酶1A(CPT1)的激活状态)可抑制FA向线粒体的输入:我们的数据表明,BCAA 分解是长链肉碱(LC-CARs)进入线粒体的必要条件,而这一环节的破坏则会导致活化的 FAs 重新进入 TG 合成并沉积到 LDs 中。我们认为,这种机制可保护细胞免受线粒体中 LC-CARs 过载的影响,它可能是癌症生长过程中对氨基酸扰动的普遍反应的一部分,可调节 FA 的处理和储存。
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引用次数: 0
Serine synthesis and catabolism in starved lung cancer and primary bronchial epithelial cells. 饥饿状态下肺癌细胞和原发性支气管上皮细胞中丝氨酸的合成和分解。
IF 6 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-03-21 DOI: 10.1186/s40170-024-00337-3
Theresa Haitzmann, Katharina Schindlmaier, Tobias Frech, Ayusi Mondal, Visnja Bubalo, Barbara Konrad, Gabriele Bluemel, Philipp Stiegler, Stefanie Lackner, Andelko Hrzenjak, Thomas Eichmann, Harald C Köfeler, Katharina Leithner

Serine and glycine give rise to important building blocks in proliferating cells. Both amino acids are either synthesized de novo or taken up from the extracellular space. In lung cancer, serine synthesis gene expression is variable, yet, expression of the initial enzyme, phosphoglycerate dehydrogenase (PHGDH), was found to be associated with poor prognosis. While the contribution of de novo synthesis to serine pools has been shown to be enhanced by serine starvation, the impact of glucose deprivation, a commonly found condition in solid cancers is poorly understood. Here, we utilized a stable isotopic tracing approach to assess serine and glycine de novo synthesis and uptake in different lung cancer cell lines and normal bronchial epithelial cells in variable serine, glycine, and glucose conditions. Under low glucose supplementation (0.2 mM, 3-5% of normal plasma levels), serine de novo synthesis was maintained or even activated. As previously reported, also gluconeogenesis supplied carbons from glutamine to serine and glycine under these conditions. Unexpectedly, low glucose treatment consistently enhanced serine to glycine conversion, along with an up-regulation of the mitochondrial one-carbon metabolism enzymes, serine hydroxymethyltransferase (SHMT2) and methylenetetrahydrofolate dehydrogenase (MTHFD2). The relative contribution of de novo synthesis greatly increased in low serine/glycine conditions. In bronchial epithelial cells, adaptations occurred in a similar fashion as in cancer cells, but serine synthesis and serine to glycine conversion, as assessed by label enrichments and gene expression levels, were generally lower than in (PHGDH positive) cancer cells. In summary, we found a variable contribution of glucose or non-glucose carbon sources to serine and glycine and a high adaptability of the downstream one-carbon metabolism pathway to variable glucose supply.

丝氨酸和甘氨酸是增殖细胞的重要组成成分。这两种氨基酸要么从头合成,要么从细胞外吸收。在肺癌中,丝氨酸合成基因的表达各不相同,但最初的酶--磷酸甘油酸脱氢酶(PHGDH)的表达与预后不良有关。虽然有研究表明,丝氨酸饥饿会增强丝氨酸池的从头合成,但对实体瘤中常见的葡萄糖剥夺的影响却知之甚少。在这里,我们利用稳定同位素追踪方法评估了不同肺癌细胞系和正常支气管上皮细胞在不同丝氨酸、甘氨酸和葡萄糖条件下丝氨酸和甘氨酸的从头合成和吸收。在低葡萄糖补充条件下(0.2 mM,正常血浆水平的 3-5%),丝氨酸从头合成得以维持甚至激活。正如之前所报道的,在这些条件下,葡萄糖生成也从谷氨酰胺向丝氨酸和甘氨酸提供碳。出乎意料的是,低糖处理持续增强了丝氨酸到甘氨酸的转化,同时线粒体一碳代谢酶、丝氨酸羟甲基转移酶(SHMT2)和亚甲基四氢叶酸脱氢酶(MTHFD2)上调。在低丝氨酸/甘氨酸条件下,从头合成的相对贡献大大增加。在支气管上皮细胞中,适应发生的方式与癌细胞相似,但通过标记富集和基因表达水平评估,丝氨酸合成和丝氨酸到甘氨酸的转化通常低于(PHGDH 阳性)癌细胞。总之,我们发现葡萄糖或非葡萄糖碳源对丝氨酸和甘氨酸的贡献各不相同,下游一碳代谢途径对葡萄糖供应变化的适应性很强。
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引用次数: 0
Dietary patterns in relation to glioma: a case–control study 与胶质瘤有关的饮食模式:病例对照研究
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-03-18 DOI: 10.1186/s40170-024-00336-4
Mohammad Nemati, Mehdi Shayanfar, Fatemeh Almasi, Minoo Mohammad-Shirazi, Giuve Sharifi, Azadeh Aminianfar, Ahmad Esmaillzadeh
Although the association of individual foods and nutrients with glioma have been investigated, studies on the association of major dietary patterns and glioma are scarce. The aim of this study was to examine the association between major dietary patterns and risk of glioma in a group of Iranian adults. In this hospital-based case–control design, we recruited 128 newly diagnosed glioma cases and 256 controls in Tehran from 2009 to 2011. A Willett-format-validated 126-item semi-quantitative Food Frequency Questionnaire (FFQ) was used to assess participants' dietary intake. Factor analysis was used to identify major dietary patterns. We identified 3 major dietary patterns using factor analysis: high protein, vegetarian and western dietary pattern. After several adjustments for potential confounders, adherence to the high protein dietary pattern was inversely associated with risk of glioma (OR: 0.47; 95% CI: 0.23, 0.95). Consumption of vegetarian dietary pattern was also associated with a reduced risk of glioma (OR: 0.16; 95% CI: 0.07, 0.34). Greater adherence to the western dietary pattern was associated with a greater chance of glioma (OR: 3.30; 95% CI: 1.52, 7.17). We found that high protein, vegetarian and western dietary pattern were significantly associated with glioma risk. Further prospective studies are needed to confirm these findings.
虽然已经对个别食物和营养素与胶质瘤的关系进行了调查,但有关主要膳食模式与胶质瘤关系的研究却很少。本研究旨在探讨伊朗成年人主要饮食模式与脑胶质瘤风险之间的关系。在这项基于医院的病例对照设计中,我们从 2009 年至 2011 年在德黑兰招募了 128 例新诊断的胶质瘤病例和 256 例对照。我们使用经过威利特格式验证的 126 项半定量食物频率问卷(FFQ)来评估参与者的饮食摄入量。采用因子分析确定主要饮食模式。通过因子分析,我们确定了三种主要饮食模式:高蛋白饮食模式、素食饮食模式和西式饮食模式。在对潜在的混杂因素进行多次调整后,坚持高蛋白饮食模式与胶质瘤风险成反比(OR:0.47;95% CI:0.23,0.95)。素食也与胶质瘤风险降低有关(OR:0.16;95% CI:0.07,0.34)。更多坚持西方饮食模式与更高的胶质瘤发病几率有关(OR:3.30;95% CI:1.52,7.17)。我们发现,高蛋白、素食和西式膳食模式与胶质瘤风险显著相关。需要进一步的前瞻性研究来证实这些发现。
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引用次数: 0
Elevated expression of HIGD1A drives hepatocellular carcinoma progression by regulating polyamine metabolism through c-Myc-ODC1 nexus. HIGD1A 的高表达通过 c-Myc-ODC1 连接调节多胺代谢,从而推动肝细胞癌的发展。
IF 6 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-02-23 DOI: 10.1186/s40170-024-00334-6
Haixing Zhang, Xiaoran Li, Ziying Liu, Zimo Lin, Kuiyuan Huang, Yiran Wang, Yu Chen, Leyi Liao, Leyuan Wu, Zhanglian Xie, Jinlin Hou, Xiaoyong Zhang, Hongyan Liu

Background: Hypoxia contributes to cancer progression through various molecular mechanisms and hepatocellular carcinoma (HCC) is one of the most hypoxic malignancies. Hypoxia-inducible gene domain protein-1a (HIGD1A) is typically induced via epigenetic regulation and promotes tumor cell survival during hypoxia. However, the role of HIGD1A in HCC remains unknown.

Methods: HIGD1A expression was determined in 24 pairs of human HCC samples and para-tumorous tissues. Loss-of-function experiments were conducted both in vivo and in vitro to explore the role of HIGD1A in HCC proliferation and metastasis.

Results: Increased HIGD1A expression was found in HCC tissues and cell lines, which was induced by hypoxia or low-glucose condition. Moreover, HIGD1A knockdown in HCC cells arrested the cell cycle at the G2/M phase and promoted hypoxia-induced cell apoptosis, resulting in great inhibition of cell proliferation, migration, and invasion, as well as tumor xenograft formation. Interestingly, these anti-tumor effects were not observed in normal hepatocyte cell line L02. Further, HIGD1A knockdown suppressed the expression of ornithine decarboxylase 1 (ODC1), a rate-limiting enzyme of polyamine metabolism under c-Myc regulation. HIGD1A was found to bind with the c-Myc promoter region, and its knockdown decreased the levels of polyamine metabolites. Consistently, the inhibitory effect on HCC phenotype by HIGD1A silencing could be reversed by overexpression of c-Myc or supplementation of polyamines.

Conclusions: Our results demonstrated that HIGD1A activated c-Myc-ODC1 nexus to regulate polyamine synthesis and to promote HCC survival and malignant phenotype, implying that HIGD1A might represent a novel therapeutic target for HCC.

背景:缺氧通过各种分子机制导致癌症进展,而肝细胞癌(HCC)是缺氧最严重的恶性肿瘤之一。缺氧诱导基因结构域蛋白-1a(HIGD1A)通常通过表观遗传调控诱导,并在缺氧过程中促进肿瘤细胞存活。方法:在 24 对人类 HCC 样本和准肿瘤组织中测定 HIGD1A 的表达。结果:HIGD1A 的表达量增加,这可能与 HIGD1A 在 HCC 中的作用有关:结果:HIGD1A在HCC组织和细胞系中表达增加,缺氧或低糖条件可诱导HIGD1A表达。此外,在 HCC 细胞中敲除 HIGD1A 可使细胞周期停滞在 G2/M 期,并促进缺氧诱导的细胞凋亡,从而极大地抑制细胞增殖、迁移和侵袭以及肿瘤异种移植的形成。有趣的是,在正常肝细胞系 L02 中却观察不到这些抗肿瘤作用。此外,HIGD1A 基因敲除抑制了鸟氨酸脱羧酶 1(ODC1)的表达,而鸟氨酸脱羧酶 1 是一种受 c-Myc 调控的多胺代谢限速酶。研究发现,HIGD1A 与 c-Myc 启动子区域结合,其敲除会降低多胺代谢物的水平。同样,沉默 HIGD1A 对 HCC 表型的抑制作用可通过过表达 c-Myc 或补充多胺而逆转:我们的研究结果表明,HIGD1A 激活了 c-Myc-ODC1 连接,从而调节多胺的合成并促进 HCC 的存活和恶性表型,这意味着 HIGD1A 可能是 HCC 的一个新的治疗靶点。
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引用次数: 0
High-fat diet promotes prostate cancer metastasis via RPS27. 高脂饮食通过 RPS27 促进前列腺癌转移
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-02-16 DOI: 10.1186/s40170-024-00333-7
Dameng Li, Xueying Zhou, Wenxian Xu, Yongxin Cai, Chenglong Mu, Xinchun Zhao, Tingting Tang, Chen Liang, Tao Yang, Junnian Zheng, Liang Wei, Bo Ma

Background: Metastasis is the leading cause of death among prostate cancer (PCa) patients. Obesity is associated with both PCa-specific and all-cause mortality. High-fat diet (HFD) is a risk factor contributing to obesity. However, the association of HFD with PCa metastasis and its underlying mechanisms are unclear.

Methods: Tumor xenografts were conducted by intrasplenic injections. The ability of migration or invasion was detected by transwell assay. The expression levels of RPS27 were detected by QRT-PCR and western blot.

Results: The present study verified the increase in PCa metastasis caused by HFD in mice. Bioinformatics analysis demonstrated increased RPS27 in the experimentally induced PCa in HFD mice, indicating that it is an unfavorable prognostic factor. Intrasplenic injections were used to demonstrate that RPS27 overexpression promotes, while RPS27 knockdown significantly reduces, PCa liver metastasis. Moreover, RPS27 inhibition suppresses the effects of HFD on PCa metastasis. Further mRNA sequencing analysis revealed that RPS27 promotes PCa metastasis by selectively enhancing the expression of various genes.

Conclusion: Our findings indicate that HFD increases the risk of PCa metastasis by elevating RPS27 expression and, subsequently, the expression of genes involved in PRAD progression. Therefore, RPS27 may serve as a novel target for the diagnosis and treatment of metastatic PCa.

背景:转移是前列腺癌(PCa)患者的主要死因。肥胖与前列腺癌特异性死亡率和全因死亡率均有关联。高脂饮食(HFD)是导致肥胖的一个风险因素。然而,高脂饮食与 PCa 转移的关系及其内在机制尚不清楚:方法:通过脾内注射进行肿瘤异种移植。方法:采用脾内注射法进行肿瘤异种移植,用Transwell试验检测肿瘤的迁移或侵袭能力。RPS27的表达水平通过QRT-PCR和Western blot检测:结果:本研究证实了 HFD 会增加小鼠 PCa 的转移。生物信息学分析表明,在实验诱导的HFD小鼠PCa中,RPS27增加,表明它是一个不利的预后因素。通过脾内注射证明,RPS27 过表达会促进 PCa 的肝转移,而 RPS27 敲除则会显著减少 PCa 的肝转移。此外,抑制RPS27可抑制HFD对PCa转移的影响。进一步的mRNA测序分析表明,RPS27通过选择性地增强各种基因的表达来促进PCa转移:我们的研究结果表明,HFD会通过提高RPS27的表达增加PCa转移的风险,进而提高参与PRAD进展的基因的表达。因此,RPS27 可作为诊断和治疗转移性 PCa 的新靶点。
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引用次数: 0
Cone photoreceptor phosphodiesterase PDE6H inhibition regulates cancer cell growth and metabolism, replicating the dark retina response. 锥状体感光器磷酸二酯酶PDE6H抑制调节癌细胞生长和代谢,复制黑暗视网膜反应。
IF 6 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-02-13 DOI: 10.1186/s40170-023-00326-y
Ceren Yalaz, Esther Bridges, Nasullah K Alham, Christos E Zois, Jianzhou Chen, Karim Bensaad, Ana Miar, Elisabete Pires, Ruth J Muschel, James S O McCullagh, Adrian L Harris

Background: PDE6H encodes PDE6γ', the inhibitory subunit of the cGMP-specific phosphodiesterase 6 in cone photoreceptors. Inhibition of PDE6, which has been widely studied for its role in light transduction, increases cGMP levels. The purpose of this study is to characterise the role of PDE6H in cancer cell growth.

Methods: From an siRNA screen for 487 genes involved in metabolism, PDE6H was identified as a controller of cell cycle progression in HCT116 cells. Role of PDE6H in cancer cell growth and metabolism was studied through the effects of its depletion on levels of cell cycle controllers, mTOR effectors, metabolite levels, and metabolic energy assays. Effect of PDE6H deletion on tumour growth was also studied in a xenograft model.

Results: PDE6H knockout resulted in an increase of intracellular cGMP levels, as well as changes to the levels of nucleotides and key energy metabolism intermediates. PDE6H knockdown induced G1 cell cycle arrest and cell death and reduced mTORC1 signalling in cancer cell lines. Both knockdown and knockout of PDE6H resulted in the suppression of mitochondrial function. HCT116 xenografts revealed that PDE6H deletion, as well as treatment with the PDE5/6 inhibitor sildenafil, slowed down tumour growth and improved survival, while sildenafil treatment did not have an additive effect on slowing the growth of PDE6γ'-deficient tumours.

Conclusions: Our results indicate that the changes in cGMP and purine pools, as well as mitochondrial function which is observed upon PDE6γ' depletion, are independent of the PKG pathway. We show that in HCT116, PDE6H deletion replicates many effects of the dark retina response and identify PDE6H as a new target in preventing cancer cell proliferation and tumour growth.

背景:PDE6H 编码 PDE6γ',它是锥体感光器中 cGMP 特异性磷酸二酯酶 6 的抑制亚基。PDE6 在光传导中的作用已被广泛研究,抑制 PDE6 可提高 cGMP 水平。本研究的目的是确定 PDE6H 在癌细胞生长中的作用:方法:通过对 487 个参与新陈代谢的基因进行 siRNA 筛选,发现 PDE6H 是 HCT116 细胞中细胞周期进展的控制因子。通过研究PDE6H缺失对细胞周期控制因子、mTOR效应因子、代谢物水平和代谢能测定的影响,研究了PDE6H在癌细胞生长和代谢中的作用。还在异种移植模型中研究了 PDE6H 缺失对肿瘤生长的影响:结果:PDE6H 基因敲除导致细胞内 cGMP 水平升高,核苷酸和关键能量代谢中间产物的水平也发生了变化。PDE6H 基因敲除可诱导 G1 细胞周期停滞和细胞死亡,并减少癌细胞株中的 mTORC1 信号传导。PDE6H的敲除和基因敲除都会导致线粒体功能受到抑制。HCT116异种移植显示,PDE6H缺失以及PDE5/6抑制剂西地那非治疗可减缓肿瘤生长并提高生存率,而西地那非治疗对减缓PDE6γ'缺失肿瘤的生长没有加成作用:我们的研究结果表明,PDE6γ'缺失时观察到的 cGMP 和嘌呤池以及线粒体功能的变化与 PKG 通路无关。我们的研究表明,在 HCT116 中,PDE6H 缺失复制了黑暗视网膜反应的许多效应,并确定 PDE6H 是防止癌细胞增殖和肿瘤生长的新靶点。
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引用次数: 0
Circulating metabolome landscape in Lynch syndrome. 林奇综合征的循环代谢组图谱。
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-02-05 DOI: 10.1186/s40170-024-00331-9
Tiina A Jokela, Jari E Karppinen, Minta Kärkkäinen, Jukka-Pekka Mecklin, Simon Walker, Toni T Seppälä, Eija K Laakkonen

Circulating metabolites systemically reflect cellular processes and can modulate the tissue microenvironment in complex ways, potentially impacting cancer initiation processes. Genetic background increases cancer risk in individuals with Lynch syndrome; however, not all carriers develop cancer. Various lifestyle factors can influence Lynch syndrome cancer risk, and lifestyle choices actively shape systemic metabolism, with circulating metabolites potentially serving as the mechanical link between lifestyle and cancer risk. This study aims to characterize the circulating metabolome of Lynch syndrome carriers, shedding light on the energy metabolism status in this cancer predisposition syndrome.This study consists of a three-group cross-sectional analysis to compare the circulating metabolome of cancer-free Lynch syndrome carriers, sporadic colorectal cancer (CRC) patients, and healthy non-carrier controls. We detected elevated levels of circulating cholesterol, lipids, and lipoproteins in LS carriers. Furthermore, we unveiled that Lynch syndrome carriers and CRC patients displayed similar alterations compared to healthy non-carriers in circulating amino acid and ketone body profiles. Overall, cancer-free Lynch syndrome carriers showed a unique circulating metabolome landscape.This study provides valuable insights into the systemic metabolic landscape of Lynch syndrome individuals. The findings hint at shared metabolic patterns between cancer-free Lynch syndrome carriers and CRC patients.

循环代谢物能系统地反映细胞过程,并能以复杂的方式调节组织微环境,从而对癌症的发生过程产生潜在影响。遗传背景会增加林奇综合征患者罹患癌症的风险,但并非所有携带者都会罹患癌症。各种生活方式因素会影响林奇综合征的癌症风险,而生活方式的选择会积极影响全身代谢,循环代谢物可能是生活方式与癌症风险之间的机械联系。本研究旨在描述林奇综合征携带者循环代谢组的特征,揭示这种癌症易感综合征的能量代谢状况。本研究通过三组横断面分析,比较了未患癌症的林奇综合征携带者、散发性结直肠癌(CRC)患者和健康非携带者对照组的循环代谢组。我们发现林奇综合征携带者的循环胆固醇、脂类和脂蛋白水平升高。此外,我们还发现,与健康非携带者相比,林奇综合征携带者和 CRC 患者在循环氨基酸和酮体谱方面表现出相似的变化。总之,无癌症的林奇综合征携带者表现出独特的循环代谢组特征。这项研究为了解林奇综合征患者的全身代谢特征提供了宝贵的信息。这些发现暗示了无癌症林奇综合征携带者与 CRC 患者之间的共同代谢模式。
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引用次数: 0
Systemic inflammation and insulin resistance-related indicator predicts poor outcome in patients with cancer cachexia 全身炎症和胰岛素抵抗相关指标可预测癌症恶病质患者的不良预后
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-01-25 DOI: 10.1186/s40170-024-00332-8
Guo-Tian Ruan, Li Deng, Hai-Lun Xie, Jin-Yu Shi, Xiao-Yue Liu, Xin Zheng, Yue Chen, Shi-Qi Lin, He-Yang Zhang, Chen-An Liu, Yi-Zhong Ge, Meng-Meng Song, Chun-Lei Hu, Xiao-Wei Zhang, Ming Yang, Wen Hu, Ming-Hua Cong, Li-Chen Zhu, Kun-Hua Wang, Han-Ping Shi
The C-reactive protein (CRP)-triglyceride-glucose (TyG) index (CTI), which is a measure representing the level of inflammation and insulin resistance (IR), is related to poor cancer prognosis; however, the CTI has not been validated in patients with cancer cachexia. Thus, this study aimed to explore the potential clinical value of the CTI in patients with cancer cachexia. In this study, our prospective multicenter cohort included 1411 patients with cancer cachexia (mean age 59.45 ± 11.38, 63.3% male), which was a combined analysis of multiple cancer types. We randomly selected 30% of the patients for the internal test cohort (mean age 58.90 ± 11.22% 61.4% male). Additionally, we included 307 patients with cancer cachexia in the external validation cohort (mean age 61.16 ± 11, 58.5% male). Receiver operating characteristic (ROC) and calibration curves were performed to investigate the prognostic value of CTI. The prognostic value of the CTI was also investigated performing univariate and multivariate survival analyses. The survival curve indicated that the CTI showed a significant prognostic value in the total, internal, and external validation cohorts. Prognostic ROC curves and calibration curves revealed that the CTI showed good consistency in predicting the survival of patients with cancer cachexia. Multivariate survival analysis showed that an elevated CTI increased the risk of death by 22% (total cohort, 95% confidence interval [CI] = 1.13–1.33), 34% (internal test cohort, 95%CI = 1.11–1.62), and 35% (external validation cohort, 95%CI = 1.14–1.59) for each increase in the standard deviation of CTI. High CTI reliably predicted shorter survival (total cohort, hazard ratio [HR] = 1.45, 95%CI = 1.22–1.71; internal test cohort, HR = 1.62, 95%CI = 1.12–2.36; external validation cohort, HR = 1.61, 95%CI = 1.15–2.26). High CTI significantly predicted shorter survival in different tumor subgroups, such as esophageal [HR = 2.11, 95%CI = 1.05–4.21] and colorectal cancer [HR = 2.29, 95%CI = 1.42–3.71]. The mediating effects analysis found that the mediating proportions of PGSGA, ECOG PS, and EORTC QLQ-C30 on the direct effects of CTI were 21.72%, 19.63%, and 11.61%, respectively We found that there was a significant positive correlation between the CTI and 90-day [HR = 2.48, 95%CI = 1.52–4.14] and 180-day mortality [HR = 1.77,95%CI = 1.24–2.55] in patients with cancer cachexia. The CTI can predict the short- and long-term survival of patients with cancer cachexia and provide a useful prognostic tool for clinical practice.
C反应蛋白(CRP)-甘油三酯-葡萄糖(TyG)指数(CTI)是一种代表炎症和胰岛素抵抗(IR)水平的指标,与癌症的不良预后有关;然而,CTI尚未在癌症恶病质患者中得到验证。因此,本研究旨在探索 CTI 在癌症恶病质患者中的潜在临床价值。在这项研究中,我们的前瞻性多中心队列纳入了 1411 名癌症恶病质患者(平均年龄为 59.45±11.38 岁,63.3% 为男性),并对多种癌症类型进行了综合分析。我们随机抽取了 30% 的患者作为内部测试队列(平均年龄为 58.90 ± 11.22,男性占 61.4%)。此外,我们还将 307 名癌症恶病质患者纳入外部验证队列(平均年龄为 61.16 ± 11,58.5% 为男性)。为研究 CTI 的预后价值,我们绘制了接收者操作特征曲线(ROC)和校准曲线。CTI 的预后价值还通过单变量和多变量生存分析法进行了研究。生存曲线显示,CTI 在全部、内部和外部验证队列中均显示出显著的预后价值。预后 ROC 曲线和校准曲线显示,CTI 在预测癌症恶病质患者的生存期方面表现出良好的一致性。多变量生存分析表明,CTI 标准差每增加一个百分点,死亡风险就会增加 22%(总体队列,95% 置信区间 [CI] = 1.13-1.33)、34%(内部测试队列,95%CI = 1.11-1.62)和 35%(外部验证队列,95%CI = 1.14-1.59)。高 CTI 可可靠地预测较短的生存期(总体队列,危险比 [HR] = 1.45,95%CI = 1.22-1.71;内部测试队列,HR = 1.62,95%CI = 1.12-2.36;外部验证队列,HR = 1.61,95%CI = 1.15-2.26)。在不同的肿瘤亚组中,高CTI可明显预测较短的生存期,如食管癌[HR = 2.11, 95%CI = 1.05-4.21]和结直肠癌[HR = 2.29, 95%CI = 1.42-3.71]。中介效应分析发现,PGSGA、ECOG PS 和 EORTC QLQ-C30 对 CTI 直接效应的中介比例分别为 21.72%、19.63% 和 11.61%。我们发现,CTI 与癌症恶病质患者 90 天[HR = 2.48,95%CI = 1.52-4.14]和 180 天死亡率[HR = 1.77,95%CI = 1.24-2.55]之间存在显著正相关。CTI 可以预测癌症恶病质患者的短期和长期生存期,为临床实践提供了有用的预后工具。
{"title":"Systemic inflammation and insulin resistance-related indicator predicts poor outcome in patients with cancer cachexia","authors":"Guo-Tian Ruan, Li Deng, Hai-Lun Xie, Jin-Yu Shi, Xiao-Yue Liu, Xin Zheng, Yue Chen, Shi-Qi Lin, He-Yang Zhang, Chen-An Liu, Yi-Zhong Ge, Meng-Meng Song, Chun-Lei Hu, Xiao-Wei Zhang, Ming Yang, Wen Hu, Ming-Hua Cong, Li-Chen Zhu, Kun-Hua Wang, Han-Ping Shi","doi":"10.1186/s40170-024-00332-8","DOIUrl":"https://doi.org/10.1186/s40170-024-00332-8","url":null,"abstract":"The C-reactive protein (CRP)-triglyceride-glucose (TyG) index (CTI), which is a measure representing the level of inflammation and insulin resistance (IR), is related to poor cancer prognosis; however, the CTI has not been validated in patients with cancer cachexia. Thus, this study aimed to explore the potential clinical value of the CTI in patients with cancer cachexia. In this study, our prospective multicenter cohort included 1411 patients with cancer cachexia (mean age 59.45 ± 11.38, 63.3% male), which was a combined analysis of multiple cancer types. We randomly selected 30% of the patients for the internal test cohort (mean age 58.90 ± 11.22% 61.4% male). Additionally, we included 307 patients with cancer cachexia in the external validation cohort (mean age 61.16 ± 11, 58.5% male). Receiver operating characteristic (ROC) and calibration curves were performed to investigate the prognostic value of CTI. The prognostic value of the CTI was also investigated performing univariate and multivariate survival analyses. The survival curve indicated that the CTI showed a significant prognostic value in the total, internal, and external validation cohorts. Prognostic ROC curves and calibration curves revealed that the CTI showed good consistency in predicting the survival of patients with cancer cachexia. Multivariate survival analysis showed that an elevated CTI increased the risk of death by 22% (total cohort, 95% confidence interval [CI] = 1.13–1.33), 34% (internal test cohort, 95%CI = 1.11–1.62), and 35% (external validation cohort, 95%CI = 1.14–1.59) for each increase in the standard deviation of CTI. High CTI reliably predicted shorter survival (total cohort, hazard ratio [HR] = 1.45, 95%CI = 1.22–1.71; internal test cohort, HR = 1.62, 95%CI = 1.12–2.36; external validation cohort, HR = 1.61, 95%CI = 1.15–2.26). High CTI significantly predicted shorter survival in different tumor subgroups, such as esophageal [HR = 2.11, 95%CI = 1.05–4.21] and colorectal cancer [HR = 2.29, 95%CI = 1.42–3.71]. The mediating effects analysis found that the mediating proportions of PGSGA, ECOG PS, and EORTC QLQ-C30 on the direct effects of CTI were 21.72%, 19.63%, and 11.61%, respectively We found that there was a significant positive correlation between the CTI and 90-day [HR = 2.48, 95%CI = 1.52–4.14] and 180-day mortality [HR = 1.77,95%CI = 1.24–2.55] in patients with cancer cachexia. The CTI can predict the short- and long-term survival of patients with cancer cachexia and provide a useful prognostic tool for clinical practice.","PeriodicalId":9418,"journal":{"name":"Cancer & Metabolism","volume":"11 1","pages":""},"PeriodicalIF":5.9,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139557563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deficiency of TOP1MT enhances glycolysis through the stimulation of PDK4 expression in gastric cancer 缺乏 TOP1MT 会通过刺激 PDK4 的表达增强胃癌中的糖酵解作用
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-01-10 DOI: 10.1186/s40170-024-00330-w
Hongqiang Wang, Xutao Sun, Chen Yang, Ziqi Li, Danwen Jin, Wenwen Zhu, Ze Yu
Abnormal glucose metabolism is one of the determinants of maintaining malignant characteristics of cancer. Targeting cancer metabolism is regarded as a new strategy for cancer treatment. Our previous studies have found that TOP1MT is a crucial gene that inhibits glycolysis and cell metastasis of gastric cancer (GC) cells, but the mechanism of its regulation of glycolysis remains unclear. Transcriptome sequencing data, clinic-pathologic features of GC from a variety of public databases, and WGCNA were used to identify novel targets of TOP1MT. Immunohistochemical results of 250 patients with GC were used to analyze the relative expression relationship between TOP1MT and PDK4. The function of TOP1MT was investigated by migration assays and sea-horse analysis in vitro. We discovered a mitochondrial topoisomerase I, TOP1MT, which correlated with a higher risk of metastasis. Functional experiments revealed that TOP1MT deficiency promotes cell migration and glycolysis through increasing PDK4 expression. Additionally, the stimulating effect of TOP1MT on glycolysis may be effectively reversed by PDK4 inhibitor M77976. In brief, our work demonstrated the critical function of TOP1MT in the regulation of glycolysis by PDK4 in gastric cancer. Inhibiting glycolysis and limiting tumor metastasis in GC may be accomplished by suppressing PDK4.
葡萄糖代谢异常是维持癌症恶性特征的决定因素之一。靶向癌症代谢被认为是治疗癌症的新策略。我们之前的研究发现,TOP1MT是抑制胃癌(GC)细胞糖酵解和细胞转移的关键基因,但其调控糖酵解的机制仍不清楚。研究人员利用转录组测序数据、来自各种公共数据库的胃癌临床病理特征以及 WGCNA 来确定 TOP1MT 的新靶点。利用 250 例 GC 患者的免疫组化结果分析了 TOP1MT 和 PDK4 的相对表达关系。通过迁移试验和体外海马分析研究了TOP1MT的功能。我们发现线粒体拓扑异构酶 I TOP1MT 与转移风险较高有关。功能实验显示,TOP1MT 的缺乏可通过增加 PDK4 的表达促进细胞迁移和糖酵解。此外,PDK4抑制剂M77976可有效逆转TOP1MT对糖酵解的刺激作用。简而言之,我们的工作证明了 TOP1MT 在胃癌中通过 PDK4 调节糖酵解的关键功能。抑制 PDK4 可抑制糖酵解并限制胃癌的肿瘤转移。
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引用次数: 0
Assessment of lipolysis biomarkers in adipose tissue of patients with gastrointestinal cancer 评估胃肠癌患者脂肪组织中的脂肪分解生物标志物
IF 5.9 3区 医学 Q1 CELL BIOLOGY Pub Date : 2024-01-02 DOI: 10.1186/s40170-023-00329-9
Federica Tambaro, Giovanni Imbimbo, Elisabetta Ferraro, Martina Andreini, Roberta Belli, Maria Ida Amabile, Cesarina Ramaccini, Giulia Lauteri, Giuseppe Nigri, Maurizio Muscaritoli, Alessio Molfino
Adipose tissue metabolism may be impaired in patients with cancer. In particular, increased lipolysis was described in cancer-promoting adipose tissue atrophy. For this reason, we assessed the expression of the lipolysis-associated genes and proteins in subcutaneous adipose tissue (SAT) of gastrointestinal (GI) cancer patients compared to controls to verify their involvement in cancer, among different types of GI cancers, and in cachexia. We considered patients with GI cancer (gastric, pancreatic, and colorectal) at their first diagnosis, with/without cachexia, and controls with benign diseases. We collected SAT and total RNA was extracted and ATGL, HSL, PPARα, and MCP1 were analyzed by qRT-PCR. Western blot was performed to evaluate CGI-58, PLIN1 and PLIN5. We found higher expression of ATGL and HSL in GI cancer patients with respect to controls (p ≤ 0.008) and a trend of increase for PPARα (p = 0.055). We found an upregulation of ATGL in GI cancer patients with cachexia (p = 0.033) and without cachexia (p = 0.017) vs controls. HSL was higher in patients with cachexia (p = 0.020) and without cachexia (p = 0.021), compared to controls. ATGL was upregulated in gastric cancer vs controls (p = 0.014) and higher HSL was found in gastric (p = 0.008) and in pancreatic cancer (p = 0.033) vs controls. At the protein level, we found higher CGI-58 in cancer vs controls (p = 0.019) and in cachectic vs controls (p = 0.029), as well as in gastric cancer vs controls (p = 0.027). In our cohort of GI cancer patients, we found a modulation in the expression of genes and proteins involved in lipolysis, and differences were interestingly detected according to cancer type.
癌症患者的脂肪组织代谢可能会受损。特别是,在癌症促进脂肪组织萎缩的过程中,脂肪分解增加。为此,我们评估了胃肠道癌症患者皮下脂肪组织(SAT)中与脂肪分解相关的基因和蛋白质的表达情况,并与对照组进行了比较,以验证它们在癌症、不同类型的胃肠道癌症和恶病质中的参与情况。我们考虑了首次确诊时患有消化道癌症(胃癌、胰腺癌和结直肠癌)、伴有/不伴有恶病质的患者,以及患有良性疾病的对照组。我们收集了 SAT,提取了总 RNA,并通过 qRT-PCR 分析了 ATGL、HSL、PPARα 和 MCP1。对 CGI-58、PLIN1 和 PLIN5 进行了 Western 印迹分析。我们发现,与对照组相比,消化道癌症患者的 ATGL 和 HSL 表达量更高(p ≤ 0.008),PPARα 的表达量呈上升趋势(p = 0.055)。我们发现,与对照组相比,有恶病质(p = 0.033)和无恶病质(p = 0.017)的消化道癌症患者的 ATGL 上调。与对照组相比,恶病质患者(p = 0.020)和无恶病质患者(p = 0.021)的 HSL 均较高。胃癌与对照组相比,ATGL上调(p = 0.014),胃癌(p = 0.008)和胰腺癌(p = 0.033)与对照组相比,HSL较高。在蛋白质水平上,我们发现癌症患者与对照组相比(p = 0.019)、恶性肿瘤患者与对照组相比(p = 0.029)以及胃癌患者与对照组相比(p = 0.027),CGI-58 较高。在我们的消化道癌症患者队列中,我们发现参与脂肪分解的基因和蛋白质的表达发生了改变,而且有趣的是,根据癌症类型发现了差异。
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引用次数: 0
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