Monday, October 27, 2008

ATP citrate lyase inhibition can suppress tumor cell growth

Submitted by Daniel Rosen

Georgia Hatzivassiliou1, Fangping Zhao1, Daniel E. Bauer1, Charalambos Andreadis2, Anthony N. Shaw3, Dashyant Dhanak4, Sunil R. Hingorani1, 2, David A. Tuveson1, 2 and Craig B. Thompson1, Corresponding Author Contact Information, E-mail The Corresponding Author

1Department of Cancer Biology, Abramson Family Cancer Research Institute, University of Pennsylvania, Philadelphia, Pennsylvania 19104 2Department of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania 19104 3Department of Medicinal Chemistry, Metabolic and Viral Diseases Center of Excellence for Drug Discovery, GlaxoSmith-Kline, Collegeville, Pennsylvania 19426 4Department of Medicinal Chemistry, Musculoskeletal, Microbial and Proliferative Diseases Center of Excellence for Drug Discovery, GlaxoSmith-Kline, Collegeville, Pennsylvania 19426


Received 11 April 2005;

revised 9 September 2005;

accepted 28 September 2005.

Published: October 17, 2005.

Available online 17 October 2005.



Summary:

Human cancers are often detected by 18-F-2-deoxyglucose positron emission tomography (PET) because the cancers tend to exhibit high levels of aerobic glycolyis which can be detected by the PET scan. Although the increased levels of aerobic metabolism fulfill a need for increased ATP production, the majority of the ATP derives from glycolytic activity. The pyruvate end-product enters a modified Citric Acid/Krebs cycle and is shunted to producing citrate and then acetyl-CoA. The acetyl-CoA is a necessary building block for de-novo synthesis of fatty acids, which cancers cells do almost exclusively regardless of external supplies. Cancer cells engage in upregulated levels of fatty acid synthesis to (1) support membrane production and (2) permit post-translational modification of proteins (i.e. acetylation) specifically lipid modified signaling molecules. Both functions are essential for cancer growth. ATP Citrate Lyase (ACL) is an enzyme which converts Citrate to cytosolic acetyl-coA and it is also coordinately regulated with other lipgenic enzymes. For this potential to link glucose and lipid metabolism, ACL was studied and its inhibition was determined to suppress proliferation and promote differentiation in glucose dependent cancers.

Endogenous ACL levels in human lung adenocarcinoma cell line A549 were knocked down with siRNA oligonucleotides. As a control the siACL knockdowns were compared to siLUC (luciferase) knockdowns. In the first experiment a Western Blot was run comparing the two siRNA transfections production of ACL, which was compared to Actin (Figure 1). The results show decreased levels of ACL in the knockdowns which increases with time and there is no change in the controls. This is also quantified in figure 1B. Data in Figure 1 also shows a difference in lipid synthesis when tagged with D-[6-14C] glucose (for the glucose dependent lipid synthesis) for the siACL vs. siLUC lines and no change for acetate tagging (glucose independent lipid synthesis). Viability only decreased for the siACL line at extended time periods.

As shown in Figure 4. the in vivo effect of short hairpin knockdown strains of A549 cells resulted in reduced tumor weight and differentiation into glandular structures when injected in vivo into nude mice. The differentiated phenotype, being unexpected, was confirmed with a replicated experiment using K562 chronic myelogenous leukemia cell line. The pharmoacologic inhibitor of ACL, SB-204990 (not stated but presumably a Glaxo-smith-kline (GSK) propriety compound) was tested on a IL-3 dependent cell lines. The IL-3 stimulates glycolysis and cell proliferation which replicates a tumor cell profile. The SB-204990 compound induced delayed cell cycle entry (arrest in G1 phase at 15 microMolar and complete inhibition at higher doses). The compound was then tested against three tumor forming cell lines in vitro and in vivo via xenographs in nude mice. Two of the cell lines (A549 and PC3) exhibited sensitivity to SB-204990 treatment while the third line SKOV3 did not. The difference is indicated to be a result of the SKOV3 lower dependence and uptake of glucose.

Significance:

Because many human cancers display a higher than average glucose dependency, fueling growth and malignancy, an inhibitor of the utilization of that glucose makes an attractive target in anti-cancer therapy. Cancer cells require the extra glucose in order to generate de novo lipids specifically signaling molecules and membrane. One relatively upstream enzyme involved in this lipogenesis is ACL which when downregulated was shown in vitro and in vivo to have negative effects on cancer growth and also promoted differentiation—another indication of cancer retreat. Although several methods of downregulation including siRNA and pharmaceutical compounds produced the desired effect, it was only significant in cancer lines representative of cells which require an abnormally high amount of exogenous glucose and had a minor effect on cancer lines with lower glucose to lipid production ratios. Additionally, a separate glucose-independent pathway can rescue lipogenesis function in several cell lines. Despite these setbacks, ACL inhibitors remain attractive anti-cancer therapeutics due to upstream regulation of other lipogenic factors, selective targeting of cancer tissues and anti-neoplastic properties.

From the perspective of BioE 115 this paper employs three of the available cell lines, Western Blotting, and BrdU staining.

9 comments:

Tizita said...

Cancer is one of the leading cause of death in the US and any scientific study and breakthrough will have a positive impact in cancer treatment. It is interesting to learn that inhibiting ATP synthase can reduce and disrupt cancer cells to inhibit tumor growth. All living organisms require energy, which they use in the form of ATP through glycolysis and other metabolic pathways. To see this study identifying and specifically targeting glucose breakdown and ATP synthesis in cancer cells will be useful for cancer treatment. I would like to learn more on how the inhibition of energy for cancer cells can be targeted without disrupting non-cancerous cells and important metabolic pathways.

DanR said...

Response to tizita: Cancer is and has been one of the major research pushes for decades and although President Nixon declared "war on cancer" in 1971 much work remains. I think this article highlights a crucial issue in cancer treatment. Like you said, how do you target cancer cells but leave normal cells undisturbed. Principally, researches look for differences between cancer cells and normal cells. Usually this can be found in difference in growth rates. A prevalent characteristic of cancer cells is that they grow much faster than normal cells. The paper explores one aspect of that growth which is how cancerous cells require higher amounts of glucose in order to facilitate lipid synthesis--a gateway to growth. We can see parallel situations in chemotherapy drugs which often target DNA synthesis, the principle being that while a chemotherapeutic such as an antimetabolite (search for it on wikipedia) will be detrimental to all cells engaged in a particular pathway (i.e. DNA synthesis) it will be more so to cells (often cancerous) that upregulate that pathway, or engage in it more frequently than a normal cell (like duplicating DNA in preparation for division).

Angela Qiu said...
This comment has been removed by the author.
Angela Qiu said...

You have mentioned the results from several figures, but I couldn't find any figures posted in your paper. It makes it a little hard for me to understand the concept you are talking about. Has this concept applied in clinical trials? Did the paper mention anything about its application so far?

James said...

Although the targeting mechanism discussed in this paper is useful, how practical do you think it really is? Did they do any controls where they tested the drugs on various primary cell lines? The chemotherapeutic drugs like taxol seem a lot more specific and wouldn't damage the normal cells as much. If i remember correctly, brain cells only use glucose, so perhaps testing the effects of those drugs on neurons would be a good side experiment.

DanR said...

Response to Ye Qiu:

The figures I referenced are labeled as such in the original paper which can be directly linked to by clicking on the paper title in the post. Sorry for the confusion.

In terms of clinical trials, this concept is still in murine preclinical trials by GlaxoSmithKline. This is the only mention of current applications. If the company compound proves to be effective, the drug will move into phase I clinical trials (follow by phase II, III respectively) and concurrent evaluation by the FDA. Because this research is being carried out in conjunction with a major pharmaceutical player I think it is valid to conclude that they intend to take the compound to clinical trials and eventually market.

DanR said...

Response to James:

I think the practicality of the targeting mechanism all comes down to the central problem of cancer therapeutics. How do you target the cancer cells but leave the normal cells alone? From your comment you definitely understand that this is crucial. As for the efficacy I think there are two things to consider. (1) The inhibitor was shown to be not as effective because cells can create lipids via another pathway and somewhat make up for the deficiency. (2) The inhibitor was shown to be less effective in cancer lines not as dependent on glucose.

In the end I think these caveats are not uncommon for drugs and with the advent of personalized medicine I could see a use for such a drug for a specific cancer genomic/proteomic/or metablomic profile.

Lastly, I think they didn't do any specific controls on non-cancerous cells in vitro because it might be better to analyze a systemic reaction in vivo in a murine model. However, analysis of the effect on neurons given their limited metabolic intake would be valuable. Thanks!

Dean said...

Is ACL exclusive to tumor cells? Or does it have a modified form in tumor cells? Or is it localized differently in tumor cells? If ACL exhibit some sort of uniqueness in tumor cells, tumor cells can be targeted with greater specificity without harming non-tumor cells.

Are you aware of any drugs that are currently out on the market that target ACL or other enzymes that bridge glycolysis with fatty acid synthesis? It could be useful for cancer researchers to look into such enzymes that are unique to tumor cells in order to surmount the issue of harming normal cells. Such approach would be more promising and efficient, and would conserve many useful resources and time.

DanR said...

Dean:

ACL is present in both cancer and normal cells. The clinical significance is that the lipid pathway is used more often in cancer cells so ACL provides a better target for inhibition in cancer cells. It is certainly possible that some forms of cancer have a mutation in the ACL gene but that was not evident here.

I am not aware of any like durgs on the market but I will definitely look into it. Thanks!