Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy

Summary: Glioblastoma (GBM) metabolism has traditionally been characterized by a primary dependence on aerobic glycolysis, prompting the use of the ketogenic diet (KD) as a potential therapy. In this study we evaluated the effectiveness of the KD in GBM and assessed the role of fatty acid oxidation...

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Main Authors: Jantzen Sperry, Michael C. Condro, Lea Guo, Daniel Braas, Nathan Vanderveer-Harris, Kristen K.O. Kim, Whitney B. Pope, Ajit S. Divakaruni, Albert Lai, Heather Christofk, Maria G. Castro, Pedro R. Lowenstein, Janel E. Le Belle, Harley I. Kornblum
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:iScience
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589004220306453
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spelling doaj-c408bc708ce74fd297a8a89e0dcb76f32020-11-25T02:51:20ZengElsevieriScience2589-00422020-09-01239101453Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet TherapyJantzen Sperry0Michael C. Condro1Lea Guo2Daniel Braas3Nathan Vanderveer-Harris4Kristen K.O. Kim5Whitney B. Pope6Ajit S. Divakaruni7Albert Lai8Heather Christofk9Maria G. Castro10Pedro R. Lowenstein11Janel E. Le Belle12Harley I. Kornblum13Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USADepartment of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USADepartment of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA; Department of Radiological Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USAUCLA Metabolomics Center, UCLA, Los Angeles, CA, USADepartment of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USADepartment of Radiological Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USAJonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA; Department of Neurology, UCLA, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA; Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA; Department of Biological Chemistry, UCLA, Los Angeles, CA, USA; Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research, UCLA, Los Angeles, CA, USADepartment of Neurosurgery, Department of Cell and Developmental Biology, Rogel Cancer Center, University of Michigan Medical School, Ann Arbor, MI 48109, USADepartment of Neurosurgery, Department of Cell and Developmental Biology, Rogel Cancer Center, University of Michigan Medical School, Ann Arbor, MI 48109, USADepartment of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA; Department of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA; Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA; Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research, UCLA, Los Angeles, CA, USA; Corresponding authorSummary: Glioblastoma (GBM) metabolism has traditionally been characterized by a primary dependence on aerobic glycolysis, prompting the use of the ketogenic diet (KD) as a potential therapy. In this study we evaluated the effectiveness of the KD in GBM and assessed the role of fatty acid oxidation (FAO) in promoting GBM propagation. In vitro assays revealed FA utilization throughout the GBM metabolome and growth inhibition in nearly every cell line in a broad spectrum of patient-derived glioma cells treated with FAO inhibitors. In vivo assessments revealed that knockdown of carnitine palmitoyltransferase 1A (CPT1A), the rate-limiting enzyme for FAO, reduced the rate of tumor growth and increased survival. However, the unrestricted ketogenic diet did not reduce tumor growth and for some models significantly reduced survival. Altogether, these data highlight important roles for FA and ketone body metabolism that could serve to improve targeted therapies in GBM.http://www.sciencedirect.com/science/article/pii/S2589004220306453PathophysiologyCancerDiet
collection DOAJ
language English
format Article
sources DOAJ
author Jantzen Sperry
Michael C. Condro
Lea Guo
Daniel Braas
Nathan Vanderveer-Harris
Kristen K.O. Kim
Whitney B. Pope
Ajit S. Divakaruni
Albert Lai
Heather Christofk
Maria G. Castro
Pedro R. Lowenstein
Janel E. Le Belle
Harley I. Kornblum
spellingShingle Jantzen Sperry
Michael C. Condro
Lea Guo
Daniel Braas
Nathan Vanderveer-Harris
Kristen K.O. Kim
Whitney B. Pope
Ajit S. Divakaruni
Albert Lai
Heather Christofk
Maria G. Castro
Pedro R. Lowenstein
Janel E. Le Belle
Harley I. Kornblum
Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy
iScience
Pathophysiology
Cancer
Diet
author_facet Jantzen Sperry
Michael C. Condro
Lea Guo
Daniel Braas
Nathan Vanderveer-Harris
Kristen K.O. Kim
Whitney B. Pope
Ajit S. Divakaruni
Albert Lai
Heather Christofk
Maria G. Castro
Pedro R. Lowenstein
Janel E. Le Belle
Harley I. Kornblum
author_sort Jantzen Sperry
title Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy
title_short Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy
title_full Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy
title_fullStr Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy
title_full_unstemmed Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy
title_sort glioblastoma utilizes fatty acids and ketone bodies for growth allowing progression during ketogenic diet therapy
publisher Elsevier
series iScience
issn 2589-0042
publishDate 2020-09-01
description Summary: Glioblastoma (GBM) metabolism has traditionally been characterized by a primary dependence on aerobic glycolysis, prompting the use of the ketogenic diet (KD) as a potential therapy. In this study we evaluated the effectiveness of the KD in GBM and assessed the role of fatty acid oxidation (FAO) in promoting GBM propagation. In vitro assays revealed FA utilization throughout the GBM metabolome and growth inhibition in nearly every cell line in a broad spectrum of patient-derived glioma cells treated with FAO inhibitors. In vivo assessments revealed that knockdown of carnitine palmitoyltransferase 1A (CPT1A), the rate-limiting enzyme for FAO, reduced the rate of tumor growth and increased survival. However, the unrestricted ketogenic diet did not reduce tumor growth and for some models significantly reduced survival. Altogether, these data highlight important roles for FA and ketone body metabolism that could serve to improve targeted therapies in GBM.
topic Pathophysiology
Cancer
Diet
url http://www.sciencedirect.com/science/article/pii/S2589004220306453
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